Faculty Opinions recommendation of Incidence of work-related asthma in members of a health maintenance organization.

2006 ◽  
Author(s):  
Gianna Moscato
Keyword(s):  
Health Maintenance Organization ◽  
Health Maintenance ◽  
Work Related

scholarly journals A Comparison of Work-Exacerbated Asthma Cases from Clinical and Epidemiological Settings

2013 ◽  
Vol 20 (3) ◽  
pp. 159-164 ◽  
Author(s):  
Paul K Henneberger ◽  
Xiaoming Liang ◽  
Catherine Lemière
Keyword(s):  
Health Maintenance Organization ◽  
The United States ◽  
Epidemiological Studies ◽  
Case Definitions ◽  
Health Maintenance ◽  
Work Related ◽  
Screening And Surveillance ◽  
Asthma Patients ◽  
Surveillance Programs ◽  
Doctor's Office

BACKGROUND: Clinical and epidemiological studies commonly use different case definitions in different settings when investigating work-exacerbated asthma (WEA). These differences are likely to impact characteristics of the resulting WEA cases.OBJECTIVES: To investigate this issue by comparing two groups of WEA cases, one identified using an intensive clinical evaluation and another that fulfilled epidemiological criteria.METHODS: A total of 53 clinical WEA cases had been referred for suspected work-related asthma to two tertiary clinics in Canada, where patients completed tests that confirmed asthma and ruled out asthma caused by work. Forty-seven epidemiological WEA cases were employed asthma patients treated at a health maintenance organization in the United States who completed a questionnaire and spirometry, and fulfilled criteria for WEA based on self-reported, work-related worsening of asthma and relevant workplace exposures as judged by an expert panel.RESULTS: Using different case criteria in different settings resulted in case groups that had a mix of similarities and differences. The clinical WEA cases were more likely to have visited a doctor’s office ≥3 times for asthma in the past year (75% versus 11%; P<0.0001), but did not seek more asthma-related emergency or in-patient care, or have lower spirometry values. The two groups differed substantially according to the industries and occupations where the cases worked.CONCLUSIONS: Findings from both types of studies should be considered when measuring the contribution of work to asthma exacerbations, identifying putative agents, and selecting industries and occupations in which to implement screening and surveillance programs.

Incidence of Work-Related Asthma in Members of a Health Maintenance Organization

2005 ◽  
Vol 47 (12) ◽  
pp. 1292-1297 ◽  
Author(s):  
William M. Vollmer ◽  
Michael A. Heumann ◽  
Victor R. Breen ◽  
Paul K. Henneberger ◽  
Elizabeth A. O???Connor ◽  
...  
Keyword(s):  
Health Maintenance Organization ◽  
Health Maintenance ◽  
Work Related

Development and Validation of an Immunization Tracking System in a Large Health Maintenance Organization

1993 ◽  
Vol 9 (2) ◽  
pp. 96-100 ◽  
Author(s):  
Thomas Payne ◽  
Susan Kanvik ◽  
Richard Seward ◽  
Doug Beeman ◽  
Angela Salazar ◽  
...  
Keyword(s):  
Tracking System ◽  
Health Maintenance Organization ◽  
Health Maintenance ◽  
Development And Validation

Moral Justice and Legal Justice in Managed Care: The Ascent of Contributive Justice

1995 ◽  
Vol 23 (3) ◽  
pp. 247-265 ◽  
Author(s):  
E. Haavi Morreim
Keyword(s):  
Access To Health Care ◽  
Life Support ◽  
Vegetative State ◽  
Health Maintenance Organization ◽  
Persistent Vegetative State ◽  
Autologous Bone Marrow ◽  
Marrow Transplant ◽  
Health Maintenance ◽  
Access To Health ◽  
Aggressive Care

Several prominent cases have recently highlighted tension between the interests of individuals and those of the broader population in gaining access to health care resources. The care of Helga Wanglie, an elderly woman whose family insisted on continuing life support long after she had lapsed into a persistent vegetative state (PVS), cost approximately $750,000, the majority of which was paid by a Medi-gap policy purchased from a health maintenance organization (HMO). Similarly, Baby K was an anencephalic infant whose mother, believing that all life is precious regardless of its quality, insisted that the hospital where her daughter was born provide mechanical ventilation, including intensive care, whenever respiratory distress threatened her life. Over the hospital's objections, courts ruled that aggressive care must be provided. Much of Baby K's care was covered by her mother's HMO policy. In the 1993 case of Fox v. HealthNet, a jury awarded $89 million to the family of a woman whose HMO had refused, as experimental, coverage for autologous bone marrow transplant in treating her advanced breast cancer.

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
Keyword(s):  
Health Services ◽  
Health Maintenance Organization ◽  
Health Maintenance ◽  
Use Of Health Services

Extracting and analyzing ejection fraction values from electronic echocardiography reports in a large health maintenance organization

2016 ◽  
Vol 23 (4) ◽  
pp. 319-328 ◽  
Author(s):  
Fagen Xie ◽  
Chengyi Zheng ◽  
Albert Yuh-Jer Shen ◽  
Wansu Chen
Keyword(s):  
Heart Disease ◽  
Ejection Fraction ◽  
Health Maintenance Organization ◽  
Prognostic Indicator ◽  
Left Ventricular ◽  
Left Ventricular Ejection ◽  
Free Text ◽  
Ventricular Ejection Fraction ◽  
Health Maintenance ◽  
Systolic Left Ventricular Function

The left ventricular ejection fraction value is an important prognostic indicator of cardiovascular outcomes including morbidity and mortality and is often used clinically to indicate severity of heart disease. However, it is usually reported in free-text echocardiography reports. We developed and validated a computerized algorithm to extract ejection fraction values from echocardiography reports and applied the algorithm to a large volume of unstructured echocardiography reports between 1995 and 2011 in a large health maintenance organization. A total of 621,856 echocardiography reports with a description of ejection fraction values or systolic functions were identified, of which 70 percent contained numeric ejection fraction values and the rest (30%) were text descriptions explicitly indicating the systolic left ventricular function. The 12.1 percent (16.0% for male and 8.4% for female) of these extracted ejection fraction values are <45 percent. Validation conducted based on a random sample of 200 reports yielded 95.0 percent sensitivity and 96.9 percent positive predictive value.

Genetic information: Special or not? Responses from focus groups with members of a health maintenance organization

2007 ◽  
Vol 143A (6) ◽  
pp. 564-569 ◽  
Author(s):  
Brenda Diergaarde ◽  
Deborah J. Bowen ◽  
Evette J. Ludman ◽  
Julie O. Culver ◽  
Nancy Press ◽  
...  
Keyword(s):  
Focus Groups ◽  
Genetic Information ◽  
Health Maintenance Organization ◽  
Health Maintenance
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