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     <title>RAND Research Topic: Children's Access To Health Care</title>
     <link rel="self" href="http://www.rand.org/topics/childrens-access-to-health-care.xml"/>
     <updated>2012-05-24T14:56:27Z</updated>
     <link rel="alternate" type="text/html" hreflang="en" href="http://www.rand.org/topics/childrens-access-to-health-care.html" />
     <rights>Copyright (c) 2012, The RAND Corporation</rights>
     <author>
       <name>RAND Corporation</name>
     </author>
     <id>http://www.rand.org/topics/childrens-access-to-health-care.html</id>
	 
 <entry>
   <title type="html">Web-Based Tool for Parents of Children with Flu-Like Symptoms Piloted at DC-Area Hospitals</title>
   <id>http://www.rand.org/news/press/2012/03/15.html</id>
   <published>Mar 15, 2012</published>
   <updated>Mar 15, 2012</updated>
   <summary type="html">Researchers from the RAND Corporation and other institutions have begun pilot-testing a web-based tool designed to help parents and adult caregivers determine whether to seek urgent medical attention for a sick child with flu-like symptoms.  </summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/news/press/2012/03/15.html" />
   
 </entry>
 
 <entry>
   <title type="html">Take-up of Public Insurance and Crowd-Out of Private Insurance Under Recent CHIP Expansions to Higher Income Children</title>
   <id>http://www.rand.org/pubs/external_publications/EP20120099.html</id>
   <published>Jan 1, 2012</published>
   <updated>Jan 1, 2012</updated>
   <summary type="html">The CHIP expansions to children in higher income families were associated with limited uptake of public coverage.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20120099.html" />
   
 </entry>
 
 <entry>
   <title type="html">Relative Affordability of Health Insurance Premiums Under CHIP Expansion Programs and the ACA</title>
   <id>http://www.rand.org/pubs/external_publications/EP201100157.html</id>
   <published>Sep 30, 2011</published>
   <updated>Sep 30, 2011</updated>
   <summary type="html">Affordability benchmarks and premium-contribution requirements for Children&apos;s Health Insurance Program expansions in three states vary substantially, underscoring the ambiguity and subjectivity of affordability standards.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201100157.html" />
   
 </entry>
 
 <entry>
   <title type="html">Factors Associated with Prolonged Emergency Department Length of Stay for Admitted Children</title>
   <id>http://www.rand.org/pubs/external_publications/EP20110015.html</id>
   <published>Dec 31, 2010</published>
   <updated>Dec 31, 2010</updated>
   <summary type="html">Children admitted to the hospital seem more likely to have a prolonged stay in the emergency department if they are Hispanic, come to the ED in the winter, and arrive early in the morning.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20110015.html" />
   
 </entry>
 
 <entry>
   <title type="html">Private Sector Participation and Health System Performance in Sub-Saharan Africa</title>
   <id>http://www.rand.org/pubs/research_briefs/RB9567.html</id>
   <published>Dec 14, 2010</published>
   <updated>Dec 14, 2010</updated>
   <summary type="html">Researchers analyzed data on child and maternal health care use from 34 sub-Saharan African countries to examine the association between the degree of private sector participation in the health care system and outcomes related to access and equity.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/research_briefs/RB9567.html" />
   
 </entry>
 
 <entry>
   <title type="html">Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents</title>
   <id>http://www.rand.org/pubs/external_publications/EP201000186.html</id>
   <published>Jul 31, 2010</published>
   <updated>Jul 31, 2010</updated>
   <summary type="html">Adolescents and parents reported that the most effective way to encourage preventive care utilization among teens was to directly address provider-level barriers related to the timeliness, privacy, confidentiality, comprehensiveness, and continuity of their preventive care.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP201000186.html" />
   
 </entry>
 
 <entry>
   <title type="html">Ease Medicaid/SCHIP Eligibility Rules</title>
   <id>http://www.rand.org/pubs/technical_reports/TR562z3.html</id>
   <published>Jan 8, 2010</published>
   <updated>Jan 8, 2010</updated>
   <summary type="html">This document explores how expanding Medicaid/SCHIP eligibility would affect health system performance along nine dimensions.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/technical_reports/TR562z3.html" />
   
 </entry>
 
 <entry>
   <title type="html">Private Sector Participation and Health System Performance in Sub-Saharan Africa</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100136.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">The participation of the private sector in providing health care in developing countries is associated with greater access to care and reduced disparities between rich and poor and urban and rural populations.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100136.html" />
   
 </entry>
 
 <entry>
   <title type="html">Financial Barriers to the Adoption of Combination Vaccines By Pediatricians</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100183.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">One in 5 pediatricians reported that inadequate reimbursement prevented their using 1 or more combination vaccines. Vaccination was less likely in smaller practices, and those with a lower proportion of publicly insured patients.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100183.html" />
   
 </entry>
 
 <entry>
   <title type="html">Risk-adjusted Capitation Rates for Children: How Useful Are the Survey-Based Measures?</title>
   <id>http://www.rand.org/pubs/external_publications/EP20100158.html</id>
   <published>Dec 31, 2009</published>
   <updated>Dec 31, 2009</updated>
   <summary type="html">National health surveys can provide information, including measures of special health care needs, that can improve risk-adjustment models and help provide appropriate payments to managed-care plans serving vulnerable children.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20100158.html" />
   
