Health insurance, pediatric asthma and emergency department usage: A review of theory informed literature
Stacey Marye, MST, RN, PhD Student, Graduate Assistant to Associate Chair, research interests relate to health disparities, vulnerable populations, and Covid-19 strategies in public health, including the influence of type of insurance as a determinant of disparate health outcomes for asthmatic children: Unintended consequences of the ACA, a population study of the recent measles outbreak in NYS among Orthodox Jewish communities: Essential community collaboration, a theory informed study of vaccination rates in rural and religious communities: Shared vulnerability characteristics.
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- The State University of New York at Binghamton, Binghamton, New York, USA
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Introduction: The aim of this paper is to explore how type of insurance coverage affects emergency department usage for children in peer reviewed articles that utilized a theoretical framework.
Methods: Search terms for this literature review reflected the age group significantly impacting asthma-related healthcare costs, a high-cost preventable health outcome, and third-party payment that implies socioeconomic status. To capture the ongoing effects of healthcare policy reform, inclusion criteria limited search results to peer reviewed research from the United States.
Results: Previous literature suggests an association between type of insurance coverage, and actual or perceived barriers to care and health outcomes. However, no previous studies have demonstrated a direct link between client-provider interactions and the healthcare system as influenced by type of insurance. This paper reveals a gap in knowledge that may limit the development and expansion of efficient public health programs for asthmatic children.
Discussion: Efficient public health nursing interventions may be enhanced by understanding the ecological interactions between the family of the asthmatic child and the healthcare system. Measuring personal, interpersonal and social systems variables described by King’s theory of goal attainment may reveal how type of health insurance affects interactions between the family and the healthcare system in the provision of care for children with asthma.
|Type||Other Graduate Paper|
|Review Type||None: Degree-based Submission|
|Evidence Level||Literature Review|
Emergency Department Visits;
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