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Biomedical subjects

H H Gardner

Publications and source records attributed to H H Gardner.

11 recordsLinked to original sources

Waiting periods and health-related absenteeism: the need for program integration.

This article discusses evidence that the reduction of waiting period deductibles in disability insurance plans increases the amount of lost time utilized by insured workers and also increases the cost of sick leave. The authors posit that the evidence supports the need for an integrated disability insurance product, which could be offered at lower costs than the current system that provides fragmented lost time coverage.

Absenteeism↗

Benefits management beyond the adding machine: using integrated, worker-specific analysis.

Modern employee benefits practices have not taken advantage of modern information technology largely because of an implicit reliance on "adding machine" approaches to health care benefits. This article argues that an integrated, worker-specific approach to benefits management is needed in a modern benefits environment. Quantitative illustrations of the integrated approach are provided in terms of a benefits Pareto analysis. The empirical results presented suggest that human resource/risk management practices can have a significant impact on worker benefits costs.

Actuarial Analysis↗

When "patients" become "consumers.".

The medical world expects "patients" to bear up patiently. But the medical world needs to learn to live with "consumers." And employers are in the best position to make "consumers" out of "patients" by educating and helping employees to negotiate the health care system. The author, President of a New York firm, has developed the Options Program for this purpose. Its structure, functions and results in pilot tests and at Burlington Industries are detailed here.

Community Participation↗

The Michigan Ambulatory Medical Care Survey: results and utility relative to the National Survey.

Percentage distributions for variables in the Michigan Ambulatory Medical Care Survey (MAMCS), both for the Detroit Standard Metropolitan Statistical Area (SMSA) and the State as a whole, are compared with those from the National Ambulatory Medical Care Survey (NAMCS). The MAMCS data are a subset of the NAMCS data, since the MAMCS was carried out by augmenting the NAMCS in Michigan. Differences in the impact of survey results for the three areas are examined in the context of planning and developing ambulatory health care services. A specific application of survey data is examined, namely, its use in planning the Health Care Institute of Wayne State University and the Detroit Medical Center. The survey results for the three areas are similar enough to warrant the use of data from the national survey in the planning and evaluation of health services locally, although special studies of a few items such as X-ray usage may be needed. To reestablish local credibility for national results, or to detect changes in patterns which may develop, another Statelevel survey is suggested at the time of a census. Based on the experience with the MAMCS, augmentation of the NAMCS or other national surveys would be used in other States.

Ambulatory Care Facilities↗