Obtaining health care services for low-income children: A hierarchy of needs

Jennifer Devoe, Alan S. Graham, Heather Angier, Alia Baez, Lisa Krois

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Introduction. Basic health care is beyond the reach of many families, partly due to lack of health insurance. Many of those with insurance also experience unmet need and limited access. In this study, low-income parents illuminate barriers to obtaining health care services for their children. Methods. We surveyed a random sample of families from Oregon's food stamp population with children eligible for public insurance, based on household income. Mixed-methods included: (1) multivariable analysis of data from 2,681 completed surveys, and (2) qualitative study of written narratives from 722 parents. Results. Lack of health insurance was the most consistent predictor of unmet health care needs in the quantitative analysis. Qualitatively, health insurance instability, lack of access to services despite having insurance, and unaffordable costs were major concerns. Conclusions. Parents in this low-income population view insurance coverage as different from access to services, and reported a hierarchy of needs. Insurance was the primary concern; access and costs were secondary.

Original languageEnglish (US)
Pages (from-to)1192-1211
Number of pages20
JournalJournal of Health Care for the Poor and Underserved
Volume19
Issue number4
DOIs
StatePublished - 2008

Fingerprint

Insurance
Health Services
Health Insurance
Delivery of Health Care
Parents
Food Assistance
Costs and Cost Analysis
Insurance Coverage
Poverty
Population

Keywords

  • Access to health care
  • Children's health
  • Insurance coverage
  • Medicaid
  • Primary health care
  • Underserved populations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Obtaining health care services for low-income children : A hierarchy of needs. / Devoe, Jennifer; Graham, Alan S.; Angier, Heather; Baez, Alia; Krois, Lisa.

In: Journal of Health Care for the Poor and Underserved, Vol. 19, No. 4, 2008, p. 1192-1211.

Research output: Contribution to journalArticle

Devoe, Jennifer ; Graham, Alan S. ; Angier, Heather ; Baez, Alia ; Krois, Lisa. / Obtaining health care services for low-income children : A hierarchy of needs. In: Journal of Health Care for the Poor and Underserved. 2008 ; Vol. 19, No. 4. pp. 1192-1211.
@article{ccabe6142f7140428a93a7678762ca63,
title = "Obtaining health care services for low-income children: A hierarchy of needs",
abstract = "Introduction. Basic health care is beyond the reach of many families, partly due to lack of health insurance. Many of those with insurance also experience unmet need and limited access. In this study, low-income parents illuminate barriers to obtaining health care services for their children. Methods. We surveyed a random sample of families from Oregon's food stamp population with children eligible for public insurance, based on household income. Mixed-methods included: (1) multivariable analysis of data from 2,681 completed surveys, and (2) qualitative study of written narratives from 722 parents. Results. Lack of health insurance was the most consistent predictor of unmet health care needs in the quantitative analysis. Qualitatively, health insurance instability, lack of access to services despite having insurance, and unaffordable costs were major concerns. Conclusions. Parents in this low-income population view insurance coverage as different from access to services, and reported a hierarchy of needs. Insurance was the primary concern; access and costs were secondary.",
keywords = "Access to health care, Children's health, Insurance coverage, Medicaid, Primary health care, Underserved populations",
author = "Jennifer Devoe and Graham, {Alan S.} and Heather Angier and Alia Baez and Lisa Krois",
year = "2008",
doi = "10.1353/hpu.0.0080",
language = "English (US)",
volume = "19",
pages = "1192--1211",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "4",

}

TY - JOUR

T1 - Obtaining health care services for low-income children

T2 - A hierarchy of needs

AU - Devoe, Jennifer

AU - Graham, Alan S.

AU - Angier, Heather

AU - Baez, Alia

AU - Krois, Lisa

PY - 2008

Y1 - 2008

N2 - Introduction. Basic health care is beyond the reach of many families, partly due to lack of health insurance. Many of those with insurance also experience unmet need and limited access. In this study, low-income parents illuminate barriers to obtaining health care services for their children. Methods. We surveyed a random sample of families from Oregon's food stamp population with children eligible for public insurance, based on household income. Mixed-methods included: (1) multivariable analysis of data from 2,681 completed surveys, and (2) qualitative study of written narratives from 722 parents. Results. Lack of health insurance was the most consistent predictor of unmet health care needs in the quantitative analysis. Qualitatively, health insurance instability, lack of access to services despite having insurance, and unaffordable costs were major concerns. Conclusions. Parents in this low-income population view insurance coverage as different from access to services, and reported a hierarchy of needs. Insurance was the primary concern; access and costs were secondary.

AB - Introduction. Basic health care is beyond the reach of many families, partly due to lack of health insurance. Many of those with insurance also experience unmet need and limited access. In this study, low-income parents illuminate barriers to obtaining health care services for their children. Methods. We surveyed a random sample of families from Oregon's food stamp population with children eligible for public insurance, based on household income. Mixed-methods included: (1) multivariable analysis of data from 2,681 completed surveys, and (2) qualitative study of written narratives from 722 parents. Results. Lack of health insurance was the most consistent predictor of unmet health care needs in the quantitative analysis. Qualitatively, health insurance instability, lack of access to services despite having insurance, and unaffordable costs were major concerns. Conclusions. Parents in this low-income population view insurance coverage as different from access to services, and reported a hierarchy of needs. Insurance was the primary concern; access and costs were secondary.

KW - Access to health care

KW - Children's health

KW - Insurance coverage

KW - Medicaid

KW - Primary health care

KW - Underserved populations

UR - http://www.scopus.com/inward/record.url?scp=58149177980&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=58149177980&partnerID=8YFLogxK

U2 - 10.1353/hpu.0.0080

DO - 10.1353/hpu.0.0080

M3 - Article

C2 - 19029746

AN - SCOPUS:58149177980

VL - 19

SP - 1192

EP - 1211

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 4

ER -