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At least 757 records · Page 42Linked to original sources
PubMed1996

Physician-hospital organizations: the "training wheels" of tomorrow's provider-sponsored networks?

The formation of regional physician-hospital organizations will be the next step in the evolution of managed care. Regional PHOs will have advantage over single-hospital PHOs by covering a wider population and geographic area, offering greater cost-effectiveness, and being able to contract as a unified provider. This, in turn, will set the stage for the next step in the process: the development of provider-sponsored networks.

Community Networks↗
PubMedDate not supplied

The health network: an alternative form of care delivery.

The Health Network, a community and social service organization of volunteers and a small staff aims to serve three suburban and rural communities west of Ottawa. In June 1991, the Health Network approached Ontario's Ministry of Health for funding of community-based health services for these municipalities. In light of decreasing resources in hospitals, this article reviews how the Health Network became organized and summarizes a community needs assessment complete in September 1989.

Community Health Services↗
PubMed2003

Locating research informants in a multi-ethnic community: ethnic identities, social networks and recruitment methods.

OBJECTIVE: Recruitment of informants can 'make or break' social research projects, yet this has received little research attention. Drawing on our recent qualitative research into health and social capital in a multi-ethnic neighbourhood in South England, this paper presents a detailed analysis of the complexities encountered in recruiting research informants who described themselves as African-Caribbean, Pakistani-Kashmiri and white English. METHODS: Three methods of recruitment were used: (1) advertisements and articles in local media, (2) institutional contacts through local voluntary organisations and (3) interpersonal contacts, referrals and snowballing. We compare and contrast the experiences of ethnically matched interviewers who conducted research amongst the three aforementioned ethnic groups. These experiences were recorded by means of lengthy interviewer 'debriefing questionnaires' that focused on factors that had served to help or hinder them in finding research participants. These questionnaires formed the basis of a discussion workshop in which the interviewers and researchers sought to identify the factors impacting on the recruitment process. RESULTS: Our findings suggest that local advertisements and media contact worked best for recruiting members of the white English community in our South English town. Interpersonal contacts were crucial in recruiting Pakistani-Kashmiri informants. Institutional contacts were the most useful way of accessing African-Caribbean individuals. CONCLUSION: We conclude that local ethnic identities and social networks produce qualitatively different responses to recruitment attempts in different communities. Such differences necessitate the employment of a range of recruitment methodologies and detailed formative research in a target community before commencing recruitment.

Adolescent↗
PubMed2006

Special Populations Networks: themes and lessons learned.

The Special Populations Networks (SPN) Program was a 5-year, nationwide project funded by the National Cancer Institute to reduce cancer-related health disparities in minority and other underserved communities by building community health infrastructure, improving cancer awareness and use of cancer screening services, and increasing the cadre of minority junior scientists studying disparities issues. Through collaborations with a wide range of community and academic partners, the 18 grantee organizations: 1) developed culturally sensitive cancer communications approaches and materials; 2) conducted outreach and educational activities appropriate to their communities' needs and diverse cultures; and 3) trained and mentored young minority investigators who succeeded in winning support for pilot projects addressing local cancer health disparities issues, trained and deployed lay health workers, and worked with community and health provider organizations to improve understanding of cancer risk in these populations and encourage participation in appropriate clinical trials. SPN activities were grounded in community-based participatory research principles and practice. This overview highlights major project themes, provides examples of differing individual grantee approaches to similar issues, and describes key lessons learned, as reported by the SPN projects, that may guide future programmatic and research efforts to eliminate cancer health disparities in the United States. Cancer 2006. Published 2006 by the American Cancer Society.

Community Networks↗
PubMed2001

Community rehabilitation in the United Kingdom.

