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MEASURING PEDIATRIC ACCESS TO SPECIALTY HEALTH CARE BY INSURANCE STATUS

MEASURING PEDIATRIC ACCESS TO SPECIALTY HEALTH CARE BY INSURANCE STATUS. Brittany L. Harris 2009 SUMR Scholar Final Presentation Mentor: Karin Rhodes, M.D. M.S. Agenda. Overview. Project Background. Research. Next Steps. Results. Conclusions. Overview.

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MEASURING PEDIATRIC ACCESS TO SPECIALTY HEALTH CARE BY INSURANCE STATUS

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  1. MEASURING PEDIATRIC ACCESS TO SPECIALTY HEALTH CARE BY INSURANCE STATUS Brittany L. Harris 2009 SUMR Scholar Final Presentation Mentor: Karin Rhodes, M.D. M.S.

  2. Agenda Overview Project Background Research Next Steps Results Conclusions

  3. Overview • Emergency Department Screening Project (HUP) • Administered Social Health Survey • Piloted Women’s Health Interview • Community Health Department Screening Project • Administered Patient Satisfaction Survey

  4. Child Access Background • Importance of subspecialty care • Intentions of Medicaid equitable access • Memisovski v. Maram May 2004 • Collaborative project with Illinois Department of Healthcare & Family Services

  5. Child Access Background Contd.

  6. Project Tasks • Cook County Child Access Study • Prepared policy analyses • Compiled Epidemiological Stats

  7. My Research Area • Parent Survey • Relationship between SES and access to Health Care • Known: • SES= Health Outcomes • Link, Bruce G., and Jo Phelan • Christakis, Nicholas • Cutler, David M. • Less Known: • Income, education and resources and access to specialty care

  8. My Research Question • Among a sample of insured caregivers, which of these SES measures (income, race, insurance and residential stability) is most strongly related with access to subspecialty care? • Hypothesis: • Insurance type strongest predictor

  9. Methods • Parent Phone Survey • Letters were sent to 340,000 Medicaid recipients and 2,015 privately insured Cook County Residents • Only 368 total participants called in to take parent survey • Independent Variables • Education, Income, Race, Current Insurance Type, and Residential Stability • Dependent Variable • Subspecialty access

  10. Methods Contd.

  11. Results

  12. Relationship still unclear Public has greater access problem Results Contd.

  13. Limitations

  14. Conclusions

  15. Next Steps

  16. Acknowledgements

  17. Thank You! • Any Questions?

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