{"title":"Genetic testing: a challenge to the preventive paradigm.","authors":"J D Reinhard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"10 2","pages":"50-2"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21033842","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":"A cohort analysis of pre-menopausal women with dysfunctional uterine bleeding.","authors":"S D Horn, S Prather, C A Jones","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To examine the clinical and cost outcomes of patients with dysfunctional uterine bleeding (DUB) who are treated with hysterectomy or not.</p><p><strong>Design: </strong>A retrospective analysis of DUB patients over 30 months of treatment after initial diagnosis.</p><p><strong>Setting: </strong>Patients with DUB from an HMO with over 200,000 enrollees.</p><p><strong>Participants: </strong>Study patients, all women with an initial diagnosis of DUB, were divided into two cohorts. Cohort 1 was women who had a hysterectomy (not for cancer); Cohort 2 was women who did not have a hysterectomy.</p><p><strong>Main outcome measures: </strong>Visit counts and costs, prescription counts and costs, hospital costs, and procedure counts.</p><p><strong>Results: </strong>Hysterectomy patients in our dataset tend to have more prescriptions, higher prescription costs, more visits overall, higher visit costs, higher hospitalization costs, and higher total costs per member per month (PMPM) than non-hysterectomy patients. After surgery, the hysterectomy patients' costs and utilization PMPM are higher than those for the non-hysterectomy patients.</p><p><strong>Conclusions: </strong>There is wide variation in the treatment of patients with DUB. Clinical practice improvement studies are needed to determine the appropriate treatments based on patient characteristics to achieve better outcomes for lower costs.</p>","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"10 2","pages":"59-64"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21029854","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":"A modified health risk appraisal as a component of a senior health promotion program.","authors":"W L Beery, H P Greenwald","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Because of their comprehensive service capabilities and traditional focus on prevention, HMOs have an outstanding potential for contributing to health promotion and disease prevention among special populations. But HMOs must acknowledge the special needs of key groups and modify traditional offerings accordingly. This article describes the use of the health risk appraisal (HRA) in a program, A Healthy Future, aimed at promoting health and preventing disease among elders. Unlike ¿standard¿ HRAs, this program developed questions of special pertinence to elders and used face-to-face, human contact for communicating results. Most important, the program linked the HRA to primary care and to interventions particularly useful and acceptable to elders.</p>","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"10 2","pages":"91-4"},"PeriodicalIF":0.0,"publicationDate":"1996-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21031212","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":"Hospice, bereavement intervention and use of health care services by surviving spouses.","authors":"S R Connor, J K McMaster","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"10 1","pages":"20-3"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21027109","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":"Using guidelines to change clinical practice: three case studies.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"10 1","pages":"30-6"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21027110","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":"Restructuring health care.","authors":"R D Lamm","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"10 1","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21027113","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":"Are HMO members willing to engage in two-way communication to improve health?","authors":"P J O'Connor, W A Rush, K A Rardin, G Isham","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"10 1","pages":"17-9"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21027108","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":"An internist in the emergency department: the IM facilitator program.","authors":"A Halpert","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"10 1","pages":"42-3"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21027111","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":"Decreasing the number of recheck appointments for an urgent care clinic by using telephoned follow-up care by nurses.","authors":"K Bedeian, J M Hively, B B Gerstman, D Dhanoa","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79628,"journal":{"name":"HMO practice","volume":"10 1","pages":"44-5"},"PeriodicalIF":0.0,"publicationDate":"1996-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21027112","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}