- To evaluate the effects of managed care on Medicaid beneficiaries'satisfaction with, access to, and use of medical care during early implementation of an enrollment initiative.
- Cross-sectional survey of a random sample of Medicaid beneficiaries in 5 managed care plans and in the conventional Medicaid program.
- New York, NY.
- Adults aged 18 to 64 years who received Medicaid insurance benefits through Aid to Families With Dependent Children or State Home Relief and had been enrolled in a managed care plan or receiving benefits under conventional Medicaid for at least 6 months.
Of the 2500 enrollees in managed care plans and the 600 other beneficiaries in conventional Medicaid whom we surveyed, 1038 enrollees and 410 nonenrollees responded.
- Beneficiaries'ratings of overall satisfaction and 13 dimensions of satisfaction related to access, interpersonal and technical quality, and cost ; reports of access, including regular source (location) of care, waiting time for appointment, waiting time in office, and ability to obtain care ; and reports of use, including inpatient, emergency department, and ambulatory visits.
- Compared with beneficiaries in conventional Medicaid, managed care enrollees in general gave higher ratings of satisfaction.
The results were not consistent, however, between the proportion who were extremely satisfied and the proportion who were extremely dissatisfied. (...)
Mots-clés Pascal : Assurance maladie, Efficacité, Utilisation, Accessibilité, Epidémiologie, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Health insurance, Efficiency, Use, Accessibility, Epidemiology, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0324891
Code Inist : 002B30A01B. Création : 10/04/1997.