Use of Health Care Before and During Citicare
Bibliographic Data
| ID | 9104202 |
|---|---|
| Authors | Gordon Scott Bonham (University of Louisville, corresponding author), Gerard M Barber (University of Louisville) |
| Year | 1987 |
| Volume | 25 |
| Issue | 2 |
| Pages | 111-119 |
| Publication date | 1987-02-01 |
| Peer Reviewed | Yes |
| 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 | 10.1097/00005650-198702000-00004 |
| PMID | 3546969 |
| OpenAlex | W1973314497 |
| Language | EN |
| Citations received | 9 |
| References cited | 1 |
The Citicare program was implemented in Jefferson County, Kentucky, between July 1982 and June 1983. Approximately 40,000 AFDC-related Medicaid recipients were enrolled. Granted federal waivers, the program established a primary care network with capitation payment and physician sharing of savings. Interviews were conducted with 300 recipients just prior to the program and with 348 recipients 1 year later. No changes occurred in the rate of hospital inpatient stays, ambulatory care, or prescribed drugs. There was, however, a 40% reduction in hospital emergency room use and a shift in the locus of care from doctors' offices to health centers and clinics. Recipients' perceptions of the quality of care received in health centers and clinics increased, but declined for care in physicians' offices. Although the program met most of its objectives, it did not gain physician support and was terminated by a new governor
Ambulatory care · Business · Capitation · Emergency department · Family medicine · Health care · Medicaid · Medical emergency · Payment · Emergency Medicine · Historical Psychiatry and Medical Practices · Medicine · Mental Health and Psychiatry · Nursing · Psychology of Social Influence
Two Commentaries
Primary care and public emergency department overcrowding
A Typology of Medicaid Managed Care
Comparison of Access and Costs of Medicaid Dental Services in a Hospital Clinic and Community Practices
Economic efficiency of gatekeeping compared with fee for service plans
Rationing or rationalizing children's medical care
Emergency room use and primary care case management
Medicaid prenatal care
Medicaid Health Maintenance Organizations
| Unique citing works | 9 |
|---|---|
| Citations per year | 0.24 |
| Citation span | 1988 - 2006 (19) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 6 |