Reaching children of the uninsured and underinsured in two rural Wisconsin counties: findings from a pilot project
| Autor: | Beverly J. Larson Rn, Brian R. Clarridge, Kathleen M. Newman |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Referral Adolescent Health Status Population Child Health Services Pilot Projects Rural Health Wisconsin Environmental health Health care medicine Humans Mass Screening Cost Sharing education Child education.field_of_study Copayment Medically Uninsured business.industry Medicaid Dental health Public Health Environmental and Occupational Health Infant Newborn Preventive health Dental care Underinsured United States Family medicine Child Preschool Costs and Cost Analysis Female business Program Evaluation |
| Zdroj: | The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 9(1) |
| ISSN: | 0890-765X |
| Popis: | Debates about the accessibility, costs, and coverages of health care for the population at large have recently accelerated. This paper addresses some of the demographic, health, and fiscal ramifications of creating a preventive health care bridge to children in uninsured and underinsured families in two rural Wisconsin counties. The study findings revealed that the initial health status of children making a preventive health visit under a minimal copayment plan was noticeably worse than the status of those who had the free Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program available to them on a more or less continual basis. Upon their first visit, the children who did not have access to a free EPSDT program had a greater number of medical and dental health problems and fewer preventive dental care visits than their EPSDT contemporaries. Beyond a greater number of problems, however, we found no noticeable differences between the two groups in the types of health problems present (i.e. the clinical distribution of the problems was similar across the two groups). This paper also contrasts referral completion rates and rates of diagnostic confirmation of identified problems between the two groups. Finally, we provide estimates of the cost of coverage for each unprotected child. |
| Databáze: | OpenAIRE |
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