health maintenance organizations

Summary

Summary: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)

Top Publications

  1. ncbi Measuring patients' trust in their primary care providers
    Mark A Hall
    Wake Forest University, USA
    Med Care Res Rev 59:293-318. 2002
  2. ncbi Improving primary care for patients with chronic illness
    Thomas Bodenheimer
    Family and Community Medicine, University of California, San Francisco, USA
    JAMA 288:1775-9. 2002
  3. pmc Hospital bed utilisation in the NHS, Kaiser Permanente, and the US Medicare programme: analysis of routine data
    Chris Ham
    Strategy Unit, Department of Health, London SW1A 2NS
    BMJ 327:1257. 2003
  4. ncbi Influenza vaccination in children with asthma in health maintenance organizations. Vaccine Safety Datalink Team
    P Kramarz
    Centers for Disease Control and Prevention, 1600 Clifton Road, MS E61, Atlanta, GA 30333, USA
    Vaccine 18:2288-94. 2000
  5. pmc The Vaccine Safety Datalink: immunization research in health maintenance organizations in the USA
    R T Chen
    National Immunization Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
    Bull World Health Organ 78:186-94. 2000
  6. ncbi Validation of self-reported chronic conditions and health services in a managed care population
    L M Martin
    Division of Public Health, Georgia Department of Human Resources, Atlanta, Georgia, USA
    Am J Prev Med 18:215-8. 2000
  7. ncbi Ethnic disparities in diabetic complications in an insured population
    Andrew J Karter
    Division of Research, Kaiser Permanente, 2000 Broadway, Oakland, CA 94612, USA
    JAMA 287:2519-27. 2002
  8. pmc Epidemiology of and surveillance for postpartum infections
    D S Yokoe
    Channing Laboratory, Brigham and Women s Hospital, and Harvard Medical School, Boston, MA, USA
    Emerg Infect Dis 7:837-41. 2001
  9. ncbi Does diabetes disease management save money and improve outcomes? A report of simultaneous short-term savings and quality improvement associated with a health maintenance organization-sponsored disease management program among patients fulfilling health e
    Jaan Sidorov
    Care Coordination Program, Geisinger Health Plan, Danville, Pennsylvania 17822 3020, USA
    Diabetes Care 25:684-9. 2002
  10. ncbi Adherence to standards of care by health maintenance organizations in Israel and the USA
    Bruce Rosen
    Smokler Center for Health Policy Research, Myers JDC Brookdale Institute, Jerusalem, Israel
    Int J Qual Health Care 23:15-25. 2011

Detail Information

Publications245 found, 100 shown here

  1. ncbi Measuring patients' trust in their primary care providers
    Mark A Hall
    Wake Forest University, USA
    Med Care Res Rev 59:293-318. 2002
    ..Correlations are equivalent with lack of disputes, length of relationship, and number of visits [corrected]...
  2. ncbi Improving primary care for patients with chronic illness
    Thomas Bodenheimer
    Family and Community Medicine, University of California, San Francisco, USA
    JAMA 288:1775-9. 2002
    ..Case studies are provided describing how components of the chronic care model have been implemented in the primary care practices of 4 health care organizations...
  3. pmc Hospital bed utilisation in the NHS, Kaiser Permanente, and the US Medicare programme: analysis of routine data
    Chris Ham
    Strategy Unit, Department of Health, London SW1A 2NS
    BMJ 327:1257. 2003
    ..To compare the utilisation of hospital beds in the NHS in England, Kaiser Permanente in California, and the Medicare programme in the United States and California...
  4. ncbi Influenza vaccination in children with asthma in health maintenance organizations. Vaccine Safety Datalink Team
    P Kramarz
    Centers for Disease Control and Prevention, 1600 Clifton Road, MS E61, Atlanta, GA 30333, USA
    Vaccine 18:2288-94. 2000
    ..vaccination coverage and predictors of influenza vaccination in asthmatic children in four large Health Maintenance Organizations. We studied 68,839 children with asthma at four Health Maintenance Organizations (HMOs) in the 1995-..
  5. pmc The Vaccine Safety Datalink: immunization research in health maintenance organizations in the USA
    R T Chen
    National Immunization Program, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
    Bull World Health Organ 78:186-94. 2000
    ..the National Immunization Program of the Centers for Disease Control and Prevention and several large health maintenance organizations in the USA...
  6. ncbi Validation of self-reported chronic conditions and health services in a managed care population
    L M Martin
    Division of Public Health, Georgia Department of Human Resources, Atlanta, Georgia, USA
    Am J Prev Med 18:215-8. 2000
    ..Self-reported data are commonly used to estimate the prevalence of health conditions and the use of preventive health services in the population, but the validity of such data is often questioned...
  7. ncbi Ethnic disparities in diabetic complications in an insured population
    Andrew J Karter
    Division of Research, Kaiser Permanente, 2000 Broadway, Oakland, CA 94612, USA
    JAMA 287:2519-27. 2002
    ..Disparate access to quality health care is a common explanation for ethnic disparities in diabetic complication rates in the US population. Examining an ethnically diverse population with uniform health care coverage may be useful...
  8. pmc Epidemiology of and surveillance for postpartum infections
    D S Yokoe
    Channing Laboratory, Brigham and Women s Hospital, and Harvard Medical School, Boston, MA, USA
    Emerg Infect Dis 7:837-41. 2001
    ..Use of automated information routinely collected by HMOs and insurers allows efficient identification of postpartum infections not detected by conventional surveillance...
  9. ncbi Does diabetes disease management save money and improve outcomes? A report of simultaneous short-term savings and quality improvement associated with a health maintenance organization-sponsored disease management program among patients fulfilling health e
    Jaan Sidorov
    Care Coordination Program, Geisinger Health Plan, Danville, Pennsylvania 17822 3020, USA
    Diabetes Care 25:684-9. 2002
    ....
  10. ncbi Adherence to standards of care by health maintenance organizations in Israel and the USA
    Bruce Rosen
    Smokler Center for Health Policy Research, Myers JDC Brookdale Institute, Jerusalem, Israel
    Int J Qual Health Care 23:15-25. 2011
    ..However, managed care organizations play an important role in both countries, and a comparison of the performance of their community-based health plans could inform policymakers about ways to improve the quality of care...
  11. ncbi Kaiser Permanente's Convergent Medical Terminology
    Robert H Dolin
    Kaiser Permanente CMT Team, Kaiser Permanente HealthConnect, 5 Centerpointe Drive, La Palma, CA 90623, USA
    Stud Health Technol Inform 107:346-50. 2004
    ..KP has learned to exploit that terminology in ways that are clinician-acceptable and that provide powerful options for data analysis and reporting...
  12. ncbi 20-year trends in the prevalence of asthma and chronic airflow obstruction in an HMO
    W M Vollmer
    Kaiser Permanente Center for Health Research, Portland, VA Medical Center, and Oregon Health Sciences University 97227 1098, USA
    Am J Respir Crit Care Med 157:1079-84. 1998
    ....
  13. ncbi The effect of HMOs on fee-for-service health care expenditures: evidence from Medicare
    L C Baker
    Department of Health Research and Policy, Stanford University School of Medicine, CA 94305 5092, USA
    J Health Econ 16:453-81. 1997
    ....
  14. ncbi Adverse childhood experiences and hallucinations
    Charles L Whitfield
    Private Practice in Addiction and Trauma Medicine, Atlanta, GA 30341 3717, USA
    Child Abuse Negl 29:797-810. 2005
    ..Little information is available about the contribution of multiple adverse childhood experiences (ACEs) to the likelihood of reporting hallucinations. We used data from the ACE study to assess this relationship...
  15. pmc Health-plan and employer-based wellness programs to reduce diabetes risk: The Kaiser Permanente Northern California NEXT-D Study
    Julie A Schmittdiel
    Kaiser Permanente Northern California Division of Research, 2000 Broadway, Oakland, CA 94612, USA
    Prev Chronic Dis 10:E15. 2013
    ..Identifying effective approaches to preventing diabetes will be of value to health care systems, policy makers, and public health officials seeking to understand the roles systems and employers can play in preventing chronic illness...
  16. ncbi Risk and incidence of asthma attributable to occupational exposure among HMO members
    D K Milton
    Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA
    Am J Ind Med 33:1-10. 1998
    ..These data suggest that the incidence of asthma attributable to occupational exposures is significantly higher than previously reported, and accounts for a sizable proportion of adult-onset asthma...
  17. pmc The effect of capitated financing on mental health services for children and youth: the Colorado experience
    R Catalano
    School of Public Health, University of California, Berkeley 94720, USA
    Am J Public Health 90:1861-5. 2000
    ..The first is that capitation reduces costs. The second is that shifting providers from fee-for-service to capitated financing will increase their efforts to prevent illness...
  18. ncbi Perioperative management of colon cancer under Medicare risk programs
    S M Retchin
    Department of Internal Medicine, Massey Cancer Center, Virginia Commonwealth University, Richmond, USA
    Arch Intern Med 157:1878-84. 1997
    To determine differences in perioperative care and outcomes for patients with colon cancer enrolled in Medicare health maintenance organizations compared with similar fee-for-service nonenrollees.
  19. ncbi Influenza vaccination coverage among adult solid organ transplant recipients at three health maintenance organizations, 1995-2005
    Kalynne Harris
    Immunization Safety Office, Office of the Chief Science Officer, Centers for Disease Control and Prevention CDC, 1600 Clifton Road, Atlanta, GA 30333, USA
    Vaccine 27:2335-41. 2009
    ..following transplant among 1800 kidney, liver, and heart transplant recipients at three health maintenance organizations. Overall, 52% of recipients were vaccinated. Older age at transplant (age 50-64 years, OR 1...
  20. ncbi Group cognitive-behavioral treatment for depressed adolescent offspring of depressed parents in a health maintenance organization
    Gregory N Clarke
    Kaiser Permanente Center for Health Research, Portland, OR 97227 1098, USA
    J Am Acad Child Adolesc Psychiatry 41:305-13. 2002
    ..A randomized, controlled effectiveness trial of group cognitive-behavioral therapy (CBT) for depressed adolescent offspring of depressed parents in a health maintenance organization (HMO) was conducted...
  21. ncbi Providers' perceived barriers to sexually transmitted disease care in 2 large health maintenance organizations
    Hayley Mark
    Department of Community and Public Health, Johns Hopkins University School of Nursing, Baltimore, Maryland 21205, USA
    Sex Transm Dis 35:184-9. 2008
    ....
  22. ncbi Survival and treatment for colorectal cancer Medicare patients in two group/staff health maintenance organizations and the fee-for-service setting
    R M Merrill
    Brigham Young University, USA
    Med Care Res Rev 56:177-96. 1999
    ..colorectal cancer patients between Medicare beneficiaries enrolled in two large prepaid group/staff health maintenance organizations (HMOs) and the fee-for-service (FFS) setting...
  23. ncbi Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems. Results from the Medical Outcomes Study
    J E Ware
    The Health Institute, New England Medical Center, Boston, Mass 02111, USA
    JAMA 276:1039-47. 1996
    ..To compare physical and mental health outcomes of chronically ill adults, including elderly and poor subgroups, treated in health maintenance organization (HMO) and fee-for-service (FFS) systems...
  24. ncbi A randomized trial of a group cognitive intervention for preventing depression in adolescent offspring of depressed parents
    G N Clarke
    Kaiser Permanente Center for Health Research, 3800 N Interstate Ave, Portland OR 97227 1098, USA
    Arch Gen Psychiatry 58:1127-34. 2001
    ..Adolescent offspring of depressed parents are at high risk for development of depression. Cognitive restructuring therapy holds promise for preventing progression to depressive episodes...
  25. pmc Using automated medical records for rapid identification of illness syndromes (syndromic surveillance): the example of lower respiratory infection
    R Lazarus
    Chanming Laboratory, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
    BMC Public Health 1:9. 2001
    ..Knowledge of disease patterns in real time may also help clinicians to manage patients, and assist health plan administrators in allocating resources efficiently...
  26. ncbi Cost-effectiveness of systematic depression treatment for high utilizers of general medical care
    G E Simon
    Center for Health Studies, Group Health Cooperative, 1730 Minor Ave, Suite 1600, Seattle, WA 98101 1448, USA
    Arch Gen Psychiatry 58:181-7. 2001
    ..We examine the incremental cost-effectiveness of an organized depression management program for high utilizers of medical care...
  27. ncbi A Web-based diabetes care management support system
    A M Baker
    Henry Ford Health System, Detroit, USA
    Jt Comm J Qual Improv 27:179-90. 2001
    ..CONCLUSIONS: Computerized systems of clinical practice guidelines, patient registries, and performance feedback may help improve the rate of routine testing among patients with diabetes...
  28. ncbi Children's health care use: a prospective investigation of factors related to care-seeking
    D M Janicke
    Virginia Polytechnic Institute and State University, Blacksburg, USA
    Med Care 39:990-1001. 2001
    ..Effective management of pediatric health care use needs to address broader needs of the child and family beyond solely the child's health, most notably maternal functioning...
  29. ncbi Cost-effectiveness of a collaborative care program for primary care patients with persistent depression
    G E Simon
    Center for Health Sudies, Group Health Cooperative, Seattle, Washington 98101 1148, USA
    Am J Psychiatry 158:1638-44. 2001
    ..The authors evaluated the incremental cost-effectiveness of stepped collaborative care for patients with persistent depressive symptoms after usual primary care management...
