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Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Purpose of Health Records I01:11

Purpose of Health Records I

The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Nursing Clinical Information System01:27

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Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
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Linking automated databases for research in managed care settings

J V Selby1

  • 1Kaiser Permanente Medical Care Program, Northern California, Oakland, USA.

Annals of Internal Medicine
|February 12, 1998
PubMed
Summary
This summary is machine-generated.

Managed care organizations are increasingly conducting health services research due to data demands and investments in health IT. This research spans epidemiology, treatment effectiveness, and cost-effectiveness, often collaborating with academic institutions.

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Area of Science:

  • Health Services Research
  • Epidemiology
  • Health Informatics

Background:

  • Managed care organizations (MCOs) face growing demands for clinical data from purchasers and accreditors.
  • Investments in administrative and clinical data systems create opportunities for large-scale population health research.
  • Health maintenance organizations (HMOs) have a long history of contributing to health services research.

Purpose of the Study:

  • To highlight the increasing role and scope of research conducted within managed care organizations.
  • To underscore the importance of data systems in enabling health care and epidemiological research.
  • To emphasize the collaborative nature of MCO-based research with academia and government.

Main Methods:

  • Descriptive and etiologic epidemiological studies.
  • Randomized and observational studies of treatment effectiveness.
  • Cost-effectiveness analyses and risk prediction modeling.

Main Results:

  • MCOs conduct diverse research, including epidemiology, treatment efficacy, cost analysis, and behavioral interventions.
  • Research often involves collaborations with academic institutions and is funded by external sources.
  • The establishment of the HMO Research Network facilitates scientific exchange among MCO researchers.

Conclusions:

  • MCO research is becoming increasingly aligned with public health research as MCOs cover a larger portion of the U.S. population.
  • Collaboration between MCO research centers, academia, and government is expected to grow.
  • Managed care organizations are vital centers for health services research and public health advancement.