What constitutes quality of learning in primary care? A
social systems view of that central question regards the
relationships between dimensions of learning, purposes of
primary care, and quality of practice. The question of
learning quality was approached in three ways. First,
perceptions of learning quality were elicited through
recorded...
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...
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...
PURPOSE Rural hospitals began to make significant changes in the 1990s by becoming integrated with larger health systems. The literature has correlated several key measures that determine the success of integrated health systems. These measures were quality, financial strength, community benefit, physician outcomes, and service changes. The purpose of this...
Healthcare discrimination is associated with various health-related attitudes, behaviors, intentions, and outcomes including provider avoidance, underutilization or increased use of healthcare services, use of alternative means of healthcare, delays in medical care, less satisfaction with care, poor health behaviors, and poorer health outcomes. Since 2001, Muslims and Arabs in the...
In August 2012, Oregon began enrolling Medicaid beneficiaries in coordinated care organizations (CCOs), a unique mandatory-enrollment accountable care organization (ACO) model with payment methods strongly tied to preventive care; care coordination; and integration of physical, mental and dental health care through patient-centered medical homes. This dissertation, consisting of two studies,...
A study to evaluate the level of hospital preparedness to respond to a bioterrorist attack such as smallpox or anthrax, in the western United States (Arizona, California, Idaho, Nevada, Oregon and Washington) was conducted from May to September 2000. A survey questionnaire was mailed to 300 randomly selected hospitals. A...
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...
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...
Since the late 1990s accelerated growth in health care spending coupled with a cost shift of health insurance from employers to employees has created an increased financial burden for many families. Past research suggests that financial burden due to out-of-pocket (OOP) health care costs limits access to health care and...