Access to appointments based on insurance status in Washington, DC
Access to appointments based on insurance status in Washington, DC
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DOI：
10.1353/hpu.0.0036
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发表时间：
2008-08-01
影响因子：
1.4
通讯作者：
Lurie, Nicole
中科院分区：
文献类型：
--
作者：
Blanchard, Janice;Ogle, Kathleen;Lurie, Nicole
在美国，急诊科有数以百万计的患者需要及时和充分的门诊随访。使用一名假想的患者，呈现在急诊科评估的高血压的脚本演示，并需要密切的门诊随访，哥伦比亚特区随机选择的提供者通过电话询问，根据保险状况评估他们的可及性。71%的呼叫私人保险的假想患者导致了成功的预约。医疗补助服务费与预约成功率(36.6%)显著低于私人保险(p=.002)。考虑到50美元以下的自付费用限制，未参保的“患者”的成功率仅为13%(p
In the U.S., emergency departments see millions of patients requiring timely and adequate outpatient follow-up. Using a hypothetical patient presenting with a scripted presentation of hypertension evaluated in the emergency department and requiring close outpatient follow-up, randomly selected providers in the District of Columbia were queried by phone to evaluate their accessibility based on insurance status. Seventy one percent of calls for privately insured hypothetical patients resulted in a successful appointment. Medicaid fee-for-service was associated with a significantly lower rate of successful appointments (36.6%) than private insurance (p=.002.) Uninsured "patients" had only a 13% success rate when considering out-of-pocket payment limitations of less than $50 (p