Consequences of Educational Change for the Burden of Chronic Health Problems in the Population

2007 ◽  
pp. 227-242 ◽  
Author(s):  
Mark D. Hayward ◽  
Eileen M. Crimmins ◽  
Zhenmei Zhang
Keyword(s):  
Educational Change ◽  
Health Problems ◽  
Chronic Health ◽  
Chronic Health Problems

scholarly journals Chronological Analysis for Wholy Understanding about the Patient with Chronic Health Problems

1985 ◽  
Vol 36 (3) ◽  
pp. 165-184
Author(s):  
Hidehiko MITSUFUJI
Keyword(s):  
Health Problems ◽  
Chronic Health ◽  
Chronic Health Problems

Monitoring and Evaluating Managed Care for Children With Chronic Illnesses and Disabilities

PEDIATRICS ◽  
1996 ◽  
Vol 98 (5) ◽  
pp. 952-958 ◽  
Author(s):  
Paul W. Newacheck ◽  
Ruth E. K. Stein ◽  
Deborah Klein Walker ◽  
Steven L. Gortmaker ◽  
Karen Kuhlthau ◽  
...  
Keyword(s):  
Managed Care ◽  
Chronic Conditions ◽  
Monitoring And Evaluation ◽  
Health Problems ◽  
Chronic Illnesses ◽  
Satisfaction With Care ◽  
Chronic Health ◽  
Children With Chronic Illnesses ◽  
Chronic Health Problems ◽  
Children With Chronic Conditions

Objective. Children with chronic illnesses and disabilities are increasingly enrolling in managed care arrangements. Yet, the rapid expansion of managed care has unknown consequences for children with chronic conditions and disabilities. As managed care is likely to become the predominant mode of medical practice for children with chronic health problems, information gained from a thorough assessment of existing managed care models could be helpful in indicating adjustments and modifications that could result in improved outcomes for this population. The purpose of this article is to outline a new strategy for collecting needed information on the effects of managed care on children with chronic health problems. Methods. We reviewed the literature on the effects of managed care on children with chronic conditions and disabilities. We identified key domains relevant to monitoring and evaluating managed care for this population. Results. Two research approaches can provide helpful information for assessing the effects of managed care on children with chronic conditions. First, a monitoring strategy could be pursued in which enrollment trends in managed care, enrollee perceptions of access and satisfaction with care, and other general indicators of outcomes would be tracked over time using inexpensive and rapid turnaround data sources. Second, an evaluative strategy could be pursued using experimental or quasiexperimental designs, in which outcomes across a variety of domains for children with chronic conditions in managed care are compared with: (a) outcomes for the same children before enrollment in managed care; or (b) outcomes for similar children remaining in traditional fee-for-service settings. Evaluation and monitoring strategies should focus on outcomes in a number of domains including: (1) access to care; (2) utilization of services; (3) quality of care; (4) satisfaction with care; (5) expenditures for care; (6) health outcomes; and (7) family impact. Conclusion. Assessing outcomes that result from enrollment in managed care for children with chronic health problems presents a formidable challenge. The research strategy outlined in this article presents one approach to meeting that challenge. The monitoring and evaluation strategies described here would require commitment of additional resources on the part of government, private foundations, and/or health plans. Given the paucity of existing information and the stakes for children with chronic conditions and their families, investment of added resources in a comprehensive monitoring and evaluation strategy is essential.

Common Chronic Health Problems

2005 ◽  
pp. 591-600
Keyword(s):  
Health Problems ◽  
Chronic Health ◽  
Chronic Health Problems

Leisure fitness: A recreation therapy concept design

2012 ◽  
Vol 11 (4) ◽  
pp. 19-26
Author(s):  
John R. Mikula, MA, CTRS, CSCS, HFS ◽  
Paul Smith, BS, CTRS, HFS
Keyword(s):  
Well Being ◽  
Health Problems ◽  
Concept Design ◽  
Recreation Therapy ◽  
Chronic Health ◽  
Endurance Strength ◽  
Chronic Health Problems ◽  
Health And Well Being ◽  
Therapy Intervention

This article examines the benefits of the recreation therapy intervention leisure fitness and its potential for positively affecting the health and well being of those with chronic health problems. Working within a wide variety of settings, qualified recreation therapists facilitate a leisure-fitness (LF) process to promote endurance, strength, mobility, and psycho-social well being among consumers. This article provides a practical concept design for the development and implementation of a recreation therapy LF program.

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