SCHIP's impact in three states: how do the most vulnerable children fare?
This study provides consistent evidence, from three very diverse states with heterogeneous populations and distinct programs (Florida, Kansas, and New York), that the State Children's Health Insurance Program (SCHIP) increased access to and satisfaction with health care among enrolled low-income children and that vulnerable children-minorities, children and adolescents with special health care needs, and children who were uninsured for long periods of time-shared in these improvements. We highlight some areas to target for future improvement, such as reducing the high levels of unmet needs among special-needs children and increasing preventive care, especially for Hispanic children.
Dick
Andrew W
AW
Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, USA.
Brach
Cindy
C
Allison
R Andrew
RA
Shenkman
Elizabeth
E
Shone
Laura P
LP
Szilagyi
Peter G
PG
Klein
Jonathan D
JD
Lewit
Eugene M
EM
D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D002669:Child Welfare; D002675:Child, Preschool; D005431:Florida; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019458:Insurance Coverage; D007615:Kansas; D008137:Longitudinal Studies; D008913:Minority Groups; D009518:New York; D013221:State Health Plans / Q000458:organization & administration*; D014481:United States; D035862:Vulnerable Populations