Fairbrother Gerry Lynn, Emerson Heidi Park, Partridge Lee
Cincinnati Children's Hospital Medical Center, Health Policy and Clinical Effectiveness, Cincinnati, Ohio, USA.
Health Aff (Millwood). 2007 Mar-Apr;26(2):520-8. doi: 10.1377/hlthaff.26.2.520.
We examined Medicaid coverage patterns in five states for children who were covered as of December 2003. Looking back three years, we found that Medicaid was a source of continuous coverage for sizable proportions of children (43-66 percent were covered for two or more years) but a revolving door for others (16-41 percent had gaps). In all states, gaps were short, from two to four months. Continuity implies that states can demand more of the health care system to improve the quality of care; short gaps imply that policies and procedures should be revisited to reduce gaps for eligible children.
我们研究了五个州截至2003年12月参保儿童的医疗补助覆盖模式。回顾三年情况，我们发现医疗补助是相当一部分儿童持续参保的来源（43% - 66%的儿童参保两年或更长时间），但对其他儿童而言却是一扇旋转门（16% - 41%的儿童存在参保间断）。在所有州，间断时间都很短，为两到四个月。连续性意味着各州可以对医疗保健系统提出更多要求以提高医疗质量；间断时间短意味着应重新审视政策和程序以减少符合条件儿童的参保间断情况。
