Health Services Research In A Market-Oriented Health Care System

Eisenberg, John M.

doi:10.1377/hlthaff.17.1.98

Cited by 34 publications

(14 citation statements)

References 18 publications

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“…31 It has long been recognized that the behavior of individual practitioners and systems is greatly governed by the payment received. 32 Accordingly, as definitive performance measures have been developed, payers have gravitated toward a strategy of adjusting payment for medical services based on measured performance.…”

Section: Discussionmentioning

confidence: 99%

Curbing The Cardiovascular Disease Epidemic: Aligning Industry, Government, Payers, And Academics

Califf¹,

Harrington

Madre

et al. 2007

Health Affairs

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Despite decades of progress in the diagnosis, treatment, and prevention of cardiovascular disease, its prevalence continues to grow in both developed and developing countries. We have constructed a model, the "cycle of quality," which connects the innovation of initial scientific discovery with validated methods of translating research into effective delivery. This model can serve as a basis for evaluating proposed efforts to improve interactions among private and public aspects of health care to accelerate development and appropriate adoption of new treatments, and to achieve greater penetration of effective behavioral therapies and established technologies, resulting in major improvements in cardiovascular health. [Health Affairs 26, no. 1 (2007): 62-74; 10.1377/hlthaff.26.1.62] A m e r i c an s o c i e t y h a s w i t n e s s e d a remarkable convergence of effective diagnostic, preventive, and therapeutic approaches to cardiovascular disease (CVD). At the same time, the overall prevalence of CVD and its sequelae are rising as a result of the aging of the population in developed countries, greater longevity in developing countries, and the global epidemics of diabetes and obesity. A global view is especially important, because the greatest increase in prevalence and mortality will occur in countries with developing economies, and much effective CVD prevention and treatment does not require expensive technology, although technological advances have the potential to improve the health of patients with CVD on a global scale. J a n u a r y / F e b r u a r y 2 0 0 7 Q u a l i t y

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Section: Discussionmentioning

confidence: 99%

Curbing The Cardiovascular Disease Epidemic: Aligning Industry, Government, Payers, And Academics

Califf¹,

Harrington

Madre

et al. 2007

Health Affairs

View full text Add to dashboard Cite

show abstract

“…On the state level, in the 1970s, several states revisited certificate-of-need programs because of research suggesting that such programs were ineffective at reducing costs. 12 …”

Section: Impact Of Health Services Researchmentioning

confidence: 99%

Health Services Research and How It Can Inform the Current State of Ophthalmology

Muir

Bosworth

Lee

2010

American Journal of Ophthalmology

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“…According to Eisenberg (1998), professions such as health education should be seriously considered by MCO administrators and staff members to improve quality assurance and cost-effective functions in managed care. Quality assurance related to preventive health services emerges as a potential responsibility for health educators in MCOs.…”

Section: Value Of Health Education Skills In Quality Assurancementioning

confidence: 99%

Expanded Health Education roles in Managed Care: Relationships between CHES, HEDIS®, and NCQA

Barnes¹,

Neiger²,

Mondragón

et al. 2002

Health Promotion Practice

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Prevention-based activities and other Certified Health Education Specialist (CHES) skills are currently in demand in managed care organizations. An important set of roles for managed care that requires select health education skills continues to emerge through the National Committee for Quality Assurance (NCQA) and the Health Plan Employer Data and Information Set® (HEDIS®). This article identifies expanded roles for health educators in managed care organizations by comparing CHES responsibilities to HEDIS® and NCQA standards. The responsibilities for CHES in relation to both HEDIS® and NCQA are complementary. These health education functions within managed care are clearly associated to the responsibilities of certified health education specialists and quality assurance managers. To increase marketability and collaboration with clinical staff, professional health educators must be trained to perform key health education functions that relate to the practice roles of managed care organizations. Specific recommendations for professional preparation and professional practice are discussed.

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Health Services Research In A Market-Oriented Health Care System

Cited by 34 publications

References 18 publications

Curbing The Cardiovascular Disease Epidemic: Aligning Industry, Government, Payers, And Academics

Curbing The Cardiovascular Disease Epidemic: Aligning Industry, Government, Payers, And Academics

Health Services Research and How It Can Inform the Current State of Ophthalmology

Expanded Health Education roles in Managed Care: Relationships between CHES, HEDIS®, and NCQA

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