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zoom RSS 中流家庭の子どもも健康リスクは高い/米国医療事情

<<   作成日時 : 2008/05/05 12:41   >>

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 ロチェスター大学メディカル・センターの研究によれば、年収38,000〜77,000ドルで無保険の中流家庭の子どもの40%が1年間全く医師にかからず治療も受けていない。年収のさらに少ない無保険層では55%にも上る。年収78,629ドル以上の世帯では30%に低下した。年に最低1回の医師の診察は健康な子どもでも必要であると、同大小児科教授はホノルルでの小児科学会で発表した。
 2004年の国の調査で、300万人の米国の無保険の子どもは1年間全く診療を受けていない。約160万人は公的な保険資格があるが登録せず、100万人は2007年にブッシュが拒否した拡大小児保険プログラムでカバーされる。連邦貧困レベルの4人家族で年収19,157ドル以下の子どもの55%は丸1年間全く診療をうけていない。
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Middle Class Uninsured Kids' Health Risk Almost as High as Poor Children's
More than 40% of middle class children with no health insurance don't see a doctor all year
-- Kevin McKeever
More than 40% of middle class children with no health insurance don't see a doctor all year, researchers say.
http://health.msn.com/kids-health/articlepage.aspx?cp-documentid=100202571
画像SATURDAY, May 3 (HealthDay News) -- Poor and middle-class children share at least one frightening fact: If they are not insured, each group is likely to go without any health care... period.

New research from the University of Rochester Medical Center said more than 40 percent of children in families earning between $38,000 and $77,000 annually who are uninsured for a year see no physicians and have no prescriptions during that time.

The percentage is as high as 55 percent for uninsured children in families earning even less than that. The percentages taper off but don't fall below 42 percent until the $78,629-and-above bracket, when they drop to 30 percent, the research showed.

"There's an assumption that children in families with higher income levels don't need insurance, that they are uninsured but are somehow still receiving health care anyway," study author Laura Shone, an assistant professor of pediatrics at the University of Rochester Medical Center, said in a prepared statement.

"This study shows that in reality, a large percentage of these children don't receive any care at all -- which pediatricians say is unacceptable, and parents know is unrealistic. Even healthy, older children need to see their physicians at least once over the course of a year."

Shone's findings were to be presented Saturday at the Pediatric Academic Societies meeting in Honolulu.

Nearly 3 million uninsured U.S. children received no medical care or prescription use for a full year, according to an analysis of nationally representative data from a 2004 survey. About 1.6 million of those children may qualify for public coverage but are not enrolled, and another 1 million more could be covered through expansions that were proposed but vetoed by President George W. Bush at the national level in late 2007.

The percentage of uninsured children who forgo all health care for a full year is greatest (55 percent) for families of four at or below the federal poverty level of $19,157, the researchers found.

Since 1997, the U.S. State Children's Health Insurance Program has provided health insurance to low-income children who are not eligible for Medicaid and do not have private coverage.

The federal program has been extended, but there is no funding to expand it. Questions remain about whether current funding will continue to cover those already enrolled.

More information

The American College of Emergency Physicians has more about access to medical care for the uninsured.

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中流家庭の子どもも健康リスクは高い/米国医療事情 医師の一分/BIGLOBEウェブリブログ
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