scholarly journals Usual Source of Care as a Health Insurance Substitute for U.S. Adults With Diabetes?

Diabetes Care ◽  
2009 ◽  
Vol 32 (6) ◽  
pp. 983-989 ◽  
Author(s):  
J. E. DeVoe ◽  
C. J. Tillotson ◽  
L. S. Wallace
Keyword(s):  
Health Insurance ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Source Of Care

scholarly journals Healthcare Access and Utilization among Korean Americans: The Mediating Role of English Use and Proficiency

2016 ◽  
Vol 4 (1) ◽  
pp. 83 ◽  
Author(s):  
Jiang Li ◽  
Annette E. Maxwell ◽  
Beth A. Glenn ◽  
Alison K. Herrmann ◽  
L Cindy Chang ◽  
...  
Keyword(s):  
Health Insurance ◽  
Length Of Stay ◽  
Health Services ◽  
Insurance Coverage ◽  
Korean Americans ◽  
Usual Source Of Care ◽  
Mediating Role ◽  
Usual Source ◽  
The Us ◽  
Source Of Care

The literature suggests that Korean Americans underutilize health services. Cultural factors and language barriers appear to influence this pattern of low utilization but studies on the relationships among length of stay in the US, English use and proficiency, and utilization of health services among Korean Americans have yielded inconsistent results. This study examines whether English language use and proficiency plays a mediating role in the relationships between length of stay in the US and health insurance coverage, access to and use of care. Structural equation modeling was used for mediation analysis with multiple dependent variables among Korean Americans (N= 555) using baseline data from a large trial designed to increase Hepatitis B testing. The results show 36% of the total effect of proportion of lifetime in the US on having health insurance was significantly mediated by English use and proficiency (indirect effect =0.166, SE= 0.07, p<.05; direct effect=0.296, SE= 0.13, p<.05). Proportion of lifetime in the US was not associated with usual source of care and health service utilization. Instead, health care utilization was primarily driven by having health insurance and a usual source of care, further underscoring the importance of these factors. A focus on increasing English use and proficiency and insurance coverage among older, female, less educated Korean Americans has the potential to mitigate health disparities associated with reduced access to health services in this population.

scholarly journals Is Health Insurance Enough? A Usual Source of Care may be More Important to Ensure a Child Receives Preventive Health Counseling

2011 ◽  
Vol 16 (2) ◽  
pp. 306-315 ◽  
Author(s):  
Jennifer E. DeVoe ◽  
Carrie J. Tillotson ◽  
Lorraine S. Wallace ◽  
Sarah E. Lesko ◽  
Nancy Pandhi
Keyword(s):  
Health Insurance ◽  
Preventive Health ◽  
Usual Source Of Care ◽  
Health Counseling ◽  
Usual Source ◽  
Source Of Care

Health Insurance and Diabetes Among Multiracial Men: The Mediation Effects of Usual Source of Care

2009 ◽  
Vol 4 (3) ◽  
pp. 207-217
Author(s):  
Julia F. Hastings ◽  
Jaclynn Hawkins
Keyword(s):  
Health Insurance ◽  
Diabetes Management ◽  
White Men ◽  
California Health Interview Survey ◽  
Usual Source Of Care ◽  
Mediation Effects ◽  
Usual Source ◽  
Source Of Care ◽  
Using Data ◽  
Survey Responses

Background. Health insurance and having a usual source of care is important in diabetes management for multiethnic men. Few studies focus on determining whether usual source of care mediates the association between health insurance and diabetes among men. Methods. Using data from the 2005 California Health Interview Survey, responses from 17,472 men were analyzed to examine the extent to which a usual source of health care mediates the relationship between health insurance and diabetes. Results. Sobel—Goodman tests for mediation indicated the largest effects between Latino and White men. For African American and Asian men, usual source of care did not serve as a significant mediation factor between health insurance and diabetes. Discussion. Findings highlight a need for more research on the importance of having a usual source of care along with consistent health insurance type for multiracial men.

scholarly journals The Case for Synergy Between a Usual Source of Care and Health Insurance Coverage

2011 ◽  
Vol 26 (9) ◽  
pp. 1059-1066 ◽  
Author(s):  
Jennifer E. DeVoe ◽  
Carrie J. Tillotson ◽  
Sarah E. Lesko ◽  
Lorraine S. Wallace ◽  
Heather Angier
Keyword(s):  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Source Of Care

scholarly journals The Effects of Health Insurance and a Usual Source of Care on a Child’s Receipt of Health Care

2012 ◽  
Vol 26 (5) ◽  
pp. e25-e35 ◽  
Author(s):  
Jennifer E. DeVoe ◽  
Carrie J. Tillotson ◽  
Lorraine S. Wallace ◽  
Sarah E. Lesko ◽  
Heather Angier
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Usual Source Of Care ◽  
Usual Source ◽  
Source Of Care

America's Uninsured: The Statistics and Back Story

2008 ◽  
Vol 36 (4) ◽  
pp. 618-628 ◽  
Author(s):  
Diane Rowland ◽  
Adele Shartzer
Keyword(s):  
Health Insurance ◽  
Health Coverage ◽  
Usual Source Of Care ◽  
Medical Needs ◽  
Usual Source ◽  
Private And Public ◽  
Uninsured Adults ◽  
Source Of Care ◽  
Uninsured Children ◽  
To Receive

This article defines the problem of the uninsured. It begins with an overview of why health insurance matters and presents a profile of the uninsured. It then discusses the roles and limits of private and public health insurance as sources of coverage for the nonelderly population. The article concludes with reflections on the current health insurance environment and prospects for reform.The large and growing number of uninsured people is of concern because health coverage makes a difference in whether and when people get necessary medical care, where they get their care, and ultimately how healthy people are. About a quarter of uninsured adults (26 percent) say that they have postponed seeking care in the past year because of its cost, compared to about 6 percent of privately insured adults (Figure 1). In addition, more than half of uninsured adults (54 percent) have no usual source of care, compared to 1 in 10 adults (10 percent) with other types of coverage. Similarly, uninsured children are more likely to lack a usual source of care, delay care, or to have unmet medical needs than children with insurance. The uninsured are less likely to receive timely preventive and outpatient care and are more likely to be hospitalized for avoidable health problems. Improved access to care through health insurance ultimately has an impact on people’s health and lives: an estimated 22,000 excess deaths occurred among adults aged 25-64 in 2006 as a result of lack of health coverage.

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