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Access to Care and Chronic Disease Outcomes Among Medicaid-Insured Persons Versus the Uninsured.

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Title: Access to Care and Chronic Disease Outcomes Among Medicaid-Insured Persons Versus the Uninsured.
Authors: Christopher, Andrea S., McCormick, Danny, Woolhandler, Steffie, Himmelstein, David U., Bor, David H., Wilper, Andrew P.
Source: American Journal of Public Health. Jan2016, Vol. 106 Issue 1, p63-69. 7p.
Subjects: Health services accessibility, Medicaid beneficiaries, Chronic disease treatment, Medically uninsured persons, Medical care of the chronically ill, Health & Nutrition Examination Survey, Adults, Medical care of poor people, Regulation of blood pressure, Outpatient medical care, Poverty & society, Medical care, Chronic diseases & psychology, Confidence intervals, Health status indicators, Medicaid, Evaluation of medical care, Socioeconomic factors, Data analysis software, Health & social status, Descriptive statistics, Odds ratio, Psychology
Geographic Terms: Oregon, United States
Abstract: Objectives. We sought to determine the association between Medicaid coverage and the receipt of appropriate clinical care. Methods. Using the 1999 to 2012 National Health and Nutritional Examination Surveys, we identified adults aged 18 to 64 years with incomes below the federal poverty level, and compared outpatient visit frequency, awareness, and control of chronic diseases between the uninsured (n = 2975) and those who had Medicaid (n = 1485). Results. Respondents with Medicaid were more likely than the uninsured to have at least 1 outpatient physician visit annually, after we controlled for patient characteristics (odds ratio [OR] = 5.0; 95% confidence interval [CI] = 3.8, 6.6). Among poor persons with evidence of hypertension, Medicaid coverage was associated with greater awareness (OR =1.83; 95% CI = 1.26, 2.66) and control (OR =1.69; 95% CI = 1.32, 2.27) of their condition. Medicaid coverage was also associated with awareness of being overweight (OR =1.30; 95% CI = 1.02, 1.67), but not with awareness or control of diabetes or hypercholesterolemia. Conclusions. Among poor adults nationally, Medicaid coverage appears to facilitate outpatient physician care and to improve blood pressure control. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Access to Care and Chronic Disease Outcomes Among Medicaid-Insured Persons Versus the Uninsured.
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  Data: <searchLink fieldCode="AR" term="%22Christopher%2C+Andrea+S%2E%22">Christopher, Andrea S.</searchLink><br /><searchLink fieldCode="AR" term="%22McCormick%2C+Danny%22">McCormick, Danny</searchLink><br /><searchLink fieldCode="AR" term="%22Woolhandler%2C+Steffie%22">Woolhandler, Steffie</searchLink><br /><searchLink fieldCode="AR" term="%22Himmelstein%2C+David+U%2E%22">Himmelstein, David U.</searchLink><br /><searchLink fieldCode="AR" term="%22Bor%2C+David+H%2E%22">Bor, David H.</searchLink><br /><searchLink fieldCode="AR" term="%22Wilper%2C+Andrew+P%2E%22">Wilper, Andrew P.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jan2016, Vol. 106 Issue 1, p63-69. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid+beneficiaries%22">Medicaid beneficiaries</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+disease+treatment%22">Chronic disease treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Medically+uninsured+persons%22">Medically uninsured persons</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+of+the+chronically+ill%22">Medical care of the chronically ill</searchLink><br /><searchLink fieldCode="DE" term="%22Health+%26+Nutrition+Examination+Survey%22">Health & Nutrition Examination Survey</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+of+poor+people%22">Medical care of poor people</searchLink><br /><searchLink fieldCode="DE" term="%22Regulation+of+blood+pressure%22">Regulation of blood pressure</searchLink><br /><searchLink fieldCode="DE" term="%22Outpatient+medical+care%22">Outpatient medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Poverty+%26+society%22">Poverty & society</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+diseases+%26+psychology%22">Chronic diseases & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Health+status+indicators%22">Health status indicators</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid%22">Medicaid</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Health+%26+social+status%22">Health & social status</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Oregon%22">Oregon</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Label: Abstract
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  Data: Objectives. We sought to determine the association between Medicaid coverage and the receipt of appropriate clinical care. Methods. Using the 1999 to 2012 National Health and Nutritional Examination Surveys, we identified adults aged 18 to 64 years with incomes below the federal poverty level, and compared outpatient visit frequency, awareness, and control of chronic diseases between the uninsured (n = 2975) and those who had Medicaid (n = 1485). Results. Respondents with Medicaid were more likely than the uninsured to have at least 1 outpatient physician visit annually, after we controlled for patient characteristics (odds ratio [OR] = 5.0; 95% confidence interval [CI] = 3.8, 6.6). Among poor persons with evidence of hypertension, Medicaid coverage was associated with greater awareness (OR =1.83; 95% CI = 1.26, 2.66) and control (OR =1.69; 95% CI = 1.32, 2.27) of their condition. Medicaid coverage was also associated with awareness of being overweight (OR =1.30; 95% CI = 1.02, 1.67), but not with awareness or control of diabetes or hypercholesterolemia. Conclusions. Among poor adults nationally, Medicaid coverage appears to facilitate outpatient physician care and to improve blood pressure control. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.2105/AJPH.2015.302925
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      – Code: eng
        Text: English
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        StartPage: 63
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Medicaid beneficiaries
        Type: general
      – SubjectFull: Chronic disease treatment
        Type: general
      – SubjectFull: Medically uninsured persons
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      – SubjectFull: Medical care of the chronically ill
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      – SubjectFull: Health & Nutrition Examination Survey
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      – SubjectFull: Adults
        Type: general
      – SubjectFull: Medical care of poor people
        Type: general
      – SubjectFull: Regulation of blood pressure
        Type: general
      – SubjectFull: Outpatient medical care
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      – SubjectFull: Poverty & society
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      – SubjectFull: Medical care
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      – SubjectFull: Chronic diseases & psychology
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      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Health status indicators
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      – SubjectFull: Medicaid
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      – SubjectFull: Evaluation of medical care
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      – SubjectFull: Socioeconomic factors
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      – SubjectFull: Data analysis software
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      – SubjectFull: Health & social status
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      – SubjectFull: Psychology
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      – SubjectFull: Oregon
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      – SubjectFull: United States
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    Titles:
      – TitleFull: Access to Care and Chronic Disease Outcomes Among Medicaid-Insured Persons Versus the Uninsured.
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