Health maintenance organizations and children with special health needs : a suitable match ?
Objective.-To address how well health maintenance organizations (HMOs) meet the needs of almost 700 000 children with disabilities due to chronic conditions enrolled in these plans.
Design.-A cross-sectional survey.
Measurements/Main Results.-Health maintenance organizations offered better protection than conventional plans against out-of-pocket expenses and were much more likely than fee-for-service plans to cover ancillary therapies, home care, outpatient mental health care, and medical case management.
In addition, few HMOs maintained exclusions for preexisting conditions.
Other aspects of HMO policies, however, were found to operate against the interest of families with chronically ill children.
Mots-clés Pascal : Système santé, Handicap, Organisation santé, Chronique, Equipement santé, Homme, Enfant, Etats Unis, Amérique du Nord, Amérique, Evaluation, Aspect économique
Mots-clés Pascal anglais : Health system, Handicap, Public health organization, Chronic, Health facility, Human, Child, United States, North America, America, Evaluation, Economic aspect
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0539249
Code Inist : 002B30A04D. Création : 199406.