Yu Hao, Dick Andrew W, Szilagyi Peter G
RAND Corporation. Pittsburgh, PA 15213, USA.
Health Care Financ Rev. 2006 Winter;28(2):53-64.
The purpose of this article is to provide new information about two policy issues: (1) Is the State Children's Health Insurance Program (SCHIP) an important source of health insurance for children with special health care needs (CSHCN)? and (2) Does SCHIP provide CSHCN with better access to care, compared with other insurance coverage? Using the 2001 National Survey of CSHCN, we found that a limited fraction of CSHCN were eligible for SCHIP while a relatively small proportion of SCHIP-eligible CSHCN were uninsured. Access to care for CSHCN under SCHIP was better than those SCHIP-eligible but uninsured, and similar to those income-eligible for SCHIP but privately insured.
(1)儿童健康保险计划(SCHIP)是否是有特殊医疗需求儿童(CSHCN)的重要医疗保险来源?(2)与其他保险覆盖范围相比,SCHIP是否能让CSHCN更好地获得医疗服务?利用2001年全国CSHCN调查,我们发现,只有有限比例的CSHCN有资格参加SCHIP,而有资格参加SCHIP的CSHCN中未参保的比例相对较小。在SCHIP下,CSHCN获得医疗服务的情况优于那些有资格参加SCHIP但未参保的儿童,且与那些有资格参加SCHIP但参加了私人保险的儿童相似。