OBJECTIVE: To investigate the extent and nature of community rehabilitation services within the United Kingdom. DESIGN: A postal survey starting with the Community Rehabilitation Network and extending to any other teams identified or making contact. SETTING: The National Health Service within the UK. SUBJECTS: Any team who identified themselves as a community rehabilitation service that worked 'primarily with adults with physical disability' within the UK. INTERVENTION: A questionnaire was sent to each team identified with follow-up telephone contact to clarify answers and/or to encourage replies. RESULTS: One hundred and fifty-two organizations were sent questionnaires and 145 replied, but 47 were excluded for various reasons leaving 98 valid replies. Four types of team were identified: community rehabilitation teams, young disabled community teams, community teams for older adults, and specific client group teams. There were huge variations in management arrangements, team composition, goals of the services and likely lifespan of the service. CONCLUSIONS: Community rehabilitation in the UK is currently characterized by small, often short-term teams with poor identity and the term has no clear or consistent meaning.

Adolescent↗
PubMed2001

The role of human papillomavirus deoxyribonucleic acid assay and repeated cervical cytologic examination in the detection of cervical intraepithelial neoplasia among human immunodeficiency virus-infected women. Cervical Disease Study Group of the American Foundation for AIDS Research Community Based Clinical Trials Network.

OBJECTIVES: We sought to measure the characteristics of a quantitative human papillomavirus deoxyribonucleic acid assay and repeated cervical cytologic examination in screening for cervical intraepithelial neoplasia among human immunodeficiency virus-infected women. STUDY DESIGN: Human immunodeficiency virus-infected women with screening CD4+ lymphocyte counts of < or = 500 cells/mm3 (n = 103) were examined by quantitative human papillomavirus deoxyribonucleic acid assay and serial cervical cytologic examination and by colposcopy with biopsy and endocervical curettage during the course of 1 year. RESULTS: Quantitative measures of total human papillomavirus deoxyribonucleic acid and high-risk human papillomavirus deoxyribonucleic acid were strongly associated with any cervical intraepithelial neoplasia (P = .005) and high-grade cervical intraepithelial neoplasia (P = .0006), but they improved the sensitivity and negative predictive value of baseline screening only slightly when combined with cervical cytologic examination. Incident cervical intraepithelial neoplasia occurred frequently (20%) during 1 year of follow-up and was more common among human papillomavirus-infected women. Repeated cytologic examination identified 60% of women with new cervical intraepithelial neoplasia. CONCLUSION: Human immunodeficiency virus-infected women with at least mild immunosuppression have a high incidence of cervical intraepithelial neoplasia, which warrants close follow-up. Those with high baseline human papillomavirus deoxyribonucleic acid levels may be at the highest risk for incident cervical intraepithelial neoplasia.

Adult↗
PubMed2003

Using a technological community framework to manage new medical technologies. The case of umbilical cord blood (UCB) banking.

A technological community framework can be used to explain and manage new medical technologies. It describes emergence, commercialization, and standardization of an innovation or technology within the context of its whole network (or community) of stakeholders. This framework is used to illustrate the emergence, commercialization, and standardization of a relatively new medical technology--umbilical cord blood (UCB) banking. Umbilical cord blood may prove to be a source of stem cells for bone marrow transplant that is safer, more accessible, and less expensive than current sources of stem cells. The technological community framework can signal potential problems as the technology emerges, and help healthcare delivery systems and providers to effectively assess and manage the technology. The framework can also be applied to other medical technologies and innovations.

Biomedical Technology↗
PubMed2003

[Construction of a pharmacy network that supports home medical care].

Home medical care is recently being promoted thanks to the establishment of the related medical insurance system and by patient choice. Home medical care requires a collaboration of home treatment, home nursing, and drug supply, and within this collaborative network, pharmacists also play the role to supply drugs (dispensing). Drugs that used for home care include injectable agents for pain control or hygiene management. Therefore, pharmacies need to be furnished with clean rooms and clean benches to dispense drugs aseptically. However, because of the enormous costs of capital investment and the uncertainty of the number of patients who will use pharmacies, a very few pharmacies are adequately furnished. The survey has revealed that 76 pharmacies are adequately furnished. It is presumed that home medical care will continuously promoted in the future so a network of pharmacies that can dispense injectable drugs must be set up under the home care support system.

Community Networks↗
PubMed2003

[Construction of a pharmacy network that supports home medical care].

