IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2010.191569_4.html
   My bibliography  Save this article

Ongoing coverage for ongoing care: Access, utilization, and out-of-pocket spending among uninsured working-aged adults with chronic health care needs

Author

Listed:
  • Gulley, S.P.
  • Rasch, E.K.
  • Chan, L.

Abstract

Objectives. We sought to determine how part-year and full-year gaps in health insurance coverage affected working-aged persons with chronic health care needs. Methods. We conducted multivariate analyses of the 2002-2004 Medical Expenditure Panel Survey to compare access, utilization, and out-of-pocket spending burden among key groups of persons with chronic conditions and disabilities. The results are generalizable to the US community-dwelling population aged 18 to 64 years. Results. Among 92 million adults with chronic conditions, 21% experienced at least 1 month uninsured during the average year (2002-2004). Among the 25 million persons reporting both chronic conditions and disabilities, 23% were uninsured during the average year. These gaps in coverage were associated with significantly higher levels of access problems, lower rates of ambulatory visits and prescription drug use, and higher levels of out-of-pocket spending. Conclusions. Implementation of health care reform must focus not only on the prevention of chronic conditions and the expansion of insurance coverage but also on the long-term stability of the coverage to be offered.

Suggested Citation

  • Gulley, S.P. & Rasch, E.K. & Chan, L., 2011. "Ongoing coverage for ongoing care: Access, utilization, and out-of-pocket spending among uninsured working-aged adults with chronic health care needs," American Journal of Public Health, American Public Health Association, vol. 101(2), pages 368-375.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.191569_4
    DOI: 10.2105/AJPH.2010.191569
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2010.191569
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2010.191569?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Namkee G. Choi & Diana M. DiNitto & Bryan Y. Choi, 2020. "Unmet Healthcare Needs and Healthcare Access Gaps Among Uninsured U.S. Adults Aged 50–64," IJERPH, MDPI, vol. 17(8), pages 1-12, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.191569_4. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.