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Access to health care among children...

Guerrero, Alicia C.

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Access to health care among children in the United States: Use of health inequalities measures to evaluate progress in reduction of disparities from 1997 to 2005.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Access to health care among children in the United States: Use of health inequalities measures to evaluate progress in reduction of disparities from 1997 to 2005./
Author:	Guerrero, Alicia C.
Description:	70 p.
Notes:	Source: Masters Abstracts International, Volume: 46-01, page: .
Contained By:	Masters Abstracts International46-01.
Subject:	Black Studies. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=1445485
ISBN:	9780549127598

Access to health care among children in the United States: Use of health inequalities measures to evaluate progress in reduction of disparities from 1997 to 2005.
Guerrero, Alicia C.

Access to health care among children in the United States: Use of health inequalities measures to evaluate progress in reduction of disparities from 1997 to 2005. - 70 p.

Source: Masters Abstracts International, Volume: 46-01, page: .

Thesis (M.P.H.)--The University of Texas School of Public Health, 2007.

Much of the literature on disparities in access to health care among children has focused on measuring absolute and relative differences experienced by race/ethnic groups and, to a lesser extent, socioeconomic groups. However, it is not clear from existing literature how disparities in access to care may have changed over time for children, especially following implementation of the State Children's Health Insurance Program (SCHIP). The primary objective of this research was to determine if there has been a decrease in disparities in access to care for children across two socioeconomic groups and race/ethnicity groups after SCHIP implementation. Methods commonly used to measure 'health inequalities' were used to measure disparities in access to care including population-attributable risk (PAR) and the relative index of inequality (RII). Using these measures there is evidence of a substantial decrease in socioeconomic disparities in health insurance coverage and to a lesser extent in having a usual source of care since the SCHIP program began. There is also evidence of a considerable decrease in non-Hispanic Black disparities in access to care. However, there appears to be a slight increase in disparities in access to care among Hispanic compared to non-Hispanic White children. While there were great improvements in disparities in access to care with the introduction of the SCHIP program, continuing progress in disparities may depend on continuation of the SCHIP program or similar targeted health policy programs.

ISBN: 9780549127598Subjects--Topical Terms:

1017673
Black Studies.

Access to health care among children in the United States: Use of health inequalities measures to evaluate progress in reduction of disparities from 1997 to 2005.
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500 $a Source: Masters Abstracts International, Volume: 46-01, page: .
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502 $a Thesis (M.P.H.)--The University of Texas School of Public Health, 2007.
520 $a Much of the literature on disparities in access to health care among children has focused on measuring absolute and relative differences experienced by race/ethnic groups and, to a lesser extent, socioeconomic groups. However, it is not clear from existing literature how disparities in access to care may have changed over time for children, especially following implementation of the State Children's Health Insurance Program (SCHIP). The primary objective of this research was to determine if there has been a decrease in disparities in access to care for children across two socioeconomic groups and race/ethnicity groups after SCHIP implementation. Methods commonly used to measure 'health inequalities' were used to measure disparities in access to care including population-attributable risk (PAR) and the relative index of inequality (RII). Using these measures there is evidence of a substantial decrease in socioeconomic disparities in health insurance coverage and to a lesser extent in having a usual source of care since the SCHIP program began. There is also evidence of a considerable decrease in non-Hispanic Black disparities in access to care. However, there appears to be a slight increase in disparities in access to care among Hispanic compared to non-Hispanic White children. While there were great improvements in disparities in access to care with the introduction of the SCHIP program, continuing progress in disparities may depend on continuation of the SCHIP program or similar targeted health policy programs.
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