Engebretson, MarkPinar Karaca-Mandic2023-10-192023-10-192012-04-02https://hdl.handle.net/11299/257583Runtime 1:30 minutesThis resource is provided for informational purposes only and may not reflect current scientific knowledge or medical recommendations.Welcome to Public Health Moment from the University of Minnesota. Studies have shown that uninsured children have less access to health care services. But what about children with insurance that carries expensive out-of-pocket costs? University of Minnesota assistant professor Pinar Karaca-Mandic recently completed a study, published in the Journal of the American Medical Association, that looked at children with asthma. <Karaca-Mandic: “Of course insurance makes it easier for patients to access health care. However, there has been a trend to increasing out-of-pocket payments that patients and families make. And studies of adults have shown that people often respond to this by forgoing necessary health care.“> Karaca-Mandic found that children of parents who pay more out-of-pocket costs use their asthma control medication less often and have more asthma-related hospitalizations. <Karaca-Mandic: “We found that among children age 5 to 18 years, children whose families paid more out-of-pocket towards asthma-control medications used their medications less often and at the same time these children were more likely to be hospitalized for asthma. We didn’t find this affect for younger children, which perhaps reflects that parents are less sensitive to costs for these younger children whose asthma is typically more severe.”> For Public Health Moment, I’m Mark EngebretsonenAudio