Hwang Andrew H, Hwang Margaret M, Xie Hui-Wen, Hardy Brian E, Skaggs David L
Division of Urology, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California, USA.
Urology. 2005 Jul;66(1):170-3. doi: 10.1016/j.urology.2005.01.065.
To compare the access to urologic care for a child with cryptorchidism insured by Medi-Cal versus one insured by private insurance. Medi-Cal (California State Medicaid) is a joint state and federal health insurance program that plays a significant role in providing healthcare coverage to low-income children.
A total of 54 randomly chosen urology offices throughout California were surveyed by telephone to determine whether the office accepted pediatric patients, accepted Medi-Cal, and when the earliest appointment date would be for a patient with Medi-Cal versus one with private insurance.
Of the 46 practices that accepted pediatric patients, 96% offered a new patient appointment to a child with private insurance, but only 41% were willing to offer an appointment to a child with Medi-Cal (P < 0.0001). Of the offices that would not see a child with Medi-Cal, 75% were unable to recommend a urology office that might accept Medi-Cal.
Children insured by Medi-Cal have significantly less access to necessary urologic care compared with children with private insurance.
比较由加利福尼亚医疗补助计划（Medi-Cal）承保的患有隐睾症的儿童与由私人保险承保的此类儿童获得泌尿外科护理的情况。加利福尼亚医疗补助计划（加利福尼亚州医疗补助）是一项由州和联邦联合实施的医疗保险计划，在为低收入儿童提供医疗保健覆盖方面发挥着重要作用。
通过电话对加利福尼亚州总共54个随机选择的泌尿外科诊所进行了调查，以确定这些诊所是否接收儿科患者、是否接受加利福尼亚医疗补助计划，以及对于有加利福尼亚医疗补助计划的患者和有私人保险的患者，最早的预约日期分别是什么时候。
在46个接收儿科患者的诊所中，96%为有私人保险的儿童提供了新患者预约，但只有41%愿意为有加利福尼亚医疗补助计划的儿童提供预约（P<0.0001）。在那些不接待有加利福尼亚医疗补助计划儿童的诊所中，75%无法推荐可能接受该计划的泌尿外科诊所。
与有私人保险的儿童相比，由加利福尼亚医疗补助计划承保的儿童获得必要泌尿外科护理的机会明显更少。
