Lillie-Blanton M, Lyons B
Johns Hopkins University School of Public Health, Baltimore, USA.
Health Aff (Millwood). 1998 May-Jun;17(3):238-47. doi: 10.1377/hlthaff.17.3.238.
This DataWatch examines the relationship between managed care enrollment and access to care for low-income adults with Medicaid and compares their experience with that of low-income, privately insured managed care enrollees. Medicaid managed care enrollees are more likely than low-income, privately insured managed care enrollees to be poorer, have health problems, and experience access problems. Compared with low-income populations in fee-for-service care, managed care enrollees, whether in Medicaid or privately insured, are not appreciably different in having a usual source of care, having a regular provider, or emergency room use but report more problems in obtaining care and are more likely to be dissatisfied with their health plans.
这份数据观察报告研究了医疗管理式医保参保情况与低收入成年医疗补助受益人的医疗服务可及性之间的关系，并将他们的经历与低收入、参加私人医保的医疗管理式医保参保者的经历进行了比较。与低收入、参加私人医保的医疗管理式医保参保者相比，医疗补助管理式医保参保者更有可能贫困、有健康问题以及面临医疗服务可及性问题。与按服务收费医疗体系中的低收入人群相比，无论是参加医疗补助管理式医保还是参加私人医保的管理式医保参保者，在拥有常规医疗服务来源、有固定医疗服务提供者或使用急诊室方面没有明显差异，但在获得医疗服务方面报告了更多问题，并且更有可能对其健康保险计划不满意。
