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  1. Adherence to AAP guidelines for well-child Care under managed Care.

    Article - En anglais


    To determine adherence to American Academy of Pediatrics (AAP) Recommendations for Preventive Pediatric Health Care in Monroe County, New York by individual patients and individual pediatricians under managed care practice and to compare adherence-to-recommendations rates for privately insured and publicly funded managed care patients.

    Study Designs and Methods

    Using claims data for children 0 through 18 years of age cared for by pediatricians, we compared adherence to well-child care (WCC) visit recommendations for 130 572 children enrolled in a privately insured managed care system during 1992,1993, and 1994 to 17 586 children insured by a publicly funded, Medicaid-managed care system during 1994 and 1995.

    Criteria for WCC visit adherence were based on 1991 AAP guidelines of 19 office visits from birth through 18 years of age.

    Adherence-to-recommendations rates by individual pediatricians also were determined.


    Despite complete financial coverage of WCC visits (with no co-payment or deductible charges) by both insurance systems, strict adherence to AAP guidelines for WCC visits was low.

    Only 46% of privately insured and 35% of publicly funded children received all the recommended visits during the study period.

    During the same period, 17% of privately insured and 35% of publicly funded managed care patients received no WCC. (...)

    Mots-clés Pascal : Soin intégré, Recommandation, Médecin, Pédiatrie, Organisation santé, Comportement, Evaluation, Enfant, Homme, Etats Unis, Amérique du Nord, Amérique, Personnel sanitaire

    Mots-clés Pascal anglais : Managed care, Recommendation, Physician, Pediatrics, Public health organization, Behavior, Evaluation, Child, Human, United States, North America, America, Health staff

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0495457

    Code Inist : 002B30A01C. Création : 22/03/2000.