{"title":"Prevention of hepatitis A.","authors":"C N Shapiro, B P Bell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"12 1","pages":"36-8"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21050433","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":"Patient-clinician trust: the learning curve of communication. Dialogue.","authors":"J E Sabin, S D Pearson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"12 1","pages":"14-6"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21050430","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":"Managed care for the medically uninsured: the preliminary experience of CU CARE.","authors":"D W Price, J F Steiner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Uninsured Americans often face barriers to or lack continuity of care. Care for this population is often fragmented, expensive and undercompensated. University Hospital in Denver, in partnership with Kaiser Permanente of Colorado, sought to address this problem by developing CU CARE, a managed care demonstration program for the medically uninsured within the University of Colorado Health Sciences Center. This paper describes the evolution and preliminary experience of the CU CARE program. Policy implications for the future of health care delivery to this population are also briefly discussed.</p>","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"12 1","pages":"24-9"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21050432","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":"Patient education as medical intervention: a pilot study.","authors":"F Comite, T C Gallagher, V Villagra, C E Koop","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To describe and assess the perceived impact of an innovative patient health informatics tool among members of a managed care organization.</p><p><strong>Setting: </strong>Mixed-model HMO in Connecticut.</p><p><strong>Design: </strong>Intervention group only, post-test only (telephone interview using structured protocol).</p><p><strong>Participants: </strong>Members of a Connecticut HMO who responded to a free video offer and met study eligibility requirements.</p><p><strong>Intervention: </strong>Patient education videos from the entire Time Life Medical At Time of Diagnosis series.</p><p><strong>Main outcome measures: </strong>Knowledge of condition and treatment options, attitude and outlook towards condition, patient-provider communication, behavior change, physician contacts for condition.</p><p><strong>Results: </strong>Study participants reported that the video improved their understanding and knowledge of treatment options for their condition. They also reported a positive impact of the videos on a range of attitudes and behaviors pertinent to their condition. Participants endorsed the involvement of their HMO in distributing the videos, and few adverse effects from use of the videos were observed.</p><p><strong>Conclusions: </strong>This study provides preliminary evidence for a positive impact of health informatics tools on patient attitudes, including expectancies for care, quality of patient-physician communication, and satisfaction with health plan. The fact that most persons responding to the video offer had their condition for several years suggests that distribution of health informatics tools should not be limited to the newly-diagnosed.</p>","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"12 1","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21050431","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":"Diabetes case management: experience in the staff and IPA model HMO.","authors":"S F Quevedo, P Blenkiron, K Lynch","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"12 1","pages":"44-6"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21050436","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":"HMO chiropractic referrals: a nurse triage approach.","authors":"S A Lewis, K L Sorel, J C Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"12 1","pages":"41-3"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21050435","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}
T M Vogt, J F Hollis, E Lichtenstein, V J Stevens, R Glasgow, E Whitlock
{"title":"The medical care system and prevention: the need for a new paradigm.","authors":"T M Vogt, J F Hollis, E Lichtenstein, V J Stevens, R Glasgow, E Whitlock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The American medical care system falls to provide effective prevention services even though some prevention services are among the most cost-effective medical procedures available. Many prevention services are routinely delivered in inefficient or ineffective ways, and new technologies may be widely and aggressively implemented despite serious doubts about their efficacy and cost-effectiveness. The barriers to effective prevention services result from conceptual limitations in our model of medical care systems, particularly the lack of a population-based perspective. A change in paradigm is needed before reforms in our health care system can improve health without bankrupting the nation.</p>","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"12 1","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"1998-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21050437","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":"Managed care can improve pneumococcal and influenza vaccination levels.","authors":"W W Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 4","pages":"174-5"},"PeriodicalIF":0.0,"publicationDate":"1997-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21048057","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}