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Research Studies is a compilation of published research articles funded by 大象APPor authored by 大象APPresearchers.

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1 to 25 of 73 Research Studies Displayed
Hegland TA, Day RT, Moynihan KM
大象APPAuthor: Hegland TA
Access to pediatric bed capacity according to social determinants of health: all beds are not created equal.
The objectives of this cross-sectional study were to study pediatric inpatient hospital capacity and resources and to characterize differences according to Social Determinants of Health (SDoH). Data on nonelective inpatient discharges were taken from the Healthcare Cost and Utilization Project. The results showed that, although pediatric bed capacity was evenly distributed according to SDoH, hospitals that served under-represented, disadvantaged, and rural communities had less capability and resource availability.
AHRQ-authored.
Citation: Hegland TA, Day RT, Moynihan KM . Access to pediatric bed capacity according to social determinants of health: all beds are not created equal. J Pediatr 2025 Mar; 278:114447. doi: 10.1016/j.jpeds.2024.114447..
Keywords: Healthcare Cost and Utilization Project (HCUP), Children/Adolescents, Social Determinants of Health, Access to Care, Hospitals
Terp S, Ahmed S, Reichert Z
Civil monetary penalties for EMTALA violations involving minors, 2002-2023.
An analysis of Emergency Medical Treatment and Labor Act civil monetary penalties from 2002-2023 revealed that 14.6% of violations involved minors. Among these cases, most infractions concerned failure to provide medical screening exams or stabilizing treatment. Nearly one-fifth involved pregnant minors, while approximately one-third involved inappropriate patient redirection without proper screening. The study highlights the need for enhanced provider education regarding EMTALA requirements, particularly in facilities with limited pediatric services.
AHRQ-funded; HS022402; HS028671.
Citation: Terp S, Ahmed S, Reichert Z . Civil monetary penalties for EMTALA violations involving minors, 2002-2023. Hosp Pediatr 2024 Aug; 14(8):674-81. doi: 10.1542/hpeds.2024-007732..
Keywords: Emergency Department, Access to Care, Policy, Children/Adolescents
Baker L, Munnich EL, Kranz AM
Medicaid managed care and pediatric dental emergency department visits.
The objective of this cohort study was to estimate the association between adoption of managed care for dental services in Florida's Medicaid program and nontraumatic dental emergency department (ED) visits and associated charges. Subjects were Florida-resident patients aged 17 or younger who had a Florida ED visit 2010-2014 for a nontraumatic dental condition which Medicaid paid for. The results indicated that Florida Medicaid's adoption of managed care for pediatric dental services was associated with increased ED visits for children; this could be associated with decreased access to dental care. The researchers found no evidence that the average charge per visit changed.
AHRQ-funded; HS027994.
Citation: Baker L, Munnich EL, Kranz AM . Medicaid managed care and pediatric dental emergency department visits. JAMA Health Forum 2024 Jun 14; 5(6):e241472. doi: 10.1001/jamahealthforum.2024.1472.
Keywords: Children/Adolescents, Medicaid, Dental and Oral Health, Access to Care
Kahn NF, Kidd KM, Hodax JK
Telemedicine-based provision of adolescent gender-affirming medical care to promote equitable access.
This study explored transgender and nonbinary (TNB) young adults' (1) interest in receiving gender-affirming medications through telemedicine before age 18 years and (2) willingness to initiate this care with primary care providers (PCPs). Data was collected from a survey of TNB young adults who had not received gender-affirming medications before age 18 years. Out of 280 respondents, 82.5% indicated interest in telemedicine and 42.0% were willing to initiate medications with their PCP. Black/African American respondents were more likely to indicate interest in telemedicine than White and multiracial respondents, and respondents from rural areas were more likely to indicate willingness to initiate medications with their PCP than those from urban areas.
AHRQ-funded; HS029028.
Citation: Kahn NF, Kidd KM, Hodax JK . Telemedicine-based provision of adolescent gender-affirming medical care to promote equitable access. Telemed J E Health 2024 Jun; 30(7):1896-900. doi: 10.1089/tmj.2023.0575..
