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dc.contributor.authorShi, Lu ( )
dc.contributor.authorFrancis, Ellen C. ( )
dc.contributor.authorFeng, Chaoling ( )
dc.contributor.authorPan, Xi ( )
dc.contributor.authorTruong, Khoa ( )
dc.date.accessioned2019-09-06T14:12:53Z
dc.date.available2019-09-06T14:12:53Z
dc.date.issued2019-08
dc.identifier.citationShi, L., Francis, E. C., Feng, C., Pan, X., & Truong, K. Association between Prior Insurance and Health Service Utilization among the Long-Term Uninsured in South Carolina. Health Equity, 3(1), pp. 409-416.en_US
dc.identifier.urihttps://digital.library.txstate.edu/handle/10877/8605
dc.description.abstract

Purpose: Strong evidence supports the relationship between health coverage and improved health status. Little is known about the lasting impact of prior health insurance on the prior insured's use of health services. We aimed to examine the association between prior insurance status and health service utilization (HSU) among the long-term uninsured (LTU) in South Carolina.

Methods: The current study used data from in-person interviews of the LTU collected in a 2014 cross-sectional South Carolina survey. Men and women between 18-64 years of age who reported not having health insurance for at least 24 months at the time of data collection were included. Propensity score analysis was used to examine the associations between prior insurance status and three outcome variables: (1) having a usual source of care, (2) HSU, and (3) delaying health care needs.

Results: Prior health insurance significantly predicted a greater likelihood of having a usual source of care (effect size: 9.2%, p=0.004) and having had at least one preventive visit during the past 2 years (effect size: 6.4%, p=0.035). Prior insurance coverage was positively associated with delayed health care utilization, but the result was not statistically significant (p=0.703).

Conclusions: Among the LTU, ever having insurance coverage was positively associated with having a usual source of care and HSU. The lasting impact of insurance coverage on HSU behavior extends beyond the period of insurance coverage, which provides a more comprehensive and deeper understanding of the long-term implications of national and local efforts in expanding insurance coverage.

en_US
dc.formatText
dc.format.extent8 pages
dc.format.medium1 file (.pdf)
dc.language.isoen_USen_US
dc.sourceHealth Equity, 2019, Vol. 3, No. 1, pp. 409-416.
dc.subjectLong-term uninsureden_US
dc.subjectHealth service utilization
dc.subjectPrior insurance
dc.titleAssociation Between Prior Insurance and Health Service Utilization Among the Long-Term Uninsured in South Carolinaen_US
txstate.documenttypeArticle
dc.identifier.doihttps://doi.org/10.1089/heq.2019.0014
dc.rights.licenseThis Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
txstate.departmentSociology


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