scholarly journals Understanding the dynamics between ethnicity and health care: Another role for health services research in chronic disease management

2002 ◽  
Vol 46 (9) ◽  
pp. 2265-2267 ◽  
Author(s):  
John R. Feussner
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Health Services Research ◽  
Health Services ◽  
Chronic Disease Management ◽  
Services Research

Impact of Enhanced Primary Care on equitable access to and economic efficiency of allied health services: a qualitative investigation

2010 ◽  
Vol 34 (1) ◽  
pp. 30 ◽  
Author(s):  
Terry P. Haines ◽  
Michele M. Foster ◽  
Petrea Cornwell ◽  
Jennifer Fleming ◽  
Sean Tweedy ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Chronic Disease ◽  
Disease Management ◽  
Health Services ◽  
Allied Health ◽  
Chronic Disease Management ◽  
Annual Number ◽  
Equitable Access ◽  
Health Practitioners

Objective.To evaluate new pathways to access allied health services introduced by the Enhanced Primary Care/Chronic Disease Management (EPC/CDM) initiative that may both increase or decrease equity to and efficiency in access. Design.A qualitative study consisting of semi-structured in-depth interviews with a purposively selected group of allied health practitioners. Participants and setting.Allied health practitioners in private practice in Queensland, Australia, from physiotherapy, occupational therapy, speech pathology, and exercise physiology backgrounds (n = 15). Main outcome measures.Interviews focused upon several issues including how referrals are made under the EPC/CDM initiative and what happens for patients once their five allotted sessions are expended. Results.The EPC/CDM initiative appeared to address two key barriers of access to allied health services – costs to patient of access and patient awareness of benefits. However, gap payments may still be deterring economically disadvantaged patients from attending. Discussion.The EPC/CDM initiative is increasing access to allied health services for people with chronic diseases. However, it is evident that this initiative may still not be meeting the needs of those most disadvantaged economically, and may lead to duplication of efforts by allied health practitioners when patients move between private and public health care sectors. What is known about the topic?Publicly funded subsidy of allied health services for people with chronic disease is a relatively new policy initiative in Australia. The success of such policy hinges on several factors, notably, its ability to improve equity of access to appropriate health care, generate improved health outcomes, and to do so efficiently. What does this paper add?This paper demonstrates how health professionals and patients are actually using the Enhanced Primary Care/Chronic Disease Management initiative to access allied health services. The strengths and weaknesses of current policy identified will inform future policy development and funding decisions. What are the implications for practitioners?Equitable access to allied health services for people with economic disadvantage is still limited due to gap payments. This initiative has facilitated patient exposure to the benefits of allied health services first hand, prompting some to continue paying for these services privately once the annual number of sessions permitted are exhausted.

Health Services Research at United HealthCare Corporation: The Role of the Center for Health Care Policy and Evaluation

1996 ◽  
Vol 53 (1_suppl) ◽  
pp. 65-76 ◽  
Author(s):  
Eileen Peterson ◽  
Deborah Shatin ◽  
Douglas Mccarthy
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Services Research ◽  
Health Services ◽  
Health Care Policy ◽  
Research Priorities ◽  
Research Capacity ◽  
Lessons Learned ◽  
Services Research ◽  
And Performance

This article describes collaborative health services research and performance evaluation activities at United HealthCare Corporation, a national health care management services company. We outline the development of a research capacity within our company, the principal data sources used, and the types of research conducted. The importance of health services research within a managed care system is illustrated using two projects as examples. finally, we discuss issues faced by organizations such as ours in defining appropriate research priorities, ensuring health plan participation, and disseminating research findings. Lessons learned should be of interest to health services researchers working in or collaborating with managed care organizations as well as others seeking to understand the dynamics of research in private-sector health care companies.

scholarly journals Qualitative Research Methodology and its Scope in Health Services Research

2020 ◽  
Vol 3 (2) ◽  
pp. 18-21
Author(s):  
Naiya Patel
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Clinical Trials ◽  
Health Services Research ◽  
Health Services ◽  
Health Care Providers ◽  
Research Methodology ◽  
Care Providers ◽  
Services Research ◽  
Qualitative Research Methodology

Health services research is a multidisciplinary field which involves policy makers, health care providers, as well as quality outcomes professionals of the health services provided in an organizational setting to name some. Using qualitative research methodology to get insights of both the provider and patient experience down the pipeline can help strengthen what is lacking. Bridging the gap of translation research by not just surveys 1 might be an appropriate research methodology, however, inclusion of case studies, ethnographies might help stakeholders in the field, to visualize in depth phenomenon occurring in health services research field. Telly medicine, commercial digital health status trackr might be some of the inetrventions to improvise health care services, however, knowing what are the actual needs at individual level might efficiently help in redistribution of resources or policy laws. Recruiting for clinical trials through story telling communication technology2,3, might help in recruitment for novel drug therapies to explore possibilities, however, exploring the barriers to enroll for the clinical trials, or why the drug might work effectively in some cultural population and why not on others, can only be efficiently explored through qualitative research methodologies.

