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  1. The Oregon Health Plan : Development and implementation of an innovative method of delivery of health care services to the medically indigent.

    Article, Communication - En anglais

    American Cancer Society National Conference on Purchasing Oncology Services : Current Methods and Models in the Marketplace. Chicago, IL, USA, 1997/09/11.


    Health care for the medically indigent under the federal Medicaid system often provides care for only a fraction (ranging from 20% to 80%) of the poor who nominally qualify for care.

    Oregon has developed a unique system that replaces such a system with one that provides a comprehensive complement of medical care for all the poor but limits the care to conditions and procedures on a prioritized list.


    The Health Services Commission, a group of physicians, nurses, and public representatives, developed a list of over 740 diagnoses-treatment pairs and, with considerable public input, prioritized them in order of importance.

    The principal values used to develop the list were the prevention of death and the cost of the disease and its treatment.

    In the final ordering of the diagnosis-treatment pairs, public health and prevention of morbidity was also considered.

    Cancer diagnoses, and indeed all diseases, were not singled out for special consideration in this process.

    The Oregon Health Plan was implemented in 1994 with funds to cover 606 of 743 listed diagnoses.

    Diagnoses involving cancer were nearly all covered within these 606 items.

    The principal exception was coverage for Curative Treatment for Cancer when the likelihood for success was less than 5%. RESULTS.

    The prioritized list has met its goal of comprehensive medical care for the indigent population. (...)

    Mots-clés Pascal : Oregon, Etats Unis, Amérique du Nord, Amérique, Politique sanitaire, Programme sanitaire, Système santé, Cancérologie, Homme, Economie santé, Medicaid

    Mots-clés Pascal anglais : Oregon, United States, North America, America, Health policy, Sanitary program, Health system, Cancerology, Human, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0296481

    Code Inist : 002B30A01B. Création : 27/11/1998.