Inadequate Reimbursement for Care Management to Primary Care Offices

Family violence quality assessment tool for primary care offices.

BACKGROUND Clinicians are mandated reporters for child abuse and elder abuse. Medical organizations recommend that patients be assessed for domestic violence. To date, the only quality improvement instrument related to family violence is a tool for assessing hospitals' domestic violence efforts. METHODS Using the Delphi method of consensus among national experts, we modified the hospital tool...

Primary care physician perspectives on reimbursement for childhood immunizations.

OBJECTIVES The purpose of this research was to explore physicians' attitudes and behaviors related to vaccine financing issues within their practice. Amid the increasing number of vaccine doses recommended for children and adolescents, anecdotal reports suggest that physicians are facing increasing financial pressures from vaccine purchase and administration and may stop providing vaccines alto...

The Millennium Primary Care Reimbursement Plan: a proposal for debate.

Implementation of "Chronic Care Model" for Diabetes Care in Iranian Primary Health Care: Does it work?

Objective: Traditional health care systems were not capable to face successfully with chronic diseases including diabetes mellitus. In this regard, the Chronic Care Model or CCM was created to promote quality of care. The aim of this study was to examine whether establishment of chronic care model, with focus on diabetic patients, has led to clinically significant outcomes in Iran. Materials a...

Primary care relationships in pediatric hospital clinics vs private offices.

OBJECTIVE To explore residents' opinions regarding various aspects of continuity clinic in a hospital clinic vs private office, with emphasis on primary care relationships. DESIGN Cross-sectional study. Residents (N = 47) who had spent time in both a clinic and an office setting were given a 49-question survey. Five-point Likert scales were used to quantify the residents' sense of quality of ...