Nonemergency Medical Transportation and Health Care Visits among Chronically Ill Urban and Rural Medicaid Beneficiaries

被引:13
作者
Thomas, Leela V. [1 ]
Wedel, Kenneth R. [2 ]
机构
[1] Delaware State Univ, Coll Educ Hlth & Publ Policy, Dept Social Work, Dover, DE 19901 USA
[2] Univ Oklahoma, Anne & Henry Zarrow Sch Social Work, Norman, OK 73019 USA
关键词
Medicaid; nonemergency medical transportation; NEMT; health care visit; CONGESTIVE-HEART-FAILURE; INSURANCE STATUS; ACCESS; SERVICES;
D O I
10.1080/19371918.2013.865292
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Inaccessibility to health care services due to lack of transportation affects the most vulnerable segments of the society. The effect of Medicaid-provided nonemergency medical transportation (NEMT) in Oklahoma on health care visits for the management of chronic illnesses is examined. Analyses of claims data show that African Americans are the highest users of NEMT. Medicaid beneficiaries who use NEMT services are significantly more likely to make the recommended number of annual visits for the management of chronic conditions than those who do not use NEMT. Increased use of NEMT by making the services more accommodating and convenient for beneficiaries is proposed.
引用
收藏
页码:629 / 639
页数:11
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