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Cited by 38Healthcare Policy and ManagementPrimary Care and Health OutcomesGlobal Health Workforce Issues

Factors Associated With Pediatricians' Participation in Medicaid in North Carolina

Margolis, Peter A.·1992·JAMA: The Journal of the American Medical Association
DOI 10.1001/jama.267.14.1942
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Abstract

OBJECTIVE: To describe the relative importance of factors influencing pediatricians' participation in Medicaid in North Carolina. DESIGN: Questionnaire survey. SETTING AND PARTICIPANTS: Nonacademic primary care pediatricians in direct patient care at least 50% of the time; 332 (85%) of the 389 eligible pediatricians responded. MAIN OUTCOME MEASURES: Proportion of pediatricians who restricted Medicaid patients' access to their practices. The association between restricting access and the following factors was assessed: Medicaid reimbursement, pediatricians' demographic characteristics, knowledge of the Medicaid program, attitudes toward Medicaid patients and the Medicaid program, and beliefs about whether other physicians were available to care for Medicaid patients. RESULTS: Twenty-nine percent of pediatricians restricted Medicaid patients' access to their practices. The proportion of pediatricians restricting access was 62% in cities, 13% in medium-sized towns, and 12% in small towns (P less than .001), but the proportion of pediatricians in cities who restricted access varied from 87% to 22%. Pediatricians who received a higher proportion of their usual fee were less likely to restrict Medicaid patients' access. The relationship between Medicaid payment and restricted access was substantially weakened after controlling for the following factors: (1) the size of the community, (2) pediatricians' attitudes toward Medicaid payment, (3) their perceptions that they were too busy…

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Crossref · 10.1001/jama.1992.03480140068035

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  • A recent population-based survey by Kogan et al. showed that parents whose children had Medicaid-CHIP coverage were more likely to report that insurance did not allow their child to see needed providers.

    “A recent population-based survey by Kogan et al. showed that parents whose children had Medicaid-CHIP coverage were more likely to report that insurance did not allow their child to see needed providers.31”

    From Auditing Access to Specialty Care for Children with Public Insurance (2011) · cites this paper as [31]

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Authors
Margolis, P. A.
Affiliations
University of North Carolina at Chapel Hill (US)
Corresponding author
Margolis, Peter A.
ORCID
Margolis, Peter A.
Venue
JAMA: The Journal of the American Medical Association
Publisher
American Medical Association (AMA)
Published
1992-04-08
Volume
267
Issue
14
Pages
1942
ISSN
  • 0002-9955 (ISSN-L)
  • 0098-7484
DOI
10.1001/jama.267.14.1942
OpenAlex
W2058205875
Cited by
38
References
16
Citations by year
2019: 1 · 2018: 1 · 2017: 1 · 2014: 1 · 2013: 3
FWCI
5.98
Type
journal article
Language
en
Open access
closed
Locations
  • JAMA (publishedVersion)
  • PubMed (publishedVersion)
  • DigitalGeorgetown (Georgetown University Library) (submittedVersion)
Topics
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
  • Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
  • Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
Keywords
Medicaid participation, pediatricians, Medicaid reimbursement, urban-rural differences, primary care, health care financing, North Carolina
MeSH terms
Attitude of Health Personnel, Female, Health Services Accessibility, Humans, Health Knowledge, Attitudes, Practice, Male, Medicaid, North Carolina, Pediatrics, Practice Patterns, Physicians', Regression Analysis, Reimbursement Mechanisms, United States, Urban Population

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