HMO practice最新文献_第4页

An approach to decisions about coverage of investigational treatments. 一种决定研究性治疗覆盖范围的方法。

HMO practice Pub Date : 1997-06-01

D B Beebe, A B Rosenfeld, N Collins

引用次数: 0

When the vessel is bad, lowering cholesterol may save the ship. 当船坏了，降低胆固醇可以拯救船。

HMO practice Pub Date : 1997-06-01

K H Bachman

引用次数: 0

How to survive and prosper in the health care revolution. 如何在医疗革命中生存和发展。

HMO practice Pub Date : 1997-06-01

M Hammer

引用次数: 0

A strategic alliance for bone marrow transplant services: Kaiser Permanente and Stanford University. 骨髓移植服务的战略联盟:凯撒医疗机构和斯坦福大学。

HMO practice Pub Date : 1997-06-01

R H Feiner

引用次数: 0

Treatment of somatization in primary care: evaluation of the Personal Health Improvement Program. 初级保健中躯体化的治疗:个人健康改善计划的评估。

HMO practice Pub Date : 1997-06-01

C C McLeod, M A Budd

{"title":"Treatment of somatization in primary care: evaluation of the Personal Health Improvement Program.","authors":"C C McLeod, M A Budd","doi":"","DOIUrl":"","url":null,"abstract":"The objective of this evaluation is to examine the clinical utility of a behavioral medicine intervention for treatment of prevalent, ill-defined physical symptoms in primary care. Commonly known as somatization, these symptoms have no known organic or psychiatric cause, and are poorly treated by biomedicine alone. Designed to treat these mood-related physical symptoms, the Personal Health Improvement Program (PHIP) is a 6-week structured group intervention which includes classroom videos, exercises and home study assignments. Data were collected from 21 PHIP courses offered at both staff and group model delivery sites at Harvard Pilgrim Health Care. One hundred and seventy-one participants filled out questionnaires at the first and last session of the course, and returned follow-up questionnaires by mail 3 months later. In order to obtain clinical data, medical charts were reviewed for the periods 1 year before and 1 year after the course. Questionnaire data included a Medical Symptoms Checklist, the Brief Symptom Inventory, the SF-36, a course satisfaction form, and visits to the health care site. After PHIP, participants reported decreases in emotional and physical distress, increases in functional status, and high levels of satisfaction. Patient improvement was also reflected in decreased use of medical resources after a long-standing pattern of high utilization. These data suggest that by addressing physical complaints that are resistant to biomedical treatment alone, PHIP has practical utility, promoting increased quality of care, increased patient satisfaction, and better allocation of health care resources.","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 2","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039531","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

Growth hormone coverage policy and implementation: a four-year experience. 生长激素覆盖政策与实施:四年经验。

HMO practice Pub Date : 1997-06-01

H P Katz

{"title":"Growth hormone coverage policy and implementation: a four-year experience.","authors":"H P Katz","doi":"","DOIUrl":"","url":null,"abstract":"Expenditures for growth hormone (GH) in the United States approximates 400 million dollars annually. There is considerable controversy and variation around both the indications for GH treatment and insurance coverage decisions involving GH treatment. To address these issues, Harvard Community Health Plan (HCHP), now merged with Pilgrim Health Care to form Harvard Pilgrim Health Care (HPHC), developed a policy and implementation plan in 1992 which limited access to GH to those conditions for which GH has been shown to be effective. The 4-year experience of the HPHC Growth Hormone Review Committee, which determines by case review whether criteria for GH coverage are met, is described. The result has been a more rational, equitable approach to decisions about GH treatment coverage, and significant cost reductions. Caution is warranted in expanding access to GH because the potential for serious side effects has not been completely eliminated. Four years after the inception of the policy and approval process (1992-1995), it is estimated that savings have exceeded 1 million dollars. Growth hormone prescribing costs decreased from 13.4% of total to 4.4% of total drug costs 4 years after the new policy was implemented. This approach to policy development and implementation may be applicable to managing high-cost pharmaceuticals and advanced technology in other settings.","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 2","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039528","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

Partnerships for the delivery of cancer care. 提供癌症治疗的伙伴关系。

HMO practice Pub Date : 1997-06-01

J F Kerner, C H Coulter

引用次数: 0

Academic medical centers and HMOs--our shared future. 学术医疗中心和hmo——我们共同的未来。

HMO practice Pub Date : 1997-06-01

J D'A Reinhard

引用次数: 0

Measuring patient satisfaction: a post-visit survey vs a general membership survey. 衡量患者满意度:就诊后调查与普通会员调查。

HMO practice Pub Date : 1997-06-01

C R Pope, A A Russell

{"title":"Measuring patient satisfaction: a post-visit survey vs a general membership survey.","authors":"C R Pope, A A Russell","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To explore the implications of alternative survey approaches for measuring patient satisfaction among members of an HMO.Design: Comparisons of findings on patient satisfaction from two different mail surveys conducted in 1994 of HMO members: a post-visit survey and a general membership survey.Setting: Kaiser Permanente, Northwest Region (KPNW).Participants: Two random samples of KPNW members: 7680 members surveyed shortly after an HMO office visit; 2142 members from the general KPNW membership roster.Main outcome measures: Patient or member ratings of satisfaction with various aspects of services received from physicians, other clinicians, and non-clinician staff, as well as the overall level of satisfaction with the care and service provided by KPNW.Results: Satisfaction is greater for all aspects of care when patients are reporting on specific visits than when members are generalizing about the care they receive from KPNW. But the pattern of satisfaction is highly consistent across the two surveys. Among the sociodemographic characteristics of patients and members, age is the best predictor of satisfaction.Conclusions: Both surveys have value for managing, monitoring, and evaluating HMOs. The member survey probably reflects something of the reputation of the HMO while the patient survey mirrors more its current functional status. The member survey is probably more useful for managing and monitoring the health care system (which in turn will create its future reputation), but the visit survey provides valuable information for those purchasers and individuals making choices among contemporary health care options.","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 2","pages":"74-9"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21039529","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

The Continuous Health Improvement Program: research in an HMO delivery system. 持续健康改善计划:HMO交付系统的研究。

HMO practice Pub Date : 1997-06-01

J Sidorov

引用次数: 0