Patients' satisfaction when denied authorization for emergency department care by their managed care plan
| Autor: | Stephen R. Hayden, Theodore C. Chan, Richard F. Clark, Taylor Fletcher, Brad Schwartz |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Rural Population
medicine.medical_specialty As Directed media_common.quotation_subject Health Behavior MEDLINE Hospitals Community California Health Services Accessibility Insurance Coverage Denial medicine Humans Referral and Consultation Reimbursement media_common business.industry Managed Care Programs Authorization Emergency department medicine.disease Triage Suburban Population Surgery Patient Satisfaction Health Care Surveys Insurance Health Reimbursement Emergency Medicine Managed care Medical emergency Emergency Service Hospital business Follow-Up Studies |
| Zdroj: | The Journal of Emergency Medicine. 15:611-616 |
| ISSN: | 0736-4679 |
| DOI: | 10.1016/s0736-4679(97)00121-2 |
| Popis: | We conducted a survey of managed care plan (MCP) patients who presented to the emergency department (ED) but were denied insurance authorization during a 3-month period. Patients were identified by triage or registration records, contacted by telephone after their visit, and surveyed regarding their satisfaction with the ED and MCP, follow-up care, and future behavior. We surveyed 72 (73.4%) of 98 subjects who were denied authorization. Forty-nine (68.1%) were redirected to a clinic or primary physician, 14 (19.4%) to an urgent care or other ED, and 9 (12.5%) were given no follow-up. Fifty-five respondents (76.4%) stated they had followed-up as directed, but 34 (47.2%) felt the delay had a negative impact. Thirty-nine (54.2%) were dissatisfied with their MCP. If their problems were to recur, 27 (37.5%) stated they would go to a clinic or call their MCP, but 34 (47.2%) would return to the ED. Many patients who are denied authorization are dissatisfied with their MCP and will return to the ED in the future, despite previous denials. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect