ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID

ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

A period of administrative reductions in the California Medicaid program, later reversed by court decision, affords opportunity to observe effects upon the provision and utilization of services during and after the cutbacks. Some providers of eliminated services continued to see Medicaid patients during the period of dispute and later were paid. One fifth to two thirds of the affected services' providers immediately dropped out of the program. Proportionate reductions in number of patients were even greater. Upon restoration of services by court order, utilization quickly recovered and soon exceeded former levels, indicating that some health care needs were postponed and taken care of later. The volume of increase, however, amounted to considerably less than the amount of reduction in utilization experienced during the cutback period. About two thirds of the services which would have occurred, particularly in hospitalization, dentistry, and vision care, were not picked up in the ensuing six months of full program operation.

ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

AMA data were used to estimate the outflow (DECREMENTS) relative to the inflow (INCREMENTS) of foreign-trained doctors in the United States between year end 1966 and 1968. The estimated minimum medical brain gain amounts to roughly 9,000 for the two years or roughly 7,500 if U.S. citizens are excluded. The ratio of INCREMENTS to DECREMENTS is 4:1. Visa information on FMGs (foreign medical graduates) shows that 50 per cent of the INCREMENTS have the option of permanent stay in the U.S. Data on country of medical education combined with citizenship information on FMGs indicate migration patterns and suggest that many foreign doctors migrate several times.

ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

The studies available on the subject of choice of health insurance plans deal with the dual choice situations in which members of an employment group are offered a choice of two different plans, one of which usually provides comprehensive care by a group practice closed panel, the other freedom of choice of physician, with more limited benefits. The study reported here examines the situation when an employment group is offered a choice between a variety of plans with different organizational characteristics and extent of coverage. Demographic characteristics of the enrollees, characteristics of the plans, and knowledge about the extent of coverage are examined in relation to the decision to choose or change plans.

ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

Licensure of physicians developed when medical care was provided largely by solo practitioners in an entrepreneurial fashion. These statutes, and those governing other health workers, may not be applicable to the modern system of increasingly organized health services, staffed by professionals prepared in accredited programs and working with increasing numbers of auxiliaries as a team. Licensure laws are therefore examined in relation to current and emerging patterns of delivering health services. The variety of regulatory mechanisms is reviewed. Recent legislative changes to meet the problems of supply, quality, geographic distribution, and use of personnel are discussed. Regulation of health teams is suggested as an approach to permit full and flexible use of personnel and at the same time to safeguard the quality of medical care.

ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID

ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

While a great deal is known about the health and health care of the population as a whole, little is known about the family as a basic unit of health. Fallowing the work of Reuben Hill & Associates, a three-generational exploratory study of the health and health care of a select group of families living in the Minneapolis-St. Paul metropolitan area was undertaken in 1967-68. Some 210 nuclear families (70 three-generation linkages), all residingwithin a 75 mile radius of the Twin Cities area, were interviewed intensively, five times over the course of a year. Data of both a cross-sectional as well as longitudinal nature were obtained. Although only in its formative stage of analysis, our study has seemed to demonstrate not only the feasibility and value of intergenerational-family analysis to the field of health care but highlight the relatively precarious position of the younger generation vis-à-vis the financial demands of illness and the ill preparedness of their grandparents to cope with their health care problems as well. Finally, our findings tend to lend at least partial support to Parson and Fox's rather pessimistic view of the role of the family in health care, suggesting somewhat greater universality than originally proposed.

ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID

摘要:

Appointment-breaking was studied in a general adult medical clinic. Selected demographic characteristics and indices of past clinic-use patterns for a group of patients who broke a given appointment were compared with those for a group of patients who kept a given appointment. The data were collected during a series of clinic sessions held in January 1967, at the Gouverneur Health Services Program in New York City. The overall broken appointment rate in the clinics was 22 per cent. There was a significantly higher proportion of Hispanics and Blacks as compared to Whites among the breakers than among the keepers. The breakers were also significantly younger than the keepers, most likely reflecting the White: Hispanic/Black age differential rather than being an independent variable. Among indices of past clinic-use patterns, the following differences between the two groups were statistically significant: Keepers had a higher average annual number of appointment visits, a higher percentage of kept appointments, and lower average annual numbers of broken appointments than did breakers. There were, however, no differences in the average annual number of non-appointment visits between breakers and keepers. The major conclusions of the study were that the breaker of a random appointment is more likely to be an habitual appointment-breaker than is a keeper of a random appointment and is also more likely to use the clinic on a non-appointment basis.

ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID

ISSN:0025-7079    

出版商:OVID    

年代:1971

数据来源: OVID