HMO practice最新文献_第5页

A method to reduce high inpatient psychiatric utilization and improve care. 一种降低精神科住院病人高使用率和改善护理的方法。

HMO practice Pub Date : 1997-06-01

B D Aspel, S Soreff, K Hoey

引用次数: 0

Cancer, managed care, and therapeutic research: an ethicist's view. 癌症、管理护理和治疗研究:一个伦理学家的观点。

HMO practice Pub Date : 1997-06-01

D P Sulmasy

引用次数: 0

Nicotine replacement therapy in a group model HMO. 尼古丁替代疗法在HMO组模型中的应用。

HMO practice Pub Date : 1997-03-01

S J Rolnick, D Klevan, L Cherney, H A Lando

{"title":"Nicotine replacement therapy in a group model HMO.","authors":"S J Rolnick, D Klevan, L Cherney, H A Lando","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To examine patient response to a smoking cessation program that combined a nicotine replacement system (patch) with telephone support.Design: Randomized trial.Setting: A large Midwestern HMO. PARTICIPANTS. Five hundred and nine smokers who attended orientation sessions where an overview of the study and the use of the nicotine patch was presented.Intervention: All subjects received a prescription for a nicotine replacement patch (Prostep, Lederle Laboratories, Wayne, NJ). Participants were randomly assigned to one of three intervention groups. Group I participants (n = 166) received no additional support. Group II participants (n = 167) were registered with a 24-hour telephone hotline. Group III participants (n = 167) were registered with the 24-hour telephone hotline and received four follow-up telephone calls from health educators.Outcome measure: The primary outcome measure was smoking cessation. Subject satisfaction with study components was also evaluated.Results: Overall, there was no significant difference by group in smoking cessation rates: 20% of patients in all three groups were smoke-free after 12 months. Few patients (1%) used the telephone hotline. The telephone follow-up did not have an impact on cessation rates, and most patients (92%) reported that the orientation session was useful.Conclusions: The study experience has helped the HMO evaluate various study components and has had an impact on currently used telephone intervention strategies and educational materials.","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 1","pages":"34-7"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21038732","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

Increasing bicycle helmet effectiveness: the importance of proper helmet fit and wearing position. 提高自行车头盔的有效性:正确佩戴头盔和佩戴位置的重要性。

HMO practice Pub Date : 1997-03-01

D C Thompson, R S Thompson, A Kaufman, F P Rivara

引用次数: 0

Preventive services in HMOs. 卫生保健组织的预防服务。

HMO practice Pub Date : 1997-03-01

R S Thompson

引用次数: 0

Immunization tracking systems: experience of the CDC Vaccine Safety Datalink sites. 免疫跟踪系统:CDC疫苗安全数据链站点的经验。

HMO practice Pub Date : 1997-03-01

R L Davis, S Black, C Vadheim, H Shinefield, B Baker, D Pearson, R Chen

引用次数: 0

The Colon Cancer Prevention Program (CoCaP): rationale, implementation, and preliminary results. 结肠癌预防计划(CoCaP):基本原理、实施和初步结果。

HMO practice Pub Date : 1997-03-01

A M Palitz, J V Selby, S Grossman, L J Finkler, M Bevc, C Kehr, C A Conell

{"title":"The Colon Cancer Prevention Program (CoCaP): rationale, implementation, and preliminary results.","authors":"A M Palitz, J V Selby, S Grossman, L J Finkler, M Bevc, C Kehr, C A Conell","doi":"","DOIUrl":"","url":null,"abstract":"Although there is now solid evidence to support the efficacy of colorectal cancer screening, few health care systems have developed comprehensive screening programs. This report describes the scientific rationale, development and implementation strategies, and preliminary results of the Colon Cancer Prevention Program (CoCaP) of the Northern California Region of the Kaiser Permanente Medical Care Program. CoCaP is a sigmoidoscopy-based screening program that aims to provide screening to all average-risk program members once every 10 years beginning at age 50. During the first 2 years of the program, more than 100,000 sigmoidoscopies were performed in age-eligible members (age 50 years and above). Seventy-five percent of these were screening examinations. Participating endoscopists include gastroenterologists, generalist physicians, and a growing number of non-physicians, primarily nurses, nurse-practitioners or physicians' assistants. Data on depth of insertion and polyp yield suggest that non-physicians quickly become as proficient as physician endoscopists. The long-term goals of the CoCaP program are to reduce the incidence of and mortality from colorectal cancer. Collection and analysis of data from the screening examinations and follow-up colonoscopies will enable CoCaP to refine its screening algorithm and to quantify program effectiveness.","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 1","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21038735","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

Chiropractic services in a staff model HMO: utilization and satisfaction. 员工模式HMO的脊医服务:利用与满意度。

HMO practice Pub Date : 1997-03-01

J P Hansen, D B Futch

引用次数: 0

Barriers to prenatal care among Medicaid managed care enrollees: patient and provider perceptions. 在医疗补助管理的保健登记人员产前护理的障碍:患者和提供者的看法。

HMO practice Pub Date : 1997-03-01

J A Gazmararian, K S Schwarz, L B Amacker, C L Powell

{"title":"Barriers to prenatal care among Medicaid managed care enrollees: patient and provider perceptions.","authors":"J A Gazmararian, K S Schwarz, L B Amacker, C L Powell","doi":"","DOIUrl":"","url":null,"abstract":"To identify what patients and providers perceive as barriers to prenatal care among women enrolled in a Medicaid managed care plan, focus group discussions of: 1) women, 13 to 45 years of age, enrolled in a Medicaid managed care plan and 2) providers (physicians, nurse practitioners, nurses, and medical assistants) that serve this population were conducted at a location in the community by professional facilitators. Forty-two enrolled women and 22 providers participated. Based on an interpretive analysis of comments regarding perceived barriers towards receiving prenatal care by patients and providers, we found some perceived barriers that were similar for both groups. Both groups of respondents thought that problems with transportation, knowledge of TennCare, and substance abuse were barriers to receiving prenatal care. Providers mentioned lack of enrollee's education, need for child care, and limited hours of operation; and patients mentioned treatment by office personnel, lack of rapport with health providers and lack of recognition of pregnancy as additional barriers. Understanding both patient and provider perspectives of the barriers to receiving care is the first step towards meeting the needs of the target population. Health plans that serve the historically underserved population must take a specialized approach that adapts to the population's distinct needs.","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"11 1","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"1997-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21046103","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

Building a patient registry for implementation of health promotion initiatives: targeting high-risk individuals. 建立病人登记处，以实施健康促进倡议:以高危人群为目标。

HMO practice Pub Date : 1997-03-01

N P Pronk, P O'Connor, G Isham, C Hawkins

引用次数: 0