Timely Health Service Utilization of Older Foster Youth by Insurance Type

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• 作者：Angelique Day ; Ph.D. ; M.S.W.^a ; ^{ew6080@wayne.edu" class="auth_mail" title="E-mail the corresponding author} ; Amy Curtis ; Ph.D. ; M.P.H.^b ; Rajib Paul ; Ph.D.^c ; Prince Addo Allotey^c ; Shantel Crosby ; M.S.W.^a
• 关键词：Foster care ; Aging out ; Primary care ; Preventive health care ; Well-child visits ; Primary care
• 刊名：Journal of Adolescent Health
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：58
• 期：1
• 页码：17-23
• 全文大小：410 K

文摘

To evaluate the impact of a policy change for older foster care youth from a fee-for-service (FFS) Medicaid program to health maintenance organization (HMO) providers on the timeliness of first well-child visits (health care physicals).

Methods

A three-year retrospective study using linked administrative data collected by the Michigan Departments of Human Services and Community Health of 1,657 youth, ages 10-20 years, who were in foster care during the 2009–2012 study period was used to examine the odds of receiving a timely well-child visit within the recommended 30-day time frame controlling for race, age, days from foster care entry to Medicaid enrollment, and number of foster care placements.

Results

Youth entering foster care during the HMO period were more likely to receive a timely well-child visit than those in the FFS period (odds ratio, 2.46; 95% confidence interval, 1.84–3.29; p < .0001) and days to the first visit decreased from a median of 62 days for those who entered foster care during the FFS period to 29 days for the HMO period. Among the other factors examined, more than 14 days to Medicaid enrollment, being non-Hispanic black and having five or more placements were negatively associated with receipt of a timely first well-child visit.

Conclusions

Those youth who entered foster care during the HMO period had significantly greater odds of receiving a timely first well-child visit; however, disparities in access to preventive health care remain a concern for minority foster care youth, those who experience delayed Medicaid enrollment and those who experienced multiple placements.