000002819 001__ 2819 000002819 005__ 20260410130553.0 000002819 0247_ $$2DOI$$a10.6083/M4930RWD 000002819 037__ $$aETD 000002819 245__ $$aDoes cost-sharing in Medicaid influence unmet health care need? 000002819 260__ $$bOregon Health and Science University 000002819 269__ $$a2008 000002819 336__ $$aThesis 000002819 502__ $$bM.P.H. 000002819 520__ $$aUnmet healthcare need is a poorly understood but important issue in health policy, with potentially significant consequences for population health. Prior research suggests that unmet healthcare needs are influenced by insurance status, type of coverage, individual health characteristics, and sociodemographic factors. Cost sharing, commonly used by insurers as a cost-containment strategy, may contribute to unmet healthcare need by creating financial barriers to care. In 2003, cost sharing was introduced into the Oregon Health Plan as part of a policy effort to control expenditures. This study examines the impact of these cost-sharing policy changes on perceived unmet healthcare need among adult enrollees of the Oregon Health Plan. We conducted a secondary analysis of data from the 2003 Oregon Health Care Study, a prospective cohort study of adult Medicaid beneficiaries. 000002819 540__ $$fCC BY 000002819 542__ $$fIn copyright - single owner 000002819 650__ $$aManaged Care Programs$$021791 000002819 650__ $$aCost Sharing$$029645 000002819 650__ $$aMedicaid$$021932 000002819 650__ $$aHealth Policy$$019898 000002819 650__ $$aCost Control$$017145 000002819 650__ $$aProspective Studies$$024706 000002819 650__ $$aDelivery of Health Care$$017452 000002819 651__ $$aOregon$$041094 000002819 6531_ $$aunmet healthcare needs 000002819 691__ $$aSchool of Medicine$$041369 000002819 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000002819 7001_ $$aDuffy, Regan$$uOregon Health and Science University$$041354 000002819 8564_ $$91905e3f3-3bac-46fe-9fdb-9e2055b04211$$s4017841$$uhttps://digitalcollections.ohsu.edu/record/2819/files/3587_etd.pdf$$ePublic$$25d9d56912968143ee2bbc623fdfecc42$$31 000002819 901__ $$a<p>These documents are archival records. They are retained for historical reference only. </p><p><b>Need an accessible version? Use the ‘Get Accessible Copy’ link above.</b></p> 000002819 905__ $$a/rest/prod/z0/29/p4/99/z029p499b 000002819 909CO $$ooai:digitalcollections.ohsu.edu:2819$$pstudent-work 000002819 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000002819 980__ $$aTheses and Dissertations