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Auteur Marion DANIS |
Documents disponibles écrits par cet auteur (1)
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US state variation in autism insurance mandates: Balancing access and fairness / Rebecca A JOHNSON in Autism, 18-7 (October 2014)
[article]
Titre : US state variation in autism insurance mandates: Balancing access and fairness Type de document : Texte imprimé et/ou numérique Auteurs : Rebecca A JOHNSON, Auteur ; Marion DANIS, Auteur ; Chris HAFNER-EATON, Auteur Article en page(s) : p.803-814 Langues : Anglais (eng) Mots-clés : autism distributive justice ethics health policy private insurance mandates Index. décimale : PER Périodiques Résumé : This article examines how nations split decision-making about health services between federal and sub-federal levels, creating variation between states or provinces. When is this variation ethically acceptable? We identify three sources of ethical acceptability—procedural fairness, value pluralism, and substantive fairness—and examine these sources with respect to a case study: the fact that only 30 out of 51 US states or territories passed mandates requiring private insurers to offer extensive coverage of autism behavioral therapies, creating variation for privately insured children living in different US states. Is this variation ethically acceptable? To address this question, we need to analyze whether mandates go to more or less needy states and whether the mandates reflect value pluralism between states regarding government’s role in health care. Using time-series logistic regressions and data from National Survey of Children with Special Health Care Needs, Individual with Disabilities Education Act, legislature political composition, and American Board of Pediatrics workforce data, we find that the states in which mandates are passed are less needy than states in which mandates have not been passed, what we call a cumulative advantage outcome that increases between-state disparities rather than a compensatory outcome that decreases between-state disparities. Concluding, we discuss the implications of our analysis for broader discussions of variation in health services provision. En ligne : http://dx.doi.org/10.1177/1362361314529191 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=241
in Autism > 18-7 (October 2014) . - p.803-814[article] US state variation in autism insurance mandates: Balancing access and fairness [Texte imprimé et/ou numérique] / Rebecca A JOHNSON, Auteur ; Marion DANIS, Auteur ; Chris HAFNER-EATON, Auteur . - p.803-814.
Langues : Anglais (eng)
in Autism > 18-7 (October 2014) . - p.803-814
Mots-clés : autism distributive justice ethics health policy private insurance mandates Index. décimale : PER Périodiques Résumé : This article examines how nations split decision-making about health services between federal and sub-federal levels, creating variation between states or provinces. When is this variation ethically acceptable? We identify three sources of ethical acceptability—procedural fairness, value pluralism, and substantive fairness—and examine these sources with respect to a case study: the fact that only 30 out of 51 US states or territories passed mandates requiring private insurers to offer extensive coverage of autism behavioral therapies, creating variation for privately insured children living in different US states. Is this variation ethically acceptable? To address this question, we need to analyze whether mandates go to more or less needy states and whether the mandates reflect value pluralism between states regarding government’s role in health care. Using time-series logistic regressions and data from National Survey of Children with Special Health Care Needs, Individual with Disabilities Education Act, legislature political composition, and American Board of Pediatrics workforce data, we find that the states in which mandates are passed are less needy than states in which mandates have not been passed, what we call a cumulative advantage outcome that increases between-state disparities rather than a compensatory outcome that decreases between-state disparities. Concluding, we discuss the implications of our analysis for broader discussions of variation in health services provision. En ligne : http://dx.doi.org/10.1177/1362361314529191 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=241