Abstract:
:Large and increasing numbers of Americans lack health insurance. While children have recently fared better than adults, millions still lack coverage, and thus experience difficulty obtaining acute and preventive care during a critical period of growth and development. This situation has both short and long-term social and economic implications, including higher health care costs for episodic and end-stage treatment, loss of productivity, and rising-insurance costs to businesses. This paper describes past and current efforts to extend health insurance to children and explores options for achieving universal coverage among children. Specifically, it describes the challenges associated with the financing and delivery of the American health care system, outlines public policy approaches to covering children historically, presents the current status of health insurance for low-income children, and offers options for achieving universal health insurance for children.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Hughes D,Kreger M,Sabherwal S,Powell D,Sargent Kdoi
10.1353/hpu.0.0114subject
Has Abstractpub_date
2009-02-01 00:00:00pages
4-17issue
1eissn
1049-2089issn
1548-6869pii
S154868690810002Xjournal_volume
20pub_type
杂志文章abstract::In this study, several alternatives for the provision of health care to the medically indigent of Nebraska were analyzed quantitatively and qualitatively. These alternatives were: expansion of county medical assistance programs, state-purchased health insurance policies, Medicaid expansion, revenue pool to redistribut...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0388
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Vision problems in homeless children can decrease educational achievement and quality of life. PURPOSE:To estimate the prevalence and specific diagnoses of vision problems in children in an urban homeless shelter. METHODS:A prospective series of 107 homeless children and teenagers who underwent screening w...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2015.0072
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:Asylum seekers have poor access to health care. Qualitative data portraying their experience is lacking. METHODS:We conducted focus groups and comprehensive interviews with 35 asylum seekers and 15 expert providers/advocacy organization representatives. Purposive sampling was used to recruit subgroups. Inter...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0047
更新日期:2011-05-01 00:00:00
abstract::Much of emergency department use is avoidable, and high-quality primary care can reduce it, but performance measures related to ED use may be inadequately risk-adjusted. To explore associations between emergency department (ED) use and neighborhood poverty, we conducted a secondary analysis of Massachusetts managed ca...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0129
更新日期:2017-01-01 00:00:00
abstract::Until recently, few children with chronic illnesses such as sickle cell disease (SCD) lived past late adolescence. Substantial reductions in mortality mean a growing number of adolescents with SCD reach adulthood. Consensus among researchers and health care providers (HCP) from multiple disciplines is that critical at...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2004.0049
更新日期:2004-08-01 00:00:00
abstract::Implementing and evaluating smoking cessation interventions in underserved populations has been found difficult due to high rates of non-adherence to the prescribed protocol. To understand better the barriers to cessation participation, we studied low-income inner-city pregnant women who were enrolled in either a stan...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,随机对照试验
doi:10.1353/hpu.2012.0096
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:To examine how the safety net in Michigan is responding to the health care needs of their uninsured population with diabetes and/or mental illness. METHODS:We used a multiple-site case study design. Data were collected through interviews of key informants in five Michigan communities. Analytic patterns and t...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0100
更新日期:2009-02-01 00:00:00
abstract::Precision medicine is an approach in which the characteristics of patients as well as their diseases are used to identify optimal therapy; it links researchers, patients, health care providers, and clinical laboratories. In precision medicine, specific molecular characteristics of an untreatable cancer can be targeted...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2019.0117
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Prophylactic treatment of latent tuberculosis infection (LTBI) is necessary for controlling TB in low-incidence settings. However, treatment is often limited by poor completion rates. METHODS:At a community health center serving low-income Hispanics, treatment completion among patients accepting 12 weekly d...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,评审
doi:10.1353/hpu.2015.0126
更新日期:2015-11-01 00:00:00
abstract::A significant proportion of patients treated for schizophrenia respond poorly to medication. Few studies have systematically examined the impact of clinical characteristics of patients to antipsychotic response in our environment. The study aimed to identify clinical variables associated with response in patients with...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0070
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:This study analyzed the impact of sociodemographic characteristics, patient comorbidities, risk factors for critical limb ischemia and hospital characteristics on racial disparities in amputation rates for Native American patients with peripheral artery disease (PAD). METHODS:The study used the Healthcare...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2018.0058
更新日期:2018-01-01 00:00:00
abstract::Studies on the engagement of the CHC workforce in health policy are limited. Most uninsured Americans do not understand how the ACA affects them. We assessed knowledge and interest of our workforce in health policy, and applied the Socio-Ecological model to a plan for engagement, sharing strategies for similar setting...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2014.0052
更新日期:2014-02-01 00:00:00
abstract::This study seeks to understand the perspective of Black and Hispanic/Latino residents of the South Bronx, New York, on the causes of persistent racial and ethnic disparities in health outcomes. In particular, it focuses on how people who live in this community perceive and interact with the health care system. Finding...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2006.0026
更新日期:2006-02-01 00:00:00
