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AAP Grand Rounds 4:47 (2000)
© 2000 American Academy of Pediatrics
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For children from low income families, limited access to medical care has correlated with over utilization of emergency department (ED) services, particularly for nonurgent care.1,2 Piehl et al from Chapel Hill and Greensboro, NC, reviewed ED records to assess the combined effects of implementing a phone triage system coupled with expansion of a Medicaid panel of primary care providers (PCPs). Telephones were answered by nurses 24 hours/day, 7 days/week. The number of Medicaid providers was increased by paying a monthly fee (amount not specified) for each Medicaid enrollee in addition to the usual fee for
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1 Pediatrics, Texas Childrens Health Plan, Houston, TX 2 Frederick A White Center, Wright State University, Dayton, OH |
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