Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Health Plan Implementation”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 685 records · Page 38Linked to original sources
PubMed1999

Adult education: helping adults begin the process of learning.

As adult educators, occupational and environmental health nurses plan, implement, and evaluate health education to meet the needs of employees. The nurse is in the unique position of understanding health principles, knowing the target population, understanding the work environment, and operationalizing adult education strategies and techniques. By using the principles of adult education as well as understanding the motivation of learners, the nurse in the workplace is more successful in helping adults obtain their health care goals.

Adult↗
PubMed2004

Program prioritization to control chronic diseases in African-American faith-based communities.

OBJECTIVE: In the last decade, African-American congregations have been inundated with requests to participate in health promotion activities; however, most are not equipped to effectively participate. We assessed the effect of providing congregation leaders with skills on identifying their own health needs, planning, and implementing their own interventions. METHODS: At baseline, 21 congregational leaders from South East Raleigh, NC were taught methods for developing needs assessments, planning, and implementing health promotion activities tailored for their congregations. After approximately four years, 14 of the 21 congregations were successfully recontacted. RESULTS: At baseline, the congregation leadership ranked diabetes as the ninth (out of 10) most urgent health concern in their communities. However, at follow-up, not only was diabetes identified as the most serious health concern, but most congregations had taken advantage of available community and congregational resources to prevent it. Larger congregations were more likely than smaller ones to take advantage of available resources. CONCLUSIONS: Larger African-American congregations are an effective vehicle by which health promotion messages can diffuse; however, the leadership must be provided with skills to assess health needs before selecting programs most beneficial to their congregations. Mechanisms by which small congregation leaders can participate need development.

Adolescent↗
PubMedDate not supplied

Part D implementation: how did health plans fare? A conversation with Stan Nowak, founder, president, and chief executive officer of Silverlink Communications. Interview by William Atkinson.

Medicare part D is a large-scale example of a true consumer-directed health insurance plan. With Part D, 42 million Americans can select from any one of dozens of Medicare Advantage or stand-alone prescription plans available to them. At the end of each year, beneficiaries will be able to evaluate their satisfaction with their chosen plan, assess other available options and determine whether to re-enroll or choose a new plan. Consumers rule.

Health Maintenance Organizations↗
PubMed1998

Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice and policy.

Attention to the sustainability of health intervention programs both in the US and abroad is increasing, but little consensus exists on the conceptual and operational definitions of sustainability. Moreover, an empirical knowledge base about the determinants of sustainability is still at an early stage. Planning for sustainability requires, first, a clear understanding of the concept of sustainability and operational indicators that may be used in monitoring sustainability over time. Important categories of indicators include: (1) maintenance of health benefits achieved through an initial program, (2) level of institutionalization of a program within an organization and (3) measures of capacity building in the recipient community. Second, planning for sustainability requires the use of programmatic approaches and strategies that favor long-term program maintenance. We suggest that the potential influences on sustainability may derive from three major groups of factors: (1) project design and implementation factors, (2) factors within the organizational setting, and (3) factors in the broader community environment. Future efforts to develop sustainable health intervention programs in communities can build on the concepts and strategies proposed here.

Community Health Services↗
PubMed2002

Dietary interventions in Finland, Norway and Sweden: nutrition policies and strategies.

AIMS: To describe the organization and implementation of nutrition policies, and examine intervention strategies for dietary change in three Scandinavian countries. METHODS: Descriptions of nutrition policies and dietary intervention strategies are based on published nutrition policy research and reports. RESULTS: All countries studied have adopted formal nutrition policies. Norway issued its first white paper in 1976, the Finnish National Nutrition Council published an action plan in 1989, and the Swedish Government issued an official action plan in 1995. Norway has a centralized National Nutrition Council with a permanent administration whereas the responsibilities and administration are more spread out between several authorities and groups in Finland and Sweden. Amongst the dietary intervention strategies employed, a Norwegian nutrition campaign, symbol labelling of foods in Sweden, the community-based North Karelia Project in Finland, and mass catering in Finland and Sweden have been selected as potentially transferable. CONCLUSIONS: Policy documents serve as guidelines for activities and assist in achieving dietary targets. A responsible administrative body with advice from a standing expert committee is valuable for implementation. Guidelines, recommendations or voluntary labelling standards can be incentives to product development and changes to food production. Regional demonstration projects may also encourage action and collaboration.

