scholarly journals Preventive Health Care and Payment Systems

2003 ◽  
Vol 3 (1) ◽  
Author(s):  
Pedro P Barros ◽  
Xavier Martinez-Giralt
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Integrated Management ◽  
Care Center ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Primary Care Center ◽  
Care Providers ◽  
Referral Decisions ◽  
Payment Schemes

Abstract Prevention has been a main issue of recent policy orientations in health care. This renews the interest on how different organizational designs and the definition of payment schemes to providers may affect the incentives to provide preventive health care. We focus on the externality resulting from referral decisions from primary to acute care providers. This makes our analysis complementary to most works in the literature allowing to address in a more direct way the issue of preventive health care. The analysis is performed through a series of examples combining different payment schemes at the primary care center and hospital. When hospitals are reimbursed according to costs, prevention efforts are unlikely to occur. However, under a capitation payment for the primary care center and prospective budget for the hospital, prevention efforts increase when shifting from an independent to an integrated management. Also, from a normative standpoint, optimal payment schemes are simpler under joint management.

scholarly journals Preventive Health Care Among Older Women in an Academic Primary Care Practice

2008 ◽  
Vol 18 (4) ◽  
pp. 249-256 ◽  
Author(s):  
Mara A. Schonberg ◽  
Meghan York ◽  
Nisha Basu ◽  
Daniele Ölveczky ◽  
Edward R. Marcantonio
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Older Women ◽  
Primary Care Practice ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Care Practice ◽  
Academic Primary Care

scholarly journals A Primary Care Provider’s Guide to Preventive Health After Spinal Cord Injury

2020 ◽  
Vol 26 (3) ◽  
pp. 209-219
Author(s):  
James Milligan ◽  
Stephen Burns ◽  
Suzanne Groah ◽  
Jeremy Howcroft
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Preventive Care ◽  
Primary Care Providers ◽  
Preventive Health ◽  
Care Providers ◽  
Health Maintenance ◽  
Cord Injury

Objective: Provide guidance for preventive health and health maintenance after spinal cord injury (SCI) for primary care providers (PCPs). Main message: Individuals with SCI may not receive the same preventive health care as the general population. Additionally, SCI-related secondary conditions may put their health at risk. SCI is considered a complex condition associated with many barriers to receiving quality primary care. Attention to routine preventive care and the unique health considerations of persons with SCI can improve health and quality of life and may prevent unnecessary health care utilization. Conclusion: PCPs are experts in preventive care and continuity of care, however individuals with SCI may not receive the same preventive care due to numerous barriers. This article serves as a quick reference for PCPs.

Recommendations of the Workshop on Immunization and Preventive Care

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1067-1067
Keyword(s):  
Health Care ◽  
Information System ◽  
Private Sector ◽  
Health Care Providers ◽  
Birth Certificate ◽  
Preventive Health Care ◽  
The United States ◽  
Preventive Health ◽  
Surveillance Program ◽  
Care Providers

1. Information and outreach systems should be improved so that high levels of immunization in preschool children will be reached in the United States. Because of a vastly improved ability to set up systems and to transfer data, a modern information system should function far better than the previous Infant Immunization Surveillance Program of about 20 years ago, which had no outreach element at all. 2. No matter how care is delivered, and several configurations of public vs private sector were discussed, responsibility should be placed on an individual or an agency to ensure that each child needing immunization and other preventive health services is identified and contacted. The information system should be keyed to the birth certificate. Reminders—mailed, phoned or, better still, delivered in person—should be provided for all children. 3. In both the public sector and the private sector, vaccines should be provided free of charge. (Methods of financing were not addressed directly, but most participants believed that the federal government would take financial responsibility.) 4. Health care providers should be taught the importance of assessing immunization status and administering needed immunizations at every appropriate contact with a child. 5. Immunization should be provided not as a solitary service, but as a part of a package of comprehensive preventive services. 6. A comprehensive school health education program should be established. 7. Consideration should be given to the use of incentives, either positive or negative, to improve the priority assigned to immunization and other preventive health care services.

scholarly journals Improving preventive health care in Aboriginal and Torres Strait Islander primary care settings

