Medicaid participation among urban primary care physicians
| Autor: | Phillip R. Kletke, James W. Fossett, Janet D. Perloff, Steven Banks |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty Multivariate statistics Multivariate analysis Urban Population media_common.quotation_subject Sample (statistics) Primary care Logistic regression Reimbursement Mechanisms Ambulatory Care Medicine Humans Least-Squares Analysis Socioeconomic status health care economics and organizations media_common Primary Health Care business.industry Medicaid Public Health Environmental and Occupational Health Physicians Family Payment United States Logistic Models Family medicine Multivariate Analysis Female business |
| Zdroj: | Medical care. 35(2) |
| ISSN: | 0025-7079 |
| Popis: | OBJECTIVES. This article describes Medicaid participation among officebased primary care physicians in cities and examines its determinants. METHODS. Data used in this study were collected through the 1993 and 1994 American Medical Association Socioeconomic Monitoring System telephone surveys. The sample includes 1,300 primary care physicians. Our multivariate model includes a variety of personal, practice, community, and policy factors thought to influence participation. Logistic regression was used to examine determinants of accepting any Medicaid patients and ordinary least square regression was used to examine determinants of the extent of participation among participants. RESULTS. The authors found that 19% of respondents did not participate in Medicaid and 62% had practices with 9% or fewer Medicaid patients. Multivariate analyses indicated that Medicaid payment levels were not associated with observed patterns of Medicaid participation. Community sociodemographic characteristics and demand from Medicaid-eligibles, by contrast, play a significant role in influencing observed levels of participation. CONCLUSIONS. Strategies other than raising Medicaid payment levels will be needed to achieve equitable access to office-based primary care for the poor residing in cities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|