Outcomes for rural medicaid clients with severe mental illness in fee for service versus managed care

被引:5
|
作者
Bianconi, Jacqueline M.
Mahler, Jo M.
McFarland, Bentson H.
机构
[1] Oregon Hlth & Sci Univ, Dept Psychiat, Portland, OR 97239 USA
[2] SW Alaska Res Hlth Consortium, Sitka, AK 99835 USA
关键词
fee for service; managed care; Medicaid; rural; severe mental illness;
D O I
10.1007/s10488-006-0041-7
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
This study compared outcomes for rural Medicaid clients with severe mental illness in fee for service versus managed care programs. Interviews were conducted with 305 Medicaid clients in rural Oregon (166 in fee for service and 139 in managed care). Logistic and multivariate regression analyses were used to examine client satisfaction, safety, symptoms, functioning, and family satisfaction in the fee for service versus managed care groups. There was no evidence that conversion of the Medicaid mental health system-from fee for service to managed care led to changes in outcomes for rural clients with severe mental illness.
引用
收藏
页码:411 / 422
页数:12
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