What Factors Are Associated With Medicaid Patients’ Use of Health Centers?

Objective: To identify patient and neighborhood factors associated with health center (HC) use. Methods: A cross-sectional study of Medicaid fee-for-service claims in 2009 comparing HC users and nonusers. Results: Dually eligible patients (odds ratio [OR] 95% CI = [0.60, 0.61]) and those with high c...

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Detalles Bibliográficos
Autores principales: Gao, Yihe N., Nocon, Robert S., Sharma, Ravi, Huang, Elbert S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Original Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5469696/
https://www.ncbi.nlm.nih.gov/pubmed/28142316
http://dx.doi.org/10.1177/2150131916687919
Descripción
Sumario:Objective: To identify patient and neighborhood factors associated with health center (HC) use. Methods: A cross-sectional study of Medicaid fee-for-service claims in 2009 comparing HC users and nonusers. Results: Dually eligible patients (odds ratio [OR] 95% CI = [0.60, 0.61]) and those with high chronic disease burden (OR 95% CI = [0.73, 0.74]) had lower odds of HC use. Temporary Assistance for Needy Families participants (OR 95% CI = [1.20, 1.24]), black (OR 95% CI = [1.33, 1.36]) and Hispanic (OR 95% CI = [1.22, 1.25]) beneficiaries had higher odds. Local HC presence predicted higher HC use (OR 95% CI = [2.63, 2.70]). Conclusion: Findings may be useful in steering HC policies affecting critical access for Medicaid beneficiaries.

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