scholarly journals Lack of Association between Age at Varicella Vaccination and Risk of Breakthrough Varicella, within the Northern California Kaiser Permanente Medical Care Program

2008 ◽  
Vol 197 (s2) ◽  
pp. S139-S142 ◽  
Author(s):  
Steve Black ◽  
Paula Ray ◽  
Henry Shinefield ◽  
Patricia Saddier ◽  
Alexander Nikas
Keyword(s):  
Medical Care ◽  
Care Program ◽  
Varicella Vaccination ◽  
Northern California ◽  
Kaiser Permanente

The Impact of Aids on the Kaiser Permanente Medical Care Program: Office of Technology Assessment

1989 ◽  
Vol 5 (1) ◽  
pp. 151-153
Keyword(s):  
Medical Care ◽  
Technology Assessment ◽  
Lifetime Cost ◽  
Care Program ◽  
Cost Of Care ◽  
Average Lifetime ◽  
Northern California ◽  
Kaiser Permanente ◽  
Office Of Technology Assessment ◽  
The Impact

The average lifetime cost of care for AIDS patients in the Kaiser Permanente Northern California (KPNCE) is $35,054, according to a study released today by the Congressional Office of Technology Assessment (OTA).The study was prepared for OTA by KPNCR, part of the Kaiser Permanente Medical Care Program, the nation's largest prepaid group practice health plan. KPNCR provides medical and hospital services to more than 2 million people in northern California-25% of the area's population.

Acute Epiglottitis: Changing Epidemiologic Patterns

1993 ◽  
Vol 109 (3) ◽  
pp. 457-460 ◽  
Author(s):  
Timothy D. Frantz ◽  
Barry M. Rasgon
Keyword(s):  
Medical Care ◽  
Care Program ◽  
Annual Incidence ◽  
Northern California ◽  
Type B ◽  
Acute Epiglottitis ◽  
Kaiser Permanente ◽  
Hemophilus Influenzae Type B ◽  
California Population ◽  
Head Neck

We determined incidence of acute epiglottitis in the Northern California Region of the Kaiser Permanente Medical Care Program during an 11-year period, from 1980 through 1990. The health plan membership is representative of the ethnicity, age, sex, and occupation of the Northern California population. The study included 135 children and 258 adults. Annual incidence in adults was relatively stable, ranging from 1.16 to 2.12 cases per 100,000. Annual incidence in children, however, decreased from 3.47 cases per 100,000 in 1980 to 0.63 cases per 100,000 in 1990. The ratio of annual incidence in children to that in adults decreased from 2.6 in 1980 to 0.4 in 1990. This changing epidemiologic pattern may be the effect of the Hemophilus influenzae type b vaccine (Hib), which was first given to children in 1985. Acute epiglottitis, classically considered a disease of children, is now becoming a disease of adults. (OTOLARYNGOL HEAD NECK SURG (1993;109:457-60.)

Managed Care

PEDIATRICS ◽  
1992 ◽  
Vol 90 (2) ◽  
pp. 278-279
Author(s):  
JENIFER D. C. CARTLAND ◽  
BETH K. YUDKOWSKY
Keyword(s):  
Managed Care ◽  
Medical Care ◽  
Care Program ◽  
Kaiser Permanente ◽  
Care Plans

In Reply.— Doctors Sapin and Laws raise fundamental concerns about our article that was recently published in Pediatrics.1 We feel that these concerns are addressed adequately in the paper, but we would like to take this opportunity to clarify our findings. Dr Sapin argues that our study characterizes all managed care plans, such as the Kaiser Permanente Medical Care Program in which he practices, as having ineffective referral mechanisms. He holds that pediatricians at Kaiser experience "no barriers to appropriate referrals" and indicates that we did not stress this finding adequately.

Liberal Default, Labor Support, and Conservative Neutrality: The Kaiser Permanente Medical Care Program After World War II

1989 ◽  
Vol 1 (2) ◽  
pp. 156-180 ◽  
Author(s):  
Rickey L. Hendricks
Keyword(s):  
World War Ii ◽  
Health Insurance ◽  
Private Sector ◽  
Medical Care ◽  
National Health Insurance ◽  
National Health ◽  
Care Program ◽  
The Political ◽  
World War ◽  
Kaiser Permanente

In the politically turbulent post–World War II period, proposed federal legislation to expand the welfare state pitted conservative Republicans against liberal Democrats in Congress. The conflict over national health insurance introduced between 1943 and 1947 in the Wagner-Murray- Dingell bill ended in a conservative victory with the bill stalled in committee. The primary constituents of the two sides were American Medical Association (AMA) spokesmen and corporate interests on the political right and labor leaders and public health advocates on the left. By 1946 the conservatives controlled Congress; thereafter liberal congressional reformers defaulted on the national health issue, as they had throughout the twentieth century, to corporate progressives and the tenets of “welfare capitalism.” Government continued as a regulator of “minimum standards” for business and industry. Provision of voluntary health insurance and direct medical services was left to the private sector. The Kaiser Permanente Medical Care Program emerged out of the political stalemate over health care in the middle 1940s as a highly efficient and popular prepaid group health plan, innovative in its large scale and total integration of service and facilities. Its survival and growth was due to its acceptability to both liberals and conservatives as a model private-sector alternative to national health insurance or any other form of state medicine.

COPD and Incident Cardiovascular Disease Hospitalizations and Mortality: Kaiser Permanente Medical Care Program

CHEST Journal ◽  
2005 ◽  
Vol 128 (4) ◽  
pp. 2068-2075 ◽  
Author(s):  
Stephen Sidney ◽  
Michael Sorel ◽  
Charles P. Quesenberry ◽  
Cynthia DeLuise ◽  
Stephan Lanes ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Medical Care ◽  
Care Program ◽  
Kaiser Permanente ◽  
Incident Cardiovascular Disease

Abstract P187: Blood Pressure Control in Adults with Autistic Spectrum Disorders in a Large Integrated Medical Care Program is Better Than in a Demographically Matched Comparison Group

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Stephen Sidney ◽  
Ousseny Zerbo ◽  
Michael E Sorel ◽  
Yinge Qian ◽  
Steve Rich ◽  
...  
Keyword(s):  
Medical Care ◽  
Care Program ◽  
Pressure Control ◽  
Autism Spectrum ◽  
Kaiser Permanente ◽  
Comparable Group ◽  
Integrated Medical Care ◽  
Spectrum Disorders ◽  
Matched Comparison ◽  
Adults With Asd

Background: The prevalence of autism spectrum disorders (ASD) has been increasing, with a recent CDC estimate of 1 of 68 children. As this cohort ages, millions of individuals will advance into adulthood with this diagnosis. A recent report from Kaiser Permanente Northern California (KPNC), an integrated medical care program serving about 3.5 million members, showed that adults with ASD have a higher prevalence of hypertension (HTN), than a comparable group not known to have ASD (non-ASD). We are unaware of data regarding HTN control in persons with ASD. Hypothesis: HTN control rates will be lower in ASD than in non-ASD KPNC members because of communication difficulties associated with ASD. Methods: We identified 1,507 KPNC members, age >18 years, with ASD (ICD-9-CM codes 299.0, 299.8. 299.9) during the time period, 1/1/2008-12/31/2012, of which 218 had HTN (2 outpatient diagnoses of HTN, or 1 outpatient diagnosis of HTN with a prescription for anti-hypertensive medication within 12 months of HTN identification). For each ASD patient, we identified 5 comparison KPNC non-ASD members with HTN, matched for age, sex, race, and year of HTN identification (n=1,090). We determined all primary care outpatient blood pressures (BP) recorded within 12 months after HTN identification and used the final BP obtained for analysis. We excluded 14 members with no BPs (1 ASD, 13 controls) and 39 members, age >65 years (8 ASD, 31 controls). HTN control was defined as systolic BP <140 and diastolic BP <90 mm Hg. BP control rates were age-adjusted using weighting derived from the 2000 U.S. census. Results: The mean age was 43.6 years for ASD and 43.9 for controls (p=0.74). The HTN control rate was higher for ASD (84.2%; age-adjusted 84.9%) than for controls (73.5%, age-adjusted 71.7%) (p=0.001). Members with ASD had more BP measurements (mean 6.0, standard deviation [s.d.] 6.2) than controls (mean 4.8, s.d. 4.4) (p=0.0008). Conclusion: HTN was better controlled in adults with ASD than in non-ASD adults, possibly related to more frequent measurement of BP.

Kaiser Permanente Medical Care Program

2007 ◽  
pp. 241-259 ◽  
Author(s):  
Joe V. Selby ◽  
David H. Smith ◽  
Eric S. Johnson ◽  
Marsha A. Raebel ◽  
Gary D. Friedman ◽  
...  
Keyword(s):  
Medical Care ◽  
Care Program ◽  
Kaiser Permanente
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