Obstetric care, Medicaid, and family physicians. How policy changes affect physicians' attitudes.
West J Med
; 155(6): 653-7, 1991 Dec.
Article
en En
| MEDLINE
| ID: mdl-1812644
ABSTRACT
Recent expansion of Medicaid eligibility for pregnant women and increased reimbursement to physicians who provide perinatal services were designed to improve access to care. Family physicians provide a relatively high proportion of care to pregnant women on Medicaid, especially in rural areas. We surveyed all family physicians who provide obstetric services in 26 northern California counties regarding these changes and perceived barriers to providing obstetric care to women on Medicaid. Of surveyed physicians who limited the number of their Medicaid obstetric patients, 58% stated that recent Medicaid policy changes had increased their willingness to accept new Medicaid obstetric patients. Despite these policy changes, administrative issues and poor reimbursement were cited as the two most notable barriers to providing obstetric care to women on Medicaid. Fear of being sued by Medicaid patients is still seen as a barrier by physicians who have recently discontinued practicing obstetrics and by those who continue to care for a large number of Medicaid obstetric patients.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Actitud del Personal de Salud
/
Medicaid
/
Medicina Familiar y Comunitaria
/
Reembolso de Seguro de Salud
/
Obstetricia
Límite:
Female
/
Humans
/
Pregnancy
País como asunto:
America do norte
Idioma:
En
Año:
1991
Tipo del documento:
Article