Journal article
The Impact of the Iowa S-SCHIP Program on Access, Health Status, and the Family Environment
Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association, Vol.3(5), pp.263-269
2003
DOI: 10.1367/1539-4409(2003)003<0263:TIOTIS>2.0.CO;2
PMID: 12974660
Abstract
Objectives.—
To determine the effect of the Iowa Separate State Child Health Insurance Program (S-SCHIP) on need for services, utilization and access to care, child health status, and the family environment.
Methodology.—
A longitudinal pretest-posttest panel survey was used to evaluate differences in children's access to health care, health status, and family environment at the beginning of the program and after 1 year. Written surveys with telephone follow-up calls were used to collect the data. Pre- and postquestionnaire results for 463 children were matched and compared using the McNemar test for correlated proportions and the Wilcoxon signed rank test. Approximately 71% of families responded to both surveys.
Principal Findings.—
Similar rates of perceived need for each of 6 service areas were found after being in the program for a year as before. Unmet need was significantly reduced among those needing services: medical care (27% before, 6% after), specialty care (40% before, 13% after), dental care (30% before, 10% after), vision care (46% before, 12% after), behavioral and emotional care (42% before, 18% after), and prescription medications (21% before, 13% after). Overall health status was rated significantly better (ie, excellent: 37% before, 42% after). Ninety-five percent of families reported a reduction in family stress, and there was significantly less worry about the ability to pay for their child's health care (92% before, 57% after). The activities of fewer children were limited because of potential health care costs.
Conclusions.—
The Iowa S-SCHIP program improved access to care and the family environment for children enrolled during the first year without a change in perceived need for services.
Details
- Title: Subtitle
- The Impact of the Iowa S-SCHIP Program on Access, Health Status, and the Family Environment
- Creators
- Peter C. Damiano - University of IowaJean C. Willard - University of IowaElizabeth T. Momany - University of IowaJyoti Chowdhury - From the Public Policy Center, University of Iowa, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association, Vol.3(5), pp.263-269
- Publisher
- Elsevier Inc
- DOI
- 10.1367/1539-4409(2003)003<0263:TIOTIS>2.0.CO;2
- PMID
- 12974660
- ISSN
- 1530-1567
- eISSN
- 1539-4409
- Language
- English
- Date published
- 2003
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Public Policy Center (Archive); University College Courses
- Record Identifier
- 9984283711102771
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