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Titolo:
The impact of managed care on children's access, satisfaction, use, and quality of care
Autore:
Newacheck, PW; Hung, YY; Marchi, KS; Hughes, DC; Pitter, C; Stoddard, JJ;
Indirizzi:
Univ Calif San Francisco, Inst Hlth Policy Studies, San Francisco, CA 94118 USA Univ Calif San Francisco San Francisco CA USA 94118 ancisco, CA 94118 USA Univ Calif San Francisco, Dept Family & Community Med, San Francisco, CA 94143 USA Univ Calif San Francisco San Francisco CA USA 94143 ancisco, CA 94143 USA Permanente Med Grp, Redwood City, CA USA Permanente Med Grp Redwood City CA USA nte Med Grp, Redwood City, CA USA
Titolo Testata:
HEALTH SERVICES RESEARCH
fascicolo: 2, volume: 36, anno: 2001,
pagine: 315 - 334
SICI:
0017-9124(200106)36:2<315:TIOMCO>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEALTH MAINTENANCE ORGANIZATIONS; SERVICES; PERFORMANCE; INSURANCE; OUTCOMES; PLANS;
Keywords:
managed care; access to care; utilization; children's health;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Newacheck, PW Univ Calif San Francisco, Inst Hlth Policy Studies, 3333 Calif St,Suite 265, San Francisco, CA 94118 USA Univ Calif San Francisco 3333 Calif St,Suite 265 San Francisco CA USA 94118
Citazione:
P.W. Newacheck et al., "The impact of managed care on children's access, satisfaction, use, and quality of care", HEAL SERV R, 36(2), 2001, pp. 315-334

Abstract

Objective. To examine the impact of managed care on children's access, satisfaction, use, and quality of care using nationally representative household survey data. Data Source. The 1996 Medical Expenditure Panel Survey (MEPS). Study Design. Bivariate and multivariate analyses are used to detect independent effects of managed care on access, satisfaction, utilization, and quality of pediatric health services. Data Collection/Extraction Methods. Data were obtained from rounds 1, 2, and 3 of the 1996 MEPS. MEPS collects data on health care use, insurance, access, and satisfaction, along with basic demographic and health status information for a representative sample of the U. S, civilian, noninstitutionalized population. Our sample consists of 5,995 children between the ages of 0 and 17. Findings. Among the 18 outcome indicators examined, the bivariate analysisrevealed only three statistically significant differences between childrenenrolled in managed care and children in traditional health plans: children enrolled in managed care were more likely to receive physician services, more likely to have access to office-based care during evening or weekend hours, and less likely to report being very satisfied with overall quality of care. However, after controlling for confounding factors, none of these differences remained statistically significant. Conclusions. Our findings suggest that there are no statistically significant differences in self-reported outcomes for children enrolled in managed care and traditional health plans. This conclusion is provisional, however,because of limitations in the data set.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 00:56:18