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Health Serv Res. 2015 Oct;50(5):1508-27. doi: 10.1111/1475-6773.12288. Epub 2015 Feb 13.

Acceptance of New Medicaid Patients by Primary Care Physicians and Experiences with Physician Availability among Children on Medicaid or the Children's Health Insurance Program.

Author information

1
Centers for Disease Control and Prevention, National Center for Health Statistics, 3311 Toledo Road, Hyattsville, MD, 20782.

Abstract

OBJECTIVE:

To estimate the relationship between physicians' acceptance of new Medicaid patients and access to health care.

DATA SOURCES:

The National Ambulatory Medical Care Survey (NAMCS) Electronic Health Records Survey and the National Health Interview Survey (NHIS) 2011/2012.

STUDY DESIGN:

Linear probability models estimated the relationship between measures of experiences with physician availability among children on Medicaid or the Children's Health Insurance Program (CHIP) from the NHIS and state-level estimates of the percent of primary care physicians accepting new Medicaid patients from the NAMCS, controlling for other factors.

PRINCIPAL FINDINGS:

Nearly 16 percent of children with a significant health condition or development delay had a doctor's office or clinic indicate that the child's health insurance was not accepted in states with less than 60 percent of physicians accepting new Medicaid patients, compared to less than 4 percent in states with at least 75 percent of physicians accepting new Medicaid patients. Adjusted estimates and estimates for other measures of access to care were similar.

CONCLUSIONS:

Measures of experiences with physician availability for children on Medicaid/CHIP were generally good, though better in states where more primary care physicians accepted new Medicaid patients.

KEYWORDS:

State health policies; access; demand; primary care; utilization of services

PMID:
25683869
PMCID:
PMC4600359
DOI:
10.1111/1475-6773.12288
[Indexed for MEDLINE]
Free PMC Article

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