How Internists Are Coping with Their Uninsured Caseloads

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Constrained by discount arrangements with managed care plans and a lack of referral options for free care, private physicians face substantial financial risk in providing care to uninsured patients. To date, little work has been done to examine how doctors cope with these limitations, or whether they even continue to see patients who have lost their coverage. For this project, the New York Academy of Medicine will undertake a survey of up to 1,500 internists in private practice to determine the extent to which their care for insured and uninsured patients differs, how they manage their limited resources to treat the uninsured, and how severely loss of health coverage disrupts the doctor-patient relationship. Project staff will also contrast office-based physicians' experiences with and strategies for serving the uninsured with those of safety net providers. Survey findings will allow analysts to evaluate policy measures that support doctors who treat uninsured patients. The American College of Physicians-American Society of Internal Medicine will cofund the project and provide in-kind staff support.

Grant Details

Grantee Organization:
New York Academy of Medicine
Principal Investigator:
Gerry Fairbrother, Ph.D.
Award Amount:
$70,159.00
Approval Date:
November 13, 2001

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