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The effects of the State Children's ...

Wang, Hua.

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The effects of the State Children's Health Insurance Program on health insurance coverage and access to care.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The effects of the State Children's Health Insurance Program on health insurance coverage and access to care./
作者:	Wang, Hua.
面頁冊數:	149 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-09, Section: B, page: 4767.
Contained By:	Dissertation Abstracts International66-09B.
標題:	Health Sciences, Public Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3190325
ISBN:	9780542341052

The effects of the State Children's Health Insurance Program on health insurance coverage and access to care.
Wang, Hua.

The effects of the State Children's Health Insurance Program on health insurance coverage and access to care. - 149 p.

Source: Dissertation Abstracts International, Volume: 66-09, Section: B, page: 4767.

Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2005.

The goal of the State Children's Health Insurance Program (SCHIP) is to improve access to care for uninsured low-income children through expanding public insurance coverage. This study examines effects of SCHIP implementation on insurance coverage, access to and use of medical care, and access to and use of dental services in three separate components.

ISBN: 9780542341052Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

The effects of the State Children's Health Insurance Program on health insurance coverage and access to care.
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245 1 4 $a The effects of the State Children's Health Insurance Program on health insurance coverage and access to care.
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500 $a Adviser: Edward C. Norton.
502 $a Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2005.
520 $a The goal of the State Children's Health Insurance Program (SCHIP) is to improve access to care for uninsured low-income children through expanding public insurance coverage. This study examines effects of SCHIP implementation on insurance coverage, access to and use of medical care, and access to and use of dental services in three separate components.
520 $a All three components of the dissertation use data from the National Health Interview Survey (NHIS) for the years 1995--2002. The first component estimates time and state fixed effects models of health insurance. It finds SCHIP availability increased public coverage by 2.7 percentage points and reduced the uninsured rate by 1.1 percentage points. Results also suggest SCHIP implementation has significantly increased Medicaid enrollment as a spill-over effect but it decreased (crowded out) private insurance.
520 $a The second and third components of the dissertation evaluate SCHIP from three perspectives. Effects of SCHIP availability, SCHIP enrollment, and SCHIP-induced any public coverage on access to and use of medical and dental care were examined in time and county fixed effects models and instrumental variables regressions. Instruments for SCHIP enrollment and SCHIP-induced public coverage are key SCHIP program features.
520 $a Analyses from three perspectives all provide evidence that SCHIP has improved access to and use of medical and dental services for children. For example, SCHIP increased the likelihood of having a usual source of care of a doctor's office by 14 percentage points and decreased the probability of not getting dental care due to cost by 1.4 percentage points. Compared to uninsured counterparts, SCHIP enrollees and those who gained other public coverage from SCHIP implementation showed improvement in many indicators of access to and use of medical services and they were less likely to experience unmet need for dental care and more likely to have had a recent dental visit than the uninsured.
520 $a While states are implementing three quite different types of SCHIP programs, different types of programs did not seem to have significantly differential effects on health insurance or access to medical or dental care.
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