Families of children voluntarily enrolled in a managed care program for children with special health care needs receiving SSI and Medicaid benefits and their case managers were surveyed regarding care satisfaction, quality, and access.
Claims data were used to compare the cost and utilization of health care before and during program enrollment.
Families rated health care quality improved in 43%, unchanged as excellent'in 50% of cases.
The care received was seen as more nearly complete and of higher quality when the provider was based in the hospital or the hospital's community clinics as compared with private'community pediatricians.
Hospitalization decreased, but no decrease in cost was demonstrated.
A carefully planned and implemented managed care program can improve patient perception of quality among chronically ill children.
Mots-clés Pascal : Programme sanitaire, Soin, Accessibilité, Evaluation, Qualité, Analyse coût, Enfant, Homme, Politique sanitaire, Système santé, Service santé, Etats Unis, Amérique du Nord, Amérique, Economie santé
Mots-clés Pascal anglais : Sanitary program, Care, Accessibility, Evaluation, Quality, Cost analysis, Child, Human, Health policy, Health system, Health service, United States, North America, America, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0190821
Code Inist : 002B30A01B. Création : 16/11/1999.