title: Do HMOs make a difference? Access to health care.
abstract: This analysis examines the effects of health maintenance organizations (HMOs) on access to care among the privately insured, nonelderly population. After controlling for population and location differences, HMO and non-HMO enrollees differ little in reports of unmet or delayed care needs. Yet type of insurance affects the source of access problems. HMO enrollees face lower financial barriers to care and are more likely to report a regular source of care than those enrolled in other types of insurance, but they are more likely to report access problems related to the organization of care delivery.
authors.affiliation: Center for Studying Health System Change, Washington DC 20024-2512, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: Reschovsky
mesh_terms: D005382:Financing, Personal / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006279:Health Maintenance Organizations / Q000191:economics / Q000592:standards* / Q000706:statistics & numerical data*; D006297:Health Services Accessibility / Q000191:economics / Q000592:standards*; D006801:Humans; D007182:Income / Q000706:statistics & numerical data; D020380:Needs Assessment / Q000458:organization & administration; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D017149:Private Sector; D012111:Residence Characteristics / Q000706:statistics & numerical data; D014481:United States; D014850:Waiting Lists