Effect of ethnicity on denial of authorization for emergency department care by managed care gatekeepers

Academic Emergency Medicine

Volumn 8, Issue 3, 2001, Pages 259-266

  Lowe, Robert A ^a,b,e   Chhaya, Sheetal ^e   Nasci, Kathleen ^a,b,e   Gavin, Laurence J ^a,e   Shaw, Kathy ^e   Zwanger, Mark L ^e   Zeccardi, Joseph A ^e   Dalsey, William C ^e   Abbuhl, Stephanie B ^e   Feldman, Harold ^d,e   Berlin, Jesse A ^a,b,c,e  

^a Department of Biostatistics and Epidemiology ^*  (United States)

^b Center for Clinical Epidemiology and Biostatistics   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA   (United States)

^e Philadelphia Emergency Medicine Research Consortium   (United States)

Author keywords

African Americans; Attitude of health personnel; Emergency medicine; Ethnicity; Health maintenance organizations; Health services accessibility; Race; Whites

Indexed keywords

ADULT; ARTICLE; CAUCASIAN; COHORT ANALYSIS; DECISION MAKING; EMERGENCY WARD; ETHNIC DIFFERENCE; FEMALE; HEALTH CARE ACCESS; HEALTH MAINTENANCE ORGANIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MANAGED CARE; NEGRO; PRIORITY JOURNAL; SOCIOECONOMICS;

ADOLESCENT; ADULT; AFRICAN AMERICANS; ATTITUDE OF HEALTH PERSONNEL; CHILD; COHORT STUDIES; EMERGENCY SERVICE, HOSPITAL; EUROPEAN CONTINENTAL ANCESTRY GROUP; FEMALE; HEALTH SERVICES ACCESSIBILITY; HUMANS; LOGISTIC MODELS; MALE; MANAGED CARE PROGRAMS; MIDDLE AGED; PHILADELPHIA; REFERRAL AND CONSULTATION; REFUSAL TO TREAT; RETROSPECTIVE STUDIES;

EID: 0035090783     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2001.tb01302.x     Document Type: Article

References (35)

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3. Medical-care spending - United States
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5. National Hospital Ambulatory Medical Care Survey: 1995 emergency department summary
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7. Emergency room use and primary care case management: Evidence in four Medicaid demonstration programs
8. Gatekeeping the emergency department: Impact of a Medicaid primary care case management program
9. Adverse outcomes of managed care gatekeeping
10. Indigent children who are denied care in the emergency department
11. The impact of health maintenance organization care authorization policy on an emergency department before California's new managed care law
12. Diverting managed care Medicaid patients from pediatric emergency department use
13. What happens to managed care patients who are denied care in the ED?
14. Access of Medicaid recipients to outpatient care
15. The costs of visits to emergency departments
16. The inappropriateness of "appropriateness"
17. Bioethics for clinicians: 13. Resource allocation
18. To whom do managed care providers deny ED care?
19. Severity of illness and resource use differences among white and black hospitalized elderly
20. Relation between race and economic status of patients and who performs their surgery
21. Racial differences in the elderly's use of medical procedures and diagnostic tests
22. Acutely injured patients with trauma in Massachusetts: Differences in care and mortality, by insurance status
23. Blacks in the Coronary Artery Surgery Study (CASS): Race and clinical decision making
24. Racial variation in the use of coronary revascularization procedures: Are the differences real? Do they matter?
25. Relationship between patient race and the intensity of hospital services
26. The effect of race and sex on physicians' recommendations for cardiac catheterization
27. Ethnicity as a risk factor for inadequate emergency department analgesia
28. Ethnicity and analgesic practice
29. Relation of race and sex to the use of reperfusion therapy in Medicare beneficiaries with acute myocardial infarction
30. Results of provider self-adjudication using the prudent layperson standard compared with the managed care organization's emergency department claims review process