Outcomes measurement in today's health care environment

Mason, John H.

doi:10.1002/art.1790100603

Arthritis & Rheumatism

1997

DOI: 10.1002/art.1790100603

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Outcomes measurement in today's health care environment

John H. Mason

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“…The rise of managed care has coincided with the growing demand for assessment of the quality and outcomes of health care, in part because of concern that the emphasis on cost containment by managed care might compromise the quality of care and patient outcomes (2,3). In addition, the types of patient outcomes that are examined in these assessments have expanded from traditional clinical and physiologic measures to include patient-focused outcomes such as satisfaction with care (4).…”

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Health insurance characteristics and health care evaluations among persons with rheumatic diseases in California

Katz

Yelin

Leong³

et al. 1999

Arthritis & Rheumatism

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Objective. To describe the health insurance characteristics of a sample of persons with rheumatic diseases, to review their evaluations of health care, and to identify the health insurance characteristics associated with those evaluations.Methods. Data were obtained from a mail survey of a random sample of persons (n ‫؍‬ 2,484) on mailing lists of participating rheumatic disease organizations. The survey included specific aspects of health insurance coverage, demographic and health status information, and evaluations of health care.Results. In California, managed care plans (MCPs) were providing health care to 59% of respondents under age 65. Among respondents under age 65, prescription drug coverage was almost universal, 60% had seen a plan rheumatologist, and 17% had been unable to obtain referrals to specialists (with significantly more respondents in MCPs reporting this problem). Among respondents age >65, 37% had seen a plan rheumatologist, and 11% reported being unable to obtain referrals to specialists. Overall, drug coverage was less common in this age group, although 90% of those in MCPs had drug coverage. Relatively few respondents in either age group knew about coverage for physical or occupational therapy or for assistive devices. Patient evaluations were more positive for non-MCPs. Limitation in access to physicians was the strongest predictor of poor evaluations of health plans and physician care. Having seen a plan rheumatologist was associated with more positive evaluations.Conclusion. Surveys of patient satisfaction or patient evaluations are required by many regulatory bodies. Managed care organizations should carefully evaluate whether limitations in access or services are worth the generalized negative perceptions that they may create among patients.

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confidence: 99%

Health insurance characteristics and health care evaluations among persons with rheumatic diseases in California

Katz

Yelin

Leong³

et al. 1999

Arthritis & Rheumatism

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Outcomes research: An overview

Katz

1997

Arthritis & Rheumatism

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Evaluation of the Arthritis Impact Measurement Scales (AIMS2) in Finnish patients with rheumatoid arthritis

Arkela-Kautiainen¹,

Kauppi

Heikkilä

et al. 2003

Scandinavian Journal of Rheumatology

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Outcomes measurement in today's health care environment

Cited by 3 publications

References 12 publications

Health insurance characteristics and health care evaluations among persons with rheumatic diseases in California

Health insurance characteristics and health care evaluations among persons with rheumatic diseases in California

Outcomes research: An overview

Evaluation of the Arthritis Impact Measurement Scales (AIMS2) in Finnish patients with rheumatoid arthritis

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