scholarly journals Use of health services by children of smokers and nonsmokers in a health maintenance organization.

1998 ◽  
Vol 88 (6) ◽  
pp. 897-902 ◽  
Author(s):  
C M McBride ◽  
P Lozano ◽  
S J Curry ◽  
D Rosner ◽  
L C Grothaus
1996 ◽  
Vol 53 (1_suppl) ◽  
pp. 18-43 ◽  
Author(s):  
Amy B. Bernstein ◽  
Jill Bernstein

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.


1975 ◽  
Vol 5 (4) ◽  
pp. 609-624 ◽  
Author(s):  
J. Warren Salmon

This paper presents a political economic framework for viewing the social organization of the delivery of health care services and predicting a qualitatively different institutional configuration involving the health maintenance organization. The principal forces impacting American capitalism today are leading to a fundamental restructuring for increased social efficiency of the entire social welfare sector, including the health services industry. The method to achieve this restructuring involves health policy directed at raising the contribution to the social surplus from the delivery of health care services and eventual corporate domination. The health maintenance organization conceptualization is examined with suggestions as to how the HMO strategy promoted by the state leads to this corporate takeover. The mechanism and extent of the present corporate involvement are examined and implications of health services as a social control mechanism are presented.


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