OBJECTIVE This study examines the effect of taking a health risk assessment (HRA) on health care costs, utilization, and member health risks over a 3-year period. METHODS This retrospective cohort study examined changes utilization, costs, and health risks among a random sample of 500 employees completing an HRA compared with a matched group of 500 employees who did not complete an HRA. RES...

The control of health care costs continues to be the primary goal of managed care. Double digit inflation in the health care sector continues to be problematic; although society as a whole has not declared what fraction of economic productivity is properly applied to health care. No student of the subject can help but be impressed by the circumstantial evidence that suggests that society is beg...

Although we have tried to make this example as realistic as possible, the development of a real product may differ from this example. The example is for illustrative purposes and, depending on applicants’ experience and knowledge, the degree of experimentation for a particular product may vary. The impact of experience and knowledge should be thoroughly explained in the submission. The risk ass...

background: studies on the prognosis of st elevation myocardial infarction (stemi) versus non-st elevation myocardial infarction (non-stemi) have shown different results. the present study was designed to compare the early outcome and left ventricular systolic function of patients with st and non-st elevation myocardial infarction. methods: the patients' information was derived from 10,065 cons...

OBJECTIVE To test the clinical equivalence and resource consequences of day care with inpatient care for active rheumatoid arthritis. DESIGN Randomised controlled clinical trial with integrated cost minimisation economic evaluation. SETTING Rheumatic diseases unit at a teaching hospital between 1994 and 1996. SUBJECTS 118 consecutive patients with active rheumatoid arthritis randomised to...

PURPOSE This article discusses considerations for making ambulatory care pharmacist services at least cost neutral and, ideally, generate a margin that allows for service expansion. SUMMARY The four pillars of business sustainability are leadership, staffing, information technology, and compensation. A key facet of leadership in ambulatory care pharmacy practice is creating and expressing a c...

Outcomes of adverse events in home care are varied and multifactorial. This study tested a framework combining two health measures to identify home care recipients at higher risk of long-term care placement or death within one year. Both measures come from the Resident Assessment Instrument-Home Care (RAI-HC), a standardized comprehensive clinical assessment. Persons scoring high in the Method ...

background: health literacy includes the ability to understand instructions come from health workers and units, cognitive and social skills and the competence to use such information and services in ways, which are health-enhancing. antenatal care is an important key for a healthy maternity. maternal health literacy and particular cognitive and social skills required for healthy maternity inclu...

background diabetes is a common problem with severe complications. the control of diabetes needs a close and honest relationship between patients and health professionals. the views of these two groups might influence the professional relationship. objectives the purpose of this study was to identify the views of diabetic patients versus the views of diabetic care professionals on the content o...