俄勒冈州的公共医疗保险：符合条件的儿童参保率低，且父母对子女参保状况感到困惑。
Public health insurance in Oregon: underenrollment of eligible children and parental confusion about children's enrollment status.
机构信息
Department of Family Medicine, Oregon Health and Science University, Portland, 97239, USA.
出版信息
Am J Public Health. 2011 May;101(5):891-8. doi: 10.2105/AJPH.2010.196345. Epub 2011 Mar 18.
OBJECTIVES
We identified characteristics of Oregon children who were eligible for the Oregon Health Plan (OHP), the state's combined Medicaid-Children's Health Insurance Program (CHIP), but were not enrolled in January 2005. We also assessed whether parents' confusion regarding their children's status affected nonenrollment.
METHODS
We conducted cross-sectional analyses of linked statewide Food Stamp Program and OHP administrative databases (n = 10 175) and primary data from a statewide survey (n = 2681).
RESULTS
More than 20% of parents with children not administratively enrolled in OHP reported that their children were enrolled. Parents of 11.3% of children who were administratively enrolled reported that they were not. Eligible but unenrolled children had higher odds of being older, having higher family incomes, and having employed and uninsured parents.
CONCLUSIONS
These findings reveal an important discrepancy between administrative data and parent-reported access to public health insurance. This discrepancy may stem from transient coverage or confusion among parents and may result in underutilization of health insurance for eligible children.
目的
我们确定了俄勒冈州符合俄勒冈健康计划（OHP）条件但在 2005 年 1 月未注册的儿童的特征，OHP 是该州的医疗补助-儿童健康保险计划（CHIP）的综合计划。我们还评估了父母对子女身份的困惑是否影响了未注册。
方法
我们对全州范围内的食品券计划和 OHP 管理数据库（n = 10175）进行了横断面分析，并对全州范围的调查（n = 2681）进行了主要数据分析。
结果
超过 20%的未将子女行政登记在 OHP 的父母报告说他们的子女已登记。11.3%的行政登记儿童的父母报告说他们没有。符合条件但未注册的儿童更有可能年龄较大，家庭收入较高，父母有工作且没有保险。
结论
这些发现揭示了行政数据与父母报告获得公共健康保险之间的重要差异。这种差异可能源于暂时的覆盖范围或父母的困惑，并且可能导致符合条件的儿童对医疗保险的利用不足。
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