Cunningham Peter J
Center for Studying Health System Change, Washington, DC, USA.
Health Aff (Millwood). 2001;Suppl Web Exclusives:W20-9. doi: 10.1377/hlthaff.w1.20.
Data from the first two rounds of the Community Tracking Study household survey show that coverage expansions through the State Children's Health Insurance Program (SCHIP) have virtually eliminated differences across communities in children's eligibility for public or private health coverage. Nevertheless, some communities continue to have very high rates of uninsured children, in large part because of lower participation rates in public programs and higher costs for employer-sponsored coverage. Participation in SCHIP may increase in high-uninsurance communities as the new programs mature, although low participation rates in public programs prior to SCHIP suggest that enrollment barriers may still be greater in such communities.
社区追踪研究家庭调查前两轮的数据显示,通过州儿童健康保险计划(SCHIP)扩大覆盖范围,实际上消除了不同社区儿童在获得公共或私人健康保险资格方面的差异。然而,一些社区未参保儿童的比例仍然很高,这在很大程度上是因为公共项目的参与率较低,以及雇主提供的保险成本较高。随着新计划的成熟,高未参保率社区对SCHIP的参与可能会增加,尽管在SCHIP之前公共项目的参与率较低表明,此类社区的参保障碍可能仍然更大。