TABLE 5.

Associations With Managed Care and Specialist Use by Race/ethnicity: ORs and 95% CIs From Multivariate Logistic Regression Predicting Specialist Use

Coverage TypeMedicaid-Insured ChildPrivately Insured Child
All Medicaid- Insured ChildrenHispanicNon-Hispanic WhiteNon-Hispanic African AmericanNon-Hispanic OtherAll Privately Insured ChildrenHispanicNon-Hispanic WhiteNon-Hispanic African AmericanNon-Hispanic Other
OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)OR (95% CI)
Odds of seeing a specialist among children with Medicaid insurance
 Needs administrative approval to see a specialist1.22 (0.84–1.79)0.70 (0.39–1.24)1.11 (0.58–2.13)2.25 (1.07–4.73)*
 No administrative approval needed1111
Odds of seeing a specialist among children with private insurance
 HMO0.79 (0.66–0.95)0.74 (0.45–1.22)0.85 (0.69–1.06)0.50 (0.30–0.86)0.35 (0.14–0.88)
 Non-HMO11111
  • Note: analyses of Medicaid group include fewer poverty variables; specifically, they include 0% to 99% of the poverty level, 100% to 199% and poverty level unknown. Results for the non-Hispanic other group are not shown because of small numbers. Findings in bold type are statistically significant at =.05.

  • * Not estimable due to small numbers.