Piña D L
Sociology Program, California State University San Marcos 92096, USA.
J Health Care Poor Underserved. 1998 Nov;9(4):433-48. doi: 10.1353/hpu.2010.0085.
How do HMO-enrolled Medicaid beneficiaries' ratings of access to, and satisfaction with, their health care compare with the ratings of those beneficiaries receiving care in fee-for-service settings? Do poor single mothers report differences in access to, and satisfaction with, their HMO health care compared with those living in other family structures? These questions were examined with survey data from 961 California Medicaid recipients in 1991. Medicaid recipients enrolled in HMOs reported more difficulty gaining access to, and less satisfaction with, various aspects of the health care system. HMO-enrolled single mothers reported particularly negative experiences with their health care. The findings suggest a potential lack of fit between the health needs of the poor and the aims of managed health care.
参加健康维护组织（HMO）的医疗补助受益者对其医疗服务的可及性和满意度评价，与那些在按服务收费模式下接受治疗的受益者的评价相比如何？与生活在其他家庭结构中的贫困单身母亲相比，她们对其HMO医疗服务的可及性和满意度是否存在差异？利用1991年来自961名加利福尼亚医疗补助接受者的调查数据对这些问题进行了研究。参加HMO的医疗补助接受者报告称，在获得医疗服务方面困难更多，对医疗保健系统各方面的满意度更低。参加HMO的单身母亲报告了她们在医疗保健方面特别负面的经历。研究结果表明，穷人的健康需求与管理式医疗保健的目标之间可能存在不匹配。