scholarly journals Assigning Resources to Health Care Use for Health Services Research

Medical Care ◽  
2009 ◽  
Vol 47 (Supplement) ◽  
pp. S70-S75 ◽  
Author(s):  
Paul A. Fishman ◽  
Mark C. Hornbrook
Keyword(s):  
Health Care ◽  
Health Services Research ◽  
Health Services ◽  
Health Care Use ◽  
Services Research

Interactive visualization applications in population health and health services research: a systematic scoping review (Preprint)

2021 ◽  
Author(s):  
Jawad Chishtie ◽  
Iwona Anna Bielska ◽  
Aldo Barrera ◽  
Jean-Sebastien Marchand ◽  
Muhammad Imran ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Support ◽  
Health Services Research ◽  
Health Services ◽  
Population Health ◽  
Scoping Review ◽  
Interactive Visualization ◽  
Resource Planning ◽  
Services Research ◽  
Epidemiologic Surveillance

BACKGROUND Simple visualizations in health research data, such as scatter plots, heat maps and bar charts typically present relationships between two variables. Interactive visualization methods allow for multiple related facets, such as multiple risk factors, to be studied simultaneously, leading to data insights through exploring trends and patterns from complex big healthcare data. The technique presents a powerful tool that can be used in combination with statistical analysis for knowledge discovery, hypothesis generation and testing, and decision support. OBJECTIVE The primary objective of this scoping review is to describe and summarize the evidence of interactive visualization applications, methods and tools being employed in population health and HSR, and their sub-domains in the last 15 years, from 1 January 2005 to 30 March 2019. Our secondary objective is to describe the use cases, metrics, frameworks used, settings, target audience, goals and co-design of applications. METHODS We adapted standard scoping review guidelines, with a peer reviewed search strategy, two independent researchers at each stage of screening and abstraction, with a third independent researcher to arbitrate conflicts and validate findings. A comprehensive abstraction platform was built to capture the data from diverse bodies of literature, primarily from the computer science and health care sector. After screening 11,310 articles, we present findings from 56 applications from interrelated areas of population health and health services research, and their sub-domains such as epidemiologic surveillance, health resource planning, access, utilization and costs, among diverse clinical and demographic populations. RESULTS As a companion review to our earlier systematic synthesis of literature on visual analytic applications, we present findings in six major themes of interactive visualization applications developed for eight major problem categories. We found a wide application of interactive visualization methods, the major being epidemiologic surveillance for infectious disease, resource planning, health service monitoring and quality and studying medication use patterns. Data sources included mostly secondary administrative and electronic medical record data. Additionally, at least two-third applications involved participatory co-design approaches, while introducing a distinct category ‘embedded research’ within co-design initiatives. These applications were in response to an identified need for data-driven insights towards knowledge generation and decision support. We further discuss the opportunities from the use of interactive visualization methods towards studying global health, inequities including social determinants of health, and other related areas. We also allude to the challenges in the uptake of these methods. CONCLUSIONS Visualization in health has strong historical roots, with an upward trend in the use of these methods in population health and health services research. Such applications are being fast utilized by academic and health care agencies for knowledge discovery, hypotheses generation and decision support. CLINICALTRIAL Protocol registration: RR1-10.2196/14019 Related first review: RR2-10.2196/14019 INTERNATIONAL REGISTERED REPORT RR2-10.2196/14019

HMOs and Health Services Research: The Penalty of Taking the Lead

1996 ◽  
Vol 53 (1_suppl) ◽  
pp. 18-43 ◽  
Author(s):  
Amy B. Bernstein ◽  
Jill Bernstein
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Services Research ◽  
Health Services ◽  
Information Needs ◽  
Health Maintenance Organization ◽  
Services Research ◽  
Health Maintenance ◽  
Future Evolution ◽  
Different Types

Although health maintenance organization (HMO) structures and databases are not uniform across plans, there are unique characteristics of HMO data in general that make them useful in examining health policy and delivery issues. The authors examine differences in data generated by different types of HMOs. After discussing why health services research using HMO data is needed by HMOs, other providers, practitioners, payers, and consumers of health care, the authors examine ways in which HMOs can provide sound answers to crucially important questions about the future of health care. They conclude that although the need for research on HMOs is compelling, researchers need to understand the information needs of HMOs and the incentives that are shaping the industry's approach to system delivery and clinical outcomes research. If HMOs do not take the lead in conducting health services research, they will diminish their role in shaping policies that will shape their future evolution.

Sign in / Sign up

Export Citation Format

Share Document