Limits to the safety net: Teaching hospital faculty report on their patients' access to care
Limits to the safety net: Teaching hospital faculty report on their patients' access to care
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DOI：
10.1377/hlthaff.22.6.156
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发表时间：
2003-11-01
期刊：
影响因子：
9.7
通讯作者：
Blumenthal, D
中科院分区：
文献类型：
--
作者：
Weissman, JS;Moy, E;Blumenthal, D
许多主要教学医院可能无法为未参保的患者提供足够的专科护理服务。这项研究发现，与私人保险患者相比，医学院教员更有可能难以为未参保的患者获得专业服务。对于公共和私人机构来说，这些机会差距的程度相似。未参保患者在学术健康中心 (AHC) 的初始治疗并不能保证获得专科服务和其他转诊服务，这表明对未参保患者依赖医疗保健安全网是有限度的。 AHC 和附属团体实践应检查限制未参保患者获得服务的政策。
Many major teaching hospitals might not be able to offer adequate access to specialty care for uninsured patients. This study found that medical school faculty were more likely to have difficulty obtaining specialty services for uninsured than for privately insured patients. These gaps in access were similar in magnitude for public and private institutions. Initial treatment of uninsured patients at academic health centers (AHCs) does not guarantee access to specialty and other referral services, which suggests that there are limits to relying on a health care safety net for uninsured patients. AHCs and affiliated group practices should examine policies that limit access for uninsured patients.