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为什么健康维护组织似乎提供更多的健康维护服务?

Why do HMOs seem to provide more health maintenance services?

作者信息

Luft H S

出版信息

Milbank Mem Fund Q Health Soc. 1978 Spring;56(2):140-68.

PMID:97576
Abstract

Greater use of preventive services by enrollees of HMOs than of other health plans is often assumed to reflect differences in philosophy about "health maintenance." But organizational forms are less important than extent of insurance coverage in influencing use of preventive services. Policy options for improved health status will have to challenge ideologies of prevention and financing.

摘要

人们通常认为,健康维护组织(HMO)的参保者比其他健康计划的参保者更多地使用预防服务,这反映了在“健康维护”理念上的差异。但在影响预防服务的使用方面,组织形式不如保险覆盖范围重要。改善健康状况的政策选择将不得不挑战预防和融资的意识形态。

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引用本文的文献

1
Prevalence of and factors associated with hormone replacement therapy counseling: results from the 1994 National Health Interview Survey.激素替代疗法咨询的患病率及相关因素:1994年全国健康访谈调查结果
Am J Public Health. 1999 Oct;89(10):1575-7. doi: 10.2105/ajph.89.10.1575.
2
Presidential address: preventive medical practice.主席致辞:预防医学实践
J Community Health. 1981 Summer;6(4):237-45. doi: 10.1007/BF01324000.
3
The organization of medical practice and primary care physician income.医疗实践的组织与基层医疗医生的收入
Am J Public Health. 1983 Apr;73(4):379-83. doi: 10.2105/ajph.73.4.379.
4
Behavioral, health, and cost outcomes of an HMO-based prenatal health education program.一项基于健康维护组织(HMO)的产前健康教育项目的行为、健康及成本结果。
Public Health Rep. 1983 Nov-Dec;98(6):536-47.
5
Intervention strategies for children: a research agenda.儿童干预策略:一项研究议程。
Health Serv Res. 1985 Feb;19(6 Pt 2):887-943.
6
Changing physician payment for Medicare patients. Projected effects on the quality of care.改变针对医疗保险患者的医生薪酬支付方式。对医疗质量的预期影响。
West J Med. 1986 Nov;145(5):704-9.