Health Insurance
Caregiver Opinion of In-Hospital Screening for Unmet Social Needs by Pediatric Residents
Child health is strongly influenced by social determinants. Little is known about the opinions of primary caregivers regarding the physicians' role in addressing social needs. Our objective was to examine caregivers' opinions about that role and any associations between those opinions, previous exposure to screening for needs by pediatric residents, and socioeconomic status (SES).Hospitalization: Are We Missing an Opportunity to Identify Food Insecurity in Children?
Food security is the ability to access sufficient food to maintain a healthy, active life. Previous studies link food insecurity with adverse health outcomes. Our objectives were to determine the prevalence of food insecurity, identify sociodemographic risk factors, and quantify receipt of public nutrition assistance among recently hospitalized children in the United States.Maintenance of Increased Childhood Influenza Vaccination Rates 1 Year After an Intervention in Primary Care Practices
Influenza vaccination rates among some groups of children remain below the Healthy People 2020 goal of 70%. Multistrategy interventions to increase childhood influenza vaccination have not been evaluated recently.Developmental Screening Disparities for Languages Other than English and Spanish
Limited English proficiency (LEP) is a known barrier to preventive care. Children from families with LEP face socioeconomic circumstances associated with increased odds of developmental delays and decreased participation in early care and education programs. Little is known about developmental surveillance and screening for children from families who speak languages other than English and Spanish. We sought to compare developmental surveillance and screening at well-child visits (WCVs) by preferred parental language.Physician Perspectives on Medical Home Recognition for Practice Transformation for Children
To examine child-serving physicians' perspectives on motivations for and support for practices in seeking patient-centered medical home (PCMH) recognition, changes in practice infrastructure, and care processes before and after recognition, and perceived benefits and challenges of functioning as a PCMH for the children they serve, especially children with special health care needs.Incidence of Urinary Tract Infection Among Siblings of Children With Vesicoureteral Reflux
Siblings of children with vesicoureteral reflux (VUR) are at elevated risk of VUR. Screening siblings may identify VUR before a clinical illness such as a urinary tract infection (UTI), but the benefit of screening has not been demonstrated. We sought to determine the incidence of UTI among siblings, and we hypothesized that the sibling UTI rate is similar between screened and unscreened siblings.Underserved Areas and Pediatric Resident Characteristics: Is There Reason for Optimism?
To examine whether resident characteristics and experiences are related to practice in underserved areas.Variation in Educational Services Receipt Among US Children With Developmental Conditions
To examine the relationship between ease of access to needed community-based services (ease of access) and educational services receipt, and variation in educational services receipt by sociodemographic and need factors among a nationally representative sample of children with autism spectrum disorder (ASD), developmental delay (DD), and/or intellectual disability (ID).Parental Use of Electronic Cigarettes
To describe parental use of electronic cigarettes (e-cigs) to better understand the safety risks posed to children.Trends in Type of Health Insurance Coverage for US Children and Their Parents, 1998–2011
To examine trends in health insurance type among US children and their parents.A Comparison of Ambulatory Care Sensitive Hospitalizations Among Children With and Without Autism Spectrum Disorder
To compare the prevalence of hospitalizations for ambulatory care sensitive conditions (ACSC) in children with and without autism spectrum disorder (ASD) and to compare inpatient health care utilization (total charges and length of stay) for the same conditions in children with and without ASD.Trends in Disparities in Low-Income Children's Health Insurance Coverage and Access to Care by Family Immigration Status
To examine time trends in disparities in low-income children's health insurance coverage and access to care by family immigration status.Multiple Behavior Change Intervention to Improve Detection of Unmet Social Needs and Resulting Resource Referrals
It is critical that pediatric residents learn to effectively screen families for active and addressable social needs (ie, negative social determinants of health). We sought to determine 1) whether a brief intervention teaching residents about IHELP, a social needs screening tool, could improve resident screening, and 2) how accurately IHELP could detect needs in the inpatient setting.Enrollment, Expenditures, and Utilization After CHIP Expansion: Evidence From Alabama
In October 2009, Alabama expanded eligibility in its Children's Health Insurance Program (CHIP), known as ALL Kids, from 200% to 300% of the federal poverty level (FPL). We examined the expenditures, utilization, and enrollment behavior of expansion enrollees relative to traditional enrollees (100–200% FPL) and assessed the impact of expansion on total program expenditures.Children with Special Health Care Needs in CHIP: Access, Use, and Child and Family Outcomes
To assess how the Children's Health Insurance Program (CHIP) affects outcomes for children with special health care needs (CSHCN).CHIP and Medicaid: Evolving to Meet the Needs of Children
To examine the evolution of Children's Health Insurance Program (CHIP) and Medicaid programs after passage of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), focusing on policies affecting eligibility, enrollment, renewal, benefits, access to care, cost sharing, and preparation for health care reform.How Well Is CHIP Addressing Primary and Preventive Care Needs and Access for Children?
To examine differences in primary care outcomes under the Children's Health Insurance Program (CHIP) compared to private coverage and being uninsured in 10 states.Enrollment and Disenrollment Experiences of Families Covered by CHIP
To understand why families enroll in and disenroll from Children's Health Insurance Program (CHIP), their experience with the CHIP application and renewal process, and the insurance coverage of their children after disenrolling.Parent 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.
