Hakim Rosemarie B, Boben Paul J, Bonney Jennifer B
Health Care Financ Rev. 2000 Fall;22(1):133-140.
The Medicaid program has evolved and expanded since its inception in 1965, providing health insurance coverage for ever-increasing numbers of children living in poverty. During the first 35 years of Medicaid, the program has expanded coverage to include preventive services for children, expanded eligibility criteria to include uninsured children not receiving welfare. The Medicaid program has encouraged innovation in the form of managed care and primary care case management. Most recently, the State Children's Health Insurance Program (SCHIP) has given States freedom in providing more children with coverage. Medicaid has had a powerful influence on the health of the Nation's children. Because of Medicaid coverage, fewer children die, and children have less severe illnesses, fewer hospitalizations, fewer emergency department visits, more preventive care, and more immunizations than they would have had they not been insured.
自1965年创立以来,医疗补助计划不断发展和扩大,为越来越多生活贫困的儿童提供医疗保险。在医疗补助计划实施的头35年里,该计划扩大了覆盖范围,将儿童预防服务纳入其中,放宽了资格标准,将未获得福利的未参保儿童纳入其中。医疗补助计划鼓励以管理式医疗和初级保健病例管理的形式进行创新。最近,儿童健康保险计划(SCHIP)给予各州更大的自由度,为更多儿童提供保险。医疗补助计划对美国儿童的健康产生了强大影响。由于有医疗补助计划的覆盖,与未参保的情况相比,死亡的儿童减少,儿童所患疾病没那么严重,住院次数减少,急诊就诊次数减少,获得的预防保健更多,接种的疫苗也更多。