Keywords: Telehealth, Children/Adolescents, Health Information Technology (HIT), Disparities, Access to Care
Hughes PM, Graaf G, Gigli KH
Pediatric mental health care and scope-of-practice expansions.
This study investigated the relationship between scope-of-practice (SoP) regulations for psychologists and nurse practitioners and access to pediatric mental health services. The researchers analyzed data from the National Survey of Children's Health spanning 2016 to 2020, focusing on a nationally representative sample of children with mental health needs. The study examined two primary outcomes: unmet mental health care needs and receipt of mental health medication. The analysis revealed that children living in states with expanded psychologist SoP had a 5.4 percentage point lower probability of having unmet mental health needs. Additionally, these children had a 2.0 percentage point higher probability of receiving mental health medication. In contrast, nurse practitioner SoP expansion showed no significant association with unmet mental health needs. However, children in states with expanded nurse practitioner SoP had a 1.5 percentage point lower probability of receiving mental health medication. To assess these associations, the researchers employed logistic regression models, adjusting for multiple covariates. The expanded SoP for both psychologists and nurse practitioners was determined based on the child's state of residence and the year of the survey. The study's findings suggest that expanded SoP for psychologists is associated with improved access to pediatric mental health care, both in terms of addressing unmet needs and increasing medication access. However, the impact of expanded SoP for nurse practitioners appears to be less clear, with no significant effect on unmet needs and a slight decrease in medication receipt.
AHRQ-funded; HS000032.
Citation: Hughes PM, Graaf G, Gigli KH . Pediatric mental health care and scope-of-practice expansions. Adm Policy Ment Health 2024 May; 51(3):384-92. doi: 10.1007/s10488-024-01342-w..
Keywords: Children/Adolescents, Behavioral Health, Access to Care
Adams DR, P茅rez-Flores NJ, Mabrouk F DR, P茅rez-Flores NJ, Mabrouk F
Assessing access to trauma-informed outpatient mental health services for adolescents: a mystery shopper study.
A mystery shopper study examined the accessibility of trauma-informed mental health services for adolescents in Cook County, Illinois safety-net clinics. Posing as mothers of traumatized children, researchers were only able to schedule appointments in 17% of calls to community mental health centers (CMHCs) and federally qualified health centers (FQHCs). Appointment denials were primarily due to capacity constraints at CMHCs (67%) and administrative requirements to switch providers at FQHCs (62%). Notably, non-White callers were less likely to be offered an appointment than White callers, raising concerns about potential racial bias in scheduling practices. Wait times averaged 12 days, with CMHCs offering shorter wait times than FQHCs. Only 38% of schedulers reported offering trauma-informed therapy at their centers. These findings reveal significant disparities and barriers to accessing crucial mental health services for adolescents, particularly those from marginalized backgrounds.
AHRQ-funded; HS000084.
Citation: Adams DR, P茅rez-Flores NJ, Mabrouk F DR, P茅rez-Flores NJ, Mabrouk F . Assessing access to trauma-informed outpatient mental health services for adolescents: a mystery shopper study. Psychiatr Serv 2024 May; 75(5):402-09. doi: 10.1176/appi.ps.20230198..
Keywords: Children/Adolescents, Behavioral Health, Trauma, Access to Care
Feinberg E, Eilenberg JS
Role of community health workers in promoting health equity in pediatrics.
This progress report describes 2 pilot RCTs that examined the feasibility and acceptability of using a community health worker (CHW) implemented intervention as a strategy to improve timely completion of autism diagnostic evaluations among young children from historically marginalized communities. The authors describe the research that has been published on the topic since they submitted their original study report on November 17, 2019. Their team conducted a subsequent large multisite RCT (鈥淧roject EARLY鈥) as part of National Institute of Mental Health鈥檚 Autism Spectrum Disorder Pediatric Early Detection, Engagement and Services Network, whose aim was to develop and test interventions that coordinate early autism screening, evaluation, and engagement in services. Their findings confirmed the efficacy of family navigation to reduce time to autism diagnostic resolution while also uncovering family navigation鈥檚 differential impact by ethnicity. Positive effects of using a CHW were significantly greater for Hispanic families compared to non-Hispanic families, suggesting that the intervention may be an effective strategy to reduce disparities by minoritized subgroups. The authors also discussed recent funding through grants, and the fact that Medicaid reimburses CHWs for patient education and health care navigation in 29 US states. They also discuss future directions for investigating the impact of CHWs on autism outcomes specifically, and child well-being more generally.
