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医疗补助计划的扩大与贫困青少年的保险覆盖情况

Medicaid expansions and the insurance coverage of poor teenagers.

作者信息

Leininger Lindsey Jeanne

机构信息

University of Wisconsin-Madison, Madison, WI 53726-2397, USA.

出版信息

Health Care Financ Rev. 2010 Fall;31(1):23-34.

Abstract

This article employs a comparison group research design to examine the effects of the Medicaid expansions of the late 1990s on the insurance coverage of poor teenagers. Results suggest that the expansions were associated with a decrease in the likelihood of poor teens experiencing uninsured spells over the course of a calendar year, as measured by spending any part of the prior year uninsured and spending over half of the prior year uninsured. While the expansions were successful in increasing coverage among poor adolescents, they fell far short of facilitating near-universal coverage for this population.

摘要

本文采用对照组研究设计,以检验20世纪90年代末医疗补助计划扩张对贫困青少年保险覆盖情况的影响。结果表明,这些扩张措施与贫困青少年在一历年中经历无保险期的可能性降低相关,这一可能性通过前一年有任何时段无保险以及前一年超过一半时间无保险来衡量。虽然这些扩张措施成功增加了贫困青少年的保险覆盖,但远远未能为这一人群促成近乎普遍的保险覆盖。

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