Gynecologists ordered fewer preventive services for women who were insured by Medicaid than for those with private coverage, a recent study found.
The study by researchers at the Urban Institute examined how office-based primary care practices provided five recommended preventive services over a five-year period.
The services were clinical breast exams, pelvic exams, mammograms, Pap tests and depression screening.
The study used data from the National Ambulatory Medical Care Survey, a federal health database of services provided by physicians in office-based settings.
It looked at 12,444 visits to primary care practitioners by privately insured women and 1,519 visits by women who were covered by Medicaid between 2006 and 2010.
That difference reflects the fact that the share of women who are privately insured is seven times larger than those on Medicaid, the researchers said. Pregnancy-related visits and visits to clinics were excluded from the analysis.
Overall, 26 percent of the visits by women with Medicaid included at least one of the five services, compared with 31 percent of the visits by privately insured women. Continue reading