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At least 1,621 records · Page 90Linked to original sources
PubMed1998

State-funded medical assistance programs: sources of coverage for HIV-related health care.

Preliminary research found that a number of states implement medical assistance programs (MAPs) funded only with state and/or local government funds. A review of the literature was unable to discover any published research that discusses state-funded MAPs. The objective of this article is to describe these MAPs and to discuss how these programs can be used to provide health services to people infected with HIV who lack other coverage. A two-step survey process was used to identify 20 states implementing MAPs and to identify eligibility criteria, the health services covered, and payment-level policies. Typically, MAPs implement restrictive eligibility policies and set low reimbursement levels for the care covered. However, most MAPs cover a comprehensive range of health services needed by people inflected with HIV, including community-based care and support services.

Comprehensive Health Care↗
PubMed1989

Using mortality data for profiling hospital quality of care and targeting substandard care.

This paper reviews the utilization of hospital mortality data to (1) provide information for review agents to use in reviewing medical records for quality of care problems and (2) provide information to consumers on the relative quality of care provided by hospitals. First, the Health Care Financing Administration's 1987 mortality study is reviewed by discussing some of its methodological strengths and limitations and by conducting a validation of its results. Next, a recent study by the New York State Department of Health aimed at targeting specific cases for medical record review is discussed. A final section provides recommendations for alterations and extensions of previous research.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1996

The utilization rate and pregnancy outcome of multifetal pregnancy reduction in the Nordic countries.

OBJECTIVE: To review the utilization rate and pregnancy outcome of multifetal pregnancy reductions (MFR) in the Nordic countries during the period January 1986-June 1992. STUDY DESIGN: All centers offering assisted conception in Denmark, Finland, Norway and Sweden were retrospectively surveyed by means of a questionnaire with regard to the number and methods used for MFR, pregnancy loss and the outcomes of the pregnancies. The response rate was 100%. RESULTS: During the period studied, 185 births of triplets or higher multiples occurred in Sweden, 120 in Finland and 102 in Denmark. MFR was performed in 42 women (Sweden 26, Finland 10, Denmark 6) but not in Norway at all. This gives an estimated average utilization rate of 1/7 multiple births of three or more in Sweden, 1/17 in Denmark and 1/12 in Finland. The most frequently used method was intracardiac or intrathoracic injection of a potassium chloride solution in gestational weeks 9-12. One pregnancy was reduced from seven to four fetuses, two from five to three, 10 from five to two, one from four to three, 17 from four to two, one from four to one, five from three to two, four from three to one and one from two to one. Nine (21%) pregnancies terminated in a spontaneous abortion within one week (n = 2) to several weeks (n = 7) after the procedure. Of the remaining 33 (79%) pregnancies which continued to delivery, two fetuses died in utero in the second trimester, three infants died perinatally and one child had transverse limb reduction defects. A successful pregnancy defined by the discharge home of at least one infant occurred in 79% of the cases. CONCLUSION: This study gives national estimates on the utilization rate of MFR. Although MFR is performed more frequently in Sweden than in Denmark and Finland, the overall figures remain low in the Nordic countries. The incidence of pregnancy loss in this study is somewhat higher than in several larger reported series, probably reflecting the learning curve of the procedure. It seems reasonable that MFR should be performed in only a few centers in the Nordic countries.

Female↗