Davidson S M
J Health Polit Policy Law. 1982 Winter;6(4):703-17. doi: 10.1215/03616878-6-4-703.
Most Americans gain entry into the medical care system through office-based primary care physicians. The Medicaid program was created in 1965 in part to increase the access of low-income people to medical services in that mainstream. But, over the years, office-based physicians have reduced their treatment of Medicaid patients, and many have withdrawn from the program altogether. The result is not only that the original programmatic goal has not been fully achieved, but also that the costs of the program are higher than they would be otherwise. In this article, the importance of Medicaid participation by office-based primary care physicians is described, and a number of obstacles to their participation are identified. The obstacles include state policies regarding eligibility, coverage, and provider compensation. The article recommends actions pertaining to these policies that might increase participation.
大多数美国人通过以诊所为基础的初级保健医生进入医疗保健系统。医疗补助计划于1965年设立，部分目的是增加低收入人群获得主流医疗服务的机会。但是，多年来，以诊所为基础的医生减少了对医疗补助计划患者的治疗，许多医生甚至完全退出了该计划。结果不仅是最初的计划目标没有完全实现，而且该计划的成本比原本会有的成本更高。本文描述了以诊所为基础的初级保健医生参与医疗补助计划的重要性，并指出了他们参与的一些障碍。这些障碍包括州政府关于资格、保险范围和医疗服务提供者补偿的政策。文章建议针对这些政策采取可能增加参与度的行动。
