Journal article
Disparities in Pediatric Provider Availability by Insurance Type After the ACA in California
Academic pediatrics, v 19(3), pp 325-332
01 Apr 2019
PMID: 30218840
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVE: To examine insurance-based disparities in provider-related barriers to care among children in California in the wake of changes to the insurance market resulting from the Affordable Care Act.
METHODS: Our sample included 6514 children (ages 0 to 11 years) from the 2014-2016 California Health Interview Survey. We examined parent reports in the past year of 1) having trouble finding a general provider for the child, 2) the child not being accepted by a provider as a new patient, 3) the child's health insurance not being accepted by a provider, or 4) any of the above. Multivariable models estimated the associations of insurance type-Medi-Cal (Medicaid), employer-sponsored insurance, or privately purchased coverage and parent reports of these problems.
RESULTS: Approximately 8% of parents had encountered at least one of these problems. Compared with parents of children with employer-sponsored insurance, parents of children with Medi-Cal or privately purchased coverage had over twice the odds of experiencing at least one of the barriers. Parents of children with Medi-Cal had over twice the odds of being told a provider would not accept their children's coverage or having trouble finding a general provider and 3 times the odds of being told a provider would not accept their children as new patients. Parents of children with privately purchased coverage had over 3 times the odds of being told a provider would not accept their children's coverage.
CONCLUSIONS: Our study found significant disparities in provider-related barriers by insurance type among children in California.
Metrics
Details
- Title
- Disparities in Pediatric Provider Availability by Insurance Type After the ACA in California
- Creators
- Jessie Kemmick Pintor - Department of Health Management and Policy (JK Pintor, CK Alberto, RM McKenna, and AN Ortega), Dornsife School of Public Health, Drexel University, Philadelphia, Penn.Hector E. Alcala - Stony Brook MedicineDylan H. Roby - Department of Health Services Administration (DH Roby), School of Public Health, University of Maryland, College Park.David T. Grande - University of PennsylvaniaCinthya K. Alberto - Department of Health Management and Policy (JK Pintor, CK Alberto, RM McKenna, and AN Ortega), Dornsife School of Public Health, Drexel University, Philadelphia, Penn.Ryan M. McKenna - Drexel UniversityAlexander N. Ortega - Drexel University
- Publication Details
- Academic pediatrics, v 19(3), pp 325-332
- Publisher
- Elsevier
- Number of pages
- 8
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000465063200013
- Scopus ID
- 2-s2.0-85056241030
- Other Identifier
- 991019167840204721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics