通过向加州穷人提供管理式医疗选择,让婴儿更健康

T. Barham, P. Gertler, K. Raube
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引用次数: 3

摘要

第一章调查是否强制加州医疗补助受益人的管理护理选项改善获得产前护理和分娩结果在传统的收费服务系统。我们比较了两种相互竞争的模式:一种只提供县组织的医疗系统选择(COHS),而两种计划模式(TPC)为母亲提供县系统和商业管理的医疗组织之间的选择。结果表明,虽然COHS改善了可及性,但只有TPC项目减少了低出生体重。TPC获得的良好健康结果可能是由于医疗服务提供者之间的竞争和/或将Medi-Cal受益人纳入也为高收入人群服务的商业组织而导致的更高质量的护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Making Babies Healthier By Providing a Managed Care Option to California's Poor
The first chapter investigates whether mandating a managed care option for California Medicaid beneficiaries improves access to prenatal care and birth outcomes in a traditionally fee-for-service system. We compare two competing models: one that only offers a county-organized health system option (COHS), and the Two Plan Model (TPC) that provides mothers with a choice between the county system and a commercial managed care organization. The results show that while COHS improved access, only the TPC program led to reductions in low-birth weight. The superior health outcomes obtained with TPC might be explained by higher quality care induced by competition among health providers and/or mainstreaming Medi-Cal beneficiaries into commercial organizations that also serve higher income populations.
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