Monitoring Health Reform Efforts: Which State-level Data to Use?

INQUIRY: The Journal of Health Care Organization, Provision, and Financing

Kathleen Thiede Call¹ 

关键词: Uninsurance;    state surveys;    American Community Survey;    policy evaluation;   

DOI  :  10.1177/0046958013513670

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

This study compares estimates of health insurance coverage from the American Community Survey (ACS) to those in twelve state-specific surveys. Uninsurance estimates for the nonelderly are consistently higher in the ACS than in state surveys, as are direct purchase insurance estimates. Estimates for employer-sponsored insurance are similar, but public coverage rates are lower in the ACS. The ACS meets some but not all of the states’ data needs; its large sample size and inclusion of all U.S. counties in the sample allow for comparison of insurance coverage within and across states. State-specific surveys provide the flexibility to add policy-relevant questions, including questions needed to examine how health insurance translates into access, use, and affordability of health services.

【 授权许可】

CC BY-NC