M. Yuen, W. Seto, D. H. Chow, Kitty Tsui, D. Wong, V. Ngai, B. Wong, James Fung, J. Yuen, Ching‐lung Lai
{"title":"Lai","authors":"M. Yuen, W. Seto, D. H. Chow, Kitty Tsui, D. Wong, V. Ngai, B. Wong, James Fung, J. Yuen, Ching‐lung Lai","doi":"10.2307/j.ctv1hztrbd.108","DOIUrl":"https://doi.org/10.2307/j.ctv1hztrbd.108","url":null,"abstract":"Background. The main study objective was to investigate cholesterol treatment practices of primary care physicians in a managed care setting. Methods. The study was a retrospective review of data with a quasiexperimental design. The National Cholesterol Education Program–Adult Treatment Panel II (NCEP-ATP II) guidelines were used as the reference for conducting a measurement model in the study. Data were randomly selected via a systematic probability sampling method from a health maintenance organization (HMO) capitated risk-based contracting medical clinic in southern Florida. Results. Of the 348 patients selected for the study, 224 (65%) needed either dietary therapy (n = 106) or drug therapy (n =118). However, only 16 patients (13.6%) had ever had cholesterol-lowering drug regimens prescribed during the 5-year study period. Conclusions. Our findings indicate that (1) primary care physicians have poorly adopted the cholesterol management practice recommended by NCEP guidelines and need to improve their recognition and treatment of hypercholesterolemia; and (2) the problem of underutilizing prescription medications may be associated with risk-sharing capitation arrangements between physicians and third-party insurers. From the Department of Pharmacy Administration, Nova Southeastern University, Fort Lauderdale, Fla. Reprint requests to L. Leanne Lai, PhD, Nova Southeastern University, Department of Pharmacy Administration, 3200 S University Dr, Fort Lauderdale, FL 33328. Lai et al • TREATMENT OF HYPERLIPIDEMIA IN AN HMO 283 284 March 2000 • SOUTHERN MEDICAL JOURNAL • Vol. 93, No. 3 care physicians’ clinical judgments and practices in treating hypercholesterolemia, with emphasis on the HMO managed care setting.","PeriodicalId":240092,"journal":{"name":"The Craft of Poetry","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123398149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Crossing the beck","authors":"","doi":"10.2307/j.ctv1hztrbd.5","DOIUrl":"https://doi.org/10.2307/j.ctv1hztrbd.5","url":null,"abstract":"","PeriodicalId":240092,"journal":{"name":"The Craft of Poetry","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114698862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stanza","authors":"","doi":"10.2307/j.ctv1hztrbd.12","DOIUrl":"https://doi.org/10.2307/j.ctv1hztrbd.12","url":null,"abstract":"Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi 5 ut aliquip consequat ut aliquip consequat irure dolor in reprehenderit irure dolor in [ reprehenderit Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu ur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui ocia deserunt Duis aute irure dolor in reprehenderit 10 in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat","PeriodicalId":240092,"journal":{"name":"The Craft of Poetry","volume":"16 10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121805790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}