Abstract

The purpose of this study is: (1) to determine if the practice of "gatekeeping" to control access to emergency departments by clients is a prevalent practice in nationwide Health Maintenance Organizations (HMOs}; (2) to determine if a consistent HMO-wide definition of "life-threatening" emergency medical condition exists; (3) to delineate emergency triage systems used by HMOs; (4) to determine what medical directors perceive is the impact of gatekeeping access to emergency department (ED} services on the timeliness of HMO members receiving ED services; and (5) to see if differences exists in for-profit and non-profit HMO gatekeeping policies.

Author Details

Regina Conway-Phillips, PhD, RN, Associate Professor and Department Chair

Sigma Membership

Alpha Beta

Lead Author Affiliation

Loyola University Chicago, Chicago, Illinois, USA

Type

Thesis

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Quantitative Research

Keywords:

Health Maintenance Organizations, Access to Care, Emergency Medical Care

Advisor

Shiela A. Haas

Second Advisor

Diana P. Hackbarth

Degree

Master's

Degree Grantor

Loyola University Chicago

Degree Year

1994

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2023-01-31

Full Text of Presentation

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