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Families With TRICARE Report Lower Health Care Quality And Access Compared To Other Insured And Uninsured Families.
Health Aff (Millwood). 2019 08; 38(8):1377-1385.HA

Abstract

Children in military families, who receive health insurance through the TRICARE program, face barriers to care such as frequent relocations, unique behavioral health needs, increased complex health care needs, and lack of accessible specialty care. How TRICARE-insured families perceive health care access and quality for their children compared to their civilian peers' perceptions remains unknown. Using data from the Medical Expenditure Panel Survey, we found that TRICARE-insured families were less likely to report accessible or responsive care compared to civilian peers, whether commercially or publicly insured or uninsured. Military families whose children had complex health or behavioral health care needs reported worse health care access and quality than similar nonmilitary families. Addressing these gaps may require military leaders to examine barriers to achieving acceptable health care access across military treatment facilities and off-base nonmilitary specialty providers, particularly for children with complex health or behavioral health needs.

Authors+Show Affiliations

Roopa Seshadri is a senior research scientist at PolicyLab at Children's Hospital of Philadelphia (CHOP), in Pennsylvania.Douglas Strane is a research project manager at PolicyLab at CHOP.Meredith Matone is scientific director of PolicyLab at CHOP and a research assistant professor of pediatrics at the University of Pennsylvania Perelman School of Medicine, in Philadelphia.Karen Ruedisueli is government research deputy director at the National Military Family Association, in Alexandria, Virginia.David M. Rubin (rubin@email.chop.edu) is director of PolicyLab and director of population health innovation, both at CHOP, and a professor of pediatrics at the University of Pennsylvania Perelman School of Medicine.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

31381389

Citation

Seshadri, Roopa, et al. "Families With TRICARE Report Lower Health Care Quality and Access Compared to Other Insured and Uninsured Families." Health Affairs (Project Hope), vol. 38, no. 8, 2019, pp. 1377-1385.
Seshadri R, Strane D, Matone M, et al. Families With TRICARE Report Lower Health Care Quality And Access Compared To Other Insured And Uninsured Families. Health Aff (Millwood). 2019;38(8):1377-1385.
Seshadri, R., Strane, D., Matone, M., Ruedisueli, K., & Rubin, D. M. (2019). Families With TRICARE Report Lower Health Care Quality And Access Compared To Other Insured And Uninsured Families. Health Affairs (Project Hope), 38(8), 1377-1385. https://doi.org/10.1377/hlthaff.2019.00274
Seshadri R, et al. Families With TRICARE Report Lower Health Care Quality and Access Compared to Other Insured and Uninsured Families. Health Aff (Millwood). 2019;38(8):1377-1385. PubMed PMID: 31381389.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Families With TRICARE Report Lower Health Care Quality And Access Compared To Other Insured And Uninsured Families. AU - Seshadri,Roopa, AU - Strane,Douglas, AU - Matone,Meredith, AU - Ruedisueli,Karen, AU - Rubin,David M, PY - 2019/8/6/entrez PY - 2019/8/6/pubmed PY - 2020/10/9/medline KW - Health Care Access KW - Medical Expenditure Panel Survey KW - TRICARE KW - complex health care needs KW - health care quality KW - pediatric health care SP - 1377 EP - 1385 JF - Health affairs (Project Hope) JO - Health Aff (Millwood) VL - 38 IS - 8 N2 - Children in military families, who receive health insurance through the TRICARE program, face barriers to care such as frequent relocations, unique behavioral health needs, increased complex health care needs, and lack of accessible specialty care. How TRICARE-insured families perceive health care access and quality for their children compared to their civilian peers' perceptions remains unknown. Using data from the Medical Expenditure Panel Survey, we found that TRICARE-insured families were less likely to report accessible or responsive care compared to civilian peers, whether commercially or publicly insured or uninsured. Military families whose children had complex health or behavioral health care needs reported worse health care access and quality than similar nonmilitary families. Addressing these gaps may require military leaders to examine barriers to achieving acceptable health care access across military treatment facilities and off-base nonmilitary specialty providers, particularly for children with complex health or behavioral health needs. SN - 1544-5208 UR - https://www.unboundmedicine.com/medline/citation/31381389/Families_With_TRICARE_Report_Lower_Health_Care_Quality_And_Access_Compared_To_Other_Insured_And_Uninsured_Families_ L2 - https://www.healthaffairs.org/doi/10.1377/hlthaff.2019.00274?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -