HMO practice最新文献_第3页

Improving the primary care evaluation of infertility. 改进对不孕症的初级保健评价。

HMO practice Pub Date : 1997-09-01

M Ostrov

引用次数: 0

Management of otitis media: the case for more judicious and targeted antibiotic use. 中耳炎的管理:更明智和有针对性地使用抗生素的情况。

HMO practice Pub Date : 1997-09-01

B Schwartz, S Dowell

引用次数: 0

Communication consultants. 通信顾问。

HMO practice Pub Date : 1997-09-01

T S Stein

引用次数: 0

Measuring pediatric immunization status in a managed care organization: agreement between medical charts and parent telephone interviews. 在管理式医疗机构中测量儿科免疫状况:医疗图表和家长电话访谈之间的一致性。

HMO practice Pub Date : 1997-09-01

C A McPhillips-Tangum, R Aubert, C M Bailey, J P Koplan

{"title":"Measuring pediatric immunization status in a managed care organization: agreement between medical charts and parent telephone interviews.","authors":"C A McPhillips-Tangum, R Aubert, C M Bailey, J P Koplan","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To measure the agreement between pediatric immunization data obtained from medical charts and data provided by parents during telephone interviews and to assess the reliability of immunization information provided during parent telephone interviews.Design: Medical charts reviews and telephone interviews with parents.Setting: Prudential HealthCare.Participants: Children sampled for the 1993 HEDIS study and the parents of those children (n = 356).Main outcome measure: Overall agreement between immunization data obtained from medical charts and data provided by parents during telephone interviews.Results: Agreement between immunization data obtained from medical charts and data provided in parent telephone interviews varies from poor to good if the parent refers to a shot record during the interview. Agreement between the two data sources is better with single dose vaccines (i.e., 1 MMR) than multiple dose vaccines (i.e., 4 DTP). Although parents tend to report fewer immunizations than are indicated in the child's medical chart, the medical charts in this study contained too many vaccine omissions to be considered reliable \"gold standards\" of vaccine receipt. Parents who refer to a shot record when providing information about pediatric immunizations provide reliable data (r = .8807-1.0).Conclusion: When measuring completion of the immunization series, especially among parents who do not have access to a shot record, medical chart reviews remain the better approach in the managed care setting.","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 3","pages":"104-10"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046027","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}

引用次数: 0

Closing the gap in trust: to refer out or not? 缩小信任差距:要不要举证?

HMO practice Pub Date : 1997-09-01

R J Fitzpatrick

引用次数: 0

How far will population-based medicine take us? 以人口为基础的医学能让我们走多远?

HMO practice Pub Date : 1997-09-01

L A Katz

引用次数: 0

From Kaiser Permanente's Emergency Care Program to a collaboration with the American College of Emergency Physicians. 从凯撒医疗机构的紧急护理项目到与美国急诊医师学会的合作。

HMO practice Pub Date : 1997-09-01

P R Salber, L Bedard

引用次数: 0

Attitudes about clinical practice guidelines in a mixed model HMO: the influence of physician and organizational characteristics. 混合模式HMO对临床实践指南的态度:医生和组织特征的影响。

HMO practice Pub Date : 1997-09-01

S R Salem-Schatz, L K Gottlieb, M A Karp, L Feingold

{"title":"Attitudes about clinical practice guidelines in a mixed model HMO: the influence of physician and organizational characteristics.","authors":"S R Salem-Schatz, L K Gottlieb, M A Karp, L Feingold","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This study assesses physician attitudes toward clinical practice guidelines, in an organization where guidelines have long been incorporated into the clinical practice. Attitudes toward institutional guidelines and guidelines in general are explored, and are compared to a published study describing attitudes among a sample of American College of Physician (ACP) members.Design: Descriptive study.Setting: A large, mixed model HMO.Sample: Two hundred and three internists and family practice physicians.Measures: Attitudes toward perceived compliance with clinical practice guidelines were assessed. Summary measures of attitudes and anticipated impact of guidelines were created.Results: Overall, attitudes toward practice guidelines among HMO physicians were very positive. Differences were observed by gender, practice model, years in practice and residency training. HMO physicians on average held more favorable attitudes toward guidelines compared with published results of an ACP survey. While HMO physicians in independent group practices viewed the concept of guidelines less favorably than staff model physicians, they were more likely to view the impact of guidelines positively than were the ACP physicians.Conclusions: Exposure to practice guidelines in the context of clinical practice can lead to positive attitudes about those guidelines. While resentment toward a system which relies on practice supports such as guidelines may remain among some physicians, this need not be inconsistent with an appreciation of the potential value of guidelines for improving clinical quality.","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 3","pages":"111-7"},"PeriodicalIF":0.0,"publicationDate":"1997-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046028","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}

引用次数: 0

A process IMPROVEment approach to preventive services: case studies of CQI demonstration projects in two primary care clinics. 预防服务的流程改进方法:两家初级保健诊所CQI示范项目的案例研究。

HMO practice Pub Date : 1997-09-01

L R Fischer, L I Solberg, T E Kottke, C A Calomeni

引用次数: 0

Aligning organizational strategic planning and research priorities: the Kaiser experience. 调整组织战略规划和研究重点:凯撒的经验。

HMO practice Pub Date : 1997-09-01

B Miller, F J Crosson

引用次数: 0