Medicaid eligibility and the incidence of ambulatory care sensitive hospitalizations for children

R. Kaestner, T. Joyce, Andrew D. Racine

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

In this study we investigate the effect of Medicaid on children's health, as measured by the incidence of ambulatory care sensitive (ACS) hospitalizations in the USA. The use of ACS hospitalizations is a unique contribution of our study. ACS discharges are known to be sensitive to better primary care and greater medical intervention and are objective measures of children's health. The results of this analysis were mixed. We found relatively robust evidence that the Medicaid expansions decreased the incidence of ACS hospitalizations among children age 2-6 from very low-income areas. For other groups of children, our results were less consistent. There was some evidence, although not uniform, that the Medicaid expansions improved the health of children age 2-6 from what we refer to as near-poor areas, areas with a median family income between $25,000 and 30,000. For older children, age 7-9, we found little evidence that the Medicaid expansions improved their health. Copyright (C) 2000 Elsevier Science Ltd.

Original languageEnglish (US)
Pages (from-to)305-313
Number of pages9
JournalSocial Science and Medicine
Volume52
Issue number2
DOIs
StatePublished - 2001

Fingerprint

Medicaid
Ambulatory Care
hospitalization
Hospitalization
incidence
child health
Incidence
income
health
evidence
Primary Health Care
family income
Ambulatory
Ambulatory care
Health
low income
Child Health
Income
Children's Health
Children's health

Keywords

  • Child health
  • Health insurance
  • Hospitalizations
  • Medicaid
  • USA
  • Utilization

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)

Cite this

Medicaid eligibility and the incidence of ambulatory care sensitive hospitalizations for children. / Kaestner, R.; Joyce, T.; Racine, Andrew D.

In: Social Science and Medicine, Vol. 52, No. 2, 2001, p. 305-313.

Research output: Contribution to journalArticle

@article{5bec12a8e7a94e429304765c98104f78,
title = "Medicaid eligibility and the incidence of ambulatory care sensitive hospitalizations for children",
abstract = "In this study we investigate the effect of Medicaid on children's health, as measured by the incidence of ambulatory care sensitive (ACS) hospitalizations in the USA. The use of ACS hospitalizations is a unique contribution of our study. ACS discharges are known to be sensitive to better primary care and greater medical intervention and are objective measures of children's health. The results of this analysis were mixed. We found relatively robust evidence that the Medicaid expansions decreased the incidence of ACS hospitalizations among children age 2-6 from very low-income areas. For other groups of children, our results were less consistent. There was some evidence, although not uniform, that the Medicaid expansions improved the health of children age 2-6 from what we refer to as near-poor areas, areas with a median family income between $25,000 and 30,000. For older children, age 7-9, we found little evidence that the Medicaid expansions improved their health. Copyright (C) 2000 Elsevier Science Ltd.",
keywords = "Child health, Health insurance, Hospitalizations, Medicaid, USA, Utilization",
author = "R. Kaestner and T. Joyce and Racine, {Andrew D.}",
year = "2001",
doi = "10.1016/S0277-9536(00)00133-7",
language = "English (US)",
volume = "52",
pages = "305--313",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Elsevier Limited",
number = "2",

}

TY - JOUR

T1 - Medicaid eligibility and the incidence of ambulatory care sensitive hospitalizations for children

AU - Kaestner, R.

AU - Joyce, T.

AU - Racine, Andrew D.

PY - 2001

Y1 - 2001

N2 - In this study we investigate the effect of Medicaid on children's health, as measured by the incidence of ambulatory care sensitive (ACS) hospitalizations in the USA. The use of ACS hospitalizations is a unique contribution of our study. ACS discharges are known to be sensitive to better primary care and greater medical intervention and are objective measures of children's health. The results of this analysis were mixed. We found relatively robust evidence that the Medicaid expansions decreased the incidence of ACS hospitalizations among children age 2-6 from very low-income areas. For other groups of children, our results were less consistent. There was some evidence, although not uniform, that the Medicaid expansions improved the health of children age 2-6 from what we refer to as near-poor areas, areas with a median family income between $25,000 and 30,000. For older children, age 7-9, we found little evidence that the Medicaid expansions improved their health. Copyright (C) 2000 Elsevier Science Ltd.

AB - In this study we investigate the effect of Medicaid on children's health, as measured by the incidence of ambulatory care sensitive (ACS) hospitalizations in the USA. The use of ACS hospitalizations is a unique contribution of our study. ACS discharges are known to be sensitive to better primary care and greater medical intervention and are objective measures of children's health. The results of this analysis were mixed. We found relatively robust evidence that the Medicaid expansions decreased the incidence of ACS hospitalizations among children age 2-6 from very low-income areas. For other groups of children, our results were less consistent. There was some evidence, although not uniform, that the Medicaid expansions improved the health of children age 2-6 from what we refer to as near-poor areas, areas with a median family income between $25,000 and 30,000. For older children, age 7-9, we found little evidence that the Medicaid expansions improved their health. Copyright (C) 2000 Elsevier Science Ltd.

KW - Child health

KW - Health insurance

KW - Hospitalizations

KW - Medicaid

KW - USA

KW - Utilization

UR - http://www.scopus.com/inward/record.url?scp=0035234347&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035234347&partnerID=8YFLogxK

U2 - 10.1016/S0277-9536(00)00133-7

DO - 10.1016/S0277-9536(00)00133-7

M3 - Article

C2 - 11144786

AN - SCOPUS:0035234347

VL - 52

SP - 305

EP - 313

JO - Social Science and Medicine

JF - Social Science and Medicine

SN - 0277-9536

IS - 2

ER -