Jeanne M. Lambrew

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The authors assessed the relationship between having a regular doctor and access to care, as measured by a set of preventive and primary care utilization indicators recommended by the Institute of Medicine. The 1987 National Medical Expenditure Survey was used in the analyses (n = 30,012). The results of the regression analyses suggest that individuals with(More)
This study used logistic regression to identify differences in community-level characteristics of small, rural hospitals that provided obstetrical services compared to those that did not. The hypothesis was that community characteristics, such as demographics, geographic location, and socioeconomic status influence the ability of rural hospitals to sustain(More)
Support for this research was provided by the Commonwealth Fund’s Task Force on the Future of Health Insurance under a grant to Sherry Glied at the Joseph L. Mailman School of Public Health, Columbia University. Analysis of data was undertaken jointly by the author and Columbia staff under the direction of Sherry Glied. The views presented here are those of(More)
Proposals to expand the individual health insurance market and promote health savings accounts are intended to provide consumers with more "choice." The types of choices people prefer, however, are not well understood. This analysis of survey data finds that having a choice of health care providers matters more to people than having a choice of health(More)
In 2003, President Bush proposed converting Medicaid from an entitlement to a block grant program. Similar ideas from President Reagan in 1981 and Congress in 1995 were introduced but not enacted. Block grants aim to provide greater federal budget certainty and a stronger state incentive to contain program costs. This paper compares the preestablished(More)
ONE YEAR AGO, THE UNITED STATES EXPERIENCED one of the worst natural disasters in its history. Hurricane Katr ina caused wel l documented, widespread death and destruction, reducing hospital capacity by 80% and safety-net clinics by 75% in New Orleans alone. The hurricane also created a diaspora of more than a million evacuees to every state in the nation.(More)
As rural communities struggle to sustain health services locally, innovative alternatives to traditional programs are being developed. A significant adaptation is the rural health network or alliance that links local health departments and community health centers. The authors describe how a rural local health department and community health center, the(More)
Medicare was enacted to provide health insurance to the elderly (and later, the disabled) population. Not only was it not intended to pay for long-term care (LTC); its statute explicitly excluded coverage for custodial care—the assistance with basic activities of daily living (ADLs) (such as bathing, dressing, and eating) that constitute LTC. Although the(More)
Some speculate that Americans are neither politically capable of nor morally committed to solving the health system problems. We disagree. We propose a plan that insures all and improves the value and cost-effectiveness of health care by knitting together employer-sponsored insurance and Medicaid; promoting prevention, research, and information technology;(More)