PATTERNS OF REFERRAL AND CARE FOR CHILDREN ON MEDICAID

接受医疗补助的儿童的转诊和护理模式

• 批准号: 2878924
• 负责人: JAMES M PERRIN
• 金额: $ 2.08万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-09-30 至 1999-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2878924
• 关键词: Medicare /Medicaid; child (0-11); clinical research; epidemiology; health care cost /financing; health care referral /consultation; health care service evaluation; health care service utilization; human data

Description: This application proposes to utilize Supplemental Security Income (SSI) and Medicaid claims data from 1989 to 1992 in six states to: (1) characterize patterns of care; (2) examine the association of case pattern with resource use and quality; (3) study effects of provider characteristics and supply; (4) study rural/urban effects and demographic characteristics, and (5) compare pediatric and non-pediatric subspecialists. A number of childhood chronic conditions will be analyzed to better understand referral patterns and their consequences. Several referral patterns will be explored, including primary care management, co-management, one-time subspecialty consultation, and subspecialty management. American Medical Association (AMA) data files will be linked to track care by specialty type and to compare, in addition to the usual and customary demographics, care provided by adult versus pediatric specialists. Dependent variables monitored will include utilization, costs, certain quality indicators (e.g., regular eye exams for diabetics), and some outcomes (e.g., urinary tract infections in patients with spina bifida).

描述：此应用程序建议使用补充安全 1989年至1992年六个州的收入(SSI)和医疗补助申领数据： (1)描述护理模式；(2)检查病例的关联性 考虑资源使用和质量的模式；(3)研究提供者的作用 特征和供给；(4)研究城乡效应和人口 (5)儿科和非儿科专科医生的比较。 一些儿童慢性病将被分析以更好地 了解推荐模式及其后果。几次转介 将探索模式，包括初级保健管理、共同管理、 一次性分专业咨询、分专业管理。美国人 医疗协会(AMA)数据文件将通过以下方式链接到跟踪护理 专业类型和比较，除了惯常和习惯 人口统计学，由成人和儿科专家提供的护理。 受监控的因变量包括利用率、成本、某些 质量指标(例如，糖尿病患者的定期眼科检查)，以及一些 结果(例如，脊柱裂患者的尿路感染)。