Health Care Utilization, Access, and Expenditures for Infants and Young Children With Special Health Care Needs

Houtrow, Amy J.; Kim, Sue E.; Newacheck, Paul W.

doi:10.1097/01.iyc.0000314486.92699.88

Cited by 15 publications

(42 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CSHCN may require more frequent use of routine services such as office visits and highly specialized services, supplies, and equipment not typically used by other children. [2][3][4][5] Health insurance coverage has the potential to secure access to needed care and improve the quality of life for these children while protecting their families from financially burdensome health care expenses. 6 Recognizing the important role that health insurance plays in the lives of CSHCN and their families, the Maternal and Child Health Bureau established a national goal in 1997 that all CSHCN should have continuous private or public health insurance that covers a reasonable share of health care costs and includes the health care services and providers needed by the child.…”

mentioning

confidence: 99%

The Future of Health Insurance for Children With Special Health Care Needs

Newacheck

Houtrow²,

Romm

et al. 2009

Pediatrics

Self Cite

View full text Add to dashboard Cite

Health insurance coverage has the potential to secure access to needed care and improve the quality of life for these children while protecting their families from financially burdensome health care expenses. Continued vigilance and advocacy for children and youth with special health care needs are needed to ensure that these children have access to adequate coverage and that they fare well under health care reform.

show abstract

mentioning

confidence: 99%

The Future of Health Insurance for Children With Special Health Care Needs

Newacheck

Houtrow²,

Romm

et al. 2009

Pediatrics

Self Cite

View full text Add to dashboard Cite

show abstract

“…Previous studies demonstrate that families of children with activity limitations have higher out-of-pocket (OOP) expenditures (Houtrow et al 2008; Kuhlthau et al 2008; Newacheck 2005; Newacheck et al 2004) than families of children without activity limitations. Increased OOP healthcare expenses for such families can lead to substantial financial burden(Houtrow et al 2008; Kuhlthau et al 2005; Newacheck 2005), typically defined as the ratio of total OOP spending for healthcare services to total family income.…”

Section: Introductionmentioning

confidence: 99%

“…Increased OOP healthcare expenses for such families can lead to substantial financial burden(Houtrow et al 2008; Kuhlthau et al 2005; Newacheck 2005), typically defined as the ratio of total OOP spending for healthcare services to total family income. These and other studies of financial burden examine absolute burden , the total raw dollars spent on OOP expenditures, and/or relative burden , the proportion of OOP expenditures relative to family income.…”

Section: Introductionmentioning

confidence: 99%

Healthcare-Related Financial Burden Among Families in the U.S.: The Role of Childhood Activity Limitations and Income

et al. 2011

View full text Add to dashboard Cite

This study examined the impact of childhood activity limitations on family financial burden in the U.S. We used ten complete panels (1996-2006) of the Medical Expenditure Panel Survey (MEPS) to evaluate the burden of out-of-pocket healthcare expenditures for 17,857 families with children aged 0-17 years. Multivariate generalized linear models were used to examine the relationship between childhood activity limitation status and both absolute and relative financial burden. Families of children with limitations had higher absolute out-of-pocket healthcare expenditures than families of children without limitations ($594.36 higher; p<0.05), and were 54% more likely to experience relative burden (p<0.05). Substantial socioeconomic disparities in financial burden were observed. Policies are needed to enable these families to access appropriate and affordable healthcare services.

show abstract

“…[1][2][3][4][5] Because children with special health care needs and children with activity limitations have higher health care utilization, health care expenditures, and out-of-pocket (OOP) expenses than children without, [6][7][8][9] there is increased concern about the economic impact on children and their families. Furthermore, the past several decades have also seen dramatic increases in the costs of health care, prompting many insurers to shift the burden to the insured by means of increased cost sharing, such as higher premiums, deductibles, copayments, and reduced benefits.…”

mentioning

confidence: 99%

“…Families who experience excessive financial burden may attempt to reduce this burden by modifying subsequent utilization patterns, 14 which may in turn affect their health and thus future health care needs. 15 Because families of children with activity limitations and low-income families are particularly susceptible to experiencing burdensome health care costs, [6][7][8][9][16][17][18][19] disparities in financially burdensome costs may translate into disparities in access to care and then into disparities in health and well-being. However, the extent to which health care-related financial burden directly influences access to care for families with children is currently unknown.…”

mentioning

confidence: 99%

Predictors of Delayed or Forgone Needed Health Care for Families With Children

2012

PEDIATRICS

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT:The past several decades have seen a dramatic increase in the costs of health care and the prevalence of childhood activity limitations. More families with children are experiencing financial burden related to the cost of health care and insurance. WHAT THIS STUDY ADDS:We find significant inequities in the occurrence of delayed or forgone needed health care for families with children as a result of high health care-related financial burden and having a child with an activity limitation. abstract BACKGROUND: We sought to determine how health care-related financial burden, childhood activity limitations, health insurance, and other access-related factors predict delayed or forgone care for families with children, using a nationally representative, populationbased sample. METHODS:Our sample included families with children aged 0 to 17 years whose family was interviewed about their health care expenditures in 1 of 7 panels of the 2001 to 2008 Medial Expenditure Panel Survey (N = 14 138). Financial burden was defined as (1) the sum of out-of-pocket health service expenditures during the first survey year and (2) that sum divided by adjusted family income. Delayed or forgone care was defined as self-report of delayed or forgone medical care or prescription medications for the reference parent or child during the second survey year. RESULTS:Financial burden, discordant insurance, and having a child with an activity limitation were some of the strongest predictors of delayed or forgone care. Additionally, significant health insurance and income-related disparities exist in the experience of delayed or forgone care.CONCLUSIONS: Children and their families are delaying or forgoing needed care due to health care-related financial burden. Policies are needed to effectively reduce financial burden and improve the concordance of insurance between parents and children because this may reduce the frequency of unmet need among families. Moreover, reducing the occurrence of delayed or forgone care may improve health outcomes by increasing the opportunity to receive timely and preventive care.

show abstract

Health Care Utilization, Access, and Expenditures for Infants and Young Children With Special Health Care Needs

Cited by 15 publications

References 8 publications

The Future of Health Insurance for Children With Special Health Care Needs

The Future of Health Insurance for Children With Special Health Care Needs

Healthcare-Related Financial Burden Among Families in the U.S.: The Role of Childhood Activity Limitations and Income

Predictors of Delayed or Forgone Needed Health Care for Families With Children

Contact Info

Product

Resources

About