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State contracting initiatives for quality improvement in asthma care.

Journal for healthcare quality : official publication of the National Association for Healthcare Quality 1998年第4期20卷 4-10页

作者： Ellenbecker, C.H. Garcia, I. Kane, M. University of Massachusetts Boston United States

This article examines the role of a state Medicaid program in standardizing and implementing quality performance measures for providers. It describes the Asthma Education and Primary Care Clinician Linkages Quality Improvement Program (QIP), one aspect of the ongoing Hospital Quality Initiative in Massachusetts. In October 1996, the second year of the initiative, the Massachusetts Division of Medical Assistance requested that all contracting hospitals submit quality improvement process and outcome measures related to asthma care, including practice guidelines, patient education materials, and documentation mechanisms to facilitate patients' appropriate follow-up contact with primary care clinicians. A team of evaluators reviewed these materials to determine whether hospitals had baseline data in place for asthma QIP development. Information forums were held with three reviewers and the hospitals to discuss various programs and progress toward quality improvement in asthma care. Reviewers also worked to identify hospital programs that could be used as models and those that would benefit from assistance in meeting the state's program goals.

关键词：哮喘/治疗合同业务/组织和管理合同业务/标准疾病管理教育继续政府规划/组织和管理政府规划/标准医院管理/标准马萨诸塞 Medicaid/组织和管理 Medicaid/标准结果与过程评价(卫生保健) 初级卫生保健/组织和管理初级卫生保健/标准方案评价质量指标卫生保健州卫生计划/组织和管理州卫生计划/标准全面质量管理美国儿童人类

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Methodological issues in workplace substance abuse prevention research

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JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH 2000年第2期27卷 144-151页

作者： Hersch, RK Cook, RF Deitz, DK Trudeau, JV ISA Associates Inc Alexandria VA 22314 USA

Substance abuse among working adults represents billions of dollars in preventable health cave costs and industry financial loss. Therefore, it is imperative to develop and test effective substance abuse prevention programs for the workplace. However applied workplace substance abuse prevention research is fraught with numerous methodological challenges. This article highlights a number of these challenges, which include (1) reaching a broad audience with prevention messages, (2) handling the concerns of the employer (3) collecting substance use data in the workplace (4) accessing and using records-based data, and (5) linking survey and records-based data. Using examples from the authors' ongoing research assessing a workplace health promotion and substance abuse prevention program funded by the Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Prevention, the authors address these challenges.

关键词：数据收集/立法和法学数据收集/方法政府规划/经济学政府规划/组织和管理健康促进/经济学健康促进/方法职业卫生服务/立法和法学职业卫生服务/组织和管理隐私权/立法和法学研究设计物质相关性障碍/经济学物质相关性障碍/预防和控制美国成年人人类

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Three countries' experience with Norplant introduction

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HEALTH POLICY AND PLANNING 1997年第3期12卷 199-213页

作者： Hardee, K Balogh, S Villinski, MT FAMILY HLTH INT RTP BRANCHWOMANS STUDIES DIVDURHAMNC 27709 FAMILY HLTH INT FIELD OPERAT DIVRES TRIANGLE PKNC 27709 UNIV MINNESOTA MINNEAPOLISMN 55455

Despite international efforts to plan for Norplant introduction, the method has drawn the attention of critics of family planning programmes, and has raised several issues for debate since it was introduced into family planning programmes. The experiences of three countries with the introduction of Norplant highlight some of the unique features of the method that have affected its introduction. Indonesia, Bangladesh and the United States represent diverse cultural settings and systems of family planning provision. Experience in each country has highlighted the need to focus on quality of care for clients, most notably the need for good counselling and attention to removal as well as insertion. The cost of Norplant also has influenced its introduction in each country. Another issue includes the need to work with women's health advocacy groups, which is illustrated particularly in Bangladesh. Finally, the role of litigation in the United States, and its potential role in influencing Norplant introduction in other countries, is discussed. These three countries' experience illustrate the importance of understanding the programmatic context of contraceptive introduction.

关键词：孟加拉国避孕药女用/经济学避孕药女用/治疗应用制药工业计划生育政策政府规划/组织和管理印度尼西亚国际合作左炔诺孕酮/经济学左炔诺孕酮/治疗应用责任法律卫生保健质量美国青少年成年人女(雌)性人类男(雄)性

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Community support for families: the Huron County approach to a long-term care issue.

International journal of health care quality assurance incor...

引用

International journal of health care quality assurance incorporating Leadership in health services 1998年第4-5期11卷 vi-x页

作者： Gray, J.J. Resource Services Division Huron County Health Unit Ontario Canada

This article profiles a pilot project in Huron County, Ontario, which merged two separate government-sponsored programs that provide support to families with disabled children into a single program delivered through a community agency. After almost ten years in operation, the program is working very well, but certain adjustments are necessary to keep the program running smoothly.

关键词：残疾儿童家庭政府规划/组织和管理家庭护理(非专业)/经济学家庭护理(非专业)/组织和管理家庭护理(非专业)/心理学安大略试点项目方案评价政府补助社会支持儿童人类

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Mental health quality measurement in the department of defense - A developing system

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EVALUATION REVIEW 1997年第3期21卷 315-317页

作者： Paris, ML OFF ASSISSTANT SECRETARY DEF HLTH AFFAIRS DIV CLIN SERV1200 DEF PENTAGONROOM 3D376WASHINGTONDC 20301 USA

In response to the need for high-quality mental health care for its beneficiaries at appropriate cost to the government, the Office of the Assistant Secretary of Defense (Health Affairs) has developed a quality and utilization management program that requires contracted organizations to manage care through appropriate means. The system provides for oversight of utilization management contractors by a national quality monitoring contractor and a proposed utilization management criteria set based on an analysis of criteria sets currently used in government and industry. This article describes the program at its current level of development.

关键词：政府规划/组织和管理精神卫生服务/组织和管理精神卫生服务/标准军事医学/标准方案评价卫生保健质量/组织和管理美国女(雌)性人类男(雄)性

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Overwhelming support for smoking bans

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AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH 2000年第6期24卷 640-641页

作者： Walsh, RA Paul, CL Tzelepis, F New S Wales Canc Council Canc Educ Res Program Wallsend NSW 2287 Australia

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Controlling the major Newcastle disease outbreak at Mangrove Mountain, NSW

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AUSTRALIAN VETERINARY JOURNAL 1999年第7期77卷 472-472页

作者： [Anonymous]

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