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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.
主题Children ; Health and Health Policy
URLhttps://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.
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