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Medicaid and the Health Care of Children in Poverty and Near Poverty

Some Successes and Failures

Bibliographic Data

ID9103655
AuthorsSteven L Gortmaker (0000-0003-4904-9377, Harvard University, corresponding author)
Year1981
Volume19
Issue6
Pages567-582
Publication date1981-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198106000-00001
PMID7022043
OpenAlexW1996685256
LanguageEN
Citations received16
References cited6

Recent trends in access to and utilization of health services by children living in poverty, near poverty, and higher income households in the Flint, Michigan, metropolitan area are examined. During the period under study (1973-1977), there were substantial increases in the percentage of poor children enrolled in Medicaid. By 1977, however, 15 per cent of children in poverty in the city of Flint were still not enrolled; in suburban areas, this estimate was 30 per cent. Some correlates of non-enrollment are identified. These changes in Medicaid enrollment were accompanied by an attenuation of differences in the utilization of ambulatory medical services among income groups, although children on Medicaid in 1977 were still less likely to have a regular source of care, and less likely to have a pediatrician as a regular physician. Although dental visits were covered by Medicaid beginning in 1975, economic differentials in dental utilization appear to have widened over the period under study. A variety of barriers to the delivery of services under Medicaid in this community are noted, and the generalizability of these findings discussed

Environmental health · Family medicine · Health care · Medicaid · Medical care · Metropolitan area · Political science · Population · Poverty · Poverty level · Socioeconomics · Child and Adolescent Health · Demography · Global Health Workforce Issues · Healthcare Policy and Management · Medicine

  • The Effect of Medicaid on Access to Ambulatory Mental Health Care for the Poor and Near-Poor Under 65

    Carl A Taube, Agnes Rupp•Medical Care•1986

  • The Financial Burden of Medical Care Expenses for Children

    Paul W Newacheck, Neal Halfon•Medical Care•1986

  • Maternal Employment and Use of Pediatric Clinic Services

    Cheryl S Alexander, Cheryl Alexander et al.•Medical Care•1986

  • Access to Office-Based Physicians Under Capitation Reimbursement and Medicaid Case Management

    Mina M Hohlen, LARRY M MANHEIM et al.•Medical Care•1990

  • The Impact of Outpatient Department and Emergency Room Use on Costs in the Texas Medicaid Program

    Neil S Fleming, Hubert C Jones•Medical Care•1983

  • Medical Care Use and Expenditures for Children across Stages of the Family Life Cycle

    Peter J Cunningham, Peter Cunningham•Journal of Marriage and the Family•1990

  • Continuing constraints to a preventively-oriented medical care system in the United States

    Open Access•Robert Halpern•The Journal of Primary Prevention•1985

  • An ABCD Program to Increase Access to Dental Care for Children Enrolled in Medicaid in a Rural County

    Open Access•Tarja Kaakko, Erik Skaret et al.•Journal of Public Health Dentistry•2002

  • Comparison of Access and Costs of Medicaid Dental Services in a Hospital Clinic and Community Practices

    Open Access•Millicent Marcus, Marvin Marcus et al.•Journal of Public Health Dentistry•1996

  • Is Health Insurance Enough? A Usual Source of Care may be More Important to Ensure a Child Receives Preventive Health Counseling

    Open Access•Jennifer E Devoe, Carrie J Tillotson et al.•Maternal and Child Health Journal•2011

  • Perinatal outcomes among Medicaid recipients in California

    Frank D Norris, R L Williams et al.•American Journal of Public Health•1984

  • The impact of Medicaid on physician use by low-income children

    Margo Rosenbach, M L Rosenbach•American Journal of Public Health•1989

  • Health care of poverty and nonpoverty children in Iowa

    L A Levey, Lawrence Levey et al.•American Journal of Public Health•1986

  • The Effect of Marital Disruption on Children’s Health

    Open Access•Jane Mauldon•Demography•1990

  • American children at risk

    Open Access•Deborah L Crooks•American Journal of Physical…•1995

  • Health Care Use by Preschool Children

    Open Access•Gong‐soog Hong, Shelley I White‐mean et al.•Family and Consumer Sciences…•1995

  • The Medicaid program and a regular source of care

    Jennie Jacobs Kronenfeld•American Journal of Public Health•1978

  • EPSDT- one quarter million screenings in Michigan

    T R Kirk, R G Rice et al.•American Journal of Public Health•1976

  • Use of ambulatory health services by the near poor

    Elizabeth A Skinner, Pearl S German et al.•American Journal of Public Health•1978

  • The Relationship between Modified and Usual Multiple-Regression Approaches to the Analysis of Dichotomous Variables

    Leo A Goodman•Sociological Methodology•1976

  • State Response to Federal Policy

    Anne-Marie Foliz, Donna Brown•Medical Care•1975

  • Medicaid, Morbidity, and Physician Use

    David L Rabin, Elisabeth Schach•Medical Care•1975

Unique citing works16
Citations per year0,37
Citation span1983 - 2011 (29)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 10
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