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首页> 外文期刊>Journal of health care for the poor and underserved >Fee-for-service and managed care for seniors and people with disabilities on Medicaid: implications for the managed care mandate in California.
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Fee-for-service and managed care for seniors and people with disabilities on Medicaid: implications for the managed care mandate in California.

机译：Medicaid上针对老年人和残疾人的收费服务和管理式护理：对加利福尼亚州管理式护理规定的影响。

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OBJECTIVE: To assess differences in perceived quality of care between fee-for-service (FFS) and managed care Medicaid (MMC) by seniors and persons with disabilities (SPD) and to generate hypotheses for future evaluations of the new managed care mandate for SPD in California. METHODS: A cross-sectional telephone survey of 403 SPD Medicaid beneficiaries comparing perceived access to, satisfaction with, and quality of care between beneficiaries who had voluntarily enrolled in MMC with those who had remained in FFS. RESULTS: Beneficiaries in MMC were more likely to be "very satisfied" with their benefits than those in FFS. There was no significant difference on any measure of access to care. Most beneficiaries in MMC reported their access to and quality of health care was either the same or better than it had been in FFS. CONCLUSION: On most measures, MMC was rated either the same or better than FFS by SPD beneficiaries who voluntarily enrolled in MMC.
机译：目的：评估老年人和残疾人（SPD）的有偿服务（FFS）和管理式医疗补助（MMC）在感知的护理质量方面的差异，并为未来评估SPD的新管理式医疗授权产生假设在加利福尼亚。方法：一项针对403名SPD医疗补助受益人的横断面电话调查，比较了自愿加入MMC的受益人与仍在FFS中的受益人之间的感知获得，满意度和护理质量。结果：MMC中的受益人比FFS中的受益人更“非常满意”他们的利益。在获得护理的任何措施上都没有显着差异。 MMC的大多数受益者报告说，他们获得医疗服务的质量和质量与FFS相同或更好。结论：在大多数措施上，自愿参加MMC的SPD受益人对MMC的评价与FFS相同或更好。

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