Health Insurance
Table of Contents
245 Integrating the Learner's Perspective in the Refinement of Competency-Based Assessments Jacob Robson, Duncan Henry, James Moses, Robert Vinci, and Daniel SchumacherParent Reports of Mental Health Concerns and Functional Impairment on Routine Screening With the Strengths and Difficulties Questionnaire
This study used the Strengths and Difficulties Questionnaire (SDQ) to describe the prevalence of parent-reported mental health (MH) concerns in youth presenting for primary care appointments and to examine relationships between children's MH issues and functional impairment. We hypothesized that increased MH symptomology would be associated with increased impairment and family burden.Assuring Adequate Health Insurance for Children With Special Health Care Needs: Progress From 2001 to 2009–2010
To report on coverage and adequacy of health insurance for children with special health care needs (CSHCN) in 2009–2010 and assess changes since 2001.Freelisting on Costs and Value in Health Care by Pediatric Attending Physicians
In preparation for the development of a curriculum on health care costs and value for pediatricians, the goal of this study was to assess pediatricians' baseline perceptions about the concepts of “cost” and “value” in health care, and topics that should be included in a curriculum that teaches about costs and value in pediatrics.Access to Private Coverage for Children Enrolled in CHIP
To provide updated information on the potential substitution of public for private coverage among low-income children by examining the type of coverage held by children before they enrolled in Children's Health Insurance Program (CHIP) and exploring the extent to which children covered by CHIP had access to private coverage while they were enrolled.How Well Is CHIP Addressing Health Care Access and Affordability for Children?
We examine how access to care and care experiences under the Children's Health Insurance Program (CHIP) compared to private coverage and being uninsured in 10 states.Spotlight on Express Lane Eligibility (ELE): A Tool to Improve Enrollment and Renewal
We examine a new simplification policy, Express Lane Eligibility (ELE), introduced by the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), to understand ELE's effects on enrollment, renewal, and administrative costs.How Well Is CHIP Addressing Oral Health Care Needs and Access for Children?
We examine how access to and use of oral and dental care under the Children's Health Insurance Program (CHIP) compared to private coverage and being uninsured in 10 states.The Stepped Wedge Cluster Randomized Trial and Its Potential for Child Health Services Research: A Narrative Review
We foresee an increasing role for the stepped wedge cluster randomized trial design in child health services research. Although a recent systematic review only identified 25 such studies,1 those studies offer themselves as compelling examples to consider. As we will demonstrate, the stepped wedge cluster randomized trial is particularly apt as a research design for health services research. Furthermore, the stepped wedge cluster randomized trial is particularly attractive for health services research concerning children and adolescents because its design addresses problems that complicate child health services research and differentiate those efforts from adult health services research.Children's Emergency Department Use for Asthma, 2001–2010
Although the emergency department (ED) provides essential care for severely ill or injured children, past research has shown that children often visit the ED for potentially preventable illnesses, including asthma. We sought to determine how children's rate of ED visits for asthma has changed over the last decade and to analyze what factors are associated with a child's potentially preventable ED visit for asthma.A Successful Program for Training Parent Mentors to Provide Assistance With Obtaining Health Insurance for Uninsured Children
Seven million US children lack health insurance. Community health workers are effective in insuring uninsured children, and parent mentors (PMs) in improving asthmatic children's outcomes. It is unknown, however, whether a training program can result in PMs acquiring knowledge/skills to insure uninsured children. The study aim was to determine whether a PM training program results in improved knowledge/skills regarding insuring uninsured minority children.Health Status and Type of Out-of-Home Placement: Informal Kinship Care in an Investigated Sample
To assess the sociodemographic, health, and mental health of children in different types of out-of-home placements after investigation by child welfare agencies; to determine whether there are systematic differences in the children and their caregivers by type of out-of-home placements; and to provide the first description of these characteristics in a nationally representative sample for children in informal kinship care after child welfare involvement.Predictors of Unmet Dental Need in Children With Autism Spectrum Disorder: Results From a National Sample
Unmet dental need in children with autism spectrum disorder (ASD) is common. We tested hypotheses that lacking a medical home or having characteristics of more severe ASD is positively associated with having unmet dental need among children with ASD.Mental Health Beliefs and Barriers to Accessing Mental Health Services in Youth Aging out of Foster Care
