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Factors that influence the selection and utilization of children’s medical insurance

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  • Shishu Zhang
  • Gregory J. Soukup

Abstract

The researchers analyzed how different regions in the USA, family structure, ethnicity, and family income levels influenced the selection and utilization of medical care programs and services by American children. To prevent any possible bias in the analysis and to produce reliable results, an endogenous switching model was utilized in the study. The researchers found no statistically significant differences in the number of doctor visits and hospital stays between children with insurance and children without insurance. However, significant differences were determined regarding family structure, family income, geographic regions, and ethnicity. Children from single-parent families with insurance coverage (private, Medicaid, or SCHIP) had statistically higher rates of doctor visits and hospital stays than children from two-parent families with insurance coverage. Family income, region, and ethnicity variables all had significant impacts on the type of health insurance coverage that was reported for children.

Suggested Citation

  • Shishu Zhang & Gregory J. Soukup, 2015. "Factors that influence the selection and utilization of children’s medical insurance," Cogent Business & Management, Taylor & Francis Journals, vol. 2(1), pages 1010882-101, December.
  • Handle: RePEc:taf:oabmxx:v:2:y:2015:i:1:p:1010882
    DOI: 10.1080/23311975.2015.1010882
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    References listed on IDEAS

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    1. Manning, Willard G, et al, 1987. "Health Insurance and the Demand for Medical Care: Evidence from a Randomized Experiment," American Economic Review, American Economic Association, vol. 77(3), pages 251-277, June.
    2. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    3. Robert Kaestner & Theodore Joyce & Andrew Racine, 1999. "Does Publicly Provided Health Insurance Improve the Health of Low-Income Children in the United States," NBER Working Papers 6887, National Bureau of Economic Research, Inc.
    4. Kristine A. Lykens & Paul A. Jargowsky, 2002. "Medicaid matters: children's health and medicaid eligibility expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 21(2), pages 219-238.
    5. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    6. John Hisnanick & Dale Coddington, 2000. "The Immunisation Status of Poor Children: An Analysis of Parental Altruism and Child Well-Being," Review of Social Economy, Taylor & Francis Journals, vol. 58(1), pages 81-107.
    7. Yelowitz, Aaron S., 2000. "Public policy and health insurance choices of the elderly: evidence from the medicare buy-in program," Journal of Public Economics, Elsevier, vol. 78(3), pages 301-324, November.
    8. David M. Cutler & Jonathan Gruber, 1996. "Does Public Insurance Crowd out Private Insurance?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 111(2), pages 391-430.
    9. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    10. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    11. Leemore S. Dafny, 2010. "Are Health Insurance Markets Competitive?," American Economic Review, American Economic Association, vol. 100(4), pages 1399-1431, September.
    12. Michael Lawlor, 2002. "Academic Medicine Under Economic Stress: A Case Study of the Institutional Change Transforming American Health Care," Review of Social Economy, Taylor & Francis Journals, vol. 60(3), pages 435-469.
    13. Howell, E. & Decker, S. & Hogan, S. & Yemane, A. & Foster, J., 2010. "Declining child mortality and continuing racial disparities in the era of the Medicaid and SCHIP insurance coverage expansions," American Journal of Public Health, American Public Health Association, vol. 100(12), pages 2500-2506.
    14. Folbre, Nancy, 1994. "Children as Public Goods," American Economic Review, American Economic Association, vol. 84(2), pages 86-90, May.
    15. Leemore Dafny & Jonathan Gruber, 2000. "Does Public Insurance Improve the Efficiency of Medical Care? Medicaid Expansions and Child Hospitalizations," NBER Working Papers 7555, National Bureau of Economic Research, Inc.
    16. Millett, C. & Chattopadhyay, A. & Bindman, A.B., 2010. "Unhealthy competition: Consequences of health plan choice in California medicaid," American Journal of Public Health, American Public Health Association, vol. 100(11), pages 2235-2240.
    17. Weisbrod, Burton A, 1991. "The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment," Journal of Economic Literature, American Economic Association, vol. 29(2), pages 523-552, June.
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