The Experts below are selected from a list of 42 Experts worldwide ranked by ideXlab platform
Sarah C Blake - One of the best experts on this subject based on the ideXlab platform.
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state funding of comprehensive primary Medical Care Service programs for Medically underserved populations
American Journal of Public Health, 1998Co-Authors: Sara J Rosenbaum, D R Hawkins, E Rosenbaum, Sarah C BlakeAbstract:OBJECTIVES: This study examined the availability of state funding for comprehensive primary Care programs and the need for primary Care subsidies for Medically underserved communities. METHODS: A brief questionnaire was used to ask health agencies in all 50 states whether their state funded a program that met our definition of comprehensive primary Medical Care practice programs. An in-depth written survey instrument was then administered to the states with programs. RESULTS: Almost half of all states provide some funds for the development and/or operation of comprehensive primary Medical Care practices. Expenditures in most states were found to be relatively modest in comparison with both federal funding and the total level of unmet need for primary Care. States that subsidize primary Care practices tend to follow the model established under the federal health centers program. CONCLUSIONS: The findings suggest the continued viability of the health center model of Care, as well as the presence of some state support for such a program. However, in light of limited state resources for the development and operation of comprehensive practices, a continued and significant federal effort is imperative.
Sara J Rosenbaum - One of the best experts on this subject based on the ideXlab platform.
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state funding of comprehensive primary Medical Care Service programs for Medically underserved populations
American Journal of Public Health, 1998Co-Authors: Sara J Rosenbaum, D R Hawkins, E Rosenbaum, Sarah C BlakeAbstract:OBJECTIVES: This study examined the availability of state funding for comprehensive primary Care programs and the need for primary Care subsidies for Medically underserved communities. METHODS: A brief questionnaire was used to ask health agencies in all 50 states whether their state funded a program that met our definition of comprehensive primary Medical Care practice programs. An in-depth written survey instrument was then administered to the states with programs. RESULTS: Almost half of all states provide some funds for the development and/or operation of comprehensive primary Medical Care practices. Expenditures in most states were found to be relatively modest in comparison with both federal funding and the total level of unmet need for primary Care. States that subsidize primary Care practices tend to follow the model established under the federal health centers program. CONCLUSIONS: The findings suggest the continued viability of the health center model of Care, as well as the presence of some state support for such a program. However, in light of limited state resources for the development and operation of comprehensive practices, a continued and significant federal effort is imperative.
David Dunt - One of the best experts on this subject based on the ideXlab platform.
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impact of telephone triage on emergency after hours gp mediCare usage a time series analysis
Australia and New Zealand Health Policy, 2007Co-Authors: David Dunt, Susan Day, Margaret Kelaher, Robert Wilson, Lyle C GurrinAbstract:Background The Australian government sponsored trials aimed at addressing problems in after hours primary Medical Care Service use in five different parts of the country with different after hours Care problems. The study's objective was to determine in four of the five trials where telephone triage was the sole innovation, if there was a reduction in emergency GP after hours Service utilization (GP first call-out) as measured in MediCare Benefits Schedule claim data. Monthly MBS claim data in both the pre-trial and trial periods was monitored over a 3-year period in each trial area as well as in a national sample outside the trial areas (National comparator). Poisson regression analysis was used in analysis.
