Changes in Reported Health Status and Unmet Need for Children Enrolling in the Kansas Children’s Health Insurance Program

作者：Michael H. Fox, Janice M. Moore, Raymond G. Davis, Robert Heintzelman · 发表于：American Journal of Public Health · 年份：2003 · DOI：10.2105/ajph.93.4.579 · 被引用次数：26 · 研究领域：Healthcare Policy and Management、Primary Care and Health Outcomes、Child and Adolescent Health

To date, most work investigating the effect of the State Children’s Health Insurance Program on uninsured children has focused on eligibility or insurability.1–5 Few studies have analyzed its effect on children’s health status or access to health care. Current literature discusses the experience of children newly covered by state or privately funded children’s health insurance programs that existed before the Balanced Budged Act of 1997 that established the State Children’s Health Insurance Program.6–10 Recent work has summarized research studies that have showed the broader effect of having health insurance on health status and access to health care.11–14 In an effort to understand the effects of the Kansas State Children’s Health Insurance Program—HealthWave—on newly insured children and a small number moving into the State Children’s Health Insurance Program from Medicaid, researchers working with the state designed a survey to profile children’s health status, unmet medical needs, and access to services over the first year of the program. The questionnaire drew on standardized questions from national health surveys. Kansas HealthWave is a stand-alone State Children’s Health Insurance Program plan with benefits patterned after the state employees’ health insurance program. Most care is delivered through 1 statewide managed care organization under contract with the Kansas Department of Social and Rehabilitation Services.