Prepaid group practice effects on the utilization of medical services and health outcomes for children: results from a controlled trial
Authors
Valdez, R. BurciagaWare, John E. Jr.
Manning, Willard G. Jr.
Brook, Robert H.
Rogers, William H.
Goldberg, George A.
Newhouse, Joseph P.
UMass Chan Affiliations
Department of Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
1989-02-01Keywords
AdolescentAttitude to Health
Child
Child Health Services
Child, Preschool
Clinical Trials as Topic
Female
*Group Practice
*Group Practice, Prepaid
*Health
*Health Expenditures
*Health Maintenance Organizations
*Health Status
Humans
Insurance, Health
Male
Outcome and Process Assessment (Health Care)
Washington
Biostatistics
Epidemiology
Health Services Research
Metadata
Show full item recordAbstract
A total of 693 children between the ages of 0 and 13 years were randomly assigned to either a staff model HMO or to one of several fee-for-service insurance plans in Seattle to evaluate differences in medical expenditures and health outcomes. Although the fee-for-service plans varied the amount of cost sharing (0% to 95%), all children were covered for the same medical services, for either 3 or 5 years. No differences in imputed total expenditures were observed for children assigned to the HMO or any of the fee-for-service plans. Children with cost-sharing fee-for-service plans, however, had fewer medical contacts and received fewer preventive services than those assigned to the HMO. Nonetheless, children with the cost-sharing fee-for-service plans were perceived (by their mothers) to be in better health overall than those assigned to the HMO. No significant differences regarding physiological outcomes (eg, visual acuity, hemoglobin level) were observed between the two groups. The results of this experiment neither strongly support nor indict fee-for-service or prepaid care for children.Source
Pediatrics. 1989 Feb;83(2):168-80. Link to article on publisher's sitePermanent Link to this Item
http://hdl.handle.net/20.500.14038/47343PubMed ID
2492377Related Resources
Link to Article in PubMedRelated items
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