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The Municipal Health Services Program. Improving access to primary care without increasing expenditures
Medical Care
|July 1, 1986
Summary
The Municipal Health Services Program (MHSP) improved access to primary care for some, but continuity and patient satisfaction goals were unmet. Medicare spending decreased for eligible users, but overall costs remained similar.
Area of Science:
- Public Health
- Health Services Research
- Healthcare Management
Background:
- Fragmented care in public facilities impacts access to primary medical services.
- The Municipal Health Services Program (MHSP) aimed to improve healthcare access for underserved populations.
- Concerns existed regarding the cost-effectiveness of healthcare delivery models.
Purpose of the Study:
- To evaluate the effectiveness of the Municipal Health Services Program (MHSP) in reaching target populations.
- To assess the impact of MHSP on healthcare utilization and costs.
- To determine if MHSP improved care continuity and patient satisfaction.
Main Methods:
- Evaluation of a network of primary care clinics established under the MHSP.
- Analysis of healthcare expenditures and utilization patterns for MHSP users and a control group.
- Assessment of patient satisfaction and care continuity metrics.
Main Results:
- MHSP successfully reached a significant portion of the targeted population, though not all.
- The program may have substituted some outpatient and emergency room services.
- MHSP did not significantly lower overall per capita medical care expenditures but reduced Medicare expenditures for eligible users.
- Program goals for care continuity and patient satisfaction were not achieved.
Conclusions:
- MHSP demonstrated mixed results in achieving its objectives.
- While improving access for some, the program requires further development to enhance patient satisfaction and care continuity.
- Targeted cost savings were observed for Medicare beneficiaries within the MHSP framework.
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