000000353 001__ 353
000000353 005__ 20260410124446.0
000000353 0247_ $$2DOI$$a10.6083/M47S7KQ1
000000353 037__ $$aETD
000000353 245__ $$aThe effect of the Oregon Health Plan cutbacks on the presentation of chronic illnesses to Oregon emergency departments
000000353 260__ $$bOregon Health and Science University
000000353 269__ $$a2008
000000353 336__ $$aThesis
000000353 502__ $$bM.P.H.
000000353 520__ $$aThis study examined the impact of Oregon’s 2003 Medicaid policy changes—which resulted in large-scale disenrollment from the Oregon Health Plan (OHP)—on emergency department (ED) use for chronic illnesses. Using ED claims from 22 hospitals (March 2001–February 2005), we compared the proportion of chronic ambulatory care–sensitive visits before and after the policy changes across payer groups. Uninsured patients were significantly more likely to present with chronic conditions after the cutbacks (OR = 1.10), a pattern not seen in commercial or OHP groups. A similar trend appeared among uninsured patients with behavioral health diagnoses. These findings suggest that Medicaid cutbacks were followed by increased preventable ED use among uninsured individuals, underscoring the need to re-evaluate cost‑effective strategies for managing chronic illness care.
000000353 540__ $$fCC BY
000000353 542__ $$fIn copyright - single owner
000000353 650__ $$aMedically Uninsured$$029654
000000353 650__ $$aHealth Policy$$019898
000000353 650__ $$aCost-Benefit Analysis$$017144
000000353 650__ $$aChronic Disease$$016715
000000353 650__ $$aMedicaid$$021932
000000353 650__ $$aEmergency Service, Hospital$$018352
000000353 6531_ $$aoregon health plan
000000353 691__ $$aSchool of Medicine$$041369
000000353 692__ $$aDepartment of Public Health and Preventive Medicine$$041444
000000353 7001_ $$aErtz-Berger, Briar$$uOregon Health and Science University$$041354
000000353 7201_ $$aFu, Rochelle$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor
000000353 7201_ $$aCarlson, Matthew$$uOregon Health and Science University$$041354$$7Personal$$eAdvisor
000000353 8564_ $$9ceed84fd-548f-4d16-9c53-04421e19b17d$$s142179$$uhttps://digitalcollections.ohsu.edu/record/353/files/354_etd.pdf$$ePublic$$2711181c391ae7517468a0356f529f65f$$31
000000353 901__ $$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 They are retained for historical reference only.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>
000000353 905__ $$a/rest/prod/cz/30/ps/65/cz30ps65n
000000353 909CO $$ooai:digitalcollections.ohsu.edu:353$$pstudent-work
000000353 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument
000000353 980__ $$aTheses and Dissertations