Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1990-4-26
|
pubmed:abstractText |
Because of the financial incentives of prepaid care, the quality of care for Medicare enrollees in Health Maintenance Organizations (HMOs) is a concern. Therefore, the care in 150 newly diagnosed cases of colorectal cancer in eight HMOs was compared with that in 180 similar fee-for-service (FFS) cases. As part of the diagnostic workup, HMO patients were more likely to have had fecal occult blood tests (74% vs 52%, p less than 0.01) and endoscopy or barium enemas (97% vs 90%, p less than 0.05). FFS patients were more likely to have had preoperative imaging studies (54% vs 38%, p less than 0.01). Although there were longer diagnostic delays for HMO enrollees with gastrointestinal bleeding, there were no significant differences in disease stage or clinical status, and postoperative follow-up was similar. The authors conclude that enrollees in Medicare HMOs with colorectal cancer receive medical and surgical care at least equal to that received in FFS settings.
|
pubmed:commentsCorrections | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0884-8734
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
5
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
110-4
|
pubmed:dateRevised |
2009-2-24
|
pubmed:meshHeading |
pubmed-meshheading:2179490-Aged,
pubmed-meshheading:2179490-Colorectal Neoplasms,
pubmed-meshheading:2179490-Fees, Medical,
pubmed-meshheading:2179490-Female,
pubmed-meshheading:2179490-Health Maintenance Organizations,
pubmed-meshheading:2179490-Health Resources,
pubmed-meshheading:2179490-Hospitalization,
pubmed-meshheading:2179490-Humans,
pubmed-meshheading:2179490-Male,
pubmed-meshheading:2179490-Medicare,
pubmed-meshheading:2179490-Quality of Health Care,
pubmed-meshheading:2179490-United States
|
pubmed:articleTitle |
Management of colorectal cancer in Medicare health maintenance organizations.
|
pubmed:affiliation |
Department of Medical Medical College of Virginia, Virginia Commonwealth University, Richmond.
|
pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, Non-P.H.S.
|