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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

 





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