Caring for patients under Medicaid mandatory managed care: perspectives of primary care physicians
| Autor: | Nancy B. Schoeps, William P. Brandon, R. Stephen Clayton, Rosemary V. Chaudry, Carolyn R. Thompson |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Program evaluation
medicine.medical_specialty Attitude of Health Personnel State Health Plans Pilot Projects Primary care Mandatory Programs Interviews as Topic 03 medical and health sciences 0504 sociology Ambulatory care Nursing Health care North Carolina Medicine Humans health care economics and organizations Health policy 030505 public health Primary Health Care business.industry Medicaid 05 social sciences Public Health Environmental and Occupational Health 050401 social sciences methods Health Maintenance Organizations Physicians Family Fee-for-Service Plans Focus group United States Family medicine Managed care 0305 other medical science business Program Evaluation |
| Zdroj: | Qualitative health research. 13(1) |
| ISSN: | 1049-7323 |
| Popis: | The purpose of the study was to describe the experiences of primary care physicians caring for Medicaid recipients in a demonstration mandatory health maintenance organization (HMO) managed care program. The authors collected data through semistructured individual or focus group interviews with 14 physicians and through interviews with the chief executive officers of the three HMOs participating in the demonstration program. Interview questions, developed initially from a review of the literature, addressed physicians’ experiences as primary care providers for Medicaid recipients under traditional fee-for-service and under managed care arrangements through the demonstration program. Four themes emerged: providers’ hassles and burdens, the complex needs of Medicaid patients, improved access to care under managed care, and individual providers’ disconnect from the processes of health policy implementation and program evaluation. |
| Databáze: | OpenAIRE |
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