Managed care plans purport to improve the health of their members with chronic diseases. How has the growing adoption of Medicare Advantage (MA), the managed care program for Medicare beneficiaries, affected the progression of chronic disease? The literature is rich with articles focusing on managed care organizations' impacts on quality...
Health systems financing aims at providing adequate services, ensuring sufficient providers’ incentives, and protecting individuals and families from financial catastrophe. Health services are financed through government funding, taxation, out-of-pocket payments, insurance, donations and voluntary aid. Low- income countries mostly rely on out-of-pocket payments. In South East Asia region, the latter...
Objectives The purpose of this study was to investigate the need for a technology acquisition tool to be used in the capital purchasing process in health care organizations.
Design Multi-method approach consisting of interviews of ten executives of health care organizations. A written survey was then mailed to Chief Executive...
Children with developmental disabilities (DD), particularly autism spectrum disorder (ASD), may use complementary health approaches (CHA), including some modalities that can be unsafe, inefficacious, and/or costly. Still, the prevalence of CHA use among US children with DD is not known and their reasons for use are not well understood. By...
Introduction: Management of complex systems is facilitated through effective information systems that provide real-time data to decision makers. For example, instrument panels in airplanes ensure that pilots have well-designed feedback concerning the status of mission-critical variables. Problem: While pilots have dashboards for feedback and communication, healthcare executives may be unaware...
Background: Prenatal care (PNC) is an important preventive health service that can influence the health of the four million women who give birth annually in the United States, and the health their infants. Despite efforts to increase women’s access to PNC services, significant disparities in PNC utilization and maternal/child health...
Few remote health monitoring (RHM) studies have included Mexican-origin Latinos, and even fewer have explored RHM acceptance and utility, reasons for RHM uptake success or failure, or how cultural values influence RHM use among this population. The primary purpose of this study was to determine the remote health monitoring (RHM)...
Purpose: The Purpose of this research was to design, implement and evaluate a patient centered asthma intervention pilot program directed by physicians and administered by community pharmacists to a group of Managed Care contracted Oregon Health Plan asthmatics. The evaluation was to determine if the proposed intervention could improve the...
American Indians and Alaska Natives (AIAN) have more negative sexual and reproductive health outcomes than non-Hispanic whites. Little is known, however, about the factors that lead to sexual and reproductive health disparities for AIANs, including the role of sexual and reproductive health services (SRHS).
Logistic regression analyses were performed on...
Health care providers, including complementary and alternative medical (CAM) practitioners, exert a significant influence on parental pediatric vaccination decisions. Use of CAM therapies is increasing in Oregon. Concomitantly, there has been a decade-long increase in parental vaccine refusal in Oregon, rising from 1 to 5 percent from 2000-2009. For example,...