Managed care penetration, insurance status, and access to health care

Medical Care

Volumn 41, Issue 9, 2003, Pages 1086-1095

  Litaker, David ^a   Cebul, Randall D ^b  

^a UNIVERSITY HOSPITALS OF CLEVELAND   (United States)

^b METROHEALTH MEDICAL CENTER   (United States)

Author keywords

Access to care; Healthcare insurance; Hierarchical modeling; Managed care

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CROSS-SECTIONAL STUDY; DEMOGRAPHY; EPIDEMIOLOGY; HEALTH CARE DELIVERY; HEALTH MAINTENANCE ORGANIZATION; HEALTH STATUS; HUMAN; INSURANCE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PATIENT; POSTAL MAIL; STATISTICAL MODEL; STATISTICS; UNITED STATES; UTILIZATION REVIEW;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; CROSS-SECTIONAL STUDIES; HEALTH CARE SURVEYS; HEALTH MAINTENANCE ORGANIZATIONS; HEALTH SERVICES ACCESSIBILITY; HEALTH STATUS; HUMANS; INSURANCE COVERAGE; LOGISTIC MODELS; MEDICALLY UNINSURED; MIDDLE AGED; MODELS, STATISTICAL; MULTIVARIATE ANALYSIS; OHIO; POSTAL SERVICE; RESIDENCE CHARACTERISTICS;

EID: 0141431000     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.MLR.0000083741.80192.E0     Document Type: Article

References (44)

