ArticlePediatrics2012
Predictors of delayed or forgone needed health care for families with children.
Article in Pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.
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Who cites it
41 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- From fees to free: impacts of user fee removal on child health outcomes - a systematic review.International journal for equity in health · 2025Pooled it
- Expanding the Catalog of Patient and Caregiver Out-of-Pocket Costs: A Systematic Literature Review.Population health management · 2024Pooled it
- Practice-tailored facilitation to improve pediatric preventive care delivery: a randomized trial.Pediatrics · 2014Trial
- The Changes Over 15 Years Within a Pediatric Chronic Pain Service.Paediatric & neonatal pain · 2026Article
- Impact of diagnosis-intervention packet payment reform on pediatric hospital services: an interrupted time series analysis.BMC health services research · 2026Article
- Health Influence and Association Analysis of Inpatient Service Under-Utilization in Older Adults With Multimorbidities: A National Study in China.Health care science · 2026Article
- Factors affecting cost-related medication non-adherence among US population with cardiovascular risk factors.Primary health care research & development · 2026Article
- Neighborhood deprivation is associated with longer hospital stay for common pediatric surgical procedures independent of complication rates.American journal of surgery · 2026Article
- Sociodemographic Drivers of Delays in Seeking Medical Care in the All of Us Cohort.Nursing reports (Pavia, Italy) · 2026Article
- Measuring health financing vulnerability due to reductions in official development assistance: A conceptual framework with empirical application across 47 African countries.PLOS global public health · 2026Article
- Article
- Prenatal homelessness, food insecurity, and unemployment and adverse infant outcomes in a California cohort, 2007-2020.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Forgone and delayed care in Germany- inequalities and perceived health risk of unmet need.International journal for equity in health · 2025Article
- Hydroxyurea Adherence for Personal Best in Sickle Cell Treatment (HABIT) efficacy trial: Community health worker support may increase hydroxyurea adherence of youth with sickle cell disease.Pediatric blood & cancer · 2024Article
- Financial burdens during the COVID-19 pandemic are related to disrupted healthcare utilization among survivors of adolescent and young adult cancers.Journal of cancer survivorship : research and practice · 2023Article
- Catastrophic Health Care Expenditure Following Brachial Plexus Injury.The Journal of hand surgery · 2023Article
- Predictors of Medical Care Delay or Avoidance Among Chinese Adults During the COVID-19 Pandemic.Patient preference and adherence · 2023Article
- A systematic review and meta-analysis of unmet needs for healthcare and long-term care among older people.Health economics review · 2022Article
- Trends in Self-reported Forgone Medical Care Among Medicare Beneficiaries During the COVID-19 Pandemic.JAMA health forum · 2021Article
- A comparison between the effects of drug costs and share of family income on drug costs in determining drug price.Medicine · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundWe sought to determine how health care-related financial burden, childhood activity limitations, health insurance, and other access-related factors predict delayed or forgone care for families with children, using a nationally representative, population-based sample.
methodsOur sample included families with children aged 0 to 17 years whose family was interviewed about their health care expenditures in 1 of 7 panels of the 2001 to 2008 Medial Expenditure Panel Survey (N = 14 138). Financial burden was defined as (1) the sum of out-of-pocket health service expenditures during the first survey year and (2) that sum divided by adjusted family income. Delayed or forgone care was defined as self-report of delayed or forgone medical care or prescription medications for the reference parent or child during the second survey year.
resultsFinancial burden, discordant insurance, and having a child with an activity limitation were some of the strongest predictors of delayed or forgone care. Additionally, significant health insurance and income-related disparities exist in the experience of delayed or forgone care.
conclusionsChildren and their families are delaying or forgoing needed care due to health care-related financial burden. Policies are needed to effectively reduce financial burden and improve the concordance of insurance between parents and children because this may reduce the frequency of unmet need among families. Moreover, reducing the occurrence of delayed or forgone care may improve health outcomes by increasing the opportunity to receive timely and preventive care.
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