Finland↗
PubMed2002

Ingredients for change: revisiting a conceptual framework.

Finding ways to deliver care based on the best possible evidence remains an ongoing challenge. Further theoretical developments of a conceptual framework are presented which influence the uptake of evidence into practice. A concept analysis has been conducted on the key elements of the framework--evidence, context, and facilitation--leading to refinement of the framework. While these three essential elements remain key to the process of implementation, changes have been made to their constituent sub-elements, enabling the detail of the framework to be revised. The concept analysis has shown that the relationship between the elements and sub-elements and their relative importance need to be better understood when implementing evidence based practice. Increased understanding of these relationships would help staff to plan more effective change strategies. Anecdotal reports suggest that the framework has a good level of validity. It is planned to develop it into a practical tool to aid those involved in planning, implementing, and evaluating the impact of changes in health care.

Delivery of Health Care↗
PubMed1996

States and health care reform: the importance of program implementation.

The recent debate on national health care reform marked another case of policy being considered without reference to how--or even if--it could be implemented. The debate revolved around broad issues, such as universal versus partial coverage, mandatory versus voluntary alliances, and the respective roles of government and the market in health care. The ease or even the possibility of successful implementation was not an ingredient in evaluating proposals. The burden of making health care reform work falls to the states. Whether in response to national reform or in implementing their own programs, they must move from a general reform blueprint to an actual program that delivers services. The hands-on role of the states in designing and operating programs makes their implementation duties both unavoidable and critical. This chapter explores implementation issues that should be considered an integral part of planning for health care reform, at both the federal and the state level. The chapter has two goals. First, it makes a case for altering the usual approach to designing reform and recommends paying attention to implementation early in the policy process, rather than treating it as an afterthough. Second, it is intended to help policymakers design implementable programs and anticipate pitfalls. To achieve these goals, it examines the state role in health care reform; state capacity to carry out this role; examples of state health care reform initiatives and lessons for implementation drawn from these efforts; and barriers to successful implementation. The chapter concludes with recommendations for policymakers.

Eligibility Determination↗
PubMed1988

Nursing home policies addressing the use or withdrawal of life-sustaining medical treatments.

There has been increasing interest in the use of nursing home policies and guidelines to improve decisions about the elective use of life-sustaining treatments. Such policies should be based on a sound and complete understanding of the legal and ethical governance responsibilities of health care facilities. Policies should address both the process of decision making and treatment plan implementation. Nursing home administrators should commission policies and monitor their implementation.

Aged↗
PubMed2001

Evaluating general practitioners' views about the implementation of the Enhanced Primary Care Medicare items.

OBJECTIVE: To investigate the issues for general practitioners surrounding the implementation of the Enhanced Primary Care (EPC) Medicare items for health assessments, care planning and case conferencing. DESIGN: Qualitative study of GPs' responses to a semistructured face-to-face interview. PARTICIPANTS AND SETTING: 30 GPs in the South Western Sydney Area. MAIN OUTCOME MEASURES: GPs' perceptions regarding barriers to coordination of care; use of the EPC items; difficulties with implementation; suggestions for improving EPC implementation; and coordination of care in general practice. RESULTS: Five main categories of response were identified to each area of questioning: time, organisation, communication, education, and resources. GPs expressed difficulties incorporating use of the items into their daily practice without support. CONCLUSIONS: Implementation of the EPC items not only facilitates integration between GPs and other healthcare professionals, it also depends upon other forms of integration to succeed. A facilitator and a structured framework to address issues are required to assist their implementation.

Aged↗
PubMed2002

Mongolian experiences with health insurance: are success factors unique?

We describe the health insurance model implemented in Mongolia after the Soviet Bloc collapsed in 1990, and note some of its good features. We then discuss the structural weaknesses that became evident over the first ten years of use, and some current proposals for reform. Finally, we consider the factors that appear to have affected success. We argue that the main constraints are much the same as in other countries including Australia--and relate more to confusion and disagreement over broad policy issues than to detailed knowledge of technical aspects or the research evidence.

Capitalism↗