Over the last 20 years, HMOs have begun to develop population-and evidence-based systems for their clinical prevention services.
Because of their integrated information systems and staff communications, HMOs are uniquely positioned to help physicians to identify systematically the primary risk factors or secondary prevention needs of individuals and to provide specific referral or screening services and off-site telephone counseling services to effect seamless, organized intervention.
A review of the relevant published literature was combined with the empirical experience of the Group Health Cooperative of Puget Sound in Seattle to illustrate the approach of one large staff-model HMO.
Challenges for the future include creating clinical information systems, establishing adequate funding, instituting practitioner incentives, training practitioners for behavioral change, and developing and integrating patient self-care.
Mots-clés Pascal : Prévention, Service santé, Organisation santé, Recommandation, Programme sanitaire, Système santé, Homme, Etats Unis, Amérique du Nord, Amérique, Article synthèse, Health maintenance organization
Mots-clés Pascal anglais : Prevention, Health service, Public health organization, Recommendation, Sanitary program, Health system, Human, United States, North America, America, Review
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0073248
Code Inist : 002B30A01B. Création : 21/05/1997.