1. Gold M. Beyond coverage and supply: measuring access to Healthcare in today's market. Health Serv Res 1998;33:625-652.
2. Cunningham PJ, Kemper P. Ability to obtain medical care for the uninsured: how much does it vary across communities? JAMA 1998;280:921-927.
3. Cunningham PJ, Trude S. Does managed care enable more low income persons to identify a usual source of care? Implications for access to care. Med Care 2001;39:716-726.
4. Cunningham PJ. Pressures on safety net access: the level of managed care penetration and uninsurance rate in a community. Health Serv Res 1999;34:255-270.
5. Glied S, Zivin JG. How do doctors behave when some (but not all) of their patients are in managed care? J Health Econ 2002;21:337-353.
6. Cunningham PJ, Grossman JM, Peter RFS, et al. Managed care and physicians' provision of charity care. JAMA 1999;282:1087-1092.
7. Blumenthal D. Effects of market reforms on doctors and their patients. Health Aff (Millwood) 1996;15:170-184.
8. Shortell SM, Hull KE. The new organization of the health care delivery system. In: Altman SH, Reinhardt U, eds. Strategic Choices for a Changing Health Care System. Chicago: Health Administration Press; 1996:101-148.
9. The Levin Group. Redefining Hospital Capacity. Washington, DC: American Hospital Association; September 2000.
10. Mann JM, Melnick GA, Bamezai A, et al. A profile of uncompensated hospital care, 1983-1995. Health Aff 1997;16:223-232.
11. Grumbach K, Vranizan K, Bindman AB. Physician supply and access to care in urban communities. Health Aff 1997;16:71-86.
12. Mobley LR, Frech HE. Managed care, distance traveled, and hospital market definition. Inquiry 2000;37:91-107.
13. Gresenz CR, Stockdale SE, Wells KB. Community effects on access to behavioral health care. Health Serv Res 2000;35:293-306.
14. Epstein AJ. The role of public clinics in preventable hospitalizations among vulnerable populations. Health Serv Res 2001;36:405-420.
15. Baker LC. Measuring competition in health care markets. Health Serv Res 2001;36:223-251.
16. Acevedo-Garcia D. Zip code-level risk factors for tuberculosis: neighborhood environmental and residential segregation in New Jersey, 1985-1992. Am J Public Health 2001;91:734-741.
17. Hofer TP, Wolfe RA, Tedeschi PJ, et al. Use of community versus individual socioeconomic data in predicting variation in hospital use. Health Serv Res 1998;33:243-259.
18. Weiss JE, Greenlick MR. Determinants of medical care utilization: the effect of social class and distance on contacts with the medical care system. Med Care 1970;8:456-462.
19. Krieger N, Chen JT, Waterman PD, et al. Geocoding and monitoring of US socioeconomic inequalities in mortality and cancer incidence: does the choice of area-based measure and geographic level matter? The Public Health Disparities Geocoding Project. Am J Epidemiol 2002;156:471-482.
20. Krieger N, Waterman PD, Chen JT, et al. Zip code caveat: bias due to spatiotemporal mismatches between zip codes and US Census-defined geographic areas - The Public Health Disparities Geocoding Project. Am J Public Health 2002;92:1100-1102.
21. Andersen RM. Revisiting the behavioral model and access to medical care: does it matter? J Health Soc Behav 1995;3:1-10.
22. Berk ML, Schur CL, Cantor JC. Ability to obtain health care: recent estimates from The Robert Wood Johnson Foundation National Access to Care Survey. Health Aff (Millwood) 1995;14:139-146.
23. InterStudy Publications. The InterStudy Competitive Edge 8.0. Minneapolis: InterStudy Publications; 2000.
24. Aday LA, Andersen R, Fleming GV, eds. A Theoretical Framework for the Study of Access to Medical Care. In: Aday LA, Andersen R, Fleming GV, eds. Health Care in the U.S.: Equitable for whom? Beverly Hills: Sage Publications; 1980.
25. Phillips KA, Morrison KR, Andersen R, et al. Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Serv Res 1998;33:571-596.
26. Robert SA. Community-level socioeconomic status effects on adult health. J Health Soc Behav 1998;39:18-37.
27. McLafferty S. Neighborhood characteristics and hospital closures: a comparison of the public, private and voluntary hospital systems. Soc Sci Med 1982;16:1667-1674.
28. Roux AVD, Merkin SS, Arnett D, et al. Neighborhood of residence and incidence of coronary heart disease. N Engl J Med 2001;345:99-106.
29. Noble M, Cheung SY, Smith G, et al. Using census data to predict income support dependency. Policy Polit 1995;23:327-333.
30. Sudano JJ. Explaining racial differentials in pregnancy outcomes: race, community, context, and the individual [doctoral dissertation]. Kent: Sociology, Kent State University; 1998.
31. Robert S. Socioeconomic position and health: the independent contribution of community socioeconomic context. Ann Rev Sociol 1999;25:489-516.
32. Yen IH, Kaplan G. Neighborhood social environment and risk of death: multilevel evidence from the Alameda County Study. Am J Epidemiol 1999;149:898-907.
33. Lee RE, Cubbin C. Neighborhood context and youth cardiovascular health behaviors. Am J Public Health 2002;92:428-436.
34. US Bureau of the Census. Community Tracking Study. U.S. Bureau of the Census; 1997.
35. Basu J, Friedman B. Preventable illness and out-of-area travel of children in New York counties. Health Econ 2001;10:67-78.
36. Barcikowski RS. Statistical power with group mean as the unit of analysis. J Educ Stat 1981;6:267-285.
37. Kreft I, deLeeuw J. Intra-class correlation. In: Kreft I, deLeeuw J, eds. Introducing Multilevel Modeling. Thousand Oaks, CA: SAGE Publications; 2000.
38. Optimal Design, version 0.19. Cambridge, MA: HLM Software; 2001.
39. Hayward RA, Shapiro MF, Freeman HE, et al. Inequities in health services among insured Americans: do working-age adults have less access to medical care than the elderly? N Engl J Med 1988;318:1507-1512.
40. Berk ML, Schur CL. Measuring access to care: improving information for policymakers. Health Aff (Millwood) 1998;17:180-186.
41. National Association of Dental Flans (NADP). NADP Enrollment/Network Survey Report: 2000 Dental Benefits Enrollment/Network Profile. Dallas, TX: National Association of Dental Plans; 2000.
42. Millman M, ed. Access to Health Care in America. Washington, DC: National Academy Press; 1993. Institute of Medicine, Committee on Monitoring Access to Personal Health Care Services.
43. Freeman HE, Blendon RJ, Aiken LH, et al. Americans report on their access to health care. Health Aff 1987;16:6-18.
44. Kreft I, deLeeuw J. Overview of contextual models. In: Kreft I, deLeeuw J, eds. Introducing Multilevel Modeling. Thousand Oaks, CA: SAGE Publications; 2000:28.