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Multicenter Study
. 2005 Feb;95(2):250-3.
doi: 10.2105/AJPH.2003.037242.

The State Children's Health Insurance Program: a multicenter trial of outreach through the emergency department

James A Gordon  1 , Jennifer A Emond, Carlos A Camargo Jr
Affiliations
Multicenter Study

The State Children's Health Insurance Program: a multicenter trial of outreach through the emergency department

James A Gordon et al. Am J Public Health. 2005 Feb.

Abstract

Objectives: We evaluated emergency department (ED)-based outreach for the State Children's Health Insurance Program (SCHIP).

Methods: We conducted a multicenter trial among uninsured children (< or = 18 years) who presented to 5 EDs in 2001 and 2002. On-site staff enrolled consecutive subjects for a control period followed by an intervention period during which staff handed out SCHIP applications to the uninsured. The primary outcome was state-level confirmation of insured status at 90 days.

Results: We followed 223 subjects (108 control, 115 intervention) by both phone interview and state records. Compared to control subjects, those receiving a SCHIP application were more likely to have state health insurance at 90 days (42% vs 28%; P<.05; odds ratio [OR]=3.8; 95% confidence interval [CI]=1.7, 8.6). Although the intervention effect was prominent among 118 African Americans (50% insured after intervention vs 31% of controls, P<.05), lack of family enrollment in other public assistance programs was the primary predictor of intervention success (OR=3.7; 95% CI=1.6, 8.4).

Conclusions: Handing out insurance applications in the ED can be an effective SCHIP enrollment strategy, particularly among minority children without connections to the social welfare system. Adopted nationwide, this simple strategy could initiate insurance coverage for more than a quarter million additional children each year.

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References

    1. Cohen RA, Coriatey-Nelson Z. Health Insurance Coverage: Estimates from the National Health Interview Survey, 2003. Hyattsville, Md. National Center for Health Statistics, June 2004. Available at: http://www.cdc.gov/nchs/nhis.htm. Accessed December 12, 2004.
    1. Grant VC, Ravenell N. Covering Kids and Families Primer: Understanding Policy and Improving Eligibility Systems. Columbia, SC: Southern Institute for Families and Children, Covering Kids and Families National Program Office; December 2002. Available at: http://coveringkidsandfamilies.org/resources/docs/CKFPrimer Dec2002.pdf. Accessed October 30, 2004.
    1. Blue Cross and Blue Shield Association. The Uninsured in America. Chicago, Ill: BCBSA; 2003. Available at: http://www.bcbst.com/about/news_center/docs/Uninsured_Book.pdf. Accessed October 30, 2004.
    1. Weiss HB, Mathers LJ, Forjuoh SN, Kinnane JM. Child and Adolescent Emergency Department Visit Data-book. Pittsburgh, Pa: Allegheny University of the Health Sciences, Center for Violence and Injury Control; 1997. Available at: http://www.circl.pitt.edu/childed/PDF’s/databook.pdf. Accessed October 30, 2004.
    1. McCaig LF, Burt CW. National Hospital Ambulatory Medical Care Survey: 2002 emergency department summary. Adv Data; No. 340. Hyattsville, Md: National Center for Health Statistics, March 2004. Available at: http://www.cdc.gov/hchs/data/ad/ad340.pdf. Accessed December 12, 2004. - PubMed

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