Download or read book Health Outcomes for Adults in Prepaid and Fee for service Systems of Care written by John E. Ware and published by . This book was released on 1987 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: While health maintenance organizations (HMOs) have lower medical costs than fee-for-service plans with the same benefits, it has not been clear whether the cost reductions in HMOs, achieved largely by reductions in hospital admissions, have adverse effects on health. This study addresses this important issue for nonaged adults. It describes the RAND Health Insurance Experiment, including the sample and methods of analysis. The findings indicate that the nonpoor suffer no harm to health through participation in an HMO and their enrollment should be encouraged. Low-income people who have health problems when they join an HMO appear to be worse off at the HMO compared with a fee-for-service plan.
Download or read book Health Outcomes for Adults in Prepaid and Fee for Service Systems of Care written by and published by . This book was released on 1987 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Download or read book Managing Managed Care written by Institute of Medicine and published by National Academies Press. This book was released on 1997-04-21 with total page 394 pages. Available in PDF, EPUB and Kindle. Book excerpt: Managed care has produced dramatic changes in the treatment of mental health and substance abuse problems, known as behavioral health. Managing Managed Care offers an urgently needed assessment of managed care for behavioral health and a framework for purchasing, delivering, and ensuring the quality of behavioral health care. It presents the first objective analysis of the powerful multimillion-dollar accreditation industry and the key accrediting organizations. Managing Managed Care draws evidence-based conclusions about the effectiveness of behavioral health treatments and makes recommendations that address consumer protections, quality improvements, structure and financing, roles of public and private participants, inclusion of special populations, and ethical issues. The volume discusses trends in managed behavioral health care, highlighting the emerging role of the purchaser. The committee explores problems of overlap and fragmentation in the delivery of behavioral health care and discusses the issue of access, a special concern when private systems are restricted and public systems overburdened. Highly applicable to the larger health care system, this volume will be of particular interest to all stakeholders in behavioral healthâ€"federal and state policymakers, public and private purchasers, health care providers and administrators, consumers and consumer advocates, accrediting organizations, and health services researchers.
Download or read book Handbook of Health Economics written by A J. Culyer and published by Elsevier. This book was released on 2000-07-19 with total page 1000 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Health Economics provide an up-to-date survey of the burgeoning literature in health economics. As a relatively recent subdiscipline of economics, health economics has been remarkably successful. It has made or stimulated numerous contributions to various areas of the main discipline: the theory of human capital; the economics of insurance; principal-agent theory; asymmetric information; econometrics; the theory of incomplete markets; and the foundations of welfare economics, among others. Perhaps it has had an even greater effect outside the field of economics, introducing terms such as opportunity cost, elasticity, the margin, and the production function into medical parlance. Indeed, health economists are likely to be as heavily cited in the clinical as in the economics literature. Partly because of the large share of public resources that health care commands in almost every developed country, health policy is often a contentious and visible issue; elections have sometimes turned on issues of health policy. Showing the versatility of economic theory, health economics and health economists have usually been part of policy debates, despite the vast differences in medical care institutions across countries. The publication of the first Handbook of Health Economics marks another step in the evolution of health economics.
Download or read book The Future of the Public s Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Download or read book Current Catalog written by National Library of Medicine (U.S.) and published by . This book was released on with total page 1024 pages. Available in PDF, EPUB and Kindle. Book excerpt: First multi-year cumulation covers six years: 1965-70.
Download or read book Health Services Research written by Eli Ginzberg and published by Harvard University Press. This book was released on 1991 with total page 420 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looks at the theory and practice of privatization internationally through case studies of the US, Canada, New Zealand, Great Britain, West Germany, France, Sweden and Chile. Among the sectors of health care examined are public and private hospitals, mental health care, prepaid health plans. and the multinational pharmaceutical industry. A report from the Foundation for Health Services Research. Commissioned essays by leading scholars provide an account of what health services research aims to do, what the breadth of the effort has been, and what the research has accomplished. Volume editor Ginzberg (director, Conservation of Human Resources, Columbia U.) introduces the subject with an overview of health services research and its relation to health policy and concludes with thoughts on future research needs. Annotation copyrighted by Book News, Inc., Portland, OR
Download or read book Mental Health Care Utilization in Prepaid and Fee for service Plans Among Depressed Patients in the Medical Outcomes Study written by Roland Sturm and published by . This book was released on 1993 with total page 25 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors analyzed outpatient mental health care utilization in prepaid and fee-for-service plans for a panel of depressed outpatients in the longitudinal part of the Medical Outcomes Study. The average number of mental health visits over the course of the study was 35% lower in the prepaid sector, which is similar to previous findings regarding outpatient mental health care in enrolled populations. This reduced level of service use by depressed prepaid patients is not explained by observed differences in patient characteristics, including health status, between prepaid plans and fee-for-service patients. Most of the utilization differences between fee-for-service and prepaid plans were concentrated among patients of psychiatrists and to a smaller extent among patients of other mental health specialists. There were only minor differences among patients of general medical providers. Analyzing the effect of switches that patients make between payment systems over time, the authors found some evidence of adverse selection into fee-for-service plans based upon baseline utilization, but not based upon utilization at the end of the study. In particular, after adjusting for observed patient characteristics and health status, patients switching out of prepaid had higher baseline use than predicted, whereas patients switching out of fee-for-service had lower use than predicted. Patients of mental health specialists were more likely to switch out of prepaid than out of fee-for-service plans, whereas patients of general medical providers were more likely to switch out of fee-for-service than out of prepaid plans. Switching itself appears to be related to an immediate decline in utilization and was not followed by an increase or "catch-up" effect.
