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Prior health care experiences of adolescents who enroll in SCHIP.
J Health Care Poor Underserved. 2006 Nov; 17(4):789-807.JH

Abstract

The State Children's Health Insurance Program (SCHIP) was designed to provide health insurance to low-income children and adolescents. Little is known about prior access to care and health care experiences of new SCHIP enrollees. We surveyed Florida and New York new adolescent SCHIP enrollees about their health status, prior health care utilization, access, and unmet needs. Most enrollees were younger (ages 12-16 years), Black or Hispanic, lived in poverty, and were without health insurance the year before SCHIP. Most had a usual source of care (USC) prior to enrollment; Blacks and Hispanics were less likely than Whites to have had a USC. Although 69% of Florida and 80% of New York adolescents reported seeing a physician the year before enrollment, 24% and 40%, respectively, reported unmet health care needs. Only 32% of Florida and 40% of the New York adolescents who were surveyed reported ever having met privately with their clinicians. Many new SCHIP enrollees report unmet needs, disparities in access, and sub-optimal care prior to enrollment. Adolescents' needs should be considered in SCHIP program and quality assurance efforts.

Authors+Show Affiliations

Department of Pediatrics, University of Rochester School of Medicine and Dentistry, USA. jonathan_klein@urmc.rochester.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

17242531

Citation

Klein, Jonathan D., et al. "Prior Health Care Experiences of Adolescents Who Enroll in SCHIP." Journal of Health Care for the Poor and Underserved, vol. 17, no. 4, 2006, pp. 789-807.
Klein JD, Shenkman E, Brach C, et al. Prior health care experiences of adolescents who enroll in SCHIP. J Health Care Poor Underserved. 2006;17(4):789-807.
Klein, J. D., Shenkman, E., Brach, C., Shone, L. P., Col, J., Schaffer, V. A., Dick, A. W., VanLandeghem, K., & Szilagyi, P. G. (2006). Prior health care experiences of adolescents who enroll in SCHIP. Journal of Health Care for the Poor and Underserved, 17(4), 789-807.
Klein JD, et al. Prior Health Care Experiences of Adolescents Who Enroll in SCHIP. J Health Care Poor Underserved. 2006;17(4):789-807. PubMed PMID: 17242531.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prior health care experiences of adolescents who enroll in SCHIP. AU - Klein,Jonathan D, AU - Shenkman,Elizabeth, AU - Brach,Cindy, AU - Shone,Laura P, AU - Col,Jana, AU - Schaffer,Virginia A, AU - Dick,Andrew W, AU - VanLandeghem,Karen, AU - Szilagyi,Peter G, PY - 2007/1/24/pubmed PY - 2007/2/17/medline PY - 2007/1/24/entrez SP - 789 EP - 807 JF - Journal of health care for the poor and underserved JO - J Health Care Poor Underserved VL - 17 IS - 4 N2 - The State Children's Health Insurance Program (SCHIP) was designed to provide health insurance to low-income children and adolescents. Little is known about prior access to care and health care experiences of new SCHIP enrollees. We surveyed Florida and New York new adolescent SCHIP enrollees about their health status, prior health care utilization, access, and unmet needs. Most enrollees were younger (ages 12-16 years), Black or Hispanic, lived in poverty, and were without health insurance the year before SCHIP. Most had a usual source of care (USC) prior to enrollment; Blacks and Hispanics were less likely than Whites to have had a USC. Although 69% of Florida and 80% of New York adolescents reported seeing a physician the year before enrollment, 24% and 40%, respectively, reported unmet health care needs. Only 32% of Florida and 40% of the New York adolescents who were surveyed reported ever having met privately with their clinicians. Many new SCHIP enrollees report unmet needs, disparities in access, and sub-optimal care prior to enrollment. Adolescents' needs should be considered in SCHIP program and quality assurance efforts. SN - 1049-2089 UR - https://www.unboundmedicine.com/medline/citation/17242531/Prior_health_care_experiences_of_adolescents_who_enroll_in_SCHIP_ L2 - http://muse.jhu.edu/cgi-bin/resolve_openurl.cgi?issn=1049-2089&volume=17&issue=4&spage=789&aulast=Klein DB - PRIME DP - Unbound Medicine ER -