Does managed health care reduce health care disparities between minorities and Whites?
Does managed health care reduce health care disparities between minorities and Whites?
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DOI：
10.1016/j.jhealeco.2006.06.001
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发表时间：
2007-01-01
影响因子：
3.5
通讯作者：
McGuire, Thomas G.
中科院分区：
文献类型：
--
作者：
Balsa, Ana I.;Cao, Zhun;McGuire, Thomas G.
本文调查管理式医疗是否改善或消除了医疗保险中的民族和种族医疗差异。首先，我们分析了医疗保险参保者对保险类型的选择，看看少数民族是否更有可能选择管理式医疗。第二，我们研究的差异性影响管理式医疗的差距使用几种措施的访问，使用和服务的成本。这两项分析都是在两个独立的数据集上进行的，即医疗保险当前受益人调查和国家健康访谈调查。我们的结论是，相对于白人，少数民族至少是小康的福利和成本方面的医疗保险管理的医疗保险传统的赔偿计划。(c)2006 Elsevier B.V.保留所有权利。
This paper investigates whether managed care ameliorates or aggravates ethnic and racial health care disparities in Medicare. First, we analyze the choice of type of insurance made by Medicare enrollees to see if minorities are more likely to choose the managed care alternative. Second, we study the differential effect of managed care on disparities using several measures of access, use and cost of services. Both analyses are conducted on two independent data sets, the Medicare Current Beneficiary Survey and the National Health Interview Survey. We conclude that relative to Whites, minorities are at least as well off-in terms of benefits and costs-in Medicare managed care as in Medicare traditional indemnity plans. (c) 2006 Elsevier B.V. All rights reserved.