Abstract
OBJECTIVES: The School Enrollment-Based Health Insurance program is designed to reduce financial barriers to children's health care use. This study sought to determine if any socioeconomic measures differed between enrollees with at least one health care encounter and those with no encounters. METHODS: Logistic regression was used to assess the impact of various predictors on the odds that a child would use health care services. RESULTS: Children receiving free insurance premiums were less likely to use health care than those receiving partial subsidy. African-American and Hispanic children were less likely than Whites to use health care. Age, sex, and months enrolled also influenced the likelihood of health care use. CONCLUSIONS: Financial and non-financial factors must be considered when developing children's health care programs.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aday L. A., Lee E. S., Spears B., Chung C. W., Youssef A., Bloom B. Health insurance and utilization of medical care for children with special health care needs. Med Care. 1993 Nov;31(11):1013–1026. doi: 10.1097/00005650-199311000-00004. [DOI] [PubMed] [Google Scholar]
- Freedman S. A., Klepper B. R., Duncan R. P., Bell S. P., 3rd Coverage of the uninsured and underinsured. A proposal for school enrollment-based family health insurance. N Engl J Med. 1988 Mar 31;318(13):843–847. doi: 10.1056/NEJM198803313181308. [DOI] [PubMed] [Google Scholar]
- Rasell M. E. Cost sharing in health insurance--a reexamination. N Engl J Med. 1995 Apr 27;332(17):1164–1168. doi: 10.1056/NEJM199504273321711. [DOI] [PubMed] [Google Scholar]
- Rosenbach M. L. The impact of Medicaid on physician use by low-income children. Am J Public Health. 1989 Sep;79(9):1220–1226. doi: 10.2105/ajph.79.9.1220. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Short P. F., Lefkowitz D. C. Encouraging preventive services for low-income children. The effect of expanding Medicaid. Med Care. 1992 Sep;30(9):766–780. doi: 10.1097/00005650-199209000-00002. [DOI] [PubMed] [Google Scholar]
