Format

Send to

Choose Destination
Public Health Nurs. 2009 Sep-Oct;26(5):396-404. doi: 10.1111/j.1525-1446.2009.00797.x.

Typology of high users of health services among a rural medicaid population.

Author information

1
Nightingale Center for Nursing Scholarship, Fay W. Whitney School of Nursing, University of Wyoming, Laramie, Wyoming, USA.

Abstract

OBJECTIVES:

To identify a typology for high system users among a rural Medicaid population that could assist policy makers and providers in better and more efficiently serving this population.

DESIGN AND SAMPLE:

Exploratory secondary data analysis of a large integrated Medicaid database in a western state. Five hundred and thirty-nine Medicaid recipients receiving 2 or more state services and receiving 10 or more unique medications.

MEASURES:

Data analysis examining health care use, medication use, and demographic characteristics using SAS to identify patterns of use of services in the population. Results were confirmed with a statewide sample of 2,287 Medicaid users.

RESULTS:

3 characteristics-(1) use of 36 or more health care services in a year; (2) no gap in health care service use over the entire year; and (3) use of >12 health care services in 1 month-describe high-risk groups of Medicaid users.

CONCLUSIONS:

Public health nurses, particularly as case managers and program planners, can look at service use patterns through client histories and their own agency records, in order to identify high-risk groups who may benefit the most from programs that address their support, education, and coordination of health care needs.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center