OBJECTIVE To determine the health care resources and perceived barriers to care of families attending free vaccine fairs. DESIGN A cross-sectional survey. SETTING Twelve free vaccine fairs in Denver, Colorado, in 1994. PARTICIPANTS A total of 533 consecutive parents or guardians of children receiving vaccine at the fairs. Interventions. None. MEASUREMENTS/RESULTS Survey respondents repo...

This cross-sectional study compares self-reported access to care among a representative sample of 13,952 HMO enrollees in New Jersey. Using multivariate logistic regression, this study found that compared with college graduates, those with less than a high school education reported more difficulty obtaining tests or treatment. Compared with whites, Hispanics were more likely to report difficult...

Tailoring colorectal cancer screening interventions to address the needs of individuals for whom screening is recommended requires accurate identification of the barriers experienced by each targeted group. The primary purpose of this survey study was to test differences in the barriers to undergoing screening colonoscopy reported by men and women. In addition, we were interested in differences...

Research has shown that people reduce their use of health care after individual, marital, and family therapy, which is known as the "offset effect." However, little research has been done to learn if high utilizers of health care reduce health care usage after therapy. Medical records of research participants (n = 65) from a health maintenance organization (HMO) were randomly selected and exami...

T otal compensation for senior medical managers in HMOs increased, on average, 5 percent last year — similar to growth rates of previous years. According to a study by the Tampa, Fla.-based Physician Executive Management Center, a physician executive search firm, compensation for these people (medical directors, vice presidents for medical affairs, and physicians with similar titles) varies lit...

UNDER SECTION 3022 OF THE AFFORDABLE CARE Act, the Centers for Medicare & Medicaid Services is tasked with developing and testing accountable care organizations (ACOs). The goal of ACOs is to group hospitals and physician practices together to facilitate and incentivize quality improvement and cost containment—critical steps for US health care. However, careful consideration and monitoring duri...

Skeptics question nonprofit health care on the grounds that nonprofits fail to distinguish themselves from their for-profit counterparts and do not reliably provide community benefits commensurate with their tax subsidies. Drawing on the most recent and comprehensive evidence, we assess these charges, judging them to be either wrong or incomplete. Although conventional critiques are therefore u...

The PMHP provides mental health services for pregnant and postnatal women, train those who work with mothers to improve the quality of their care, form partnerships to promote the scale up of services and inform local and global interventions through robust research and advocacy. We support state agencies and partner with non-profit organisations to achieve health and social development objecti...