State Children’s Health Insurance Program Cuts Rate of Forgone Care, Increases Quality of Life
Experiencing both forgone care and problems obtaining care corresponded with a sharp decline in health-related quality of life for children: an average 8-point drop on a 100-point scale. The clinical effect was worse for a child than having a chronic health condition.
NOTES: Statistical correlations are derived from parent responses to the Pediatric Quality of Life Inventory™, a survey tool that produces health-related quality-of-life scores from 0 to 100, with 100 being best. Numbers in the chart indicate the expected change associated with each variable, either raising or lowering a child’s score. Child responses to the survey yielded similar results.
Regardless of the amount of care received or forgone prior to enrollment, each ensuing year of realized access to needed care helped children (raising or roughly maintaining their quality-of-life scores on a 100-point scale), whereas each ensuing year of forgone care hurt (lowering their scores).
SOURCE: “The Impact of Realized Access to Care on Health-Related Quality of Life: A Two-Year Prospective Cohort Study of Children in the California State Children’s Health Insurance Program,” The Journal of Pediatrics, Vol. 149, No. 3, September 2006, pp. 354–361, Michael Seid, James W. Varni, Lesley Cummings, Matthias Schonlau.