Li Minghua, Baughman Reagan
Franklin Pierce University.
Inquiry. 2010;47(4):296-314. doi: 10.5034/inquiryjrnl_47.04.296.
This paper uses data from the National Survey of America's Families (1997-2002) to explore the links between eligibility for the State Children's Health Insurance Program (SCHIP), health insurance coverage, medical care utilization, and health outcomes. We find that SCHIP significantly increased health insurance coverage rates for American children between 1997 and 2002, with most of the gains in coverage for older children. Higher coverage rates translated into increased utilization of the types of medical care that would be expected to improve children's health, such as well-child doctor visits. The effects of SCHIP eligibility expansions on health outcomes, however, are relatively small.
本文利用美国全国家庭调查（1997 - 2002年）的数据，探讨儿童健康保险计划（SCHIP）资格、医疗保险覆盖范围、医疗服务利用与健康结果之间的联系。我们发现，1997年至2002年间，SCHIP显著提高了美国儿童的医疗保险覆盖率，其中大龄儿童的覆盖率提升最为显著。更高的覆盖率转化为预期可改善儿童健康的医疗服务类型利用率的提高，比如儿童定期体检。然而，SCHIP资格扩大对健康结果的影响相对较小。
