Patient's Choice of Hospital or Office for Medicaid Ambulatory Care in Alabama
Bibliographic Data
| ID | 9102141 |
|---|---|
| Authors | Janet M Bronstein, Janet Bronstein (0000-0001-5365-0136, University of Alabama at Birmingham), Victoria A Johnson (0000-0002-5186-2896, University of Alabama at Birmingham) |
| Year | 1996 |
| Volume | 34 |
| Issue | 4 |
| Pages | 348-360 |
| Publication date | 1996-04-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199604000-00006 |
| PMID | 8606559 |
| OpenAlex | W2327733387 |
| Language | EN |
| Citations received | 1 |
| References cited | 19 |
The primary policy option that has been suggested to states over the years for shifting care for Medicaid beneficiaries away from hospital sites and toward office sites has been to raise Medicaid fees to physicians on the assumption that this increases the geographic availability of office-based care, which then naturally attracts Medicaid clients away from hospital sites. This study uses Medicaid claims data from the state of Alabama to assess the role of geographic provider availability relative to other factors in families' decisions to select a hospital or an office for an illness visit to a primary care or to a specialist physician. The authors examined the last ambulatory visit for an illness made by continuously enrolled children under age 8 in the first half of 1991. The authors found that both higher Medicaid office practice density and the presence of larger Medicaid office practices were associated with choice of an office for ambulatory care, whereas the presence of larger Medicaid hospital practices were associated with choice of a hospital for care. Controlling for provider availability, hospital users were less likely to have sought previous care for illness during the year, and were more likely to be rural residents, to have traveled away from their home counties for care, and to be eligible for Medicaid through Aid to Families with Dependent Children, rather than through the program's income expansions. We conclude that increased office-based provider availability must be coupled with improved access tor new, remote, and very low income families if Medicaid clients are to be expected to voluntarily shift their choice if site for ambulatory care
Ambulatory · Ambulatory care · Family medicine · Health care · Medicaid · Political science · Primary care · Global Health Care Issues · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare
Commentary
The impact of Medicaid on physician use by low-income children
Proximity as a factor in the selection of health care providers
The Impact of Outpatient Department and Emergency Room Use on Costs in the Texas Medicaid Program
Hospital Outpatient Services and Medicaid Patients?? Access to Care
Access to Office-Based Physicians Under Capitation Reimbursement and Medicaid Case Management
Travel for Ambulatory Medical Care
Physician Participation in Medicaid Revisited
Understanding the Growth of Emergency Department Utilization
Neighborhood variations in the use of hospital emergency rooms for primary care
| Citations per year | 0.04 |
|---|---|
| Citation span | 1998 - 1998 (1) |
| Highly cited | No |