{"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}
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.
{"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}
Objective: To describe and assess the perceived impact of an innovative patient health informatics tool among members of a managed care organization.
Setting: Mixed-model HMO in Connecticut.
Design: Intervention group only, post-test only (telephone interview using structured protocol).
Participants: Members of a Connecticut HMO who responded to a free video offer and met study eligibility requirements.
Intervention: Patient education videos from the entire Time Life Medical At Time of Diagnosis series.
Main outcome measures: Knowledge of condition and treatment options, attitude and outlook towards condition, patient-provider communication, behavior change, physician contacts for condition.
Results: 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.
Conclusions: 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.
目的:描述和评估一种创新的患者健康信息工具对管理式医疗组织成员的感知影响。背景:康涅狄格州混合型HMO。设计:仅干预组，仅测试后(采用结构化协议的电话访谈)。参与者:康涅狄格州HMO的成员，他们对免费视频提供做出了回应，并符合研究资格要求。干预:来自整个Time Life Medical At Time of Diagnosis系列的患者教育视频。主要结果测量:对病情和治疗方案的了解，对病情的态度和看法，医患沟通，行为改变，因病情联系医生。结果:研究参与者报告说，视频提高了他们对治疗方案的理解和知识。他们还报告说，这些视频对他们的一系列态度和行为产生了积极影响。与会者赞成他们的卫生组织参与分发录像带，并且几乎没有观察到使用录像带的不利影响。结论:本研究提供初步证据，证明健康资讯工具对病患态度有正面影响，包括对照护的期望、医患沟通的品质，以及对健康计划的满意度。大多数对视频提供作出回应的人的病情已持续数年，这一事实表明，卫生信息学工具的分发不应局限于新诊断的人。
{"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
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.
{"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}
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