کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1078510 950461 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Timely Health Service Utilization of Older Foster Youth by Insurance Type
ترجمه فارسی عنوان
استفاده از خدمات سلامت به موقع جوانان بچه سر راهی با نوع بیمه
کلمات کلیدی
نگهداری فرزند؛ پیر شدن مراقبت های اولیه؛ مراقبت های بهداشتی پیشگیرانه؛ مراقبت های اولیه
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeTo evaluate the impact of a policy change for older foster care youth from a fee-for-service (FFS) Medicaid program to health maintenance organization (HMO) providers on the timeliness of first well-child visits (health care physicals).MethodsA three-year retrospective study using linked administrative data collected by the Michigan Departments of Human Services and Community Health of 1,657 youth, ages 10-20 years, who were in foster care during the 2009–2012 study period was used to examine the odds of receiving a timely well-child visit within the recommended 30-day time frame controlling for race, age, days from foster care entry to Medicaid enrollment, and number of foster care placements.ResultsYouth entering foster care during the HMO period were more likely to receive a timely well-child visit than those in the FFS period (odds ratio, 2.46; 95% confidence interval, 1.84–3.29; p < .0001) and days to the first visit decreased from a median of 62 days for those who entered foster care during the FFS period to 29 days for the HMO period. Among the other factors examined, more than 14 days to Medicaid enrollment, being non-Hispanic black and having five or more placements were negatively associated with receipt of a timely first well-child visit.ConclusionsThose youth who entered foster care during the HMO period had significantly greater odds of receiving a timely first well-child visit; however, disparities in access to preventive health care remain a concern for minority foster care youth, those who experience delayed Medicaid enrollment and those who experienced multiple placements.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Adolescent Health - Volume 58, Issue 1, January 2016, Pages 17–23
نویسندگان
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