哮喘患者的就诊情况：参保儿童面临的潜在障碍
Provider Visits for Asthma: Potential Barriers for Insured Children.
作者信息
Goedken Amber M, Urmie Julie M, Polgreen Linnea A
机构信息
University of Iowa College of Pharmacy.
出版信息
Glob J Health Sci. 2015 Feb 24;7(5):96-105. doi: 10.5539/gjhs.v7n5p96.
OBJECTIVE
The barriers to provider visits for asthma in insured children are not well understood. Our objective was to examine the relationship between parent, family, and child attributes and asthma visits in insured children.
METHODS
This retrospective, cross-sectional analysis of 2007 Medical Expenditure Panel Survey-Household Component data included insured children 0-17 years old reported to have active asthma. We summed the number of provider visits during which asthma was treated or diagnosed to represent the frequency of asthma visits during the year. Probit models were used to estimate the relationship between parent, family, and child attributes and asthma visits.
RESULTS
Seventy percent of the 542 children did not have an asthma visit during the year. Children with parents employed full time were 16 percentage points less likely to have an asthma visit than children whose parents were not working (P=.01).
CONCLUSION
Many insured children go more than a year without seeing a provider for their asthma, signaling that insurance is not sufficient to guarantee children will receive asthma monitoring. The attributes related to asthma visits suggest potential barriers that providers might want to consider to increase participation in asthma visits.
目的
参保儿童因哮喘就医的障碍尚未得到充分了解。我们的目的是研究父母、家庭和儿童特征与参保儿童哮喘就诊之间的关系。
方法
这项对2007年医疗支出面板调查-家庭部分数据的回顾性横断面分析纳入了0至17岁报告患有活动性哮喘的参保儿童。我们汇总了治疗或诊断哮喘的就诊次数，以代表该年度哮喘就诊的频率。使用概率单位模型来估计父母、家庭和儿童特征与哮喘就诊之间的关系。
结果
542名儿童中有70%在该年度未进行哮喘就诊。父母全职工作的儿童进行哮喘就诊的可能性比父母未工作的儿童低16个百分点（P = 0.01）。
结论
许多参保儿童一年多未因哮喘就医，这表明保险不足以保证儿童接受哮喘监测。与哮喘就诊相关的特征提示了医疗服务提供者可能需要考虑的潜在障碍，以提高哮喘就诊的参与度。
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