PEDIATRICS Vol. 76 No. 4 October 1985, pp. 495-507
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Medical Care Use and Expenditure Among Children and Youth in the United States: Analysis of a National Probability Sample

John A. Butler EdD1, William D. Winter MD1, Judith D. Singer PhD1, and Martha Wenger EdD1

1 From Children's Hospital, Boston; and the Department of Social Medicine and Health Policy, Harvard Medical School, Boston

Good access to health care for all US children and youth remains an important social policy goal. Recent patterns of access as reflected in the presence of regular care sources, health care use, health insurance coverage, and expenditures for medical care are described and analyzed using the subsample of all children 0 to 18 years of age from the 1980 National Medical Care Utilization and Expenditure Survey. Data from the survey indicate that in 1980, 92% of US children and youth had a regular care source and the same percentage were covered for the full year or part of the year by some form of public or private health insurance. However, use rates and patterns of expenditure continued to differ dramatically according to family background factors, particularly race, ethnicity, poverty status, and location of residence. These differences are analyzed and comparative data are presented for groups of children from various sociodemographic groups. Minority-group and near-poor children were found to be at highest risk for limited utilization of services and inadequate insurance coverage.

Key Words: expenditure • health care • insurance • medical care • National Center for Health Statistics • National Medical Care Utilization and Expenditure Survey • payment • physician visits

Submitted on October 17, 1984
Accepted on June 19, 1985




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