AHRQ-funded; HS022155.
Citation: Feinberg E, Eilenberg JS . Role of community health workers in promoting health equity in pediatrics. Acad Pediatr 2024 Mar; 24(2):199-200. doi: 10.1016/j.acap.2023.09.005..
Keywords: Children/Adolescents, Disparities, Access to Care
King CA, Beetham T, Smith N
Adolescent residential addiction treatment in the US: uneven access, waitlists, and high costs.
This study examined adolescent residential addiction treatment facilities in the United States, and their accessibility and cost. The authors used the Substance Abuse and Mental Health Services Administration's treatment locator and search engine advertising data to identify 160 residential addiction treatment facilities that treated adolescents with opioid use disorder as of December 2022. They called facilities while role-playing as the aunt or uncle of a sixteen-year-old child with a recent nonfatal overdose to inquire about policies and costs. A little over half (54.5%) had a bed immediately available. The mean wait time for a bed was 28.4 days among sites with a waitlist. Of the facilities that provided cost information, the mean cost of treatment per day was $878, with daily costs among for-profit facilities triple of nonprofit facilities. Half of facilities required up-front payments by noninsured patients, with a mean up-front cost of $28,731. They were unable to identify any facilities for adolescents in ten states or Washington, D.C.
AHRQ-funded; HS017589.
Citation: King CA, Beetham T, Smith N . Adolescent residential addiction treatment in the US: uneven access, waitlists, and high costs. Health Aff 2024 Jan; 43(1):64-71. doi: 10.1377/hlthaff.2023.00777..
Keywords: Children/Adolescents, Substance Abuse, Healthcare Costs, Access to Care
Adams DR
Availability and accessibility of mental health services for youth: a descriptive survey of safety-net health centers during the COVID-19 pandemic.
The goal of this study was to assess the availability of outpatient mental health services for children and adolescents at safety-net health centers in a large metropolitan county. A comprehensive sample of Community Mental Health Centers (CMHCs) and Federally Qualified Health Centers (FQHCs) received a 5-minute survey approximately one year after the beginning of the COVID-19 pandemic. The response indicated that 10% of health centers had closed and 20% reported that they were not offering outpatient mental health services. Reported wait times were longer at CMHCs than FQHCs. The author concluded that these findings suggested that online directories such as the SAMHSA Treatment Locator are often inaccurate or out-of-date.
AHRQ-funded; HS000084.
Citation: Adams DR . Availability and accessibility of mental health services for youth: a descriptive survey of safety-net health centers during the COVID-19 pandemic. Community Ment Health J 2024 Jan; 60(1):88-97. doi: 10.1007/s10597-023-01127-9..
Keywords: Children/Adolescents, Behavioral Health, Access to Care, COVID-19, Public Health
Mitchell JM, Kranz AM, Steiner ED
Barriers and strategies used to continue school-based health services during the COVID-19 pandemic.
This study examined perceived barriers and strategies adopted to continue the delivery of school-based health services when schools reopened in Fall of 2021 during the COVID-19 pandemic and to assess whether these barriers and strategies varied by locality. The authors developed and subsequently conducted an online survey of school nurses who worked at the 1178 public elementary schools in Virginia in May 2021 to describe the impact of the COVID-19 pandemic on the delivery of school-based health services. They compared perceived barriers, strategies adopted and the effectiveness of strategies to continue the delivery of school-based health services by geographic locality (city vs. rural; suburban vs. rural and city vs. suburban). More than half of urban schools expected nine of ten potential barriers to affect the delivery of school-based health services during Fall 2021. More than half of responding schools located in urban, suburban, and rural areas indicated that external barriers outside of their control, including insufficient funding and families not able to bring students to school, were likely to be barriers to delivering care. There was no variation in strategies identified as 鈥渧ery effective鈥 by locality.
AHRQ-funded; HS025430.
Citation: Mitchell JM, Kranz AM, Steiner ED . Barriers and strategies used to continue school-based health services during the COVID-19 pandemic. Matern Child Health J 2024 Jan; 28(1):155-64. doi: 10.1007/s10995-023-03824-z.
Keywords: COVID-19, Children/Adolescents, Access to Care
Vear KR, Esbrook E, Padley E
"Time and money and support": adolescents and young adults' perceived social and logistical support needs for safe abortion care.
This study鈥檚 objective was to understand what support adolescents and young adults need to access abortion amidst the changing legal landscape. A diverse nationwide sample of individuals aged 14-24 responded to a text message survey in July 2022 about the social and logistical support they would need for safe abortion access. Out of the sample of 638, there was a 78% response rate. Primary sources of social support from parents and friends were named by the respondents for potential abortion decisions. The respondents frequently cited money and transportation as logistical support needs for out-of-state abortion care.
AHRQ-funded; HS026369.
Citation: Vear KR, Esbrook E, Padley E . "Time and money and support": adolescents and young adults' perceived social and logistical support needs for safe abortion care. Contraception 2023 Oct; 126:110128. doi: 10.1016/j.contraception.2023.110128..
Keywords: Children/Adolescents, Young Adults, Maternal Health, Patient Safety, Access to Care
Sequeira GM, Kahn NF, Ricklefs C
Barriers pediatric PCP's identify to providing gender-affirming care for adolescents.
The purpose of this study was to explore pediatric primary care providers鈥 (PCPs) perspectives on barriers experienced in providing gender-affirming care to transgender and gender diverse (TGD) youth. Pediatric PCPs who had sought support from the Seattle Children's Gender Clinic were recruited to participate in semi-structured, one-hour interviews. They identified both health system and community-level barriers to providing gender-affirming care. The authors concluded that these barriers must be overcome in the pediatric primary care setting to ensure that TGD youth receive timely, effective, and more equitable gender-affirming care.
AHRQ-funded; HS026393.
Citation: Sequeira GM, Kahn NF, Ricklefs C . Barriers pediatric PCP's identify to providing gender-affirming care for adolescents. J Adolesc Health 2023 Aug; 73(2):367-74. doi: 10.1016/j.jadohealth.2023.04.007..
Keywords: Children/Adolescents, Primary Care, Access to Care
Borah L, Zebib L, Sanders HM
State restrictions and geographic access to gender-affirming care for transgender youth.
This research letter described a study that estimated changes in geographic access and drive times to gender clinics after 20 states enacted legislation to restrict puberty-suppressing medications and hormones for those under the age of 18. Access to appropriate medical and social services for transgender youths was associated with mental health benefits and decreased levels of suicidality.
AHRQ-funded; HS028748.
Citation: Borah L, Zebib L, Sanders HM . State restrictions and geographic access to gender-affirming care for transgender youth. JAMA 2023 Jul 25; 330(4):375-78. doi: 10.1001/jama.2023.11299..
Keywords: Children/Adolescents, Vulnerable Populations, Access to Care, Policy
Vasan A, Kenyon CC, Fiks AG
Continuous eligibility and coverage policies expanded children's Medicaid enrollment.
Researchers examined children's participation in Medicaid during 2019-21. Their findings found that states that had adopted continuous Medicaid coverage for children during the COVID-19 pandemic experienced a 4.62 percent relative increase in children's Medicaid participation when compared with states with existing continuous eligibility policies.
AHRQ-funded; HS028555.
Citation: Vasan A, Kenyon CC, Fiks AG . Continuous eligibility and coverage policies expanded children's Medicaid enrollment. Health Aff 2023 Jun; 42(6):753-58. doi: 10.1377/hlthaff.2022.01465..
Keywords: Children/Adolescents, Medicaid, Policy, Health Insurance, Access to Care
Chu J, Roby DH, Boudreaux MH
Effects of the Children's Health Insurance Reauthorization Act on immigrant children's healthcare access.
The purpose of this study was to estimate the effects of the Children's Health Insurance Reauthorization Act (CHIPRA) on insurance coverage, access, utilization, and health outcomes among immigrant children. The researchers utilized the restricted use 2000-2016 National Health Interview Survey (NHIS)with a sample which included immigrant children between the ages of 0 and 18 born outside the United States, with family income below 300% of the Federal Poverty Level (FPL). The study found that CHIPRA was related with a decrease in uninsured rates and an increase in public insurance enrollment for immigrant children. The effects of CHIPRA became small and statistically not significant 3鈥墆ears after adoption. The researchers found no significant changes in health care access and utilization, and health outcomes, overall and across subgroups due to CHIPRA. The researchers concluded that the eligibility expansion of CHIPRA was related with increases in public insurance coverage for low-income children. However, no effect of CHIPRA on access to care and health was found.
AHRQ-funded; HS028532.
Citation: Chu J, Roby DH, Boudreaux MH . Effects of the Children's Health Insurance Reauthorization Act on immigrant children's healthcare access. Health Serv Res 2022 Dec;57(suppl 2):315-25. doi: 10.1111/1475-6773.14061..
Keywords: Children/Adolescents, Children's Health Insurance Program (CHIP), Health Insurance, Access to Care, Vulnerable Populations, Uninsured
Abdus S, Selden TM
大象APPAuthor: Abdus S, Selden TM
Well-child visit adherence.
This article presents updated evidence on well-child visit adherence, using MEPS data to conduct a cross-sectional study. The results indicate that average adherence increased between 2006-07 and 2016-17, but the authors note that large gaps remain in such areas as race and ethnicity, poverty level, insurance coverage, and geographic region.
AHRQ-authored.
Citation: Abdus S, Selden TM . Well-child visit adherence. JAMA Pediatr 2022 Nov;176(11):1143-45. doi: 10.1001/jamapediatrics.2022.2954..
Keywords: Medical Expenditure Panel Survey (MEPS), Children/Adolescents, Healthcare Utilization, Access to Care
Cutler GJ, Bergmann KR, Doupnik SK
Pediatric mental health emergency department visits and access to Inpatient care: a crisis worsened by the COVID-19 pandemic.
The purpose of this study was to explore the author鈥檚 previous research findings on trends in pediatric emergency department (ED) visits for mental health (MH) vs non-mental health in light of more recent related data corresponding with the COVID-19 pandemic. The study found that recent research supports the dramatic increase in pediatric MH ED visits found in the author鈥檚 previous research and provides additional evidence that the increase has been driven by specific MH diagnoses. The researchers conclude that depressive disorders, self-harm behavior, and non-alcohol substance use disorders should be prioritized for the development of ED- and hospital-based strategies, and that EDs, hospitals, health systems, and the government urgently need to increase capacity for MH services and identify innovative solutions to improve access to high quality MH care for children.
AHRQ-funded; HS026385.
Citation: Cutler GJ, Bergmann KR, Doupnik SK . Pediatric mental health emergency department visits and access to Inpatient care: a crisis worsened by the COVID-19 pandemic. Acad Pediatr 2022 Aug;22(6):889-91. doi: 10.1016/j.acap.2022.03.015..
Keywords: Children/Adolescents, COVID-19, Behavioral Health, Emergency Department, Access to Care, Public Health, Inpatient Care
Reeves SL, Patel PN, Madden B
Telehealth use before and during the COVID-19 pandemic among children with sickle cell anemia.
This study鈥檚 goal was to determine telehealth use before and during the COVID pandemic for children ages 1-17 years old with sickle cell anemia (SCA). The authors identified children with SCA continuously enrolled in Michigan Medicaid from January 2019 to December 2020. The study population consisted of 493 children with SCA with a mean age of 8.7 years at study entry. Pre-pandemic there were 4,367 outpatient visits, with all but 19 in-person. Telehealth visits peaked in April 2020 and then began declining. The majority of telehealth visits were with hematologists, followed up adult subspecialists (27%) and pediatrics/family medicine.
AHRQ-funded; HS027632.
Citation: Reeves SL, Patel PN, Madden B . Telehealth use before and during the COVID-19 pandemic among children with sickle cell anemia. Telemed J E Health 2022 Aug;28(8):1166-71. doi: 10.1089/tmj.2021.0132..
Keywords: Children/Adolescents, COVID-19, Telehealth, Health Information Technology (HIT), Sickle Cell Disease, Chronic Conditions, Access to Care
Koball H, Kirby J, Hartig S
大象APPAuthor: Kirby J
The relationship between states' immigrant-related policies and access to health care among children of immigrants.
The purpose of this AHRQ-authored paper was to explore immigrants鈥 children鈥檚 access to preventive healthcare, and the impact of sanctuary policies (state policies that limit federal immigration enforcement involvement) and the provision of driver鈥檚 licenses for undocumented immigrants on that access. Primary outcomes included whether the child had a well child check-up, unmet medical needs, or a regular source for care. The 2008-2016 Medical Panel Expenditure Survey (MPES) merged with policy data at the state level were analyzed, with the researchers reporting that sanctuary policies and having a state driver鈥檚 license were both associated with having a regular source for care and less unmet medical needs among the children of immigrants. The researchers emphasized the importance of access to preventive care and concluded that sanctuary policies are related to increased access to preventive health care among the children of immigrants.
AHRQ-authored.
Citation: Koball H, Kirby J, Hartig S . The relationship between states' immigrant-related policies and access to health care among children of immigrants. J Immigr Minor Health 2022 Aug;24(4):834-41. doi: 10.1007/s10903-021-01282-9..
Keywords: Medical Expenditure Panel Survey (MEPS), Children/Adolescents, Policy, Access to Care
Kemme S, Yoeli D, Sundaram SS
Decreased access to pediatric liver transplantation during the COVID-19 pandemic.
The purpose of the study was to explore and understand the impact of the COVID-19 pandemic on nationwide pediatric liver transplants. The researchers compared data for transplant waiting list additions, removals, and liver transplants during pre-COVID-19 (March-November 2016-2019), early COVID-19 (March-May 2020), and late COVID-19 (June-November 2020). The study results showed a 38% decrease in liver transplantations during early COVID-19, recovering to pre-pandemic rates during late COVID-19. White children had a 30% decrease in overall liver transplantation, while non-White children had a 44% decrease in overall liver transplantation. Additions to the waiting list decreased 25% during COVID-19, with Black transplant candidates the most affected, and children spent longer on the waiting list during early COVID-19 compared to pre-COVID-19 (140 vs. 96 days). The study concluded that the COVID-19 pandemic decreased access to pediatric liver transplants, especially during early COVID-19. The researchers discussed that although the rate of pediatric liver transplants has resumed to pre-COVID-19 levels, racial disparities must be addressed.
AHRQ-funded; HS026510.
Citation: Kemme S, Yoeli D, Sundaram SS . Decreased access to pediatric liver transplantation during the COVID-19 pandemic. Pediatr Transplant 2022 Mar;26(2):e14162. doi: 10.1111/petr.14162..
Keywords: Children/Adolescents, COVID-19, Transplantation, Access to Care, Disparities
Chien AT, Leyenaar J, Tomaino M
Difficulty obtaining behavioral health services for children: A national survey of multiphysician practices.
Researchers estimated the proportion of practices that have difficulty accessing resources to deliver evidence-based care for children with behavioral health disorders and investigated whether practices owned by a health system or participating in Medicaid accountable care organizations (ACOs) report less difficulty. They found that more than 85% of practices found it difficult to obtain help with evidence-based elements of pediatric behavioral health care. The percent experiencing difficulty was similar between system-owned and independent practices but was less for Medicaid ACO participants for medication advice and evidence-based psychotherapy; differences were not significant for family-based treatment.
AHRQ-funded; HS024075.
Citation: Chien AT, Leyenaar J, Tomaino M . Difficulty obtaining behavioral health services for children: A national survey of multiphysician practices. Ann Fam Med 2022 Jan-Feb;20(1):42-50. doi: 10.1370/afm.2759..
Keywords: Children/Adolescents, Behavioral Health, Access to Care
Lipton BJ, Finlayson TL
大象APPAuthor: Decker SL
The association between Medicaid adult dental coverage and children's oral health.
This study examined the association of Medicaid adult dental coverage and children鈥檚 oral health as Medicaid-eligible children are more likely to experience tooth decay than children in higher-income families. Data from the 1996-2016 National Health and Nutrition Examination Survey and the 2003, 2007, and 2011-12 waves of the National Survey of Children鈥檚 Health was used. Adult dental coverage was associated with a 5-percentage-point reduction in the prevalence of untreated caries among children after Medicaid-enrolled adults had access to dental coverage for at least one year. Children under twelve years of age were the most affected.
AHRQ-authored.
Citation: Lipton BJ, Finlayson TL . The association between Medicaid adult dental coverage and children's oral health. Health Aff 2021 Nov;40(11):1731-39. doi: 10.1377/hlthaff.2021.01135..
Keywords: Children/Adolescents, Dental and Oral Health, Medicaid, Health Insurance, Access to Care
K眉ng SA, Saavedra-Avendano B, V茅lez EA
Factors associated with support for adolescent access to contraception among Mexican Catholic parents.
Researchers used a nationally representative survey of 2186 Mexican Catholic parents to assess two outcomes: support for adolescent access to modern contraception and whether adolescents unaccompanied by an adult should have access to contraceptive methods. They found that Mexican Catholic parents support adolescent access to modern contraception, but support for unaccompanied access to contraception is lower. This may reflect an interest in being involved, and not necessarily opposition to contraceptive use.
AHRQ-funded; HS025155; HS022981.
Citation: K眉ng SA, Saavedra-Avendano B, V茅lez EA . Factors associated with support for adolescent access to contraception among Mexican Catholic parents. J Relig Health 2021 Jun;60(3):1600-12. doi: 10.1007/s10943-021-01186-w..
Keywords: Children/Adolescents, Access to Care, Sexual Health, Women
Han B, Chen PG, Yu H
Access to after-hours primary care: a key determinant of children's medical home status.
Researchers sought to identify individual survey items or domains that best predict medical home (MH) status for children and use them to develop brief markers of MH status. Using MEPS data, they found that accessibility, especially the ability to access health care after regular office hours, appeared to be the major predictor of having a MH among children. They recommended that the ongoing efforts to promote the MH model target improving accessibility of health care after regular hours for children overall and especially for Latino children.
AHRQ-funded; HS023336.
Citation: Han B, Chen PG, Yu H . Access to after-hours primary care: a key determinant of children's medical home status. BMC Health Serv Res 2021 Feb 27;21(1):185. doi: 10.1186/s12913-021-06192-y..
Keywords: Medical Expenditure Panel Survey (MEPS), Children/Adolescents, Primary Care: Models of Care, Primary Care, Patient-Centered Healthcare, Access to Care, Healthcare Delivery, Disparities, Racial and Ethnic Minorities
Hudson JL, Moriya AS
大象APPAuthor: Hudson JL
The role of marketplace policy on welcome mat effects for children eligible for Medicaid or the Children's Health Insurance Program.
This study examined the role of marketplace policy on 鈥渨elcome mat鈥 effects for children eligible for Medicaid or the Children鈥檚 Health Insurance Program (CHIP). Data from the American Community Survey from 2013-2018 was used to estimate the relationship between Marketplace policy and increases in Medicaid/CHIP coverage among pre-ACA eligible children after the implementation of the Affordable Care Act (ACA). The sample included non-disabled citizen children ages 0-18 at 139-250% federal poverty level who were Medicaid/CHIP-eligible before and after implementation of the ACA. Marketplace policies and enrollment were compared in expansion states versus non-expansion states. Public coverage did increase more in states that empowered their Marketplace to enroll publicly-eligible applicants directly into Medicaid/CHIP. This was driven by enrollment policy, not by choice of state-based versus federal-based Marketplaces. Welcome mats were largest in expansion states and increases ranged from 9 to 13 percentage points in enrollment.
AHRQ-authored.
Citation: Hudson JL, Moriya AS . The role of marketplace policy on welcome mat effects for children eligible for Medicaid or the Children's Health Insurance Program. Inquiry 2020 Jan-Dec;57:46958020952920. doi: 10.1177/0046958020952920..
Keywords: Children/Adolescents, Children's Health Insurance Program (CHIP), Medicaid, Health Insurance, Policy, Uninsured, Access to Care

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