This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Zarin, J. L.
Right arrow Articles by Onady, G. M.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Zarin, J. L.
Right arrow Articles by Onady, G. M.
Related Collections
Right arrow Administration and Practice Management
Right arrow Telephone Care

AAP Grand Rounds 4:47 (2000)
© 2000 American Academy of Pediatrics

PRACTICE MANAGEMENT

Decreasing ED Medicaid Use By Improving Telephone and Direct Access to Primary Care Providers

Source: Piehl MD, Clemens CJ, Joines JD. "Narrowing the Gap": decreasing emergency department use by children enrolled in the Medicaid program by improving access to primary care. Arch Pediatr Adolesc Med. 2000;154:791–795.

The first 20% of the full text of this article appears below.

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 . . . [Full Text of this Article]

Jerald L. Zarin, MD, MBA, FAAP1 and Gary M. Onady, MD, PhD, FAAP2
1 Pediatrics, Texas Children’s Health Plan, Houston, TX
2 Frederick A White Center, Wright State University, Dayton, OH