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Provider Visits for Asthma: Potential Barriers for Insured Children
Journal article   Open access   Peer reviewed

Provider Visits for Asthma: Potential Barriers for Insured Children

Amber M Goedken, Julie M Urmie and Linnea A Polgreen
Global journal of health science, Vol.7(5), pp.96-105
09/2015
DOI: 10.5539/gjhs.v7n5p96
PMCID: PMC4803856
PMID: 26156910
url
https://doi.org/10.5539/gjhs.v7n5p96View
Published (Version of record) Open Access

Abstract

Objective: The barriers to provider visits for asthma in insured children are not well understood. Our objective was to examine the relationship between parent, family, and child attributes and asthma visits in insured children. Methods: This retrospective, cross-sectional analysis of 2007 Medical Expenditure Panel Survey-Household Component data included insured children 0-17 years old reported to have active asthma. We summed the number of provider visits during which asthma was treated or diagnosed to represent the frequency of asthma visits during the year. Probit models were used to estimate the relationship between parent, family, and child attributes and asthma visits. Results: Seventy percent of the 542 children did not have an asthma visit during the year. Children with parents employed full time were 16 percentage points less likely to have an asthma visit than children whose parents were not working (P=.01). Conclusion: Many insured children go more than a year without seeing a provider for their asthma, signaling that insurance is not sufficient to guarantee children will receive asthma monitoring. The attributes related to asthma visits suggest potential barriers that providers might want to consider to increase participation in asthma visits.
 Asthma utilization barriers national survey child

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