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Outreach strategies for expanding health insurance coverage in children (Review)

Meng, Qingyue, Yuan, Beibei, Jia, Liying, Wang, Jian and Garner, Paul ORCID: (2010) 'Outreach strategies for expanding health insurance coverage in children (Review)'. Cochrane Database of Systematic Reviews, Vol 8, CD008194.

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Health insurance has the potential to improve access to health care and protect people from healthcare costs when they are ill. However, coverage is often low, particularly in people most in need of protection.

To assess the effectiveness of outreach strategies for expanding insurance coverage of children who are eligible for health insurance schemes.

Search strategy
We searched the Cochrane Effective Practice and Organisation of Care Group (EPOC) Specialised Register (The Cochrane Library 2009, Issue 2), PubMed (January 1951 to January 2010), EMBASE (January 1966 to April 2009), PsycINFO (January 1967 to April 2009) and other relevant databases and websites. In addition, we searched the reference lists of included studies and relevant reviews, and carried out a citation search for included studies to find more potentially relevant studies.

Selection criteria
Randomised controlled trials, controlled clinical trials, controlled before-after studies and interrupted time series which evaluated the effects of outreach strategies on increasing health insurance coverage for children. We defined outreach strategies as measures to improve the implementation of existing health insurance to enrol more eligible populations. This included increasing awareness of schemes, modifying enrolment, improving management and organis ation of insurance schemes, and mixed strategies.

Data collection and analysis
Two review authors independently extracted data and assessed the risk of bias . We narratively summari sed the data.

Main results
We included two studies, both from the United States. One randomised controlled trial study with a low risk of bias showed that community- based case managers who provided health insurance information, application support, and negotiated with the insurer were effective in enrolling and maintaining enrolment of Latino American children into health insurance schemes (n = 257). The second quasi-randomised controlled trial, with an unclear risk of bias (n = 223), indicated that handing out insurance application materials in hospital emergenc y departments can increase enrolment of children into health insurance.

Authors' conclusions
The two studies included in this review provide evidence that in the US providing health insurance information and application assistance, and handing out application materials in hospital emergency departments can probably both improve insurance coverage of children. Further studies evaluating the effectiveness of different outreach strategies for expanding health insurance coverage of children in different countries are needed, with careful attention given to study design.

Item Type: Article
Additional Information: This review is published as a Cochrane Review in the Cochrane Database of Systematic Reviews 2010, Issue 8, CD008194. Cochrane Reviews are regularly updated as new evidence emerges and in response to comments and criticisms, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Review.
Uncontrolled Keywords: Insurance, financing, China
Subjects: WA Public Health > WA 100 General works
WA Public Health > Health Administration and Organization > WA 525 General works
WS Pediatrics > WS 100 General works
Faculty: Department: Groups (2002 - 2012) > International Health Group
Digital Object Identifer (DOI):
Related URLs:
Depositing User: Faye Moody
Date Deposited: 04 Jan 2011 16:57
Last Modified: 06 Sep 2019 10:14


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