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Jodie Bailie ◽  
Veronica Matthews ◽  
Alison Laycock ◽  
Rosalie Schultz ◽  
Christopher P. Burgess ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Torres Strait Islander ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Primary Care Settings ◽  
Torres Strait

Identifying challenges in promoting adolescent preventive health care in the primary care setting of urban Japan

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Kazumi Sakashita ◽  
Robert W. Blum
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Services ◽  
Online Survey ◽  
Assessment Tool ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Adolescent Medicine ◽  
Adolescent Patients ◽  
Primary Care Pediatricians

AbstractBackgroundDespite the assurance of free medical access through the universal health insurance system, over the past three decades Japanese youth have experienced an increase in developmental and behavioral problems, psychosomatic disorders, and psychiatric illnesses.ObjectivesTo identify the challenges in promoting comprehensive preventive health services to adolescents in Japan, specifically in Tokyo.MethodsA cross-sectional online survey was conducted of physicians who are members of the Tokyo Pediatric Association. The questionnaire assessed primary care pediatricians’ practice settings and their attitudes toward outpatient services to adolescent patients.ResultsOut of 617 member pediatricians, 69 valid responses were obtained. Majority were private pediatricians. 52% indicated that they had specialties in addition to general pediatrics; however, no one reported specializing in adolescent medicine. Approximately 70% answered the optimal patient encounter time would be under 10 min. More than 90% of respondents reported challenges providing health services to adolescent patients. Nearly half indicated that they did not routinely evaluate height, heart rate or blood pressure. Few providers asked about reproductive health, violence, or smoking/alcohol use.ConclusionThis survey is the first exploration of adolescent health care in an urban area of Japan. While the sample is small, the magnitude of challenges was great with limited training in adolescent medicine, severe time constraints and limited appreciation for the value of health screening at each encounter. Developing a standardized practical assessment tool for adolescent patients may help guide primary care pediatricians to better meet the needs of their adolescent patients.

scholarly journals Parent Perspectives on Family-Centered Pediatric Electronic Consultations: Qualitative Study

10.2196/16954 ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. e16954 ◽  
Author(s):  
Rhea Verma ◽  
Tamar Krishnamurti ◽  
Kristin N Ray
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Parent Engagement ◽  
Care Center ◽  
Clinical Information ◽  
Specialty Care ◽  
Primary Care Center ◽  
Parent Perspectives ◽  
Informational Needs ◽  
Data Confidentiality

Background Electronic consultations, which use store-and-forward transfer of clinical information between a primary care physician and a specialist, improve access to specialty care. Adoption of electronic consultations is beginning in pediatric health care systems, but little is known about parent perspectives, informational needs, and preferences for interaction with this new model of care. Objective This study aimed to examine parent perspectives about electronic consultations, including perceived benefits and risks, anticipated informational needs, and preferences for parent engagement with electronic consultations. Methods We recruited caregivers of pediatric patients (aged 0-21 years) attending visits at an academic primary care center. Caregivers were eligible if their child had ever been referred for in-person specialty care. Caregivers participated in a semistructured interview about electronic consultations, including general perspectives, desired information, and preferences for parental engagement. Interviews were transcribed and qualitatively analyzed to identify parent perspectives on electronic consultations in general, information parents would like to receive about electronic consultations, and perspectives on opportunities to enhance parent engagement with electronic consultations. Results Interviewees (n=20) anticipated that electronic consultations would reduce the time burden of specialty care on families and that these had the potential to improve the integrity and availability of clinical information, but interviewees also expressed concern about data confidentiality. The most detailed information desired by interviewees about electronic consultations related to data security, including data confidentiality, availability, and integrity. Interviewees expressed concern that electronic consultations could exclude parents from their child’s health care decisions. Interviewees saw value in the potential ability to track the consultation status or to participate in the consultation dialogue, but they were more ambivalent about the idea of read-only access to consultation documentation. Conclusions Parents identified the potential risks and benefits of pediatric electronic consultations, with implications for communication with families about electronic consultations and for incorporation of features to enhance parent engagement.

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