ArticleMaternal and child health journal2019
Patterns of Health Insurance Discontinuity and Children's Access to Health Care.
Article in Maternal and child health journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Understanding Concussion Knowledge in Urban Community Settings: Perspectives of School Nurses and Youth Athletic Program Leaders.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026Article
- Continuous Medicaid coverage: a policy strategy to improve access to care for high-risk neonates.Journal of perinatology : official journal of the California Perinatal Association · 2026Review
- Association of Public and Private Insurance with Having a Usual Source of Care in Adolescence: Race/Ethnicity and Immigrant Differences.Journal of racial and ethnic health disparities · 2026Article
- Article
- Children's Insurance Stability and Coverage Inequities During the COVID-19 Continuous Coverage Provisions.American journal of public health · 2025Article
- Well-Child Visits and Immunization Encounters in South Carolina Medicaid: A 3-Year Retrospective Comparison Between Rural and Urban Children with a History of Neonatal Opioid Withdrawal Syndrome, 2006-2014.Healthcare (Basel, Switzerland) · 2025Article
- Medicaid unbroken: ensuring continuous United States public health insurance coverage for children to school age.Pediatric research · 2024Article
- Health Care Access and Use Among Children & Adolescents Exposed to Parental Incarceration-United States, 2019.Academic pediatrics · 2023Article
- Healthcare Utilization for Medicaid-Insured Children with Medical Complexity: Differences by Sociodemographic Characteristics.Maternal and child health journal · 2022Article
- Next Generation Pre-Exposure Prophylaxis for Young Men who have Sex with Men: Lessons from System and Provider-level barriers to oral PrEP.AIDS and behavior · 2022Article
- Correlates and Patterns of COVID-19 Vaccination Intentions among Parents of Children with Type 1 Diabetes.Journal of pediatric psychology · 2022Article
- Association between insurance variability and early lung function in children with cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022Observational
- Medicaid Coverage Disruptions Among Children Enrolled in North Carolina Medicaid From 2016 to 2018.JAMA health forum · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives This study classified patterns of discontinuous health insurance coverage, including change in coverage type and gaps in coverage, and described their associations with children's access to health care. Methods Using the 2011-2013 National Health Interview Survey data, we determined children's insurance coverage over the past year, and whether children had a usual source of care, had to delay getting care, or had unmet health care needs. Using multivariable logistic regression, we compared measures of access to care across insurance coverage patterns, classified as continuous private coverage; continuous public coverage; continuous lack of coverage; change in coverage type (public versus private) without gaps in coverage; and any gap in coverage. A subgroup analysis repeated this comparison for children with a caregiver-reported chronic physical illness. Results The analysis included 34,105 children, of whom 7% had a gap in coverage and 1% had a change in coverage type. On multivariable analysis, gaps in coverage were associated with increased likelihood of unmet health care needs, compared to continuous private (OR 6.9; 95% CI 5.9, 8.0) or continuous public coverage (OR 5.1; 95% CI 4.4, 6.0). Seamless changes in coverage were also associated with greater likelihood of unmet health care needs [OR vs. private: 3.8 (95% CI 2.3, 6.1); OR vs. public: 2.8 (95% CI 1.8, 4.6); all p < 0.001]. Results were similar for other study outcomes, and among children with chronic physical illness. Conclusions for Practice Both gaps in coverage and seamless changes between coverage types were associated with limited health care access for children.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.