The State Children's Health Insurance Program: a multicenter trial of outreach through the emergency department.

Abstract:

OBJECTIVES:We evaluated emergency department (ED)-based outreach for the State Children's Health Insurance Program (SCHIP). METHODS:We conducted a multicenter trial among uninsured children (< or = 18 years) who presented to 5 EDs in 2001 and 2002. On-site staff enrolled consecutive subjects for a control period followed by an intervention period during which staff handed out SCHIP applications to the uninsured. The primary outcome was state-level confirmation of insured status at 90 days. RESULTS:We followed 223 subjects (108 control, 115 intervention) by both phone interview and state records. Compared to control subjects, those receiving a SCHIP application were more likely to have state health insurance at 90 days (42% vs 28%; P<.05; odds ratio [OR]=3.8; 95% confidence interval [CI]=1.7, 8.6). Although the intervention effect was prominent among 118 African Americans (50% insured after intervention vs 31% of controls, P<.05), lack of family enrollment in other public assistance programs was the primary predictor of intervention success (OR=3.7; 95% CI=1.6, 8.4). CONCLUSIONS:Handing out insurance applications in the ED can be an effective SCHIP enrollment strategy, particularly among minority children without connections to the social welfare system. Adopted nationwide, this simple strategy could initiate insurance coverage for more than a quarter million additional children each year.

journal_name

Am J Public Health

authors

Gordon JA,Emond JA,Camargo CA Jr

doi

10.2105/AJPH.2003.037242

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

250-3

issue

2

eissn

0090-0036

issn

1541-0048

pii

95/2/250

journal_volume

95

pub_type

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