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Biomedical subjects

A I Batavia

Publications and source records attributed to A I Batavia.

30 records · Page 2Linked to original sources
PubMed1990

Toward the development of consumer-based criteria for the evaluation of assistive devices.

The most important basis for evaluating an assistive device is whether it satisfies the needs of the disabled consumer. However, the factors that consumers consider in determining whether a device meets their needs are not well understood. This preliminary study applied a small focus group process to identify and prioritize factors used by long-term users of assistive technology in assessing their devices. A modified version of the Delphi Method was applied to two groups of long-term users--a Panel of Consumer Experts with Mobility Impairments and a Panel of Consumer Experts with Sensory Impairments. In total, the panels identified and prioritized 17 general factors for 11 types of assistive technologies. This study constitutes an initial step toward the development of design, engineering, and selection criteria based on the specific concerns of consumers.

Adult↗
PubMed1990

Primary health care needs of persons with physical disabilities: what are the research and service priorities?

The three-stage Delphi method was used to build consensus among experts in primary care and disability on research and service priorities in the area of primary health care for persons with physical disabilities. The specific areas of focus were (1) the high rate of rehospitalization, (2) health issues associated with aging, (3) problems of access to primary care, and (4) innovative organizational approaches to financing and providing primary care services. Issues concerning personal attendant/home health care were ranked highly in all four areas and were especially dominant in the area of rehospitalization. The issue of coordinated health care management received high ratings as well, especially in the "access" area. Other prominent issues included the effects of insurance coverage and the training of primary care providers in disability-related primary care. There was a high degree of correlation between the rankings of physicians and nonphysicians, especially in the areas of hospitalization, aging, and access. This paper examines directions in which future research and service efforts should be focused.

Aging↗
PubMed1989

America's neglected health minority: working-age persons with disabilities.

Debates on health policy at the national level often overlook categorically the 19 million working-age persons with disabilities. Although this heterogeneous population with significantly diverse health statuses has higher than average rates of health care utilization, it remains questionable whether the demographic subgroup sufficiently receives needed types of care. As such, particular targeted solutions in health services delivery are warranted to meet the special requirements of working-age disabled persons. At the same time, access to mainstream health care financing is crucial for a population already excluded frequently from private health insurance coverage.

Adult↗
PubMed1988

Prospective payment for medical rehabilitation: the DHHS report to Congress.

Since 1983, when Congress established the Medicare DRG-based Prospective Payment System (PPS) for inpatient hospital care, rehabilitation hospitals and units that qualify under federal regulations have been exempted from the system. Congress recognized that the DRGs were not designed to consider the specific circumstances of rehabilitation patients. It required the Secretary of the Department of Health and Human Services (DHHS) to report on the feasibility of developing a PPS for rehabilitation (and other excluded) hospitals and units. In October 1987, DHHS released its long-awaited report to Congress on "Developing a Prospective Payment System for Excluded Hospitals." The Report concludes that further research is necessary before DHHS can develop specific legislative and regulatory recommendations. Yet, the report also indicates DHHS' desire ultimately to implement a capitation-based PPS for rehabilitation. Until this goal is achieved, DHHS would like to develop a transitional PPS for rehabilitation. However, given that studies indicate that DRGs are an inappropriate basis for a rehabilitation PPS, and measures that would provide a better basis (eg, functional status or capitation) have not yet been fully developed for purposes of rehabilitation payment, it is uncertain how DHHS will achieve these goals in the short run. Until further studies are conducted, development of a transitional system appears ill-advised. Congress and DHHS should, therefore, continue to exempt rehabilitation hospitals and units until an appropriate payment system for rehabilitation can be developed.

Capitation Fee↗
PubMed1984

Preferred provider organizations: antitrust aspects and implications for the hospital industry.

The hospital industry is currently undergoing a substantial transformation as a result of changes in third party reimbursement mechanisms and a tendency toward a more competitive economic environment. Hospital administrators will have to demonstrate substantial flexibility in considering and implementing innovative institutional arrangements to ensure survival in this time of austerity. The Preferred Provider Organization (PPO) is a recent development in the health care industry involving the selective contracting for health care services. This Article examines the role of section 1 of the Sherman Antitrust Act in scrutinizing the PPO for anticompetitive effects, considering the divergent requisites for competition in the health care sector. The Article also proposes a modified Rule of Reason for application to the PPO and other innovative cost containment arrangements in the industry and considers the implications of such flexible application of conventional antitrust principles for the future of the hospital industry.

Contract Services↗
PubMedDate not supplied

Assessing the function of functional assessment: a consumer perspective.

The person who is most affected by the process of functional assessment is the consumer--the individual with a disability whose functional capacity is being assessed. Consumers want the functional assessment process to be conducted in a dignified manner and the results to be relevant to their needs. Many consumers, influenced by the independent living movement, focus primarily on their ability to live independently in their communities and on environmental barriers that prevent them from doing so. Yet, most functional status measures focus primarily on impairments and functional limitations, rather than on handicapping environmental factors. Consumers should be involved directly in the development and application of functional status measures so that these factors are considered appropriately. Such measures have important implications for defining programme eligibility, determining payment, assuring quality, and enhancing discharge planning.

Activities of Daily Living↗