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Hoffmann, R. A wiki for the life sciences where authorship matters. Nature Genetics (2008)
 
 
 

Decreased attendance at cystic fibrosis centers by children covered by managed care insurance.

OBJECTIVE: The evolution of managed care has raised concerns about differential access to care for children with cystic fibrosis ( CF). We tested the hypothesis that children with CF with managed care attended CF centers less frequently compared with children with non-managed care. METHODS: We conducted a prospective cohort study by telephone every 4 months to measure access to care at CF centers among 630 randomly selected patients aged 6-18 years from 15 US CF centers. We analyzed data with unconditional logistic regression and generalized estimating equations. RESULTS: Attendance at CF centers was significantly reduced among children with managed care (odds ratio [OR] = 0.74; 95% confidence interval [CI] = 0.57, 0.98; P=0.03) and among girls (OR=0.68; 95% CI=0.48, 0.97; P=0.04). CONCLUSIONS: Children with CF with managed care attended CF centers significantly less frequently than those with non-managed care. These findings suggest that children with CF with managed care may not have equal access to experts in CF as children with non-managed care. Families should consider this when selecting their medical insurance plan. These findings may apply to other children with special health care needs.[1]

References

  1. Decreased attendance at cystic fibrosis centers by children covered by managed care insurance. Nathanson, I., Ramírez-Garnica, G., Wiltrout, S.A. American journal of public health. (2005) [Pubmed]
 
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