Improving children's healthcare through state health insurance programs: An emerging need

Chen, Chia Ching; Yamada, Tetsuji; Smith, Jordan; Chiu, I-Ming

doi:10.1016/j.healthpol.2010.07.012

Cited by 5 publications

(3 citation statements)

References 32 publications

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“…The present US healthcare financing consists of mixed methods: publicly funded programs of Medicare, for retired people, and Medicaid, for low-income people/indigent families; State Children's Health Insurance Programs for children; and a privately funded health insurance system [9]. There is no publicly funded long-term health insurance program.…”

Section: Usa Healthcare Systemmentioning

confidence: 99%

Global Perspectives of Different Healthcare Systems and Health: Income, Education, Health Disparity, Health Behaviors and Public Health in China, Japan and USA

Yamada¹,

Chen²,

Zeng³

et al. 2018

CMPH

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Increasing national healthcare spending due to an aging population is a rising burden on society and the economy. Under pressure to improve healthcare systems, it is important to evaluate different healthcare systems including the national healthcare system in China, the universal healthcare system in Japan, and the mixed healthcare system in the USA. In the different health insurance frameworks, it is imperative to shift from a cost-based fee-for-service system to a capitation system. Health insurance is generally designed to mitigate financial burden, which leads to equality of healthcare service access and thus prevent health inequality. From a public health perspective, health education improves health knowledge and skill which is profoundly associated with an improvement of health literacy. An increase in health literacy levels is related to a healthy lifestyle, and then an increase in the health of the population and sustainable notional outputs. This research attempts to address the problems that arise when changing health policies, i.e. healthcare system, on health considering the effects of difference in income, educational level, and health behaviors on health and health disparity. Objective: The purposes of this study are: (1) to empirically identify decision-making preferences about preventative behaviors, i.e. breast cancer prevention by different health insurance framework; (2) to evaluate disparity of health outcomes, i.e. different healthcare financing; and (3) to investigate health outcome disparity based on income and education in the different healthcare systems among China, Japan and the USA. Methodology and data: A Bivariate Probit model is used by controlling for socioeconomic , demographic and healthcare financing factors to investigate health outcomes by different healthcare programs in China, Japan and the USA. The data comes from the China Economic, Population, Nutrition, and Health Survey 2011 Adult Questionnaire [about 30 thousand samples]; The Global Centers of Excellence (COE) Survey [about 5.5 thousand samples] conducted in 2011 by Osaka University in Japan; and Behavioral Risk Factor Surveillance System 2013, US [about 50 thousand samples]. Logit and OLS regression analyses were conducted to examine health and healthcare prevention behaviors and income and health disparity. Results: The findings suggest that there is clear-cut evidence about behaviors of preventive care by different health insurance frameworks among the three countries; an objective measure of health behavioral outcomes (breast cancer prevention) is significantly influenced by different healthcare financing and policy; A nation with health disparity (general health) is based on income inequalities and different educational level causes health disparity. Healthy lifestyle stems from higher health knowledge and depends on involvement by a modern and market-oriented healthcare delivery among the three countries. Conclusions/implications: A development of human capital, i.e. health stock, will reduce government healthc...

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Section: Usa Healthcare Systemmentioning

confidence: 99%

Global Perspectives of Different Healthcare Systems and Health: Income, Education, Health Disparity, Health Behaviors and Public Health in China, Japan and USA

Yamada¹,

Chen²,

Zeng³

et al. 2018

CMPH

Self Cite

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show abstract

“…In addition to a lack of insurance, several other factors inhibit immigrants’ access to health care services. These factors include difficulty communicating in English, inadequate transportation, limited education, long hours and/or inflexible work schedules, and poor proximity to health care facilities (Chen et al ; Korinek and Smith ; Lebrun ; Portes, Fernandez‐Kelly, and Light ; Ransford, Carrillo, and Rivera ; Snow and Hutcheson ). Also creating barriers to access are lack of knowledge and a lack of “sophistication in knowing what kinds of help to seek for specific problems” (Rew, Resnick, and Beuhring , 412).…”

Section: Hispanic Immigrants and Access To Health Carementioning

confidence: 99%

The Health Care Safety Net and the Affordable Care Act: Implications for Hispanic Immigrants

Liebert

Ameringer

2013

Public Administration Review

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There are currently more than 11 million undocumented immigrants in the United States; the majority of them are of Hispanic origin. This article shows that Hispanic immigrants in the Greater Richmond, Virginia, area rely heavily on free clinics for basic health care services. Free clinics do not receive any public funding and thus face reduced government regulation. As a result, these clinics typically present fewer barriers to undocumented immigrants seeking care. Although free clinics function outside the mainstream of government funding for health care services, the Patient Protection and Affordable Care Act (ACA) of 2010 is so broad and far‐reaching in its scope and potential application that free clinics cannot escape its grasp once the new law is fully implemented. Because the ACA does not provide insurance coverage to undocumented immigrants, free clinics will remain their primary sources of care and treatment. Consequently, those responsible for implementing the ACA should consider the impact on free clinics.

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“…In fact, COC has two core elements ( Haggerty et al, 2003 ): care of an individual patient and care over time, distinguishing it from care coordination and integration ( Rijken et al, 2018 ). Research has shown that poor COC is associated with not only higher health care costs and more hospitalizations ( Bazemore et al, 2018 ; CDKnight, Dowden, Worrall, Gadag, & Murphy, 2009 ; Chen, Yamada, Smith, & Chiu, 2011 ; Cho et al, 2015 , Cho et al, 2015 ; Chu, Chen, & Cheng, 2012 ; Hong & Kang, 2013 ; Hong, Kang, & Kim, 2010 ; Jung, Cho, Lee, & Kim, 2018 ; Kao & Wu, 2016 , 2017 ; Lin & Wu, 2017 ; Pollack, Weissman, Lemke, Hussey, & Weiner, 2013 ; Romaire, Haber, Wensky, & McCall, 2014 ), but with worse health outcomes, especially in chronic and multimorbid patients ( Cho, Kim, et al, 2015 ; Gruneir et al, 2016 ; Jang, Choy, Nam, Moon, & Park, 2018 ; Weir, McAlister, Majumdar, & Eurich, 2016 ; Ye et al, 2016 ). However, the meaning behind COC can vary depending on the used definitions ( Gulliford, Naithani, & Morgan, 2006 ; Haggerty et al, 2003 ; Saultz, 2003 ; Saultz & Albedaiwi, 2004 ; Shortell, 1976 ), COC measurement methods and data sources.…”

Section: Introductionmentioning

confidence: 99%

Continuity of care and multimorbidity in the 50+ Swiss population: An analysis of claims data

Nicolet

Peytremann‐Bridevaux

Bagnoud³

et al. 2022

SSM - Population Health

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Improving children's healthcare through state health insurance programs: An emerging need

Cited by 5 publications

References 32 publications

Global Perspectives of Different Healthcare Systems and Health: Income, Education, Health Disparity, Health Behaviors and Public Health in China, Japan and USA

Global Perspectives of Different Healthcare Systems and Health: Income, Education, Health Disparity, Health Behaviors and Public Health in China, Japan and USA

The Health Care Safety Net and the Affordable Care Act: Implications for Hispanic Immigrants

Continuity of care and multimorbidity in the 50+ Swiss population: An analysis of claims data

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