PMID: 8962583Dec 1, 1996Paper

Care-seeking patterns of inner-city families using an emergency room. A three-decade comparison

Medical Care
D Shah-CanningH Bauchner

Abstract

Since World War II, the urban hospital emergency room has been a major source of medical care for inner-city poor families, many of whom receive Medicaid. Given the expensive and episodic nature of emergency room care, there has been renewed interest in enrolling Medicaid recipients into managed care plans to increase access to care and to reduce medical costs. Thus, the primary care physician, in many managed care plans, is expected to give prior approval for emergency room care in nonurgent situations. The goals of managed care may create tension between its requirements and historical patterns of inner-city families seeking care in an emergency room. In 1964, Alpert developed a typology that categorized inner-city families' patterns of seeking medical care in a pediatric emergency department (PED) by describing the relation between regular source of medical care and reliance on this source before the PED visit. In 1976, using the same typology, Alpert and Scherzer updated care-seeking patterns in Boston after the introduction of neighborhood health centers (NHCs) and Medicaid. In 1993, the typology is a method that can be used to assess the impact of managed care on PED utilization by inner-city families. This article compar...Continue Reading

References

Nov 1, 1979·Pediatric Clinics of North America·R HalperinJ J Alpert
Sep 3, 1992·The New England Journal of Medicine·J K Iglehart
Sep 1, 1989·American Journal of Public Health·M L Rosenbach
Jul 15, 1971·The New England Journal of Medicine·L I HochheiserE Charney
Jan 1, 1969·Medical Care·J J AlpertM C Heagarty
May 19, 1994·The New England Journal of Medicine·J J StoddardP W Newacheck
May 19, 1994·The New England Journal of Medicine·UNKNOWN Medicaid Access Study Group
Jun 22, 1994·JAMA : the Journal of the American Medical Association·D W BakerR H Brook
Mar 25, 1993·The New England Journal of Medicine·J K Iglehart

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Citations

Nov 2, 2011·The Journal of Behavioral Health Services & Research·Hilary F ByrnesCarolyn D Keagy
Jun 9, 2005·Pediatric Emergency Care·Troy D MoonJerussa A Levy
Feb 25, 2010·Pediatric Emergency Care·Melissa S StockwellMeridith Sonnett
Oct 15, 2010·Pediatric Emergency Care·Devin S GrossmanGeorge L Foltin
Apr 1, 2004·American Journal of Public Health·June M TesterMary W Rutherford
Feb 20, 2003·Pediatric Emergency Care·Kathleen A DoobininDaniel J Isaacman

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