Document Detail


The impact of outpatient department and emergency room use on costs in the Texas Medicaid Program.
MedLine Citation:
PMID:  6413789     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Medicaid claims data for a 35% random sample (n = 146,167) of persons receiving benefits from Aid to Families with Dependent Children, and who were eligible for Medicaid in Texas in 1980 are used to examine the impact of outpatient department (OPD)/emergency room (ER) care. Average cost is estimated for OPD/ER and private physician (MD) visits. Persons are also classified by primary source of care. Data on age, race, sex, residence, and months eligible in 1980 permitted prediction of statistically adjusted differences between OPD- and MD-oriented persons for number of ambulatory visits, probability of hospitalization, 1980 total costs, and both hospital episode institutional amount paid and length of stay. OPD/ER visits were found to be $23 more expensive than MD visits. OPD-oriented persons had fewer ambulatory visits, slightly more hospitalizations, greater total and episode costs, and longer lengths of stay than did MD-oriented persons. Potential cost savings are projected.
Authors:
N S Fleming; H C Jones
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical care     Volume:  21     ISSN:  0025-7079     ISO Abbreviation:  Med Care     Publication Date:  1983 Sep 
Date Detail:
Created Date:  1983-11-23     Completed Date:  1983-11-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  892-910     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Costs and Cost Analysis
Diagnosis-Related Groups
Emergency Service, Hospital / utilization*
Female
Humans
Infant
Male
Medicaid / economics*
Office Visits / economics
Outpatient Clinics, Hospital / utilization*
Texas

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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