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A prospective evaluation of the effect of managed care on medical care utilization among severely disabled independently living adults
A prospective evaluation of the effect of managed care on medical care utilization among severely disabled independently living adults
- Source :
- Medical care. 25(11)
- Publication Year :
- 1987
-
Abstract
- We conducted an 18-month longitudinal evaluation of a model-managed medical care program for severely disabled, independently living adults. Regression analyses using an additive model (no interaction effects) suggest that persons in the study group did not have statistically significantly different utilization experiences than members of the comparison group. Regression analyses that include interaction effects suggest that, for certain segments of the cohort, the study group's utilization experience was significantly lower than that of members of the comparison group. Persons in the study group with higher baseline emergency room (ER) utilization had significantly fewer hospital admissions (P = 0.0055). The participants with better self-assessments of health experienced significantly fewer hospital days per person (P = 0.0075) and days per person hospitalized (P = 0.0056), and persons with organizational affiliations reported significantly fewer ER visits (P = 0.0264).
- Subjects :
- Adult
Male
medicine.medical_specialty
Health Status
Medical care
Prospective evaluation
Ambulatory care
Critical care nursing
Activities of Daily Living
Medicine
Humans
Disabled Persons
Longitudinal Studies
Hospital days
business.industry
Managed Care Programs
Public Health, Environmental and Occupational Health
Social Support
Hospitalization
Cohort
Emergency medicine
Managed care
Regression Analysis
Organizational Affiliation
Female
business
Emergency Service, Hospital
Delivery of Health Care
Demography
Boston
Subjects
Details
- ISSN :
- 00257079
- Volume :
- 25
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Medical care
- Accession number :
- edsair.doi.dedup.....9fcaf90dc031be53b84e5bbf9d58edce