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来源类型 | Journal Article |
规范类型 | 其他 |
Are There Differential Effects of Managed Care on Publicly Insured Children With Chronic Health Conditions? | |
Amy J. Davidoff; Ian Hill; Brigette Courtot; Emerald Adams | |
发表日期 | 2008-12-29 |
出版年 | 2008 |
语种 | 英语 |
概述 | The authors use variation across states and over time in managed care (MC) programs for publicly insured children to examine whether effects differ for children with chronic health conditions (CWCHC) and those without. The authors pool data from the 1997 to 2002 National Health Interview Survey and link county, year, and health status information on type of MC programs implemented. Findings show that the effects |
摘要 | The authors use variation across states and over time in managed care (MC) programs for publicly insured children to examine whether effects differ for children with chronic health conditions (CWCHC) and those without. The authors pool data from the 1997 to 2002 National Health Interview Survey and link county, year, and health status information on type of MC programs implemented. Findings show that the effects of MC are concentrated on CWCHC and that CWCHC experience reductions in use of specialist, mental health, and prescription drugs. Capitated programs with mental health or specialty carve-outs are associated with a greater number and larger decreases in service use compared to integrated capitated programs. While it is not possible to determine whether MC programs resulted in more appropriate use of services, corresponding reductions in perceived access were not observed, suggesting that net effects of MC on service use represent improvements in care coordination.
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主题 | Children ; Health and Health Policy |
URL | https://www.urban.org/research/publication/are-there-differential-effects-managed-care-publicly-insured-children-chronic-health-conditions |
来源智库 | Urban Institute (United States) |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/476456 |
推荐引用方式 GB/T 7714 | Amy J. Davidoff,Ian Hill,Brigette Courtot,et al. Are There Differential Effects of Managed Care on Publicly Insured Children With Chronic Health Conditions?. 2008. |
条目包含的文件 | 条目无相关文件。 |
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