Factors affecting plan choice and unmet need among supplemental security income eligible children with disabilities.
Factors affecting plan choice and unmet need among supplemental security income eligible children with disabilities.
复制标题
影响补充保障收入合格残疾儿童的计划选择和未满足需求的因素。
DOI：
10.1111/j.1475-6773.2005.00417.x
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发表时间：
2005
影响因子：
3.4
通讯作者：
Gaskin,DarrellJ
中科院分区：
文献类型：
--
作者：
Mitchell,JeanM;Gaskin,DarrellJ
Objective.To evaluate factors affecting plan choice (partially capitated managed care [MC] option versus the fee‐for‐service [FFS] system) and unmet needs for health care services among children who qualified for supplemental security income (SSI) because of a disability.Data Sources.We conducted telephone interviews during the summer and fall of 2002 with a random sample of close to 1,088 caregivers of SSI eligible children who resided in the District of Columbia.Research Design.We employed a two‐step procedure where we first estimated plan choice and then constructed a selectivity correction to control for the potential selection bias associated with plan choice. We included the selectivity correction, the dummy variable indicating plan choice and other exogenous regressors in the second stage equations predicting unmet need. The dependent variables in the second stage equations include: (1) having an unmet need for any service or equipment; (2) having an unmet need for physician or hospital services; (3) having an unmet need for medical equipment; (4) having an unmet need for prescription drugs; (5) having an unmet need for dental care.Principal Findings.More disabled children (those with birth defects, chronic conditions, and/or more limitations in activities of daily living) were more likely to enroll in FFS. Children of caregivers with some college education were more likely to opt for FFS, whereas children from higher income households were more prone to enroll in the partially capitated MC plan. Children in FFS were 9.9 percentage points more likely than children enrolled in partially capitated MC to experience an unmet need for any type of health care services (p<.01), while FFS children were 4.5 percentage points more likely than partially capitated MC enrollees to incur a medical equipment unmet need (p<.05). FFS children were also more likely than partially capitated MC enrollees to experience unmet needs for prescription drugs and dental care, however these differences were only marginally significant.Conclusions.We speculate that the case management services available under the MC option, low Medicaid FFS reimbursements and provider availability account for some of the differences in unmet need that exist between partially capitated MC and FFS enrollees.
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影响因子：
--
作者：
Hughes, DC;Luft, HS
通讯作者：
Luft, HS
有特殊医疗保健需求的儿童的管理式护理：ABC 计划
影响因子：
1.6
作者：
L. Grossman;Leslie N. Rich;Suzanne Michelson;Genevieve Hagerty
通讯作者：
Genevieve Hagerty
改善针对有特殊需要的儿童的州医疗补助合同和计划实践。
DOI：
10.2307/1602677
发表时间：
1998
期刊：
The Future of children
影响因子：
--
作者：
H. Fox;Margaret A. McManus
通讯作者：
Margaret A. McManus
俄勒冈州健康计划对有特殊医疗保健需求的儿童的影响
影响因子：
8
作者：
J. Mitchell;G. Khatutsky;N. Swigonski
通讯作者：
N. Swigonski