Video Experimental Relacionado
Updated: May 5, 2026
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.1K
La prestación de servicios preventivos a adultos mayores por parte de los médicos de atención primaria
Hoangmai H Pham1, Deborah Schrag, J Lee Hargraves
1Center for Studying Health System Change, Washington, DC 20024, USA. mpham@hschange.org
JAMA
|July 28, 2005
Resumen
La atención preventiva para los beneficiarios de Medicare a menudo no es óptima. Las características de la práctica, como las fuentes de ingresos y el tamaño del grupo de médicos, tienen un impacto significativo en la entrega de exámenes de salud y vacunas esenciales.
Área de la Ciencia:
- Servicios de salud Servicios de salud Investigación Investigación.
- La medicina preventiva es la medicina preventiva de las enfermedades.
- Política de salud Política de salud
Sus antecedentes:
- La utilización de los servicios preventivos entre los beneficiarios de Medicare no alcanza los objetivos nacionales.
- La identificación de los factores que influyen en la calidad de la atención preventiva es crucial para mejorar los resultados de salud de la población.
Objetivo del estudio:
- Determinar las características del médico y la práctica asociadas con la calidad de la atención preventiva recibida por los beneficiarios de Medicare.
- Para identificar entornos de práctica específicos y atributos médicos relacionados con las variaciones en la prestación de servicios preventivos.
Principales métodos:
- Análisis transversal de los datos de la Encuesta de Médicos del Estudio de Seguimiento Comunitario 2000-2001 vinculados con las reclamaciones de Medicare.
- Incluidos 3.660 médicos y 24.581 beneficiarios de Medicare de 65 años o más.
- Evaluó la proporción de beneficiarios que reciben seis servicios preventivos clave, ajustando los factores del paciente y de la comunidad.
Principales resultados:
- La prestación general de servicios preventivos estuvo por debajo de los objetivos nacionales.
- El tipo de práctica y el porcentaje de ingresos de Medicaid estaban fuertemente asociados con la prestación de servicios.
- Los beneficiarios de las prácticas con menores ingresos de Medicaid recibieron más exámenes oculares diabéticos, monitoreo de A1c, mamografías y vacunas.
Conclusiones:
- La prestación de atención preventiva a los beneficiarios de Medicare está por debajo de lo óptimo.
- Los entornos de práctica específicos y los subgrupos de médicos están asociados con mayores riesgos de recibir atención de menor calidad.
- Las intervenciones específicas para las prácticas de alto riesgo pueden mejorar la calidad de los servicios preventivos.
Videos de Conceptos Relacionados
01:26Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
01:26Traditional Level Of Health Care System
3.4K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.4K
01:30Primary Healthcare Services
3.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
3.3K
01:30Preventive Healthcare Services
2.4K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
2.4K
01:26Levels of Health Promotion and Illness Prevention
12.9K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.9K
01:13Patient-centered Care
3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K