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T Fama

Publications and source records attributed to T Fama.

4 recordsLinked to original sources
PubMed1997

Efforts to improve primary care delivery to nursing home residents.

OBJECTIVE: To describe a primary care practice model used by health maintenance organizations (HMOs) that serve medicare beneficiaries to improve the provision of primary care to nursing home residents. PARTICIPANTS: Medicare beneficiaries who reside in nursing homes and who are enrolled in HMOs. CONCLUSION: Several HMOs are using physician-nurse practitioner teams to provide primary care to nursing home residents. The potential to improve the delivery of these services in nursing homes, particularly to long-stay residents, is apparent. However, obstacles arise in developing this practice model in HMOs, including difficulty recruiting both nurse practitioners and physicians and the lack of HMO-based research on the effects of such a model.

Aged↗
PubMed1996

Managed care and chronic illness: an overview.

The growth in managed care raises a number of issues with respect to people with chronic illness. One issue is whether HMOs enroll their fair share of people with chronic illness. Another issue is how to address the fears among people with chronic illness or disabilities who are faced with requirements to join managed care plans.

Aged↗
PubMed1995

Do HMOs care for the chronically ill?

This DataWatch refutes the notion that chronic illness is more prevalent among persons covered by indemnity insurance than by health maintenance organizations (HMOs). This is true even when health status and sociodemographic factors are accounted for in the analysis. The study analyzes the prevalence of chronic illness among privately insured nonelderly persons in HMOs and indemnity plans, using data from the 1992 National Health Interview Survey. More data are needed to examine this issue for Medicare and Medicaid populations.

Activities of Daily Living↗