Titre :
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Unhealthy Competition : Consequences of Health Plan Choice in California Medicaid. (2010)
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Auteurs :
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MILLETT (Christopher) : USA. Christopher Millett was with the Division of General Internal Medicine. San Francisco General Hospital. San Francisco. CA. ;
Andrew-B BINDMAN ;
Arpita CHATTOPADHYAY ;
Division of General Internal Medicine. San Francisco General Hospital. And the Department of Medicine. University of California. San Francisco. CA. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 100, n° 11, 2010)
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Pagination :
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2235-2240
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Langues:
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Anglais
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Mots-clés :
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Assurance maladie
;
Protection sociale
;
Amérique
;
Medicaid
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST-CNRS sp9R0xHH. Diffusion soumise à autorisation]. Objectives. We compared the quality of care received by managed care Medicaid beneficiaries in counties with a choice of health plans and counties with no choice. Methods. This cross-sectional study among California Medicaid beneficiaries was conducted during 2002. We used a multivariate Poisson model to calculate adjusted rates of hospital admissions for ambulatory care-sensitive conditions by duration of plan enrollment. Results. Among beneficiaries with continuous Medicaid coverage, the percentage with 12 months of continuous enrollment in a health plan was significantly lower in counties with a choice of plans than in counties with no choice (79.2% vs 95.2% ; P<. annual ambulatory care-sensitive admission rates adjusted for age gender and race were significantly higher among beneficiaries living in counties with a choice of plans admissions per confidence interval than those no ci="6.27,6.28)." conclusions. potential benefits health plan may be undermined by transaction costs delayed enrollment which increase the probability hospitalization conditions.>
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