Primary care office policies regarding care of uninsured adult patients

被引:8
|
作者
O'Toole, TP
Simms, PM
Dixon, BW
机构
[1] Johns Hopkins Univ, Welch Ctr Prevent Epidemiol & Clin Res, Baltimore, MD 21205 USA
[2] Allegheny Cty Hlth Dept, Pittsburgh, PA USA
关键词
uninsured patients; access to primary care; practice characteristics;
D O I
10.1046/j.1525-1497.2001.00920.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
OBJECTIVE: To describe primary care office policies regarding care of uninsured patients. DESIGN: Telephone survey of all adult primary care sites advertising in the area telephone directory. Sites were defined by ownership status, number of physicians, use of physician-extenders, and location. Policies assessed were whether the site was accepting new uninsured Patients, billing policies, the availability of free or discounted cared and payment plans. SETTING: Allegheny County, Pennsylvania. PARTICIPANTS: Of the 359 sites identified, 240 (66.9%) responded, representing 794 physicians. Survey respondents included receptionists (40.4%), office managers (36.2%), and physicians (22.9%). RESULTS: While the majority of all sites reported accepting new patients without health insurance (87.5%), policies regarding these patients varied significantly by ownership status and the number of physicians. Sites with 3 or fewer physicians were more likely to accept uninsured patients. Self-owned practices were more likely to require payment at the time of service, and provide discounted care, free care, and payment plans compared with hospital/health system practices or multisite group practices. CONCLUSIONS: Willingness to accept uninsured patients does not always equate to affordable or accessible care. Office policies have the potential to be substantial obstacles to primary care.
引用
收藏
页码:693 / 696
页数:4
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