Outcomes of patient disengagement policies: implications for managed care.
Mil Med
; 161(8): 479-82, 1996 Aug.
Article
en En
| MEDLINE
| ID: mdl-8772303
The gastroenterology division at Wilford Hall Medical Center (WHMC) refers approximately 70% of outpatient consultations to civilian providers, a policy known as disengagement. This policy was implemented in the hope of reducing waiting times for appointments and testing. We conducted a telephone survey to determine whether disengaged patients eventually obtained health care and, if they did not, the reasons for this. We also attempted to determine the level of patient satisfaction with this policy. The results demonstrated that many patients did not obtain care within the 6-month follow-up period, largely because of financial considerations. Most patients were also dissatisfied with the policy and disappointed at not having obtained care at WHMC. The results of this study have important implications for Tricare, which might result in impaired access to care through out-of-pocket patient expenses related to cost-shares and membership fees.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Servicio Ambulatorio en Hospital
/
Derivación y Consulta
/
Programas Controlados de Atención en Salud
/
Medicina Militar
/
Personal Militar
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Mil Med
Año:
1996
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Reino Unido