Access to Dermatological Appointments Based on Insurance Types in Hawai'i.

Autor:	Tran A; Internal Medicine, University of Hawai'i at Mānoa, John A. Burns School of Medicine, Honolulu, USA., Leibovitch E; Pediatrics, University of Hawai'i at Mānoa, John A. Burns School of Medicine, Honolulu, USA., Stafford M; Psychiatry, University of Hawai'i at Mānoa, John A. Burns School of Medicine, Honolulu, USA., Prabhudesai D; Quantitative Health Sciences, University of Hawai'i at Mānoa, John A. Burns School of Medicine, Honolulu, USA., Chen JJ; Quantitative Health Sciences, University of Hawai'i at Mānoa, John A. Burns School of Medicine, Honolulu, USA., Witten N; Family Medicine and Community Health, University of Hawai'i at Mānoa, John A. Burns School of Medicine, Honolulu, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 11; Vol. 16 (8), pp. e66650. Date of Electronic Publication: 2024 Aug 11 (Print Publication: 2024).
DOI:	10.7759/cureus.66650
Abstrakt:	Although there is evidence that Medicaid beneficiaries in the continental United States experience barriers to accessing dermatological care, limited data exists on whether these same barriers exist in Hawai'i. Using a secret shopper study design, a total of 46 dermatology offices were contacted, 41 (89%) of which were accepting new patients. Thirty (73%) offices were located on O'ahu, and the remaining 11 (27%) were distributed among the neighboring islands (Hawai'i Island, Kaua'i, Maui). Overall, the acceptance rate for Medicaid (n=14) was 34%, which was significantly lower (P<.0001) than private insurance (n=39 (95%)) and Medicare (n=38 (93%)). The acceptance rate for patients with Medicaid insurance was lower for O'ahu offices (27%) than for neighboring islands' offices (55%), but the difference was not statistically significant (P=.095). Differences in average wait times were not statistically significant among insurance types or between O'ahu and neighboring islands. Overall, these results suggest that Medicaid recipients compared to those with private insurance or Medicare might experience difficulty in accessing dermatological care in Hawai'i. Competing Interests: Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Tran et al.)
Databáze:	MEDLINE
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