The Use of Prenatal Cytogenetic Diagnosis

To determine whether the reduction in services associated with prepaid group practice is indiscriminate or limited to medically "discretionary" services, the author compared the utilization rates for prenatal cytogenetic diagnosis (a medically indicated service for women aged 35 and older) in prepaid group practices and the geographically corresponding populations-at-large in four settings. The utilization rates by members of the prepaid group practices were equal to rate calculated for the geographically correspondings populations-at-large in two settings, and 2.3 times greater in the other settings. Whatever factors which may be responsible for the reduction of discretionary services delivered to members of prepaid group practices do not appear to interfere with the delivery of a strongly indicated service, prenatal cytogenetic diagnosis, in the population at risk

Biology · Environmental health · Gynecology · Obstetrics · Population · Sociology · Assisted Reproductive Technology and Twin Pregnancy · Demography · Genetic Syndromes and Imprinting · Genetics · Medicine · Prenatal Screening and Diagnostics

• Comparison of Prematurity and Perinatal Mortality in a General Population and in the Population of a Prepaid Group Practice, Medical Care Plan

  Sam Shapiro, Louis Weiner et al.•American Journal of Public Health…•1958

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• Prepaid Medical Care and Hospital Utilization in a Dual Choice Situation

  Paul M Densen, Ellen W Jones et al.•American Journal of Public Health…•1960

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• Inpatient Hospital Utilization in Three Prepaid Comprehensive Health Care Plans Compared With a Regular Blue Cross Plan

  Richard Wersinger, Richard P Wersinger et al.•Medical Care•1976

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