Download or read book Toward a 21st Century Health System written by Alain C. Enthoven and published by John Wiley & Sons. This book was released on 2004-03-29 with total page 339 pages. Available in PDF, EPUB and Kindle. Book excerpt: Toward a 21st Century Health System is a collection of thoughtful analyses that explore a key element of the health care delivery system-physician group practices. Edited by policy experts Alain Enthoven and Laura Tollen, and written by a blue ribbon panel of health policy scholars and leaders including Stephen Shortell, Hal Luft, Donald Berwick, James Robinson, and Helen Darling, this resource addresses a variety of topics, including Organized delivery systems Quality of care in prepaid group practice versus other types of managed care The role of physician leadership and culture in group practice Prepaid group practice and the formation of national health policy This comprehensive resource also covers such topics as pharmacy benefit management, technology assessment, health services research, and employer purchasing of benefits– all as they relate to prepaid group practice.
Download or read book Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1996-09-05 with total page 411 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Download or read book Research Methods in Health Investigating Health and Health Services written by Ann Bowling and published by McGraw-Hill Education (UK). This book was released on 2023-03-15 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt: “An essential and comprehensive guide for students and researchers in a range of health care disciplines investigating health services, health care and well-being.” Professor Robert J. Edelmann, Emeritus Professor of Clinical and Forensic Psychology, University of Roehampton, UK “An invaluable resource for students, researchers and practitioners from all health backgrounds and disciplines, who are involved in research to produce a robust evidence-base to inform the development, provision, delivery and evaluation of healthcare services.” Felicity Smith, Professor Emeritus of Pharmacy Practice, UCL School of Pharmacy, UK “The fifth edition of ‘Research Methods in Health’ continues to provide an excellent broad based introduction to the subject.” Virginia Berridge, Professor of History and Health Policy, Centre for History in Public Health, London School of Hygiene and Tropical Medicine, UK This bestselling book provides an accessible introduction to the concepts and practicalities of multi-disciplinary research methods in health and health services. The new edition has updated and expanded coverage of: •International examples, terms and approaches •Epidemiology and methods of tracing epidemics •Aging population demography and bio-demography •Evaluation and assessment of health services •Health services research and audit, including data generation •Methods of evaluating patients’ perspectives •Measuring quality of life outcomes •Health economics methods and applications •Quantitative and qualitative research Core processes and methodologies such as social research, mixed methods, literature reviewing and critical appraisal, secondary data analysis and evidence-based practice will be covered in detail. The book also looks at the following key areas of health research: •Health needs •Morbidity and mortality trends and rates •Costing health services •Sampling for survey research •Cross-sectional and longitudinal survey design •Experimental methods and techniques of group assignment •Questionnaire design •Interviewing techniques •Coding and analysis of quantitative data •Methods and analysis of qualitative observational studies •Unstructured interviewing The book is grounded in the author's career as a researcher on health and health service issues, and the valuable experience this has provided in meeting the challenges of research on people and organisations in real life settings. Research Methods in Health, Fifth Edition is an essential companion for students and researchers of health and health services at all levels, health clinicians and policy-makers with responsibility for applying research findings and judging the soundness of research. Ann Bowling is a sociologist, specialising in research on ageing, research methods, quality of life, public and social health. She was Professor of Health Sciences at the University of Southampton, UK (2012–17), where she is now Visiting Professor. Ann was awarded the Highly Commended book prize for the 4th edition of Research Methods in Health at the 2015 BMA Medical Book Awards.
Download or read book Changing Health Care Systems and Rheumatic Disease written by Institute of Medicine and published by National Academies Press. This book was released on 1997-02-09 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will be excluded from or underserved by the integrated health care delivery networks now emerging. Responding to a request from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, this book reflects the results of a workshop that focused on the following questions: Does the model of managed care or an integrated delivery system influence the types of interventions provided to patients with chronic conditions and the clinical and health status outcomes resulting from those interventions? If so, are these effects quantitatively and clinically significant, as compared to the effects that other variables (e.g., income, education, ethnicity) have on patient outcomes? If the type of health care delivery system appears to be related to patient care and outcomes, can specific organizational, financial, or other variables be identified that account for the relationships? If not, what type of research should be pursued to provide the information needed about the relationship between types of health care systems and the processes and outcomes of care provided to people with serious chronic conditions?
Download or read book America s Children written by Institute of Medicine and National Research Council and published by National Academies Press. This book was released on 1998-10-27 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? Does insurance equal access to care? How should the nation address the health needs of this vulnerable population? America's Children explores the changing role of Medicaid under managed care; state-initiated and private sector children's insurance programs; specific effects of insurance status on the care children receive; and the impact of chronic medical conditions and special health care needs. It also examines the status of "safety net" health providers, including community health centers, children's hospitals, school-based health centers, and others and reviews the changing patterns of coverage and tax policy options to increase coverage of private-sector, employer-based health insurance. In response to growing public concerns about uninsured children, last year Congress voted to provide $24 billion over five years for new state insurance initiatives. This volume will serve as a primer for concerned federal policymakers and regulators, state agency officials, health plan decisionmakers, health care providers, children's health advocates, and researchers.
Download or read book Consumer Acceptance of Prepaid and Fee for service Medical Care Results from a Randomized Controlled Trial written by Allyson Ross Davies and published by . This book was released on 1986 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Consumer Satisfaction with Prepaid and Fee for service Medical Care written by Allyson Ross Davies and published by . This book was released on 1983 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Selected Rand Abstracts written by Rand Corporation and published by . This book was released on 1987 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes Reports (R-series), Rand Memorandums (RM-series), papers (P-series), and Books.
