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Title
Accessibility and effectiveness of care under Medicaid.
First Author
Jencks, Stephen F
Date of Pub
1990 Supp.
Pages
47-56
Volume
Supp.
Issue
N/A
Other Authors
Benedict, M Beth
Abstract
We suggest a framework for assessing the accessibility, appropriateness, and outcomes of care to Medicaid recipients and review studies in these areas. Evidence is limited, and variation among States and the paucity of national data pose further problems. There is evidence that Medicaid recipients receive less medically necessary care (e.g., prenatal care) than the insured, but evidence on the quality of their care is limited. Differences in payment rates between Medicaid and private insurance appear to explain only part of the variance. Studies have demonstrated major direct effects of diminished access on health status. Evaluation of program changes should focus on health outcomes rather than counts of services rendered.
Abstract Continued
N/A
MeSH
Child : Child Health Services/economics : Child, Preschool : Female : Health Services Accessibility/statistics & numerical data : Human : Long-Term Care/economics : Medicaid/organization & administration : Outcome and Process Assessment (Health Care)/statistics & numerical data : Pregnancy : Prenatal Care/economics : Quality of Health Care/statistics & numerical data : United States
NTIS Number
PB91-176248