The Case for Synergy Between a Usual Source of Care and Health Insurance Coverage

DeVoe, Jennifer E.; Tillotson, Carrie J.; Lesko, Sarah; Wallace, Lorraine S.; Angier, Heather

doi:10.1007/s11606-011-1666-0

Cited by 52 publications

(44 citation statements)

References 44 publications

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“…Associations between having a usual provider and use of MHS were observed even after controlling for traditional access factors such as education, insurance, and household income, underscoring the value, above and beyond traditional access factors, in having a relationship with a healthcare provider. 25 In contrast to what we observed with patients who had a usual provider, we found that participants with a PCMH provider were more likely to visit MHPs and receive counseling treatment. It may be the case, then, that aligning care towards the PCMH model will increase referrals to mental health specialists.…”

Section: Discussioncontrasting

confidence: 99%

“…Support for the PCMH model is based on the foundation that patients fare better when they have a usual source of care (often defined as a routine place of care or personal physician). Patients who report having a usual source of care also report greater trust and satisfaction with their provider , 23 are more likely to receive preventive screenings and treatment for chronic health conditions , [24][25][26] and report fewer unmet service needs. 24 In addition to the known benefits of having a usual source of care, evidence suggests that the PCMH may be even more important than traditional models of care for the treatment of chronic health disorders.…”

Section: Introductionmentioning

confidence: 99%

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Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

et al. 2015

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

et al. 2015

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“…5 People with disabilities who are younger, male, or have vision limitations may feel less need for a USC compared to other people with disabilities because they are generally healthier. Indeed, a recent study found that people with vision limitations were among the healthiest within the disability population.…”

Section: Discussionmentioning

confidence: 99%

“…1e4 In contrast, individuals without a usual source of care (USC) are more likely to have unmet health care needs. 5 Unmet health care needs are of particular concern for people with disabilities, given their ''thinner margin of health'' and the potential for untreated health problems to lead to major complications. 6,7 Overall, people with disabilities are more likely than those without disabilities to have a USC.…”

mentioning

confidence: 99%

Subgroup differences in having a usual source of health care among working-age adults with and without disabilities

Dobbertin

Horner‐Johnson

Lee

et al. 2015

Disability and Health Journal

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“…39 We have also shown that adults and children are both more likely to have unmet health care needs when they lack a USC, even if they have health insurance. 40,41 In this study, we report on the importance of a USC for both parent and child, even while controlling for parental and child health insurance. …”

mentioning

confidence: 94%

Parent and Child Usual Source of Care and Children's Receipt of Health Care Services

DeVoe¹,

Tillotson²,

Wallace³

et al. 2011

The Annals of Family Medicine

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PURPOSEIn the United States, children who have a usual source of care (USC) have better access to health care than those who do not, but little is known about how parental USC affects children's access. We examined the association between child and parent USC patterns and children's access to health care services. METHODSWe undertook a secondary analysis of nationally representative, crosssectional data from children participating in the 2002. We assessed 10 outcome measures: insurance coverage gaps, no doctor visits in the past year, less than yearly dental visits, unmet medical and prescription needs, delayed care, problems getting care, and unmet preventive counseling needs regarding healthy eating, regular exercise, car safety devices, and bicycle helmets.RESULTS Among children, 78.6% had a USC and at least 1 parent with a USC, whereas 12.4% had a USC but no parent USC. Children with a USC but no parent USC had a higher likelihood of several unmet needs, including an insurance coverage gap (adjusted risk ratio [aRR] 1.33; 95% confi dence interval [CI], 1.21-1.47), an unmet medical or prescription need (aRR 1.70; 95% CI 1.09-2.65), and no yearly dental visits (aRR 1.12; 95% CI 1.06-1.18), compared with children with a USC whose parent(s) had a USC.CONCLUSIONS Among children with a USC, having no parent USC was associated with a higher likelihood of reporting unmet needs when compared with children whose parent(s) had a USC. Policy reforms should ensure access to a USC for all family members. Ann Fam Med 2011;9:504-513. doi:10.1370/afm.1300. INTRODUCTIONT he association between having a usual source of care (USC) and improved access to health care services is well established in both adult and child populations. [1][2][3][4][5][6][7][8][9][10] Children with a USC have more consistent access to health care services, 2,9,11-15 which likely contributes to better overall health outcomes. 16,17 According to recent estimates, however, approximately 19% of adults and nearly 10% of children in the United States do not have a USC. Safety-net services are oversubscribed, and the availability of primary care is widely disparate, 18 leaving many families with few options for maintaining a relationship with a USC.Although previous research clearly supports the importance of the relationship between a child having a stable USC and that individual child's access to and utilization of recommended care, [1][2][3][4][5][6][7][8][9][10]19 little is known about whether a child's receipt of health care is associated with his or her parents' USC status. In fact, to our knowledge, no previous studies describe child-parent USC patterns or measure how parental USC status affects a child's access to health care services. Further, the effect a child's USC status has on access to health care has been documented without accounting for parental USC status.It is known that children with health insurance have higher odds of [20][21][22][23] In addition, child health care service utilization patterns are highly associated with mate...

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The Case for Synergy Between a Usual Source of Care and Health Insurance Coverage

Cited by 52 publications

References 44 publications

Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use

Subgroup differences in having a usual source of health care among working-age adults with and without disabilities

Parent and Child Usual Source of Care and Children's Receipt of Health Care Services

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