Home medical care is recently being promoted thanks to the establishment of the related medical insurance system and by patient choice. Home medical care requires a collaboration of home treatment, home nursing, and drug supply, and within this collaborative network, pharmacists also play the role to supply drugs (dispensing). Drugs that used for home care include injectable agents for pain control or hygiene management. Therefore, pharmacies need to be furnished with clean rooms and clean benches to dispense drugs aseptically. However, because of the enormous costs of capital investment and the uncertainty of the number of patients who will use pharmacies, a very few pharmacies are adequately furnished. The survey has revealed that 76 pharmacies are adequately furnished. It is presumed that home medical care will continously promoted in the future so a network of pharmacies that can dispense injectable drugs must be set up under the home care support system.

Community Networks↗
PubMed2006

[The strategy and prospects of suicide prevention in Taiwan].

Suicide mortality rates have been steadily rising in Taiwan, and suicide has been among the top ten causes of death for the last consecutive eight years. In response to this situation, the Taiwan Department of Health assigned the Taiwan Association Against Depression the task of setting up the Taiwan Suicide Prevention Center. The mission of the Center, suicide prevention, is advanced by its establishment of efficient networks nationwide capable of delivering related care services. Suicide prevention strategies can be categorized, based on coverage, as universal, selective or indicated interventions. The Center also plans to standardize the national suicide report format and care delivery system, improve mental health service quality, and organize community support networks. It pursues an encompassing health care mechanism model, where clients are considered the first priority, the family a fundamental supporting unit, and the community a solid foundation. The Center will offer a helping hand for individuals who have attempted suicide by maintaining a spirit of positive values and achieving mutual benefits.

Community Networks↗
PubMedDate not supplied

Networking in a rural community focuses on at-risk children.

The need to integrate social and medical services to deal with the issues of child abuse prevention and treatment has been documented frequently. In rural areas, referral to the various programs developed to reach the at-risk child is hampered by lack of communication, personal contact, and understanding of the roles and functions among the staffs of the agencies involved. Networking provides an interdisciplinary team approach to foster communication and coordination among the agencies' staffs and increase the effectiveness of their efforts. A model for developing an interagency network in a rural area is presented, eliciting key liaison persons as coordinators.

California↗
PubMed1995

Evaluating quality in managed care networks.

If managed care is to succeed, methods for evaluating individual networks are essential. The author outlines crucial areas of the evaluation process, including rights, responsibilities, and ethics; continuum of care; education and communication; network leadership; human resources management; management of information; and performance improvement. Public disclosure of such evaluations is necessary to ensure their efficacy.

Community Networks↗
PubMed1998

Is your organization strategically prepared to be a Medicare PSO?

The new Medicare+Choice managed care program authorized by the Balanced Budget Act of 1997 affords hospitals and physicians an opportunity to contract directly with HCFA to provide services to Medicare beneficiaries through a provider-sponsored organization (PSO). Developing and operating a Medicare PSO is a complex process, however, and organizations that lack certain strategic and operational "readiness" characteristics may encounter significant barriers to success. To ascertain their readiness to form a Medicare PSO, providers should assess their capabilities in six key strategic areas: culture and governance, organizational and legal structure, market position and strategy, provider network, risk-contracting experience and supporting infrastructure, and capital resources and fiscal soundness.

Capitation Fee↗
PubMed2003

Collaborative initiatives: where the rubber meets the road in community partnerships.

Amajor challenge facing a community partnership is the implementation of its collaborative initiatives. This article examines the progress Community Care Networks (CCNs) made in implementing their initiatives and factors that helped or hindered their progress. Study findings suggest that partnership progress is affected by external market and regulatory factors beyond the control of the partnership, the availability of local community resources to support efforts, the scope and intensity of tasks associated with an initiative, expansion of the partnership to include new members, and the balance of work between partners and paid partnership staff. Implications of study findings for community partnerships include (1) recognizing and anticipating dependency on others, (2) acknowledging that the tasks that lie ahead will be more complicated than imagined, (3) maintaining focus on priorities, and (4) learning to be adaptive and creative, given a constantly changing environment.

Community Health Services↗