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Effect of Co-payment on the Use of Medical Services by Male and Female Prisoners

Department of Nursing, Idaho State University, Box 8101, Pocatello, ID 83209; e-mail hydebobb{at}isu.edu

Beverly Brumfield, MS, RN

Pocatello Women's Correctional Center, Idaho

This study determined the effect of co-payment on the use of medical services by approximately 700 male and female prisoners in Idaho. Two way ANOVAs were computed to determine whether there were effects of gender, co-payment, and the interaction between gender and co-payment on the use of medical services. Findings included significant differences between male and female inmate medical requests after co-payment. Another finding was that the average number of requests significantly decreased for dental hygienists and sick care after co-payment, and significant interactions between gender and co-payment occurred for dental hygienists and sick care requests. Also found was a decrease in sick care requests by both male and female prisoners by about 40%. These findings support that co-payment does have a significant impact on the use of medical services in the prisons studied.

Journal of Correctional Health Care, Vol. 9, No. 4, 371-380 (2003)
DOI: 10.1177/107834580300900402


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