Orthopaedic Institute at Mercy, 3659 S. Miami Ave Ste 4008, Miami, FL 33133, USA.
J Arthroplasty. 2012 Oct;27(9):1585-8. doi: 10.1016/j.arth.2012.03.014. Epub 2012 May 2.
Our objective was to compare the availability of hip and knee arthroplasty to an adult insured by Medicaid and by private insurance. All orthopedic surgeons' offices in a South Florida county were contacted by telephone and presented with a hypothetical patient that needed either a hip or a knee arthroplasty for end stage arthritis. Two scenarios were presented. The hypothetical patient was presented as either having private insurance or Medicaid. 14.3% of all offices contacted offered an appointment to patients with Medicaid coverage for hip and knee arthroplasty, respectively. All offices offered an appointment to patients with private insurance. The mean time until appointment was longer for patients with Medicaid when compared with private insurance. Adults insured with Medicaid currently have limited access to total joint arthroplasty within the studied community.
我们的目的是比较为一名成年的医疗补助（Medicaid）保险患者和私人保险患者提供髋关节和膝关节置换手术的可及性。通过电话联系南佛罗里达州一个县的所有骨科医生办公室，并向他们提供一名需要髋关节或膝关节置换术治疗终末期关节炎的假设患者。呈现了两种情况。假设患者要么有私人保险，要么有医疗补助。分别有 14.3%的联系办公室为有医疗补助的髋关节和膝关节置换术患者提供预约服务。所有办公室都为有私人保险的患者提供预约服务。与私人保险相比，有医疗补助的患者预约的平均时间更长。在研究社区中，目前有医疗补助的成年人接受全关节置换术的机会有限。
