PEDIATRICS Vol. 78 No. 5 November 1986, pp. 813-819
This Article
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Newacheck, P. W.
Right arrow Articles by Halfon, N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Newacheck, P. W.
Right arrow Articles by Halfon, N.

Access to Ambulatory Care Services for Economically Disadvantaged Children

Paul W. Newacheck MPP1 and Neal Halfon MD, MPH1

1 From the Institute for Health Policy Studies and Department of Pediatrics, University of California, San Francisco

Using data from the 1981 Child Health Supplement to the National Health Interview Survey, we examined differences in access to ambulatory services for children of different family incomes. The results indicate that much progress has been made in equalizing access since the War on Poverty was initiated in the mid-1960s. Poor children with superior health status now generally see physicians at the same rates as children in similar health but from higher income families. However, children with substantial health problems from low-income families continue to lag behind their higher income counterparts in similar health. Medicaid was shown to substantially improve access to ambulatory services for economically disadvantaged children in poor health, but less than half of these children are covered by Medicaid. Recent changes in federal and state policies concerning Medicaid are discussed as well as policy options for addressing the needs of children afflicted by both poverty and ill health.

Key Words: ambulatory care • low-income family health care • Medicaid

Submitted on December 26, 1985
Accepted on March 27, 1986




This article has been cited by other articles:


Home page
 PediatricsHome page
L. J. Bauman, E. J. Silver, and R. E.K. Stein
Cumulative Social Disadvantage and Child Health
Pediatrics, April 1, 2006; 117(4): 1321 - 1328.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
C. R. Woods, T. A. Arcury, J. M. Powers, J. S. Preisser, and W. M. Gesler
Determinants of Health Care Use by Children in Rural Western North Carolina: Results From the Mountain Accessibility Project Survey
Pediatrics, August 1, 2003; 112(2): e143 - 152.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
S. Eisert and P. Gabow
Effect of Child Health Insurance Plan Enrollment on the Utilization of Health Care Services by Children Using a Public Safety Net System
Pediatrics, November 1, 2002; 110(5): 940 - 945.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
E. A. Alessandrini, K. N. Shaw, W. B. Bilker, D. F. Schwarz, and L. M. Bell
Effects of Medicaid Managed Care on Quality: Childhood Immunizations
Pediatrics, June 1, 2001; 107(6): 1335 - 1342.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
L. Weinreb, R. Goldberg, E. Bassuk, and J. Perloff
Determinants of Health and Service Use Patterns in Homeless and Low-income Housed Children
Pediatrics, September 1, 1998; 102(3): 554 - 562.
[Abstract] [Full Text] [PDF]

Home page
 NEJMHome page
J. J. Stoddard, R. F. St. Peter, and P. W. Newacheck
Health Insurance Status and Ambulatory Care for Children
N. Engl. J. Med., May 19, 1994; 330(20): 1421 - 1425.
[Abstract] [Full Text]

Home page
 CLIN PEDIATRHome page
S. Feigelman, A. K. Duggan, C. M. Bazell, R. A. Baumgardner, E. D. Mellits, and C. DeAngelis
Correlates of Emergency Room Utilization in the First Year of Life
Clinical Pediatrics, December 1, 1990; 29(12): 698 - 705.
[Abstract] [PDF]