  30. pmc Improving the doctor-manager relationship. Kaiser Permanente: a propensity for partnership
    Francis J Crosson
    Permanente Federation, 1 Kaiser Plaza, 27L, Oakland, CA 94612, USA
    BMJ 326:654. 2003
  31. pmc Making the NHS more like Kaiser Permanente
    Donald Light
    Division of Social and Behavioural Medicine, University of Medicine and Dentistry of New Jersey, USA
    BMJ 328:763-5. 2004
  32. ncbi Adoption of the AHCPR Clinical Practice Guideline for Smoking Cessation: a survey of California's HMOs
    H Halpin Schauffler
    Center for Health and Public Policy Studies, School of Public Health, University of California Berkeley, Berkeley, California 94720 7360, USA
    Am J Prev Med 21:153-61. 2001
    Our objective was to assess the degree to which health maintenance organizations (HMOs) and Medicaid managed care (MMC) plans in California have adopted the 1996 AHCPR Clinical Practice Guideline for Smoking Cessation. (AHCPR [U.S...
  33. ncbi Social capital and trust in providers
    Melissa M Ahern
    Department of Health Policy and Administration, Washington State University, 668 N Riverpoint Blvd, Box B, Spokane, WA 99202, USA
    Soc Sci Med 57:1195-203. 2003
    ..Efforts to build trust and collaboration in a community may improve trust in physicians, health care quality, access, and preserve local health care control...
  34. ncbi Hepatitis B vaccination among adolescents in 3 large health maintenance organizations
    Idalia M Gonzalez
    Epidemiology Program Office, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Pediatrics 110:929-34. 2002
    ..Little is known about the implementation of these recommendations in a managed care setting. The objective of this study was to determine the impact of ACIP recommendations on HB vaccination among adolescents in 3 managed care settings...
  35. pmc Hospital bed utilisation in the NHS and Kaiser Permanente: debate about Kaiser needs transparency and hard evidence
    David A Evans
    BMJ 328:583; author reply 584. 2004
  36. ncbi Persistence with lipid-lowering therapy: influence of the type of lipid-lowering agent and drug benefit plan option in elderly patients
    Susan M Abughosh
    Pharmacoepidemiology and Pharmacoeconomics Program, University of Rhode Island, Kingston, Rhode Island 02881, USA
    J Manag Care Pharm 10:404-11. 2004
    ..To determine the effects of lipid-lowering agent (LLA) class and drug plan design option on persistence with LLAs among elderly patients enrolled in a managed care plan...
  37. pmc Is the Kaiser Permanente model superior in terms of clinical integration?: a comparative study of Kaiser Permanente, Northern California and the Danish healthcare system
    Martin Strandberg-Larsen
    Section for Health Services Research, Department of Public Health, Faculty of Health Sciences, University of Copenhagen, Øster Farimagsgade 5, Building 10, Stairway B 1014 Copenhagen K, Denmark
    BMC Health Serv Res 10:91. 2010
    ..Further, we examined the associations between specific organizational factors and clinical integration within each system...
  38. ncbi Stage at diagnosis and treatment patterns among older women with breast cancer: an HMO and fee-for-service comparison
    G F Riley
    Health Care Financing Administration, Baltimore, MD 21244, USA
    JAMA 281:720-6. 1999
    ..Few studies have compared patterns of care in health maintenance organization (HMO) and fee-for-service (FFS) settings...
  39. pmc A retrospective analysis of health systems in Denmark and Kaiser Permanente
    Anne Frølich
    Copenhagen Hospital Corporation, Bispebjerg Hospital, Copenhagen NV, Denmark
    BMC Health Serv Res 8:252. 2008
    ..To inform Danish health care reform efforts, we compared health care system inputs and performance and assessed the usefulness of these comparisons for informing policy...
  40. ncbi Disputes over coverage of emergency department services: a study of two health maintenance organizations
    Carole Roan Gresenz
    RAND Corporation, Arlington, VA 22202, USA
    Ann Emerg Med 43:155-62. 2004
    We describe the characteristics and outcomes of enrollee-health plan disputes over insurance coverage for emergency department (ED) services at 2 large health maintenance organizations (HMOs) that apply the prudent layperson standard.
  41. ncbi Development of a scale to measure patients' trust in health insurers
    Beiyao Zheng
    Department of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, NC 27157 1063, USA
    Health Serv Res 37:187-202. 2002
    ..A scale was developed based on our conceptual model of insurer trust. The scale was analyzed for its factor structure, internal consistency, construct validity, and other psychometric properties...
  42. pmc HMO penetration, competition, and risk-adjusted hospital mortality
    D B Mukamel
    Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, NY 14642, USA
    Health Serv Res 36:1019-35. 2001
    ..These findings may be explained by a positive effect on local practice styles or a preferential selection by HMOs for areas with better hospital care...
  43. ncbi Using web-based screening to enhance efficiency of HMO clinical trial recruitment in women aged forty and older
    K Sabina Smith
    Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate Avenue, Portland, OR 97221, USA
    Clin Trials 4:102-5. 2007
    ..Screening potential participants for clinical trials can be labor-intensive, particularly when using long questionnaires administered by telephone...
  44. ncbi Emergency department use and subsequent hospitalizations among members of a high-deductible health plan
    J Frank Wharam
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
    JAMA 297:1093-102. 2007
    ..High-deductible health plans have been promoted as a means of reducing overutilization but could also be related to worse outcomes if patients defer necessary care...
  45. ncbi Self-monitoring of blood glucose: language and financial barriers in a managed care population with diabetes
    A J Karter
    Division of Research, Kaiser Permanente Medical Care Program, Oakland, California 94611 5714, USA
    Diabetes Care 23:477-83. 2000
    ..Self-monitoring of blood glucose (SMBG) is a cornerstone of diabetes care, but little is known about barriers to this self-care practice...
  46. ncbi Inhaled steroids and the risk of hospitalization for asthma
    J G Donahue
    Channing Laboratory, Boston, MA, USA
    JAMA 277:887-91. 1997
    ..To determine if anti-inflammatory treatment for asthma reduces the risk of asthma hospitalization...
  47. ncbi Outcomes of patients with hypertension and non-insulin dependent diabetes mellitus treated by different systems and specialties. Results from the medical outcomes study
    S Greenfield
    Health Institute, New England Medical Center, Boston, MA 02111, USA
    JAMA 274:1436-44. 1995
    ..SETTING AND PARTICIPANTS--Patients sampled from health maintenance organizations, large multispecialty groups, and solo or single-specialty group practices in Boston, Mass, Los ..
  48. pmc Variations in treatment benefits influence smoking cessation: results of a randomised controlled trial
    H H Schauffler
    University of California, Berkeley, Berkeley, California, USA
    Tob Control 10:175-80. 2001
    ....
  49. ncbi The effects of regulation, competition, and ownership on mortality rates among hospital inpatients
    S M Shortell
    Center for Health Services and Policy Research, Evanston, IL 60208
    N Engl J Med 318:1100-7. 1988
    ..01), and the intensity of competition in the marketplace, as measured by enrollment in health maintenance organizations (P less than or equal to 0.05)...
  50. ncbi Incidence of work-related asthma in members of a health maintenance organization
    William M Vollmer
    Center for Health Research and Northwest Permanent Associates, PC, Kaiser Permanente Northwest, Portland, Oregon 97227 1110, USA
    J Occup Environ Med 47:1292-7. 2005
    ..Recent reports suggest that the incidence of work-related asthma may be much higher than Sentinel Event Notification Systems for Occupational Risks (SENSOR) data estimate...
  51. ncbi Can disease management reduce health care costs by improving quality?
    Bruce Fireman
    Permanente Medical Group of Northern California, Oakland, CA, USA
    Health Aff (Millwood) 23:63-75. 2004
    ..We conclude that the rationale for DM programs, like the rationale for any medical treatments, should rest on their effectiveness and value...
  52. ncbi Do HMO penetration and hospital competition impact quality of hospital care?
    P A Rivers
    Arizona State University, USA
    Health Serv Manage Res 17:237-48. 2004
    ..These findings suggest that when faced with intense competition, hospitals may respond in ways associated with reducing their mortality rates...
  53. pmc Questioning the claims from Kaiser
    Alison Talbot-Smith
    Public Health Policy Unit, School of Public Policy, University College London, London
    Br J Gen Pract 54:415-21; discussion 422. 2004
    ....
  54. ncbi Cost-sharing: patient knowledge and effects on seeking emergency department care
    John Hsu
    Division of Research, Kaiser Foundation Research Institute, Oakland, CA 94612, USA
    Med Care 42:290-6. 2004
    ..The use of cost-sharing to control healthcare expenditures is increasing, but there is scant information about patients' knowledge of cost-sharing or its influence on behavior...
  55. ncbi Epidemiology of diarrheal disease among children enrolled in four West Coast health maintenance organizations. Vaccine Safety Datalink Team
    U D Parashar
    Epidemic Intelligence Service, Viral Gastroenteritis Section, CDC, Atlanta, GA 30333, USA
    Pediatr Infect Dis J 17:605-11. 1998
    We used information from the Vaccine Safety Datalink (VSD) about approximately 1 million children enrolled in four health maintenance organizations to assess the morbidity from diarrhea and estimate the disease burden of rotavirus.
  56. ncbi Organizational and financial characteristics of health plans: are they related to primary care performance?
    D G Safran
    Health Institute, New England Medical Center, Department of Medicine, Tufts University, Boston, Mass 02111, USA
    Arch Intern Med 160:69-76. 2000
    ..Pervasive changes in our nation's health care delivery systems, including the emergence of new forms of managed care, compel more current data...
  57. ncbi On the integration of complementary and conventional medicine within health maintenance organizations
    Richard T Meenan
    Science Programs Department, Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate Ave, Portland, OR 97227, USA
    J Ambul Care Manage 27:43-52. 2004
    ..Within health maintenance organizations (HMOs), availability, coverage, and support of CAM are variable...
  58. ncbi How to design computerized alerts to safe prescribing practices
    Adrianne Feldstein
    Center for Health Research, Kaiser Permanente, Portland, Oregon, USA
    Jt Comm J Qual Saf 30:602-13. 2004
    ..This study was designed to develop and evaluate medication safety alerts and processes for educating prescribers about the alerts...
  59. ncbi Evidence-based care for depression in Maine: dissemination of the Kaiser Permanente Nurse Telecare Program
    Brian Pearson
    Maine Health Information Center, P O Box 360, Manchester, Maine 04351, USA
    Psychiatr Q 74:91-102. 2003
    ....
  60. pmc Selection experiences in Medicare HMOs: pre-enrollment expenditures
    K T Call
    University of Minnesota, USA
    Health Care Financ Rev 20:197-209. 1999
    ..Among short-term enrollees, we find unfavorable selection, however, selection bias was not sensitive to market characteristics...
  61. ncbi Enrollee mix, treatment intensity, and cost in competing indemnity and HMO plans
    Daniel Altman
    The New York Times, New York, NY, USA
    J Health Econ 22:23-45. 2003
    ..Contrary to conventional wisdom, indemnity plans do not have greater treatment intensity...
  62. ncbi Stages of change across ten health risk behaviors for older adults
    C R Nigg
    Cancer Prevention Research Center, University of Rhode Island, Kingston 02881, USA
    Gerontologist 39:473-82. 1999
    ..Possible gateway behaviors to general health could be identified; however, these results are preliminary and require longitudinal follow-up...
  63. ncbi Assessing the reliability of retrospective reports of adverse childhood experiences among adult HMO members attending a primary care clinic
    Shanta R Dube
    National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA
    Child Abuse Negl 28:729-37. 2004
  64. ncbi The effect of medicare health maintenance organizations on hospitalization rates for ambulatory care-sensitive conditions
    Feng Zeng
    School of Policy, Planning, and Development, University of Southern California, Los Angeles, CA, USA
    Med Care 44:900-7. 2006
    ....
  65. ncbi Competitive behavior in the HMO marketplace
    Mark V Pauly
    Health Care Systems Department, Wharton School, University of Pennsylvania, USA
    Health Aff (Millwood) 21:194-202. 2002
    Are health maintenance organizations (HMOs) less profitable in more competitive markets, and does competition erode unusually high profits over time? To answer these questions, we examined profit rates (as a proportion of revenues) in ..
  66. ncbi Case-by-case assessment of adult-onset asthma attributable to occupational exposures among members of a health maintenance organization
    Susan R Sama
    Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts 21286, USA
    J Occup Environ Med 48:400-7. 2006
    ..In a general population of employed persons with health insurance, what proportion of adult-onset asthma is caused by occupational exposures?..
  67. pmc Competition in hospital and health insurance markets: a review and research agenda
    M A Morrisey
    Lister Hill Center for Health Policy, University of Alabama at Birmingham 35294-0022, USA
    Health Serv Res 36:191-221. 2001
    ..CONCLUSIONS: Much more research is needed to examine all aspects of managed care markets. In hospital markets, particular attention should be focused on the effects on quality and technology diffusion...
  68. ncbi Medicare HMO withdrawals: what happens to beneficiaries?
    M A Laschober
    Health Economics Practice of Barents Group LLC, Washington, D C, USA
    Health Aff (Millwood) 18:150-7. 1999
    ..Those with traditional Medicare by itself or with Medigap, the disabled under age sixty-five, the oldest old, and the near-poor experienced the greatest hardship after their HMO withdrew...
  69. ncbi Disenrollment from Medicare HMOs
    K T Call
    Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Box 729 Mayo, 420 Delaware Street SE, Minneapolis, MN 55455, USA
    Am J Manag Care 7:37-51. 2001
    ..there has been great interest in determining whether beneficiaries who enter and subsequently leave Medicare health maintenance organizations (HMOs) are more or less costly than those remaining in fee-for-service (FFS) Medicare.
  70. pmc Using automated pharmacy records to assess the management of tuberculosis
    G S Subramanyan
    Brigham and Women s Hospital, Boston, Massachusetts, USA
    Emerg Infect Dis 5:788-91. 1999
    ..Pharmacy records distinguished patients treated in HMOs from those treated elsewhere. For cases treated in HMOs, they provided useful information about appropriateness of prescribed regimens and adherence to therapy...
  71. pmc Supplementing tuberculosis surveillance with automated data from health maintenance organizations
    D S Yokoe
    Brigham and Women s Hospital, Boston, Massachusetts, USA
    Emerg Infect Dis 5:779-87. 1999
    Data collected by health maintenance organizations (HMOs), which provide care for an increasing number of persons with tuberculosis (TB), may be used to complement traditional TB surveillance...
  72. ncbi Expanding rural managed care: enrollment patterns and prospects
    I Moscovice
    University of Minnesota, USA
    Health Aff (Millwood) 17:172-9. 1998
    ....
  73. ncbi Viewing Kaiser Permanente via the logistician lens
    Denis R Towill
    Logistics Systems Dynamics Group, Cardiff Business School, Cardiff University, Cardiff, UK
    Int J Health Care Qual Assur Inc Leadersh Health Serv 19:296-315. 2006
    ..The aim of this paper is to undertake a holistic comparison between NHS and Kaiser Permanente (KP) healthcare delivery systems...
  74. ncbi Potentially inappropriate medication use by elderly persons in U.S. Health Maintenance Organizations, 2000-2001
    Steven R Simon
    HMO Research Network, Center for Education and Research on Therapeutics, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA
    J Am Geriatr Soc 53:227-32. 2005
    ..To determine rates of potentially inappropriate medication use in elderly persons in managed care plans in the United States in 2000-2001...
  75. ncbi Scale and scope economies among health maintenance organizations
    D Wholey
    Department of Social and Decision Sciences, Carnegie Mellon University, Pittsburgh, PA 15213, USA
    J Health Econ 15:657-84. 1996
    We examine scale and scope economics among Group and IPA Health Maintenance Organizations (HMOs) over the period 1988 to 1991 using a national sample of HMOs...
  76. pmc Hospital bed utilisation in the NHS and Kaiser Permanente: do not throw the baby out with the bath water
    P Badrinath
    BMJ 328:583; author reply 584. 2004
  77. ncbi HMO marketing and selection bias: are TEFRA HMOs skimming?
    R Lichtenstein
    Department of Health Services Management and Policy, School of Public Health, University of Michigan, Ann Arbor 48109
    Med Care 30:329-46. 1992
    The research evidence indicates that health maintenance organizations (HMOs) participating in the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) At-Risk Program tend to experience favorable selection...
  78. pmc Hospital bed utilisation in the NHS and Kaiser Permanente: bed management in the NHS can be improved easily
    Stephen Black
    BMJ 328:582-3; author reply 584. 2004
  79. ncbi Testing the effect of quality reports on the health plan choices of Medicare beneficiaries
    Jennifer D Uhrig
    Division of Health Economics Research, RTI International, Research Triangle Park, NC 27709 2194, USA
    Inquiry 39:355-71. 2002
    ..Furthermore, beneficiaries choosing among HMOs were not inclined to select a low-cost HMO, even when it was rated higher in quality. Implications for policy are discussed...
  80. ncbi Risk adjustment using automated ambulatory pharmacy data: the RxRisk model
    Paul A Fishman
    Center for Health Studies, Group Health Cooperative, Seattle, Washington 98101, USA
    Med Care 41:84-99. 2003
    ..Each model's power to forecast health care resource use is assessed...
  81. ncbi Primary care quality in the Medicare Program: comparing the performance of Medicare health maintenance organizations and traditional fee-for-service medicare
    Dana Gelb Safran
    The Health Institute, 750 Washington St, Box 345, Boston, MA 02111, USA
    Arch Intern Med 162:757-65. 2002
    ..Little information exists to inform beneficiaries' choices between the traditional fee-for-service (FFS) Medicare program and an HMO...
  82. ncbi Use of oral antithrombotic agents among health maintenance organization members with atherosclerotic cardiovascular disease
    Jonathan B Brown
    Center for Health Research, 3800 N Interstate Ave, Portland, OR 97227 1110, USA
    Arch Intern Med 162:193-9. 2002
    ..Although antithrombotic agents are often prescribed at hospital discharge after CVD-related events, much less is known about the ongoing use of such agents...
  83. ncbi Assessments of medical care by enrollees in for-profit and nonprofit health maintenance organizations
    Ha T Tu
    Center for Studying Health System Change, Washington, DC 20024, USA
    N Engl J Med 346:1288-93. 2002
    It is uncertain how assessments of medical care differ between enrollees in for-profit and nonprofit health maintenance organizations (HMOs).
  84. pmc Conducting research on the Medicare market: the need for better data and methods
    H S Wong
    Agency for Healthcare Research and Quality, Center for Organization and Delivery Studies, Rockville, MD 20852, USA
    Health Serv Res 36:291-308. 2001
    ..Improved data collection, better methods, new creative approaches, and alternative data sources are needed to address these issues in a timely and suitable manner...
  85. ncbi Impact of the introduction of a combined Haemophilus B conjugate vaccine and hepatitis B recombinant vaccine on vaccine coverage rats in a large West Coast health maintenance organization
    Robert L Davis
    Center for Health Studies, Group Health Cooperative, Seattle, WA 98195, USA
    Pediatr Infect Dis J 22:657-8. 2003
    ..We evaluated the effect of introduction of a combined hepatitis B-Haemophilus influenzae b vaccine on vaccine coverage rates in a large health maintenance organization and found a modest improvement in up-to-date immunization status...
  86. ncbi Integrating care: a talk with Kaiser Permanente's David Lawrence. Interview by Jeff Goldsmith
    David Lawrence
    Health Aff (Millwood) 21:39-48. 2002
  87. ncbi Impact of the change in polio vaccination schedule on immunization coverage rates: a study in two large health maintenance organizations
    R L Davis
    Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington 98101 1448, USA
    Pediatrics 107:671-6. 2001
    ..We determined whether adoption of an IPV schedule had a negative impact on immunization coverage...
  88. ncbi Disability outcomes of older Medicare HMO enrollees and fee-for-service Medicare beneficiaries
    F W Porell
    Gerontology Institute, University of Massachusetts Boston, 02125, USA
    J Am Geriatr Soc 49:615-31. 2001
    OBJECTIVES: To investigate whether older Medicare beneficiaries enrolled in Medicare risk health maintenance organizations (HMOs) have different rates of disablement than fee-for-service (FFS) beneficiaries...
  89. pmc Breast cancer outcomes among older women: HMO, fee-for-service, and delivery system comparisons
    A Lee-Feldstein
    Center for Health Policy and Research, Department of Medicine, College of Medicine, University of California, Irvine, Calif 92697-5800, USA
    J Gen Intern Med 16:189-99. 2001
    ..These outcomes do not differ significantly between women with Medicare who are in HMOs and those with private FFS supplemental insurance. However, patients with Medicare/Medicaid or Medicare alone are at risk for poorer outcomes...
  90. ncbi Timeliness and quality of care for elderly patients with acute myocardial infarction under health maintenance organization vs fee-for-service insurance
    S B Soumerai
    Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
    Arch Intern Med 159:2013-20. 1999
    A commonly voiced concern is that health maintenance organizations (HMOs) may withhold or delay the provision of urgent, essential care, especially for vulnerable patients like the elderly.
  91. pmc ESRD managed care demonstration: financial implications
    Dawn M Dykstra
    University Renal Research and Education Association, 315 W Huron, Suite 260, Ann Arbor, MI 48103, USA
    Health Care Financ Rev 24:59-75. 2003
    ..Patient financial benefits were approximately $9,000 annually...
  92. pmc The effect of HMOs on the inpatient utilization of medicare beneficiaries
    Nasreen Dhanani
    RAND, 1700 Main Street, PO Box 2138, Santa Monica, CA 90407 2138, USA
    Health Serv Res 39:1607-27. 2004
    To determine the effect of joining HMOs (health maintenance organizations) on the inpatient utilization of Medicare beneficiaries.
  93. pmc Patient selection in the ESRD managed care demonstration
    Jennifer R Shapiro
    Centers for Medicare and Medicaid Services, Baltimore, MD, USA
    Health Care Financ Rev 24:31-43. 2003
    ..refers to the phenomenon whereby those Medicare beneficiaries who choose to enroll or stay in health maintenance organizations (HMOs) are, on average, younger, healthier, and less costly to treat than beneficiaries who remain in ..
  94. pmc Evaluation of the ESRD managed care demonstration operations
    Caitlin Carroll Oppenheimer
    National Opinion Research Center, Washington, DC 20036, USA
    Health Care Financ Rev 24:7-29. 2003
    ....
  95. pmc Variations in patterns of care and outcomes after acute myocardial infarction for Medicare beneficiaries in fee-for-service and HMO settings
    Harold S Luft
    Institute for Health Policy Studies, University of California, San Francisco 94118, USA
    Health Serv Res 38:1065-79. 2003
    ..To assess revascularization and mortality after acute myocardial infarction (AMI) for all Medicare patients in fee-for-service (FFS) and health maintenance organization (HMO) settings in California...
  96. ncbi Quality counts. So why not offer physicians bonuses?
    John Carroll
    Manag Care 12:18-20, 25-7. 2003
  97. ncbi Health care benchmarking 2003
    Suzanna Hoppszallern
    Hosp Health Netw 77:37-44, 2. 2003
    ..However, hospitals in areas with low managed care penetration had a lower percentage of bad-debt expense and significantly fewer days in accounts receivable and more days cash on hand...
  98. ncbi Evaluating Medicaid HMOs when encounter data are missing: case of developmentally delayed children
    Farrokh Alemi
    Health System Management Program, College of Nursing and Health Sciences, George Mason University, Fairfax, Virginia, 4400 University Drive, Fairfax, VA 22030 4444, USA
    Health Care Manag Sci 6:37-42. 2003
    In evaluating Medicaid Health Maintenance Organizations (HMOs), crucial information regarding severity of illness of patients is often missing--in part because encounter data are not available...
  99. pmc Medicare contracting risk/Medicare risk contracting: a life-cycle view from twelve markets
    Robert E Hurley
    Department of Health Administration, Virginia Commonwealth University, Richmond 23298, USA
    Health Serv Res 38:395-417. 2003
    ....
  100. ncbi Difference in the use of preventive services between fee-for-service plans and HMOs: is more better?
    Y Richard Wang
    Public Policy Department, AstraZeneca Pharmaceuticals, Wilmington, Del 19850 5437, USA
    Am J Manag Care 9:293-301. 2003
    ....
  101. ncbi Children's use of mental health services in different Medicaid insurance plans
    David S Mandell
    Department of Mental Health Law and Policy, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, Florida, USA
    J Behav Health Serv Res 30:228-37. 2003
    ..Characteristics of the interaction between need, psychopathology, and insurance plan that may be associated with the reduction in service use are discussed...

Research Grants65

  1. Predictors of tuberculosis by stage of insulin resistance
    Alicia Hsin Ming Chang; Fiscal Year: 2013
    ..S. and in the world. ..
  2. Can diet- &exercise-induced weight loss improve asthma control in obese adults?
    Jun Ma; Fiscal Year: 2013
    ..If successful, this project will help advance the current clinical guidelines for treating obese adults with asthma, which, in turn, may lead to reduced morbidity and mortality associated with asthma and obesity. ..
  3. Development and Validation of a Panel of Breast Cancer for the Early Diagnosis of
    FELIX RODOLFO FERNANDEZ MADRID; Fiscal Year: 2010
    ..We propose that this test used in conjunction with mammography has the potential to complement and increase the accuracy of the screening process. ..
  4. Risk of Cancer in Incidental Findings Identified on Ultrasound Imaging
    Rebecca Smith-Bindman; Fiscal Year: 2013
    ..We will use the results of these analyses to develop evidence-based practice guidelines for the management of incidental findings identified on ultrasound imaging. ..
  5. Home and community exposures in COPD exacerbation: A pilot case cross-over study
    Susan R Sama; Fiscal Year: 2011
    ....
  6. Oral Contraceptive Use and Fractures Around the Menopausal Transition
    Delia Scholes; Fiscal Year: 2012
    ..abstract_text> ..
  7. Evaluation of vaccination reminder/recall systems for adolescent patients
    Allison Kempe; Fiscal Year: 2009
    ..The study will provide important information to guide future public health efforts to achieve high rates of immunization in adolescents. ..
  8. Obesity Prevention Tailored for Health II
    KIM DANIEL REYNOLDS; Fiscal Year: 2012
    ..Two 24-hour recalls will be completed at each assessment period. BMI and physical activity will be objectively measured through height and weight assessments, and through the use of accelerometry to assess physical activity. ..
  9. A Randomized Clinical Trial to Prevent Recurrent CA-MRASA Infection
    Loren Miller; Fiscal Year: 2009
    ..Additionally, our studies will advance our understanding of the pathogenesis and scope of recurrent CA-MRSA infection. ..
  10. Medication Oversupply and Outcomes in Patients with Diabetes
    CAROLYN TIMBERLAKE THORPE; Fiscal Year: 2011
    ....
  11. Integrated Drug and Medical Care-Cost and Effectiveness
    Constance M Weisner; Fiscal Year: 2010
    ..An additional strength is the organizationalsetting of a "real world" HMO, its comprehensive automated databases, andthe potential for dissemination to other regions. ..
  12. Motivational Interviewing to Reduce Substance Use Among Depression Patients
    Derek D Satre; Fiscal Year: 2012
    ..If effectiveness is demonstrated, the intervention could improve services for patients with depression, prevent escalation of drug and alcohol problems and improve health outcomes. ..
  13. Development of a Cardiovascular Surveillance System in the CVRN
    Stephen Sidney; Fiscal Year: 2010
    ....
  14. Analysis of Restoration Longevity in Elderly Patients using Electronic Dental Rec
    TITUS K SCHLEYER; Fiscal Year: 2013
    ..proposes analyzing restoration longevity using electronic dental record (EDR) data from two major health maintenance organizations, HealthPartners and the Marshfield Clinic...
  15. The Role of Infection in Childhood Stroke
    Heather J Fullerton; Fiscal Year: 2010
    ..Understanding why strokes occur in children is the first step towards designing effective methods of preventing stroke. ..
  16. REPRODUCTIVE/CONTRACEPTIVE RISK FACTORS & ENDOMETRIOSIS
    Victoria Holt; Fiscal Year: 2005
    ..Medical records and pharmacy records will be used as to supplement subject-provided diagnosis, treatment and recurrence information. ..
  17. Medical History, Medications, and Pancreatic Cancer Risk
    MARGARET MANDELSON; Fiscal Year: 2004
    ..abstract_text> ..
  18. Internet Self-Help Program for Major Depressive Disorder in Spouses of Combatants
    Bentson McFarland; Fiscal Year: 2009
    ..Third, the research will examine ways to increase the assistance provided to people with major depressive disorder via computerized self-help systems. ..
  19. ALUMINUM IN THE EPIDEMIOLOGY OF ALZHEIMER'S DISEASE
    AMY GRAVES; Fiscal Year: 1993
    ..Data will be analyzed using logistic regression. Because this study yield a more accurate estimate of the true association between aluminum and AD than currently exists in the literature...
  20. COST CONTAINMENT & GROUP HEALTH INSURANCE BENEFIT GROWTH
    Douglas Coate; Fiscal Year: 1993
    ..managed care cost containment strategies celebrated in the early 1980s failed? More specifically, are health maintenance organizations, preferred provider organizations, broader use of coinsurance and deductibles, and utilization review ..
  21. MANAGED CARE AND MEDICAID DRUG ABUSE TREATMENT SERVICES
    Bentson McFarland; Fiscal Year: 1999
    ..In May, 1995 treatment for drug abuse problems became the responsibility of 19 prepaid health maintenance organizations (HMOs)...
  22. ECONOMIC INFLUENCES (ESPECIALLY HMOS) ON CESAREANS
    A Tussing; Fiscal Year: 1990
    ..The research will add significantly to the literature on provider-induced demand for medical care; health maintenance organizations; and the determinants of cesareans. It has cost-control, medical, and ethical implications.
  23. EVALUATION OF RISK FACTORS FOR BARRETT'S ESOPHAGUS
    Douglas Corley; Fiscal Year: 2001
    ..abstract_text> ..
  24. HMG COA REDUCTASE INHIBITORS IN THE ELDERLY--PILOT STUDY
    Robert Knopp; Fiscal Year: 1992
    ..Coronary heart disease related morbidity and mortality, and all cause mortality data will be collected throughout the follow-up...
  25. USUAL CARE VS. CHOICE OF ALTERNATIVE RX: LOW BACK PAIN
    David Eisenberg; Fiscal Year: 2001
    ..abstract_text> ..
  26. ASSESSING RECALL ACCURACY FOR PRESCRIPTION MEDICATIONS
    Suzanne West; Fiscal Year: 1991
    ..This study would evaluate exposure misclassification which impacts the validity of research findings used for the development of DUR programs...
  27. Effects of Soy on Estrogens in Breast Fluid and Urine
    Gertraud Maskarinec; Fiscal Year: 2010
    ..The NAF approach is the only way to learn more about the beneficial and adverse effects of soy directly in the female breast without applying invasive procedures to women without breast disease or surgery. ..
  28. URINARY INCONTINENCE--REPRODUCTIVE/HORMONAL RISK FACTORS
    David Thom; Fiscal Year: 2001
    ..The investigators note that because UI is a common condition with substantial economic and quality of life impact, identifying modifiable risk factors for UI would have a potentially large impact on public health. ..
  29. HMOS AND THE ELDERLY: ADJUSTING MEDICARE CAPITATION RAT
    Kathryn Hyer; Fiscal Year: 1990
    ....
  30. EPIDEMIOLOGY AND NATURAL HISTORY OF GENITAL HERPES
    ANDRE NAHMIAS; Fiscal Year: 1991
    ..One or more of these possible approaches - vaccines, chemoprophylaxis, or barrier methods - will be studied during the course of this program...
  31. SELF-CARE AND COMPLIANCE OF CHRONICALLY ILL AGED
    Linda Belgrave; Fiscal Year: 1992
    ..The joint examination of compliance and self-care and the addition of physician-patient interactions and the chronic disease experience to the health belief model are unique features of this study...
  32. OCULAR HYPERTENSION TREATMENT STUDY (OHTS)
    JOERN SOLTAU; Fiscal Year: 2007
    ..We have a study coordinator working on other projects who will be crossed-trained to back up the clinical coordinator/technician. ..
  33. OUTCOMES OF LEGISLATED INCREASES IN MATERNITY STAYS
    Stephen Soumerai; Fiscal Year: 2000
    ..Subgroup analyses on vulnerable populations (e.g., poorer, less educated, teenage mothers) will be conducted to determine whether these policies might have had differential effects on these at-risk populations. ..
  34. ADVERSE SELECTION AND RISK RATING IN INSURANCE MARKETS
    James Robinson; Fiscal Year: 1992
    ....
  35. EPIDEMIOLOGICAL STUDY OF RISKS TO REPRODUCTIVE OUTCOMES
    Judith Brown; Fiscal Year: 1993
    ..After controlling for confounders, the effects of the exposures on birth weight for gestational age would be determined by regression methods and by comparing exposed to unexposed women...
  36. THE DETECTION AND TREATMENT OF DEPRESSION IN A LARGE HMO
    Gregory Nichols; Fiscal Year: 1993
    ..In all the above analyses, patient health status and demographics, and physician characteristics will be used as control variables...
  37. Epidemiology of Dystonia in a Multi-Ethnic Population
    Caroline Tanner; Fiscal Year: 2009
    ..In addition, this cohort will provide a rich resource for future investigations including family studies, genetic analyses and further investigations of environmental risk factors. ..
  38. SMOKELESS TOBACCO CESSATION IN AN HMO POPULATION
    Raymond Boyle; Fiscal Year: 1999
    ..The relationship between use of the materials and quitting success will be determined by asking how intensively the materials were used, and the number of recommended exercises completed. ..
  39. School Environmental Exposures and Measures of the Asthmatic Disease Process
    ELANOR SIDMAN; Fiscal Year: 2007
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  40. Interventions to Increase Colorectal Cancer Screening
    Usha Menon; Fiscal Year: 2002
    ..Results will be useful in testing tailored interventions to increase FOBT and sigmoidoscopy in managed care settings. ..
  41. Colon Cancer Pathways: Hyperplastic Polyps and Adenomas
    Polly Newcomb; Fiscal Year: 2009
    ..The results of this study will have implications for understanding the biology and prevention of colorectal cancer. ..
  42. PREVALENCE OF CHRONIC FATIGUE SYNDROME
    Anthony Komaroff; Fiscal Year: 1991
    ..It also will allow examination of the association of various human herpesviruses with CFS...
  43. Outcomes of Blood Pressure Management in Diabetes Patients with Comorbidities
    Caroline Blaum; Fiscal Year: 2009
    ..Results of this research will provide practical clinical evidence for modifying BP management in patients with diabetes and complex health status. ..
  44. BETA-THALASSEMIA SCREENING AND GENETIC COUNSELING
    Peter Rowley; Fiscal Year: 1980
    ..2. To determine which features of the counselee or counseling strategy predispose to optimal results in 1a, 1b, or 1c. 3. To provide an empirical basis for cost-benefit analysis with regard to counseling method in mass screening. ..
  45. SOCIAL SUPPORT/HEALTH CARE USE IN FIBROMYALGIA
    THEREASA CRONAN; Fiscal Year: 2000
    ..If either of the interventions reduce health care costs by $1200 per person per year, as expected, the long- term savings will be great. ..
  46. COMMUNITY BASED LONG TERM CARE AND AT RISK ELDERLY
    LUCY FISCHER; Fiscal Year: 2000
    ..We will use survival analysis techniques to compare the adjusted time until permanent nursing home admission. The secondary analyses will use distribution-appropriate analysis of co-variance (ANCOVA). ..
  47. PSYCHOSOCIAL DETERMINANTS OF CHILDREN'S PRIMARY CARE USE
    Anne Riley; Fiscal Year: 1990
    ....
  48. COST-EFFECTIVENESS OF HMO RESIDENTIAL & OUTPATIENT CARE
    LEE KASKUTAS; Fiscal Year: 2003
    ..The study will confirm treatment content and will identify patient characteristics associated with successful treatment outcomes in each setting. ..
  49. GENETIC DIFFERENCES IN ALZHEIMERS CASES AND CONTROLS
    Walter Kukull; Fiscal Year: 1999
    ..1995). The investigators will compare the strength of association between AD and APOE-e4 across alpha-1-antichymotrypsin genotypes (described as AA, AT, TT). ..
  50. ETHICAL & POLICY ISSUES IN CYSTIC FIBROSIS SCREENING
    Neil Holtzman; Fiscal Year: 1993
    ..The rates of acceptance of screening among a well-informed population and the effect of being identified as a carrier will provide better guidance to public policy related to genetic screening...
  51. HMO & PSYCHIATRIC CHILD ASSESSMENTS: A FOLLOW-UP STUDY
    ELIZABETH COSTELLO; Fiscal Year: 1991
    ..4) To determine the relationship between childhood and adolescent psychopathology and nonpsychiatric events such as arrest, accidents, and early unplanned pregnancies...
  52. EVALUATION OF CAREGIVING SUPPORT PROGRAM
    Patricia Archbold; Fiscal Year: 1991
    ..We will use multivariate analysis of variance and covariance to compare the control and experimental groups on the measures of the dependent variables...
  53. DIETARY SODIUM RESTRICTION IN GENERAL MEDICAL
    Myron Weinberger; Fiscal Year: 1991
    ..The proposed study will demonstrate that dietary instructional and supportive systems can be tailored to be feasible and effective in such settings...
  54. HEALTH CARE UTILIZATION AND RECURRENCE OF ABDOMINAL PAIN
    Alan Adelman; Fiscal Year: 1992
    ..The factors associated with health seeking behavior for abdominal pain will also be clarified...
  55. MENTAL HEALTH SERVICES RESEARCH PROGRAM IN MANAGED CARE
    Thomas McLaughlin; Fiscal Year: 2002
    ....
  56. FAMILY PROCESS, ADHERENCE, AND CHILD ASTHMA OUTCOME
    Frederick Wamboldt; Fiscal Year: 1999
    ....
  57. DECREASING ADVERSE EFFECTS OF FALSE POSITIVE MAMMOGRAMS
    Suzanne Fletcher; Fiscal Year: 2001
    ..The study will determine whether simple strategies alleviate adverse psychosocial effects of an important breast cancer screening procedure that more than 25 million American women receive each year. ..
  58. ESTROGEN REPLACEMENT AND CVD OUTCOMES IN DIABETIC WOMEN
    Katherine Newton; Fiscal Year: 1999
    ..The investigators state that this study will extend knowledge regarding the safety and efficacy of HRT in a subgroup of women at high risk for cardiovascular complications. ..
  59. COMMUNITY SURVEILLANCE OF CONGESTIVE HEART FAILURE
    Eyal Shahar; Fiscal Year: 2002
    ..The investigators point out that the results of the proposed surveillance will provide guidance to public health decisions, broader surveillance projects of CHF, and a sensitive gauge of the success of medical efforts. ..
  60. INTEGRATED DRUG AND MEDICAL CARE--COST AND EFFECTIVENES
    Constance Weisner; Fiscal Year: 1999
    ..The HMO setting is an important "real world" environment in which to conduct such a study; it has a heterogeneous patient population, and such managed care settings are increasingly becoming a predominant form of service delivery. ..
  61. Becoming a member of the ICCRN-for IC
    Claire Yang; Fiscal Year: 2007
    ..Our multidisciplinary focus and experience will allow us the flexibility to design and carry out ancillary studies that will fit with the overall plan of the ICCRN. ..
  62. HMO SERVICE MODEL FOR OFFSPRING OF DEPRESSED PARENTS
    Gregory Clarke; Fiscal Year: 1999
    ..HMO databases will also be reviewed to examine service utilization/cost dependent variables to determine the cost and utility of the intervention model. ..
  63. RACISM AS A CHRONIC STRESSOR: DEPRESSIVE COPING RESPONSE
    ANISSA VINES; Fiscal Year: 2000
    ..Also, determining the extent to which racism may influence visceral obesity will be the first step toward understanding and ultimately reducing the high morbidity and mortality associated with this outcome. ..
  64. ADVERSE DRUG EVENTS IN THE AMBULATORY GERIATRIC SETTING
    Jerry Gurwitz; Fiscal Year: 1999
    ..Information derived from this study will provide essential information to inform the design of interventions to reduce the risk for the occurrence of preventable ADEs in this vulnerable population. ..
  65. Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture
    Thomas Gallagher; Fiscal Year: 2007
    ..Improving team communication and disclosure following harmful errors can enhance transparency and safety culture, increase patient satisfaction, and ultimately promote patient safety. [unreadable] [unreadable] [unreadable] [unreadable]..