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1、EffectsoftheStateChildren’sHealthInsuranceProgramExpansionsonChildrenWithChronicHealthConditionsAmyDavidoff,PhD*;GenevieveKenney,PhD‡;andLisaDubay,ScM‡ABSTRACT.Objective.Toestimatetheeffectsofthedrenwithchronicconditions,withselectedimprove-StateChildren’sHealth
2、InsuranceProgram(SCHIP)ex-mentsinaccesstocare.However,someeligiblechildrenpansionsoninsurancecoverage,useofhealthcareser-withchronicconditionsremainuninsured,andtheim-vices,andaccesstocareforchildrenwithchronichealthpactonaccesstocareandserviceusewerelimited.Ad-
3、conditions.ditionalprogressmayrequiretargetedoutreachtochil-Methods.TheprimarysourceofdatawastheNa-drenwithchronicconditionsandimprovementsintionalHealthInterviewSurvey.ChildrenwithchronicMedicaidandSCHIPservice-deliverysystems.Giventhehealthconditionswereidenti
4、fiedprimarilythroughre-currentfiscalenvironmentandthefactthatchildrenwithporteddiagnosesofcommonchronicconditions(eg,chronicconditionshavenotgenerallybeenprotectedasthma,attention-deficitdisorder,mentalretardation,fromcutbacks,therecentprogressdocumentedinthisDo
5、wnsyndrome,cerebralpalsy,musculardystrophy,studymaybereversed.Pediatrics2005;116:e34–e42.URL:sicklecelldisease,diabetes,arthritis,heartdisease)andwww.pediatrics.org/cgi/doi/10.1542/peds.2004-2297;onthepresenceofactivitylimitationscausedbyahealthhealthinsurance,e
6、ligibility,children,chronicconditions,problemlastingatleast12months.Weexaminedchangesaccess.inabroadarrayofoutcomesforchildrenwithchronichealthconditionswhogainedeligibilityunderSCHIPorwhowerealreadyeligibleforcoverageunderMedicaid,ABBREVIATIONS.SCHIP,StateChild
7、ren’sHealthInsurancePro-comparingtheperiodsbeforeandafterimplementationgram;NHIS,NationalHealthInterviewSurvey.oftheprogram.Changesforthesetreatmentgroupswerecomparedwithchildrenwithslightlyhigherincomes,reatedthroughpassageoftheBalancedBud-whoshouldnothavebeena
8、ffectedbytheeligibilitygetActof1997,theStateChildren’sHealthexpansions.ComparisonsweremadewithadjustmentCInsuranceProgram(SCHIP)isthemostrecentforchild,family,andothe
