Children, Families, and Disparities

Grace, Aimee M.; Horn, Ivor B.; Hall, Robert; Cheng, Tina L.

doi:10.1016/j.pcl.2015.06.003

Cited by 14 publications

(5 citation statements)

References 10 publications

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“…Sweeping healthcare reform in 1965 led to the enactment of Medicaid and Medicare, aligning federal-state and individual-level interests to provide health coverage for pregnant women, low-and middle-income children, and other vulnerable populations. 15 The CMS program has undergone several reforms, including the Affordable Care Act in 2010, to improve healthcare access for all, despite state-state variability in insurance coverage and bene ts. Increased health insurance coverage has improved access and quality of care, in-hospital mortality, and access to rehabilitative care for pediatric patients 16,17 .…”

Section: Equity In Healthcare Accessmentioning

confidence: 99%

Centers for Medicare and Medicaid Services (CMS) Supported Interventions to Address Health Disparities in Pediatric Populations: A Scoping Review

Myers,

Rao,

Densley

et al. 2024

Preprint

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OBJECTIVE: To assess the scope of Centers for Medicaid and Medicare (CMS) and CHIP funded interventions to minimize pediatric health disparities. METHODS: The authors searched Cochrane Library, Embase, PubMed, and Web of Science using keywords and terms related to Medicaid, Medicare, CMS, public health insurance, pediatric, and health disparities. Full-text, peer-reviewed studies published in English between 2013-2023 focusing on pediatric patients with interventions to reduce health disparities funded by CMS were included. The review of the literature databases was completed over one month, ending in June 2023. Articles were screened for eligibility by the primary author and senior author. Co-authors carried out data tabulation and extraction. RESULTS: Four peer-reviewed, full-text studies published in English between 2013-2023 that focused on pediatric patients (0-18 years old) with public health insurance with interventions to reduce health disparities funded by CMS were included in the review. Study designs included one randomized control study, one intervention study, one cross-sectional study, and one policy statement. Patient sample sizes ranged from 129 to 36,000, including racial/ethnic minorities, low-income families, Medicaid-insured children and adolescents, and Children’s Health Insurance Program recipients. CONCLUSION: Few studies exist examining CMS-funded interventions to minimize pediatric health disparities. Federal-funded programs, specifically CMS, can dismantle health inequities by addressing SDoH impacting minoritized and marginalized pediatric patients.

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Section: Equity In Healthcare Accessmentioning

confidence: 99%

Centers for Medicare and Medicaid Services (CMS) Supported Interventions to Address Health Disparities in Pediatric Populations: A Scoping Review

Myers,

Rao,

Densley

et al. 2024

Preprint

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“…Consumer protections (e.g., no preexisting condition exclusions, no annual lifetime limits on insurance coverage) and promotion of an electronic medical record for coordination of care were also included. Additionally, the Center for Medicare and Medicaid Innovation was created to test and dis seminate innovative payment and delivery system models (Berenson, Doty, Abrams, & Shih, 2012;Grace, Horn, Hall, & Cheng, 2015;Keller & Chamberlain, 2014). Although repeatedly challenged in Congress, this Act has been implemented as a compromise between free-market and publicly funded universal health care in an attempt to control costs and improve care.…”

Section: Retail-based Clinicsmentioning

confidence: 99%

“…Developed with the input of family advocates, this model of care is designed to better satisfy and meet the needs of patients and families, decrease fragmentation of care, improve health outcomes, and drive down costs. It is also upheld as a key to reducing disparities in care (Grace et al, 2015;Starfield, 2004).…”

Section: The Promise Of Patient-and Family-centered Medical Homesmentioning

confidence: 99%

Families and the health care system.

Alderfer¹,

Kazak²,

Canter³

2019

APA Handbook of Contemporary Family Psychology: Applications and Broad Impact of Family Psychology (Vol. 2).

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“…Even when a child has some form of health insurance, some caregivers still may struggle to find regular sources of care if fewer and fewer providers accept the child's health insurance. Such narrowing of networks, defined as a network that is “sufficient in number and type of providers” 11 may make regular care for one's child more difficult. 10 Recent evidence suggests that pediatric care may suffer from even more narrow networks than adult care.…”

Section: Introductionmentioning

confidence: 99%

Health Care Access Barriers Bring Children to Emergency Rooms More Frequently: A Representative Survey

Taylor

Salyakina

2019

Population Health Management

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Children may visit the emergency department (ED) regularly in part because they and their caregivers may be experiencing barriers to appropriate and timely pediatric care. However, assessing the wide range of potential barriers to access to care that children and their caregivers may experience is often a challenge. The objective of this study was to assess the barriers to pediatric health care reported by caregivers and to examine the association between those reported barriers to care with the frequency of children's ED visits in the past 12 months. Assessment of ED utilization and access to care barriers was made through a telephone interview survey conducted as part of a broader Community Health Needs Assessment in 2015. A weighted community sample of adult caregivers (N = 1057) of children between the ages of 0-17 residing in Miami-Dade, Broward, and Palm Beach counties, Florida were contacted. This study found that multiple ED visits (≥2 vs. 0) in the past 12 months by a child were most strongly associated with access to care barriers attributed to language and culture (relative risk [RR] = 2.51), trouble finding a doctor (RR = 1.86), scheduling an appointment (RR = 1.68), and transportation access (RR = 1.73). These findings suggest that access to care barriers experienced by households may exacerbate the risk of a child experiencing repeated visits to the ED in a year. Findings are discussed further in the context of actionable population health management strategies to reduce risk of frequent ED utilization by children.

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Children, Families, and Disparities

Cited by 14 publications

References 10 publications

Centers for Medicare and Medicaid Services (CMS) Supported Interventions to Address Health Disparities in Pediatric Populations: A Scoping Review

Centers for Medicare and Medicaid Services (CMS) Supported Interventions to Address Health Disparities in Pediatric Populations: A Scoping Review

Families and the health care system.

Health Care Access Barriers Bring Children to Emergency Rooms More Frequently: A Representative Survey

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