Navigation Links
Teens Get Needed Access to Care With State Health Insurance

When given health insurance through the state children’s health insurance program (SCHIP), teens see their doctors more often,// racial disparities are eliminated and more preventive care is received. This often-overlooked age group also received more counseling from their health care providers about guns, smoking, drugs, alcohol and sexuality – all issues that impact their long-term health.

"Adolescents have the worst access to health care among children," said Jonathan Klein, M.D., M.P.H., associate professor of Adolescent Medicine at the University of Rochester Medical Center and author of a paper on the subject in this month’s Pediatrics. "But when given access through the state children’s health insurance program, or SCHIPs, they receive the preventive care that helps them grow into healthy adults."

The study surveyed about 1,000 adolescents and their parents shortly after enrollment in New York’s SCHIP program, Child Health Plus, and again a year later.

Upon enrollment, a significant number of adolescents had fair or poor health status (14 percent). The majority of adolescents were from families living in poverty (83 percent) and most were uninsured before their enrollment (71 percent).

Their parents were more likely to report that their adolescent had a preventive visit (74 percent) than they were before enrolling in SCHIP (66 percent). More parents also reported that their teens’ providers had counseled on a variety of preventative health issues while in the program, including guns, smoking, drugs, alcohol and sexuality – which is significant since 14 percent of adolescents reported smoking cigarettes and one-fifth had prior sexual intercourse upon enrollment.

"The increase in access to a usual source of care and reduction of unmet needs are the most important finding of this study. Getting access to care is key to adolescent health," Klein said. Parents also were significantly less likely to say th ey were worried about their child’s health and they said they were more satisfied with their providers and care.

Parents were more likely to report that their adolescent visited a specialist or used prescription medications in the program. Emergency department use and other specialty services use did not change during enrollment, which suggests that the program targets needed access, not merely increased use of all health care.

Another significant finding of the program was the elimination of racial disparities in access to care among adolescents, bringing the percentage of all adolescents in the program seeking care with the same health care professionals up to about 95 percent -- an especially noteworthy boost up from 75 percent of black adolescents and 74 percent of Hispanic adolescents prior to enrollment..

In spite of these improvements, unmet health care needs remained relatively high, with more than 40 percent of adolescents reporting unmet needs even after they had enrolled in SCHIP.

"This study shows that if you give adolescents insurance, it improves their access to care and eliminates disparities while promoting effective use of preventive care," Klein said. "Enrolling adolescents in these state insurance programs is a good investment because with greater access to preventative care, these children will be more likely to learn ways to grow into healthy, productive adults."

Child Health Plus

New York’s child health insurance program, Child Health Plus, was created in 1991 and uses managed care plans. New York children are eligible for coverage between birth and 18 years of age, if they are at or below 230 percent of the federal poverty level, if they have no other insurance and are not eligible for Medicaid. The program was created to cover the gap between families who qualify for Medicaid and families who have private insurance. Child Health Plus served as a model for other state’s pr ograms when state children’s health insurance was created nationally in 1997. The national program is scheduled to expire at the end of this fiscal year, and its continued federal support is not guaranteed.

Much energy has been spent on maintaining funding and ensuring poor children and families have coverage, but many states do not target adolescents for outreach and enrollment and some states have implemented other policies that have created barriers to adolescents’ eligibility.

"The federal government has made adolescent enrollment in these state-run programs a priority, but substantial work remains to ensure all adolescents receive the care they need," Klein said.

Source-Eurekaert
SRM
'"/>




Related medicine news :

1. Teens turning to Internet for medical queries
2. Teens listen to parents about smoking
3. Teens Misusing Nicotine-Replacement Products
4. What Makes Teens take Drugs
5. Teens vitamin D deficiency an epidemic
6. Teens break bones due to lack of milk
7. Teens and women are more at risk of getting sunburned
8. Teens with diabetes may be already having cardiac problems
9. Anti-tobacco Advertising Can Reduces smoking Among Teens
10. Teens not interested in early sleep
11. Teens need to Exercise Caution While Using Online Blogs
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/23/2017)... ... 23, 2017 , ... Natural Subsistence, a company known for ... and nutrition, announced its product Leyzene is now available for purchase on Go4ItNutrition.com, ... that help people improve all aspects of their health so they can live ...
(Date:3/23/2017)... ... March 23, 2017 , ... The American Board of ... the 40th Anniversary of ABQAURP’s dedication to Health Care Quality and Management and Patient ... contributed not only to the association, but also to the Health Care Quality and ...
(Date:3/23/2017)... ... March 23, 2017 , ... ... with European Guidelines and the New MEDDEV 2.7/1 Rev. 4 Guidance, **An ... http://www.fdanews.com/mdclineval                  , How will the new EU MDR language change ...
(Date:3/23/2017)... ... March 23, 2017 , ... “Beyond and Back”: a true-life testimony of tragedy ... of published author Bonetta Rose, a wife, mother and grandmother committed to sharing her ... Faith Publishing, Bonetta Rose‘s new book presents actual events in the life of her ...
(Date:3/23/2017)... ... March 23, 2017 , ... “A Respectful ... “A Respectful Response To Atheist Manifesto” is the creation of published author Richard ... Nancy, for sixty years. He holds graduate degrees from Kent State University and ...
Breaking Medicine News(10 mins):
(Date:3/22/2017)... de marzo de 2017   VWR ... soluciones de productos y servicios para clientes de ... adquirido EPL Archives, Inc., una organización de servicios ... todo el ciclo de vida de investigación de ... de archivo, almacenamiento de documentos y servicios complementarios. ...
(Date:3/22/2017)... 22, 2017 Ampio Pharmaceuticals, Inc. (NYSE ... Ampion™, a low molecular weight fraction of human ... it is re-issuing its previous release that was made ... that are required under the NYSE MKT Company ... additional disclosures along with the previously disclosed update ...
(Date:3/22/2017)... New Jersey,s hospitals ... and saved $641 million in healthcare costs between 2012 ... quality improvement program. The results reflect ... part of a national initiative from the U.S. Department ... Jersey Hospital Association and its affiliate, the Health Research ...
Breaking Medicine Technology: