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  • References (34)
  • Citations (4)
Published on Nov 1, 1999in Journal of Nursing Administration 1.21
Jo-Ann Cook4
Estimated H-index: 4
Gail L. Ingersoll10
Estimated H-index: 10
Roxanne Spitzer2
Estimated H-index: 2
Published on Oct 1, 1998in Health Services Research 2.71
T A Lieu1
Estimated H-index: 1
Thomas B. Newman48
Estimated H-index: 48
Abstract OBJECTIVES: To discuss issues in studying the effectiveness of health services for children, suggest areas in which more research is needed, and recommend strategies for future research. PRINCIPAL FINDINGS: Issues that should be considered include the choice of perspective, which will help determine the interventions studied and the measures of effectiveness and cost-effectiveness chosen. Unique challenges in this area include the fact that serious measurable morbidity is relatively unc...
Published on Sep 1, 1998in Health Affairs 5.71
Atul A. Gawande59
Estimated H-index: 59
(Kaiser Family Foundation),
Robert J. Blendon46
Estimated H-index: 46
(Kaiser Family Foundation)
+ 3 AuthorsLarry Hugick3
Estimated H-index: 3
(Kaiser Family Foundation)
ABSTRACT: Data from a 1997 nationwide telephone survey are used to assess the relationship between choice and public opinion about managed care. We found that only a minority of the working-age population effectively control what health plan they get. Persons without choice were markedly more dissatisfied with their health plan, especially when enrolled in managed care. In multivariate analysis, how respondents rated their health plan depended as much on whether they lacked choice as on whether ...
Published on Jul 1, 1998in Health Affairs 5.71
Robert J. Blendon46
Estimated H-index: 46
Mollyann Brodie20
Estimated H-index: 20
+ 4 AuthorsLarry Hugick3
Estimated H-index: 3
PROLOGUE: Managed care has been described with terms as forceful as “revolution.” Given the sweeping implications of such a word, a negative reaction is inevitable on the part of persons and institutions that are affected. For managed care, the “backlash” has taken the form of legislation introduced in nearly every state (more than one thousand bills at last count), aimed at calming consumers' fears of losing control of their health care while trying to retain some of the cost-saving, market-inn...
Published on Jun 1, 1998in Health Services Research 2.71
Douglas R. Wholey17
Estimated H-index: 17
Lawton R. Burns31
Estimated H-index: 31
Risa Lavizzo-Mourey27
Estimated H-index: 27
OBJECTIVE: To analyze primary care staffing in HMOs and to review the literature on primary care organization and performance in managed care organizations, with an emphasis on the delivery of primary care to the elderly and chronically ill. DATA SOURCES/STUDY SETTING: Analysis of primary care staffing: InterStudy HMO census data on primary care (n = 1,956) and specialist (n = 1,777) physician staffing levels from 1991 through 1995. Primary care organization and performance for the chronically i...
Published on May 1, 1998in Health Affairs 5.71
Marsha Lillie-Blanton21
Estimated H-index: 21
(Johns Hopkins University),
Barbara Lyons9
Estimated H-index: 9
(Johns Hopkins University)
ABSTRACT: This DataWatch examines the relationship between managed care enrollment and access to care for low-income adults with Medicaid and compares their experience with that of low-income, privately insured managed care enrollees. Medicaid managed care enrollees are more likely than low-income, privately insured managed care enrollees to be poorer, have health problems, and experience access problems. Compared with low-income populations in fee-for-service care, managed care enrollees, wheth...
Published on Apr 1, 1998in Pediatrics 5.40
Chuck Norlin14
Estimated H-index: 14
Lucy M. Osborn12
Estimated H-index: 12
(UofU: University of Utah)
The health care market dynamics that supported and directed the growth and development of Academic Health Centers (AHCs) have changed dramatically in the last 10 years. AHCs are struggling to adapt to new reimbursement mechanisms and to compete effectively for limited dollars, but are constrained by administrative and governance structures that are slow to evolve. Their multiple missions, including education, research, and care for complex patients and underserved populations, are at risk. Altho...
Cited By4
Published on Jul 1, 2005in The health care manager
Lynn Unruh18
Estimated H-index: 18
Nancy Rudner Lugo1
Estimated H-index: 1
+ 1 AuthorsJacqueline Fowler Byers6
Estimated H-index: 6
Objective:Patient safety practices have primarily focused on providers, such as hospitals and ambulatory or long-term care. Based on the premise that most medical errors and patient safety problems arise from system issues, and that managed care constitutes the largest, most integrated system in hea
Angela Y. Lambing1
Estimated H-index: 1
(HFHS: Henry Ford Health System),
Denise L. C. Adams1
Estimated H-index: 1
+ 1 AuthorsGeorge Divine38
Estimated H-index: 38
(HFHS: Henry Ford Health System)
Objective Less is known about nurse practitioners' (NPs') effectiveness in acute care than about their effectiveness in outpatient settings. This study investigated care activities and clinical outcomes for hospitalized geriatric patients treated by NPs compared with those treated by intern and resident physicians. Data Sources A descriptive comparative research design involved random selection of 100 inpatient geriatric patients and a convenience sample of 17 professional providers who staffed ...
Published on Mar 1, 2003
David H. Hickam35
Estimated H-index: 35
Susan M Severance3
Estimated H-index: 3
+ 6 AuthorsMark Helfand3
Estimated H-index: 3
Published on Feb 1, 2002in Journal of Nursing Administration 1.21
Julie Apker1
Estimated H-index: 1
Dorothy H. Fox2
Estimated H-index: 2
Nurse administrators are searching for an expanded repertoire of strategies to attract and retain qualified nursing staff in today's managed care environment. This study examined hospital registered nurses' interpretations of managed care and the effects of those views on nurses' identification with their employing organization and the nursing profession. Findings show that nurses held greater identification with their occupation than their organization. Significant factors influencing nurses'at...