Evidence map›Paper›PMID 36336328›Full record

ArticleAcademic pediatrics2023

Parent Ratings of Health Insurance Adequacy for Children with Emotional, Behavioral, or Developmental Problems.

Genevieve Graaf, Ashley N Palmer

Abstract read
In one paragraph

Article in Academic pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Genevieve GraafSchool of Social Work (G Graaf), The University of Texas at Arlington, Arlington, Tex. Electronic address: genevieve.graaf@uta.edu.
Ashley N PalmerDepartment of Social Work (AN Palmer), Texas Christian University, Fort Worth, Tex.

Funding

Assessing the impacts of Medicaid Home and Community Based Waivers for children with Severe Emotional DisturbanceK01MH129991 · NIMH · UNIVERSITY OF TEXAS ARLINGTON · PI GRAAF, GENEVIEVE · 2022 to 2025
$683k
NIMH NIH HHS K01 MH129991
6 · The paper itself

Abstract

objectiveParents of children with special health care needs (CSHCN) report that private insurance is less adequate than public health coverage. Parents of CSHCN with emotional, behavioral, or developmental problems (EBDPs) may perceive private insurance to be especially inadequate due to higher need for a wider array of non-medical services and supports. This study's objective is to assess differences in parent ratings of insurance adequacy for public versus private health coverage between non-CSHCN, CSHCN, and CSHCN with EBDPs.

methodsThis study pooled publicly available data from the 2016 through 2019 National Survey of Children's Health. Multivariable fixed effects logistic regression models estimated the association between insurance type, CSCHN and EBDP status, and parent ratings of their child's insurance adequacy. Marginal effects were calculated for insurance type, CSHCN and EBDP status, and their interactions to estimate the size of the association.

resultsAmong all subgroups, consistently more parents with publicly insured children rated their insurance as adequate compared to those with private insurance. Parents of privately insured CSHCN with EBDPs rated their insurance as adequate at significantly lower rates than any other group of parents (55%)-including those with privately insured children without EBDPs (non-CSHCN= 67%; CSHCN = 63%) and all other parents with publicly insured children (non-CSHCN = 87%; CSHCN = 83%; CSHCN with EBDPs = 84%).

conclusionsFuture research should investigate if perceptions of insurance adequacy among families whose CSHCN has an EBDP aligns with reports of service access and unmet health care needs.

Indexed as

Children with DisabilitiesChildHealth Services AccessibilityHealth Services Needs and DemandHumansInsurance CoverageInsurance, HealthParentsUnited Stateschildren with emotional, behavioral, or developmental problemschildren with special health care needsinsurance adequacy

Identifiers

PMID36336328
PMCPMC10578061

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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.