摘要:

In the clinic, one method for improving the interaction is to ask patients to systematically report their health status, give them standard advice based on their responses, and ask them to discuss this advice with a health practitioner. In the school system, this approach provides aggregate information for targeting programs to meet student needs. In the workplace, this health assessment and personal feedback approach may be offered to employees to improve health care and lower health care costs. But why stop at the door of the clinic, school, or workplace when Internet technology can extend to an entire community the benefits of health assessment and feedback?

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Chronic disease is a major public health problem. The day-to-day management of a chronic illness requires accurate patient reporting and timely medical response. Patient group visits with the primary care physician and lay-led patient education workshops improve the provider-physician relationship, promote patient self-efficacy and self-management of chronic diseases, and facilitate positive health care outcomes. This article describes how group visits are being integrated into the clinical routine of a health care system.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The way care is delivered has dramatic impact on the patient-provider interaction and the outcomes experienced by the patient. This article explores a deceptively simple but very powerful method for evaluating and improving care delivery. Mammography is a routine screening procedure. However, many factors can influence how frequently women seek and obtain mammograms. Twenty-five low-income women identified empowering factors and barriers they experienced when trying to obtain a mammogram.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

There is an increasing need for community health promotion efforts directed to populations that are often disenfranchised from the health care system. The rapidly growing Hispanic population can benefit from outreach efforts that provide health education and promote community awareness of health status and health problems. This article describes a cost effective survey system that measured health status, health needs and provided individualized health feedback and education to Hispanic residents. The results underscore the importance of culturally and linguistically appropriate community-based initiatives that assess health status to aid in setting policy, eliminate health disparities, and determine priorities to meet the health needs of the growing Hispanic population.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

African Americans often have interactions with health care systems, services, and providers that are quite different from those of other population groups. Residents in a predominantly African American community in the southeastern United States identified issues that had a significant influence on their health care interactions. Their insights about health insurance concerns, perceived quality of health care, and trust in the health care system provide a useful framework for the redesign of care that will better meet their health care needs.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Correctional facilities afford health professionals an opportunity to serve a segment of society that may not otherwise come into contact with the health care system. This article illustrates why it is imperative that screenings for infectious diseases be conducted in correctional facilities and/or treatment administered before detainees are released back into the general population. Correctional facilities should be included as alternative health stations to improve community health.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Ethnic minorities in the United States suffer disproportionately from chronic diseases such as cancer, heart disease, AIDS, and diabetes. A nationally-funded initiative known as Racial and Ethnic Approaches to Community Health (REACH) has designated 26 communities to implement demonstration projects to reduce health disparities in targeted minority populations. This article presents two methods of integrating innovative technologies into the program's evaluation plan: (1) a Web-based data entry system for recording project activity and (2) geographic information systems (GISs) for developing visual maps of project targets. These technologies can assist other programs in managing and measuring community-based public health initiatives.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

With more than half of the Medicaid population enrolled in managed care and with enrollment in Medicaid managed care and Children's Health Insurance Programs continuing to accelerate, policy makers and program administrators must quickly come to consensus on the role of the consumer in the planning, implementation, and oversight of Medicaid and S-CHIP managed care. This article explores the barriers to consumer participation and makes concrete policy and programmatic recommendations to increase consumer participation in public managed care programs. To fully comply with existing federal and state requirements for consumer participation and for this participation to have an impact on the quality of managed care programs, states need to provide more education and support to consumers on: how to choose a health plan; how to access the health plan services and out-of-network benefits; and how to use grievance procedures. In addition, more work needs to be done to make the growing availability of health plan and provider performance data meaningful and available to Medicaid and S-CHIP consumers. Finally, states must address the lack of resources, lack of information, and lack of training that prevent many consumers from being able to sustain their involvement in system-level advisory and oversight bodies.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

This article describes a study in which the administration of two health surveys, the Veterans SF-36 and SF-12, by telephone and mail-out was used to assess the differences in the health surveys' costs and scores by mode of administration and determine which mode was cost-efficient. The study employed a crossover design: after 12 unsuccessful attempts to contact patients by telephone, the patients were administered the survey by mail, and after 2 unsuccessful mail-outs, up to three attempts were made to interview the patients by telephone. The analysis of the data showed that mail administration, with or without crossover to telephone, was more cost-efficient than telephone administration, having both lower average total and variable costs per completed questionnaire. Overall, telephone administration was about 30% more expensive that mail administration, primarily due to the cost of labor. The marginal cost of an additional completed Veterans SF-12 or Veterans SF-36 was also substantially lower for mail administration. Mail administration without crossover to telephone administration was themostcost-efficient strategy for administering both the Veterans SF-12 and SF-36. The results of this study strongly suggest the need to consider the mode of administrationifquestionnaires like the Veterans SF-12 or SF-36 are to be used to assess health outcomes within and across large health care systems.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID