摘要:

Governments and health care organizations are increasingly interested in ways to rethink and reform their health care systems. To help provide a foundation for future reform, the authors examined the health care systems in the United States, Germany, and the United Kingdom. The authors assessed productivity in the treatment of four diseases during the late 1980s: diabetes, cholelithiasis (gallstones), breast cancer, and lung cancer. The authors looked at the different day-to-day actions of doctors and hospitals and tried to connect these actions to differences in longevity and the quality of life.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

This project determined the impact that a physician's practice setting and reimbursement method has on his or her practice behavior. Multivariate regressions that controlled for physician, patient, and practice characteristics were conducted. The primary data source was a questionnaire that sampled ambulatory physicians practicing in the state of Brandenburg, Germany. This research demonstrated that physicians paid on a fee-for-service basis differ significantly from practitioners paid a salary in captured utilization measures: more patient visits per week, including more follow-up visits; a decreased rate of hospitalization; and an increased likelihood of making house calls. A group practice setting demonstrated little impact when compared with a solo practice.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

In some Western European countries, primary care physicians (PCPs) play a major role in the health care system, but in Israel the health care system is in the process of being reformed and the role of PCPs has not yet been established. The purpose of the study described in this article was to determine the attitude of PCPs toward the role that they should play in the health care system in Israel and the formal training they need to fill this role. PCPs cited 12 primary functions that they should carry out, including coordinating patient care and counseling patients. Also, 60% of PCPs have undergone specialty training, and 94% think that this training is essential. Among the conclusions of the study are that a higher percentage of PCPs should undergo specialty training in order to enhance their professional status and that continued medical education should emphasize specific issues, such as the consideration of economic factors in patient management decisions, responsibility for patients' administrative issues, 24-hour responsibility for patients, and house calls.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Increasing consumerism poses many challenges for health care providers, particularly for those in primary care. Quality improvement to meet patients' heightened demand for service excellence will require effective, continuous measurement of patient perceptions. The study described in this article evaluated the psychometric properties of a new instrument designed to survey patients' experiences with the delivery of primary care and assessed the factors that contribute to patient retention and likelihood to return. By systematically measuring patient satisfaction and perceptions of quality, medical practices can increase the effectiveness of primary care, improve patient outcomes, and control costs.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Community health centers (CHCs) are in a strong position to meaningfully contribute to health promotion, early detection, and improvement in health care outcomes for some of the most vulnerable persons in the nation, since almost one in three users of federally funded CHCs was uninsured in 1994. The purpose of this article is to compare uninsured CHC users with uninsured people nationwide. Data for the analysis came primarily from two population-based surveys: the 1994 National Health Interview Survey (NHIS) and the 1995 Community Health Center (CHC) User Survey.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Continuous change and cost containment characterize the current health care system, making conduct of clinical trials and other clinical research difficult. Identification, accrual, and follow-up of patients who move between health care environments such as hospitals, nursing homes, schools and the home is particularly challenging. This article describes a circuit rider approach to patient identification and follow-up that was established by the Communication Sciences and Disorders Clinical Trials Research Group. It also gives suggestions for design of clinical trials in a constantly changing environment.

ISSN:0148-9917    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

A comprehensive definition of disease management provides an opportunity to track a population of patients across the entire continuum of a condition, from wellness through disease and disability, so that improvements in health status and quality of life and efficiencies in the application of health care resources can be demonstrated. The need is great for information systems that can computerize clinical encounter, summarize, and apply the information to help identify opportunities for improvement in the performance of quality and cost control, monitor processes of care, and report outcomes that are meaningful to the organization. By tracking health care charges as a proxy for the application of health care resources, health claim data analyses can identify conditions for disease management, facilitate provider buy-in, develop the disease management program, monitor interventions, and report outcomes.

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

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