Primary care physicians play a substantial role in diagnosing and treating children's mental health disorders, but Medicaid managed care policies may limit these physicians' ability to serve low-income children. Using data from the universe of Medicaid recipients in three states, I evaluate how Medicaid managed care policies impact primary care diagnosis and treatment of children's mental healt...

health reforms that emphasize public health and improvements in primary care can be cost-effective measures to achieve health improvements, especially in developing countries that face severe resource constraints. in their paper “shanghai rising: health improvements as measured by avoidable mortality since 2000,” gusmano et al suggest that shanghai’s health policy-makers have been successful in...

BACKGROUND Previous studies on the effects of health information technology (health IT) on ambulatory quality have had mixed results. New York State has invested heavily in health IT throughout the State, creating a unique opportunity to assess effects on health care quality across multiple communities. OBJECTIVE To determine any association between primary care providers' receipt of funding ...

INTRODUCTION There have been various strategies employed to improve the ability of primary care physicians to identify and intervene in the mental health concerns of young children. In this study we assessed community physician needs and ability to identify mental health problems in children less than 6 years of age. METHODS Two surveys were conducted. The purpose of the surveys was to identi...

OBJECTIVES Based on a recent patient survey from Taiwan, where there is universal health insurance coverage and unrestricted physician choice, this study examined the relationship between physician specialty and the quality of primary medical care experiences. METHODS We assessed ambulatory patients' experiences with medical care using the Primary Care Assessment Tool, representing 7 primary ...

Health care experts, policy makers, and patient advocacy groups have identified fragmentation of care as a major flaw in the current health care system—a flaw that has a negative effect on quality, patient outcomes, and health care costs. 1-4 A primary objective of the recently enacted Accountable Care Act (ACA) is improving care coordination.5 Two models encouraged by the ACA—patient-centered ...

BACKGROUND In Indonesia, Family Medicine as a discipline is being developed through short courses since 12 years ago. A conversion program to become Family Physicians has been introduced recently. Among the 70,000 primary care physicians there are variety of practitioners, from new interns who start general practice to senior general practitioners. This study aims to describe the current Indone...