Quality of care for colorectal cancer in a fee-for-service and health maintenance organization practice.
This study assessed the effectiveness of two types of health plans, offered by the same health care provider, in the diagnosis and treatment of colorectal cancer.
Data on 330 cases diagnosed from 1984 through 1989 were abstracted from medical records.
Of these, 205 (62%) used fee-for-service (FFS) and 125 (38%) used health maintenance organization (HMO) plans.
Overall, there were no differences between FFS and HMO cases for duration of symptoms before diagnosis, training of physician who diagnosed the tumor, anatomic location of the tumor, type of primary treatment, Dukes' stage at final diagnosis, or survival.
Mots-clés Pascal : Côlon pathologie, Rectum pathologie, Appareil digestif pathologie, Soin santé primaire, Qualité, Système santé, Organisation santé, Assurance maladie, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Colonic disease, Rectal disease, Digestive diseases, Primary health care, Quality, Health system, Public health organization, Health insurance, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0053091
Code Inist : 002B13B01. Création : 199406.