Medicaid managed care is generally acknowledged to reduce the use of emergency departments (EDs).
Yet some studies of Medicaid managed care have shown no change in ED use, and others show wide variation across plans.
Because emergency departments may not be the best place to deliver nonemergency care, it is useful to understand the characteristics of enrollees associated with a lower likelihood of ED use for nonurgent conditions.
A recent study ofMedicaid enrollees in a large Colorado health maintenance organization (HMO) revealed several sociological and psychological factors associated with nonemergency ED visits.
The study fund that nonemergency visits by people who are female, older, more satisfied with the HMO and their doctor, and enrolled longer in the HMO are less likely to visit the ED, whereas visits on weekends and those by people who live farther from their physicians and people who have more inpatient hospital admissions are more likely to be to the ED.
Mots-clés Pascal : Service santé, Soin intégré, Etats Unis, Amérique du Nord, Amérique, Service urgence, Utilisation, Homme, Facteur sociodémographique, Attitude, Facteur prédictif, Satisfaction, Croyance, Comportement, Medicaid, Health maintenance organization
Mots-clés Pascal anglais : Health service, Managed care, United States, North America, America, Emergency department, Use, Human, Sociodemographic factor, Attitude, Predictive factor, Satisfaction, Belief, Behavior
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0168890
Code Inist : 002B30A01B. Création : 21/07/1998.