Korenbrot C C, Miller G, Greene J
Institute for Health Policy Studies, University of California, San Francisco 94143-0936, USA.
Am J Public Health. 1999 Jun;89(6):913-7. doi: 10.2105/ajph.89.6.913.
The purpose of this study was to determine the impact of countywide Medicaid managed care on service use at community clinics.
Clinic use before and after introduction of Medicaid plans in one county was compared with that in a group of comparable counties without such plans.
There were significant declines of 40% to 45% in the volumes of Medicaid clients, encounters, and revenues at clinics with the introduction of Medicaid plans. Declines of 23% in uninsured clients and encounters did not differ significantly.
The introduction of Medicaid managed care with multiple commercial plans can have significant negative effects on nonprofit community clinics.
本研究旨在确定全县范围内的医疗补助管理式医疗对社区诊所服务利用情况的影响。
将一个县引入医疗补助计划前后的诊所使用情况与一组没有此类计划的可比县进行比较。
随着医疗补助计划的引入，有医疗补助的患者数量、就诊次数和诊所收入显著下降了40%至45%。未参保患者数量和就诊次数下降23%，差异不显著。
引入多个商业计划的医疗补助管理式医疗可能会对非营利性社区诊所产生重大负面影响。