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a systematic review of the effect of different models of after hours primary Medical Care Services on clinical outcome Medical workload and patient and gp satisfaction
Family Practice, 2003Co-Authors: Ruth Leibowitz, David DuntAbstract:Background. The organization of after-hours primary Medical Care Services is changing in many countries. Increasing demand, economic considerations and changes in doctors’ attitudes are fuelling these changes. Information for policy makers in this field is needed. However, a comprehensive review of the international literature that compares the effects of one model of after-hours Care with another is lacking. Objective. The aim of this study was to carry out a systematic review of the international literature to determine what evidence exists about the effect of different models of out-of-hours primary Medical Care Service on outcome. Methods. Original studies and systematic reviews written since 1976 on the subject of ‘after-hours primary Medical Care Services’ were identified. Databases searched were Medline/Premedline, CINAHL, HealthSTAR, Current Contents, Cochrane Reviews, DARE, EBM Reviews and EconLit. For each paper where the optimal design would have been an interventional study, the ‘level’ of evidence was assessed as described in the National Health and Medical Research Council Handbook. ‘Comparative’ studies (levels I, II, III and IV pre-/post-test studies) were included in this review. Results. Six main models of after-hours primary Care Services (not mutually exclusive) were identified: practice-based Services, deputizing Services, emergency departments, co-operatives, primary Care centres, and telephone triage and advice Services. Outcomes were divided into the following categories: clinical outcomes, Medical workload, and patient and GP satisfaction. The results indicate that the introduction of a telephone triage and advice Service for after-hours primary Medical Care may reduce the immediate Medical workload. Deputizing Services increase immediate Medical workload because of the low use of telephone advice and the high home visiting rate. Co-operatives, which use telephone triage and primary Care centres and have a low home visiting rate, reduce immediate Medical workload. There is little evidence on the effect of different Service models on subsequent Medical workload apart from the finding that GPs working in emergency departments may reduce the subsequent Medical workload. There was very little evidence about the advantages of one Service model compared with another in relation to clinical outcome. Studies consistently showed patient dissatisfaction with telephone consultations. Conclusions. The rapid growth in telephone triage and advice Services appears to have the advantage of reducing immediate Medical workload through the substitution of telephone consultations for in-person consultations, and this has the potential to reduce costs. However, this has to be balanced with the finding of reduced patient satisfaction when in-person consultations are replaced by telephone consultations. These findings should be borne in mind by policy makers deciding on the shape of future Services.
E Rosenbaum - One of the best experts on this subject based on the ideXlab platform.
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state funding of comprehensive primary Medical Care Service programs for Medically underserved populations
American Journal of Public Health, 1998Co-Authors: Sara J Rosenbaum, D R Hawkins, E Rosenbaum, Sarah C BlakeAbstract:OBJECTIVES: This study examined the availability of state funding for comprehensive primary Care programs and the need for primary Care subsidies for Medically underserved communities. METHODS: A brief questionnaire was used to ask health agencies in all 50 states whether their state funded a program that met our definition of comprehensive primary Medical Care practice programs. An in-depth written survey instrument was then administered to the states with programs. RESULTS: Almost half of all states provide some funds for the development and/or operation of comprehensive primary Medical Care practices. Expenditures in most states were found to be relatively modest in comparison with both federal funding and the total level of unmet need for primary Care. States that subsidize primary Care practices tend to follow the model established under the federal health centers program. CONCLUSIONS: The findings suggest the continued viability of the health center model of Care, as well as the presence of some state support for such a program. However, in light of limited state resources for the development and operation of comprehensive practices, a continued and significant federal effort is imperative.
D R Hawkins - One of the best experts on this subject based on the ideXlab platform.
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state funding of comprehensive primary Medical Care Service programs for Medically underserved populations
American Journal of Public Health, 1998Co-Authors: Sara J Rosenbaum, D R Hawkins, E Rosenbaum, Sarah C BlakeAbstract:OBJECTIVES: This study examined the availability of state funding for comprehensive primary Care programs and the need for primary Care subsidies for Medically underserved communities. METHODS: A brief questionnaire was used to ask health agencies in all 50 states whether their state funded a program that met our definition of comprehensive primary Medical Care practice programs. An in-depth written survey instrument was then administered to the states with programs. RESULTS: Almost half of all states provide some funds for the development and/or operation of comprehensive primary Medical Care practices. Expenditures in most states were found to be relatively modest in comparison with both federal funding and the total level of unmet need for primary Care. States that subsidize primary Care practices tend to follow the model established under the federal health centers program. CONCLUSIONS: The findings suggest the continued viability of the health center model of Care, as well as the presence of some state support for such a program. However, in light of limited state resources for the development and operation of comprehensive practices, a continued and significant federal effort is imperative.