New program helps local managed care practices improve depression care provided by primary care doctors

1999 ◽  
Keyword(s):  
Primary Care ◽  
Managed Care ◽  
Depression Care ◽  
Primary Care Doctors ◽  
Care Practices

scholarly journals Comparison of Cardiovascular Risk Screening Methods and Mortality Data Among Hungarian Primary care Population: Preliminary Results of the First Government-Financed Managed care Program / Primerjava Metod Presejanja Ogroženosti Srčno-Žilnega Sistema In Podatkov O Smrtnosti Madžarskega Prebivalstva Z Osnovno Zdravstveno Oskrbo: Predhodni Rezultati Prvega Programa Vodene Oskrbe, Ki Ga Je Financirala Vlada

2015 ◽  
Vol 54 (3) ◽  
pp. 154-160
Author(s):  
Csaba Móczár ◽  
Imre Rurik
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Managed Care ◽  
Screening Method ◽  
Care Program ◽  
Average Score ◽  
Mortality Data ◽  
Screening Methods ◽  
Care Practices ◽  
Primary Care Practices

Abstract Introduction. Besides participation in the primary prevention, screening as secondary prevention is an important requirement for primary care services. The effect of this work is influenced by the characteristics of individual primary care practices and doctors’ screening habits, as well as by the regulation of screening processes and available financial resources. Between 1999 and 2009, a managed care program was introduced and carried out in Hungary, financed by the government. This financial support and motivation gave the opportunity to increase the number of screenings. Method. 4,462 patients of 40 primary care practices were screened on the basis of SCORE risk assessment. The results of the screening were compared on the basis of two groups of patients, namely: those who had been pre-screened (pre-screening method) for known risk factors in their medical history (smoking, BMI, age, family cardiovascular history), and those randomly screened. The authors also compared the mortality data of participating primary care practices with the regional and national data. Results. The average score was significantly higher in the pre-screened group of patients, regardless of whether the risk factors were considered one by one or in combination. Mortality was significantly lower in the participating primary practices than had been expected on the basis of the national mortality data. Conclusion. This government-financed program was a big step forward to establish a proper screening method within Hungarian primary care. Performing cardiovascular screening of a selected target group is presumably more appropriate than screening within a randomly selected population. Both methods resulted in a visible improvement in regional mortality data, though it is very likely that with pre-screening a more cost-effective selection for screening may be obtained.

Managed Care in a New Key: Britain's Strategies for the 1990s

1998 ◽  
Vol 28 (3) ◽  
pp. 427-444 ◽  
Author(s):  
Donald W. Light
Keyword(s):  
Primary Care ◽  
Managed Care ◽  
Health Gain ◽  
White Paper ◽  
Internal Market ◽  
The Other ◽  
Daunting Task ◽  
Care Health ◽  
Care Practices ◽  
Primary Care Practices

The new Labour government in Britain has issued three variations of a White Paper that outline significant changes in how the world's largest managed care health system will be run. All three emphasize systemwide criteria for quality, effectiveness, and health gain, which in turn imply redressing past inequalities in funding and service. One, the Scottish Paper, eliminates Thatcher's internal market and returns to a simple organizational structure centering on the health boards. The other two propose combining primary care practices into purchasing groups, a daunting task that will spawn many new problems and expenses as it recreates the internal market.

Inducing Sustainable Improvement in Depression Care in Primary Care Practices

2008 ◽  
Vol 34 (5) ◽  
pp. 247-255 ◽  
Author(s):  
Donald E. Nease ◽  
Paul A. Nutting ◽  
W. Perry Dickinson ◽  
Aaron J. Bonham ◽  
Deborah G. Graham ◽  
...  
Keyword(s):  
Primary Care ◽  
Depression Care ◽  
Sustainable Improvement ◽  
Care Practices ◽  
Primary Care Practices
Sign in / Sign up

Export Citation Format

Share Document