To examine the perspectives of youth on factors that influence mental health service use after aging out of foster care.Kinship Care
About 4.2% (3.1 million) of children in the United States, according to census data,1 reside with relatives or close family connections and with neither parent, an arrangement termed kinship care (KC). Health professionals frequently encounter children in KC and may better serve these children if they are aware of both the benefits and complexities of kinship arrangements.Concept and Measurement of Pediatric Value
In the new health care marketplace, families will be making important decisions concerning choice of health plan, health provider, and even accountable care organizations. Ideally, they would make these decisions using information on health care value, which comprises the relationships between patient/family-centered outcomes (the outputs of health care services) and costs of providing care to achieve these outcomes. Providing information on pediatric value will require new investments in data collection systems that include outcomes that matter to children and families and costs measured at the level of the child.Quality Concerns in Antipsychotic Prescribing for Youth: A Review of Treatment Guidelines
Antipsychotic prescribing for youth has increased rapidly, is linked with serious health concerns, and lacks clear measures of quality for pediatric care. We reviewed treatment guidelines relevant to 7 quality concepts for appropriate use and management of youth on antipsychotics: 1) use in very young children, 2) multiple concurrent antipsychotics, 3) higher-than-recommended doses, 4) use without a primary indication, 5) access to psychosocial interventions, 6) metabolic screening, and 7) follow-up visits with a prescriber.Patient Reported Outcomes as Indicators of Pediatric Health Care Quality
Health care reform has increased demand for pediatric health care quality evaluations, particularly those that assess the impact of care on patient and population health outcomes. Many of today's most common childhood conditions are characterized by symptoms, behaviors, and functional limitations that are best assessed as patient reported outcomes (PROs). Although they remain greatly underutilized, PROs have the potential to improve pediatric health care quality assessment at the point of care and through system-level performance evaluations.Advancing the Science of Measurement in Pediatric Quality of Care
The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 provides an opportunity to consider and enhance the measurement of children's health care quality as a means to improve child health.1 The legislation required the identification of an initial child core set of measures for voluntary use by Medicaid/Child Health Insurance (CHIP) programs. The initial child core set was published in 2009, and after its most current update in 2014, the list now includes 23 pediatric measures.The Transition Readiness Assessment Questionnaire (TRAQ): Its Factor Structure, Reliability, and Validity
National consensus statements recommend that providers regularly assess the transition readiness skills of adolescent and young adults (AYA). In 2010 we developed a 29-item version of Transition Readiness Assessment Questionnaire (TRAQ). We reevaluated item performance and factor structure, and reassessed the TRAQ's reliability and validity.Growing Up Poor: A Pediatric Response
The original mission of Boston City Hospital, established in 1864, now Boston Medical Center (BMC), was to provide medical care to all regardless of race, ethnicity, or ability to pay. Nationally, health insurance for children has increased, although disparities by race and income remain.1 However, despite the largest expansion of health insurance in the nation, covering 97% of Massachusetts children and biomedical treatment advances, the low-income and minority children seen at BMC continue to suffer disproportionally from low birth weight, asthma, learning disabilities, and most health problems compared to their nonpoor peers.Parental Psychological Distress and Children's Mental Health: Results of a National Survey
Questions persist as to which dimensions of child mental health are most associated with parental mental health status and if these associations differ by parental gender. We assessed associations between parental psychological distress and children's mental health.Identifying Sickle Cell Disease Cases Using Administrative Claims
To develop and test the accuracy of administrative claims method for identifying children with sickle cell disease (SCD) to enable quality of care assessments among children enrolled in Medicaid.School-Located Influenza Vaccination With Third-Party Billing: Outcomes, Cost, and Reimbursement
To assess rates of immunization; costs of conducting clinics; and reimbursements for a school-located influenza vaccination (SLIV) program that billed third-party payers.School-Located Influenza Vaccination With Third-Party Billing: What Do Parents Think?
School-located influenza vaccination (SLIV) may be instrumental in achieving high vaccination rates among children. Sustainability of SLIV programs may require third-party billing. This study assessed, among parents of elementary school students, the attitudes about SLIV and billing at school, as well as factors associated with being supportive of SLIV.
