Journal ArticleDOI
Physician response to patient insurance status in ambulatory care clinical decision-making. Implications for quality of care.
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TLDR
In self-reports, physicians are more likely to recommend services for insured than for uninsured patients, and more so when services are discretionary, providing evidence that physicians' recommendations may be important mediators of insurance-related variation in the use of health-care services.Abstract:
OBJECTIVESIndividuals without health insurance in general receive fewer health services and are more likely than insured patients to experience poor outcomes. The main goal of this research was to study whether physicians' clinical recommendations vary for insured and uninsured patients, implying thread more
Citations
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Journal ArticleDOI
Effects of financial incentives on medical practice: results from a systematic review of the literature and methodological issues.
TL;DR: All financial incentives that had been proposed, described, or used regardless of their initial objective were identified and, when possible, assessed to assess the results of these incentives on costs, process or outcomes of care.
Book ChapterDOI
Chapter 9 – Physician Agency*
TL;DR: In this paper, the authors present a review of the theory and empirical literature on physician market power, behavior, and motives, referred to collectively as the issue of "physician agency".
Journal ArticleDOI
Primary care physician specialty referral decision making: patient, physician, and health care system determinants.
Christopher B. Forrest,Paul A. Nutting,Sarah von Schrader,Charles A. Rohde,Barbara Starfield +4 more
TL;DR: The risk of a referral being made for discretionary reasons was increased by capitated primary care payment, internal medicine specialty of the PCP, high concentration of specialists in the community, and higher levels of managed care in the practice.
Journal ArticleDOI
Unraveling the racial disparities associated with kidney disease1
TL;DR: Data is reviewed highlighting the racial/ethnic disparities that exist in the incidence and treatment of CKD, with particular emphasis on ESRD.
Journal ArticleDOI
Late Initiation of Dialysis among Women and Ethnic Minorities in the United States
Annamaria T. Kausz,Gregorio T. Obrador,Gregorio T. Obrador,Pradeep Arora,Robin Ruthazer,Andrew S. Levey,Brian J.G. Pereira +6 more
TL;DR: Certain nonclinical patient characteristics, notably female gender, race, and lack of insurance, are related to an increased likelihood of late initiation of dialysis and these factors may reflect reduced access to care.
References
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Journal ArticleDOI
Rates of avoidable hospitalization by insurance status in Massachusetts and Maryland.
TL;DR: It is suggested that patients who are uninsured or who have Medicaid coverage have higher rates of hospitalization for conditions that can often be treated out of hospital or avoided altogether.
Journal ArticleDOI
The Relation between Health Insurance Coverage and Clinical Outcomes among Women with Breast Cancer
TL;DR: This study compared the stage of disease and stage-specific survival among women with private insurance, no insurance, and Medicaid coverage through June 1992, and estimated the adjusted risk of death for these groups.
Journal ArticleDOI
Professional uncertainty and the problem of supplier-induced demand.
TL;DR: The evidence reviewed here supports the hypothesis that variations occur to a large extent because of differences among physicians in their evaluation of patients or in their belief in the value of the procedures for meeting patient needs.
Journal ArticleDOI
Delayed access to health care: risk factors, reasons, and consequences.
TL;DR: Patients generally thought to be disadvantaged are at especially high risk for delaying care for conditions that eventually lead to hospitalization, and interventions that reduce delays seem especially important.