abstract::This pilot study evaluated the Ho'ouna Pono curriculum, which is a culturally grounded, school-based, drug prevention curriculum tailored to rural Native Hawaiian youth. The curriculum focuses on culturally relevant drug resistance skills training and is aligned with the State of Hawai'i academic standards. Six Hawai'...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0061
更新日期:2016-01-01 00:00:00
abstract::Examination of Latino children in aggregate ignores important subgroup differences due to the parents' English language ability. Previous reports of the pediatric medical home have not stratified Latino children by parental language differences to compare the two groups directly. We analyzed the 2007 National Survey o...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0113
更新日期:2011-11-01 00:00:00
abstract::In the face of severe financial challenges and demands to improve quality and service to patients, many community health centers (CHCs) have aligned or integrated with other CHCs, physician groups, or hospitals. Yet the nature of and rationale for these organizational decisions are not well understood. Our research ap...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,多中心研究
doi:10.1353/hpu.2006.0030
更新日期:2006-02-01 00:00:00
abstract::Urban American Indians/Alaska Natives (AI/ANs) are highly mobile, and little is known about ways to include them in research or clinical activities. We evaluated postal mailings as a means of reaching patients seen at an urban Indian health care facility (60% of whom were AI/AN) and identified factors associated with ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2006.0104
更新日期:2006-08-01 00:00:00
abstract::The goals of the United States' National HIV/AIDS Strategy are reducing HIV infections, increasing linkage to care, and reducing health disparities. To accomplish these, it is imperative to have accurate data about HIV prevalence, especially in high-burden populations, including immigrants, ethnic/racial minorities an...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0128
更新日期:2016-01-01 00:00:00
abstract::Community paramedicine (CP) uses emergency medical services (EMS) providers to help rural communities increase access to primary care and public health services. This study examined goals, activities, and outcomes of 31 rural-serving CP programs through structured interviews of program leaders and document review. Com...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0192
更新日期:2016-01-01 00:00:00
abstract::This study investigated relationships between health insurance status and health-related quality of life (HRQOL) using the 2000 Medical Expenditure Panel Survey data. Health-related quality of life was measured using the SF-12 Physical Component Summary (PCS) and SF-12 Mental Component Summary (MCS). The analysis cont...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0064
更新日期:2005-11-01 00:00:00
abstract::Cancer innovations, such as biobanking technologies, are continuously evolving to improve our understanding and knowledge about cancer prevention and treatment modalities. However, the public receives little communication about biobanking and is often unaware about this innovation until asked to donate biospecimens. I...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0192
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVES:To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico. STUDY DESIGN:A 12-month, matched-cohort study. STUDY POPULATION:Four hundred and ninety (490) intervention group members matched to 490 controls. INTERVENTION:Disease man...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0131
更新日期:2009-05-01 00:00:00
abstract::Booster seats protect child occupants between 4 and 8 years of age. The objective of this study was to determine barriers and facilitators for booster seat use among Latino families. We conducted one-to-one elicitation interviews with 56 mothers and 35 fathers of booster-eligible Latino children in an urban county and...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2006.0058
更新日期:2006-05-01 00:00:00
abstract::This report describes a clinic run by a federally-qualified health center and an academic medical center. The clinic expands the community's primary care capacity, combining advantages of big and small settings, and of its dual affiliation. Survey data suggest the clinic prevents health care delays and lowers emergenc...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2007.0069
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVE:Study occurrence and consequences of deductibles and medical debt among privately insured under the Affordable Care Act. METHODS:Analysis of 2012-2016 National Health Interview Survey data on privately insured adults younger than age 65 on the effect of deductibles on medical debt, deferred medical care, and...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2020.0031
更新日期:2020-01-01 00:00:00
abstract::Asian immigrants in the U.S. are far less likely to have health insurance or use health care services than both U.S.-born Asians and non-Hispanic Whites. Furthermore, Asian immigrants who access the U.S. health care system are less likely than non-Hispanic Whites to receive high-quality services. This paper reviews fo...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,评审
doi:10.1353/hpu.2013.0019
更新日期:2013-02-01 00:00:00
abstract::Specific features of ambulatory care, such as accessibility, may influence hospital use for patients with HIV infection. To identify clinic features associated with a lower risk of hospitalization, 6,280 New York state Medicaid enrollees diagnosed with AIDS in 1987-1992 and managed by one of 157 surveyed clinics were ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0633
更新日期:1999-08-01 00:00:00
abstract:BACKGROUND:Diabetic retinopathy (DR) is the leading cause of acquired blindness in U.S. adults. Early detection prevents progression. Screening rates are only 10% in medically underserved populations. METHODS:A statewide telemedicine-based program within primary care centers was implemented to improve DR screening, de...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0066
更新日期:2011-08-01 00:00:00
abstract::Despite substantial asthma prevalence and morbidity, children from Spanish-speaking families are at high risk of inadequate maintenance therapy. The reasons for this remain unclear. The objective of this study was to compare patterns of asthma morbidity and access to care of children with asthma from Spanish-speaking ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0005
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:To examine the association of perceived discrimination and health-related quality of life using cross- sectional survey. METHODS:We measured perceived discrimination using a nine-item discrimination scale and measured health-related quality of life with the mental component summary (MCS) and physical compone...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0183
更新日期:2013-11-01 00:00:00