 </entry>
 
 <entry>
   <title type="html">Recent Trends in State Children&apos;s Health Insurance Program Eligibility and Coverage for CSHCN</title>
   <id>http://www.rand.org/pubs/external_publications/EP20091222.html</id>
   <published>Nov 30, 2009</published>
   <updated>Nov 30, 2009</updated>
   <summary type="html">&lt;p&gt;This study found that a dramatic increase between 2001 and 2005 in the number of uninsured children with special health care needs who were eligible for SCHIP.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20091222.html" />
   
 </entry>
 
 <entry>
   <title type="html">Children&apos;s Health in Washington, D.C.: Access and Health Challenges Despite High Insurance Coverage Rates</title>
   <id>http://www.rand.org/pubs/research_briefs/RB9482.html</id>
   <published>Oct 28, 2009</published>
   <updated>Oct 28, 2009</updated>
   <summary type="html">&lt;p&gt;Assesses children&apos;s health issues in Washington, D.C., including the health care delivery system and neighborhood health environments.
&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/research_briefs/RB9482.html" />
   
 </entry>
 
 <entry>
   <title type="html">Major Health Care Challenges Persist for D.C. Children Despite High Rates of Insurance Coverage</title>
   <id>http://www.rand.org/pubs/technical_reports/TR751.html</id>
   <published>Oct 7, 2009</published>
   <updated>Oct 7, 2009</updated>
   <summary type="html">&lt;p&gt;Despite high rates of health insurance coverage among children in the District of Columbia, their access to health care is inadequate and poses a significant health problem&amp;mdash;particularly for those who are publicly insured.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/technical_reports/TR751.html" />
   
 </entry>
 
 <entry>
   <title type="html">Determinants of Health Insurance Status for Children of Latino Immigrant and Other US Farm Workers: Findings from the National Agricultural Workers Survey</title>
   <id>http://www.rand.org/pubs/external_publications/EP20081209.html</id>
   <published>Dec 31, 2007</published>
   <updated>Dec 31, 2007</updated>
   <summary type="html">&lt;p&gt;Thirty-two percent of all farm-worker parents reported that their children were uninsured. Programs that extend insurance coverage for children should consider the unique social barriers that characterize this vulnerable population of U.S. children.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20081209.html" />
   
 </entry>
 
 <entry>
   <title type="html">Enrollment in SCHIP Improves Low-Income Children&apos;s Quality of Life</title>
   <id>http://www.rand.org/pubs/research_briefs/RB9210.html</id>
   <published>Sep 26, 2007</published>
   <updated>Sep 26, 2007</updated>
   <summary type="html">&lt;p&gt;Children newly enrolled in a public health insurance program in California reported improvements such as doing better in school, feeling better physically, and getting along better with their peers.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/research_briefs/RB9210.html" />
   
 </entry>
 
 <entry>
   <title type="html">Effective State Children&apos;s Health Insurance Program (SCHIP) Policy</title>
   <id>http://www.rand.org/pubs/conf_proceedings/CF239.html</id>
   <published>Jul 18, 2007</published>
   <updated>Jul 18, 2007</updated>
   <summary type="html">&lt;p&gt;In a policy forum hosted by the Promising Practices Network and Kansas Action for Children, top experts from around the country shared research and practice knowledge related to federal and state SCHIP policy.  Video of the event is available online.&lt;/p&gt;
</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/conf_proceedings/CF239.html" />
   
 </entry>
 
 <entry>
   <title type="html">Impact of the State Children&apos;s Health Insurance Program on Adolescents in New York</title>
   <id>http://www.rand.org/pubs/external_publications/EP20070424.html</id>
   <published>Dec 31, 2006</published>
   <updated>Dec 31, 2006</updated>
   <summary type="html">&lt;p&gt;Adolescents face financial and nonfinancial barriers to health care.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20070424.html" />
   
 </entry>
 
 <entry>
   <title type="html">Quality Primary Care Requires More Than Insurance</title>
   <id>http://www.rand.org/pubs/research_briefs/RB9170.html</id>
   <published>Jan 12, 2006</published>
   <updated>Jan 12, 2006</updated>
   <summary type="html">This Research Brief summarizes research analyzing and comparing key components of children&apos;s primary care: having insurance, having a regular medical care provider, and actually receiving care when it is needed.</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/research_briefs/RB9170.html" />
   
 </entry>
 
 <entry>
   <title type="html">Triple Jeopardy for Vulnerable Children: Greater Health Needs, Less Access, Poorer Primary Care</title>
   <id>http://www.rand.org/pubs/research_briefs/RB9215-1.html</id>
   <published>Dec 31, 2005</published>
   <updated>Dec 31, 2005</updated>
   <summary type="html">&lt;p&gt;This research brief summarizes an analysis of data from a nationwide survey to determine why children eligible to be in the State Children&apos;s Health Insurance Program (SCHIP) are not enrolled.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/research_briefs/RB9215-1.html" />
   
 </entry>
 
 <entry>
   <title type="html">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&apos;s Health Insurance Program</title>
   <id>http://www.rand.org/pubs/external_publications/EP20060915.html</id>
   <published>Dec 31, 2005</published>
   <updated>Dec 31, 2005</updated>
   <summary type="html">&lt;p&gt;To examine the effect of realized access to care (problems getting care, access to needed care) on health-related quality of life (HRQOL) in the California State Children&apos;s Health Insurance Program.&lt;/p&gt;</summary>
   <link rel="alternate" type="text/xhtml" hreflang="en" title="Read More" href="http://www.rand.org/pubs/external_publications/EP20060915.html" />
   
 </entry>
 
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