Format

Send to

Choose Destination
Am J Public Health. 2002 Nov;92(11):1779-83.

Provision of sexual health services to adolescent enrollees in Medicaid managed care.

Author information

1
Department of Health Services, University of Washington, Seattle 98195, USA. billlaf@u.washington.edu

Abstract

OBJECTIVES:

This Seattle project measured sexual health services provided to 1112 Medicaid managed care enrollees aged 14 to 18 years.

METHODS:

Three health maintenance organizations (HMOs) that provide Medicaid services for a capitated rate agreed to participate. These included a non-profit staff-model HMO, a for-profit independent practice association (IPA), and a non-profit alliance of community clinics. Analyses used health maintenance organizations' administrative data, chart reviews, and Medicaid encounter data.

RESULTS:

Health maintenance organizations provided primary care to 54% and well care to 20% of Medicaid enrollees. Girls were more likely than boys to have their sexual history taken or to be given condom counseling. Only 27% of sexually active girls were tested for chlamydia, with significantly lower rates of testing among those who spoke English as a second language. The nonprofit staff-model plan outperformed the for-profit independent practice association on most measures.

CONCLUSIONS:

Substantial room for improvement exists in sexual health services delivery to adolescent Medicaid managed care enrollees.

PMID:
12406808
PMCID:
PMC1447328
DOI:
10.2105/ajph.92.11.1779
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center