04 May 2010 ~ Comments Off on Changes in access to care, 1977-1996: the role of health insurance

Changes in access to care, 1977-1996: the role of health insurance

OBJECTIVE: To describe changes in Americans’ access to care over the last 20 years focusing on the uninsured, Hispanic American, and young adult populations, and to analyze the factors underlying these changes with a particular focus on the role of health insurance. DATA SOURCES/STUDY SETTING: Data from the 1977 National Medical Care Expenditure Survey, the […]

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04 May 2010 ~ Comments Off on Medical student, physician, and public perceptions of health care disparities

Medical student, physician, and public perceptions of health care disparities

OBJECTIVES: This study investigates first- and fourth-year medical students’ perceptions about health care disparities and compares their perceptions with those of physicians and the public. METHODS: We conducted an analysis of a national survey of medical students that included questions addressing unfair treatment of patients in the health care system based on insurance status, money, […]

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04 May 2010 ~ Comments Off on Utilization of medical and health-related services among school-age children and adolescents with special health care needs (1994 National Health Interview Survey on Disability [NHIS-D] Baseline Data).[see comment]

Utilization of medical and health-related services among school-age children and adolescents with special health care needs (1994 National Health Interview Survey on Disability [NHIS-D] Baseline Data).[see comment]

OBJECTIVE: To determine how sociodemographic factors and type of insurance influence use of medical and health-related services by children with special health care needs (CSHCN), after controlling for need. METHODS: A cross-sectional analysis of 1994 National Health Interview Disability Survey was conducted. Children between 5 and 17 years were identified as chronically ill according to […]

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04 May 2010 ~ Comments Off on Latino adults’ health insurance coverage: an examination of Mexican and Puerto Rican subgroup differences

Latino adults’ health insurance coverage: an examination of Mexican and Puerto Rican subgroup differences

Lack of health insurance is a serious problem in the United States. Using data from the 1996 Medical Expenditure Panel Survey, this paper examines how insurance varies between black, white, and Latino adults. Because Latino subgroups are not homogeneous, the paper also compares the factors associated with health insurance status for Mexican and Puerto Rican […]

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04 May 2010 ~ Comments Off on Oral health status of rural adults in the United States

Oral health status of rural adults in the United States

BACKGROUND: Many sociodemographic indicators of oral health disparity in the United States have been documented. Rural residence, however, has not been researched thoroughly, though it has been considered to be a potential indicator of disparity. The authors conducted this study to present information on the effects of rural residence on oral health in the United […]

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04 May 2010 ~ Comments Off on Public and private health insurance of US foreign-born residents: implications of the 1996 welfare reform law

Public and private health insurance of US foreign-born residents: implications of the 1996 welfare reform law

OBJECTIVE: US policy towards immigrants is undergoing considerable change, often in the absence of objective data. In this paper, the insurance status of the US foreign-born population is presented overall and disaggregated by race, ethnicity and length of residence in the USA. DESIGN: Data from the National Health Interview Surveys, a cross-sectional household survey representing […]

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04 May 2010 ~ Comments Off on A feasibility study of the evaluation of the Florida breast cancer early detection program using the statewide cancer registry

A feasibility study of the evaluation of the Florida breast cancer early detection program using the statewide cancer registry

In Florida, a Center for Disease Control and Prevention (CDC)-funded initiative of the Florida Department of Health has targeted socio-economically disadvantaged women for breast and cervical cancer screening. Since 1995, over 12,000 women aged 50-64, within 200% of the federally defined poverty level, with no health insurance, and living in metropolitan catchment areas in Florida, […]

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04 May 2010 ~ Comments Off on Health care for children and youth in the United States: annual report on patterns of coverage, utilization, quality, and expenditures by income.[see comment]

Health care for children and youth in the United States: annual report on patterns of coverage, utilization, quality, and expenditures by income.[see comment]

OBJECTIVES: To examine differences by income in insurance coverage, health care utilization, expenditures, and quality of care for children in the United States. METHODS: Two national health care databases serve as the sources of data for this report: the 2000-2002 Medical Expenditure Panel Survey (MEPS) and the 2001 Nationwide Inpatient Sample (NIS) from the Healthcare […]

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04 May 2010 ~ Comments Off on Vulnerable populations and health insurance

Vulnerable populations and health insurance

This study provided a national profile of health insurance of certain vulnerable populations including children, racial/ethnic minorities, low-income families, non-metropolitan statistical area (MSA) residents, and those with poor health status. The study shows an increase in the proportion of uninsured nonelderly population. While public insurance helped reduce the employment- and health-related disparities in private coverage, […]

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04 May 2010 ~ Comments Off on Managed care or managed inequality? A call for critiques of market-based medicine

Managed care or managed inequality? A call for critiques of market-based medicine

This review article critiques the growing dominance of market-based medicine in the United States against the background of existing problems with quality of care, rising costs, devaluation of doctor-patient relationships, and, especially, persistent inequalities of access and outcomes. It summarizes the present state of health care delivery by focusing on the concurrent trends of growth […]

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