Changes in Health and Ability to Work Among Medicaid Expansion Enrollees: a Mixed Methods Study
| Autor: | Jeffrey T. Kullgren, Erin Beathard, Susan Dorr Goold, Ann-Marie Rosland, Erica Solway, Sarah J. Clark, Sunghee Lee, Edith C. Kieffer, Tammy Chang, Adrianne N. Haggins, Renuka Tipirneni, Erin Sears, Matthias Kirch, Christina Mrukowicz, John Z. Ayanian |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Employment Male medicine.medical_specialty Michigan animal structures Changed jobs Health Status 01 natural sciences 03 medical and health sciences Young Adult 0302 clinical medicine Surveys and Questionnaires Internal Medicine Health insurance Medicine Humans 030212 general & internal medicine 0101 mathematics Young adult Poverty Original Research Response rate (survey) Ability to work business.industry Medicaid Dental health Patient Protection and Affordable Care Act 010102 general mathematics Middle Aged Mental health United States Family medicine Female business |
| Zdroj: | Journal of general internal medicine. 34(2) |
| ISSN: | 1525-1497 |
| Popis: | BACKGROUND: Michigan expanded Medicaid under the Affordable Care Act (Healthy Michigan Plan [HMP]) to improve the health of low-income residents and the state’s economy. OBJECTIVE: To understand HMP’s impact on enrollees’ health, ability to work, and ability to seek employment DESIGN: Mixed methods study, including 67 qualitative interviews and 4090 computer-assisted telephone surveys (response rate 53.7%) PARTICIPANTS: Non-elderly adult HMP enrollees MAIN MEASURES: Changes in health status, ability to work, and ability to seek employment KEY RESULTS: Half (47.8%) of respondents reported better physical health, 38.2% better mental health, and 39.5% better dental health since HMP enrollment. Among employed respondents, 69.4% reported HMP helped them do a better job at work. Among out-of-work respondents, 54.5% agreed HMP made them better able to look for a job. Among respondents who changed jobs, 36.9% agreed HMP helped them get a better job. In adjusted analyses, improved health was associated with the ability to do a better job at work (aOR 4.08, 95% CI 3.11–5.35, p |
| Databáze: | OpenAIRE |
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