Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Utilization patterns and mortality of HMO enrollees.

B H McFarland, D K Freeborn, J P Mullooly

    Medical Care
    |March 1, 1986
    PubMed
    Summary

    Consistently high healthcare users in a health maintenance organization (HMO) showed increased mortality, suggesting underlying health issues. Overall HMO enrollees had slightly lower mortality than the general population.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Economic contraction, alcohol intoxication and suicide: analysis of the National Violent Death Reporting System.

    Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention·2014
    Same author

    Characterization of infectious bursal disease viruses isolated in 2007 from Delmarva commercial broiler chickens.

    Avian diseases·2012
    Same author

    Ending the millennium: Commentary on "HMOs and the seriously mentally ill-A view from the trenches".

    Community mental health journal·2011
    Same author

    Potential of low pathogenicity avian influenza viruses of wild bird origin to establish experimental infections in turkeys and chickens.

    Avian diseases·2010
    Same author

    Age Differences in Health Attitudes and Beliefs: Aging and/or Cohort Effects?

    International quarterly of community health education·2010
    Same author

    Characteristics of adult male and female firearm suicide decedents: findings from the National Violent Death Reporting System.

    Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention·2009

    Area of Science:

    • Health Services Research
    • Public Health
    • Epidemiology

    Background:

    • Health maintenance organizations (HMOs) aim to provide cost-effective care.
    • Understanding health outcomes for long-term HMO members is crucial for evaluating healthcare models.

    Purpose of the Study:

    • To analyze mortality rates among long-term health maintenance organization (HMO) enrollees.
    • To investigate if consistently high healthcare utilization is associated with increased mortality.

    Main Methods:

    • Analysis of 6-year follow-up data for adults continuously enrolled in an HMO for 7 years.
    • Classification of members into high and low outpatient care user groups.
    • Statistical adjustment for age, sex, and smoking status.

    Related Experiment Videos

    Main Results:

    • Thirteen percent of HMO members were identified as consistently high users of outpatient care.
    • High users exhibited significantly greater mortality rates compared to other HMO enrollees, even after adjustments.
    • Overall HMO enrollees demonstrated marginally lower mortality rates than the general Oregon population.

    Conclusions:

    • Consistently high healthcare utilization in HMOs is linked to significant underlying medical and psychosocial problems.
    • Long-term HMO members as a group do not appear substantially healthier than the general population when mortality is considered.