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The Employee Retirement Income Security Act and Health Maintenance Organization Litigation
Published in Julie Dickinson, Anne Meyer, Karen J. Huff, Deborah A. Wipf, Elizabeth K. Zorn, Kathy G. Ferrell, Lisa Mancuso, Marjorie Berg Pugatch, Joanne Walker, Karen Wilkinson, Legal Nurse Consulting Principles and Practices, 2019
As previously noted, an HMO is a healthcare plan or system, generally operated for profit, that seeks to control medical costs by contracting with a network of providers who also act as gatekeepers. The primary approach is an emphasis on preventive care and early intervention and treatment of illness processes to keep enrollees out of the hospital and reduce the need for specialist care. These preventive services offered, among others, vaccinations for infants and children, influenza and pneumonia vaccination programs for the elderly and at-risk populations, prenatal care and “well baby” visits, smoking cessation programs, and community health fairs. Over time, the HMOs observed that few members availed themselves of these “added-value” benefits. Unfortunately, what became evident was that on average, participants in HMOs experienced illness, injury, and chronic medical conditions as much as the participants in other types of managed care and those covered by traditional indemnity insurance.
Promotion of Preventive Measures
Published in Lars Granath, William D. McHugh, Systematized Prevention of Oral Disease: Theory and Practice, 2019
Alice M. Horowitz, P. Jean Frazier
Adult education programs offer a broad range of health-related courses and oral health can be included within the array of available subject offerings. In addition, health-related lectures for the layman and community health fairs are becoming increasingly popular. The content of oral health information provided in these settings should be broad and comprehensive, as well as appropriate for the audience. Free oral inspections, including oral cancer screening, could be offered, as well as information about the use of fluorides and sealants, advice on effective oral hygiene procedures, and assistance in obtaining dental care. For adults, greater emphasis can be placed on the prevention and control of periodontal disease, as well as the importance of self-examination for early diagnosis of oral cancer — particularly for male smokers over 40 years of age.
The Work Landscape
Published in Ezra E. H. Griffith, Belonging, Therapeutic LANDSCAPES, and Networks, 2018
During my years of specialty training in psychiatry and continuing into the early development of my career, mentors consistently recommended that I join professional organizations, especially those that would be expressly linked to my work functions as a physician and psychiatrist. They advised me that through such organizations I would provide useful services to the broader community. I might, for example, be asked to give advice to volunteer organizations interested in medical matters; to participate in community health fairs; to engage in legislative advocacy at the federal, state, and local levels; to encourage high school and college students interested in medicine and psychiatry; and to serve as a radio or television commentator about my professional specialty. As Chester Pierce had asserted during my interviews of him (See Griffith 1998, 158), “Doctors, even more than pastors, have a special opportunity to do good and to be esteemed by the society for their acts.” Pierce recommended this altruistic giving of time, energy, and expertise to the community. He also made it clear that giving to the community did not include activities such as being commodore of one’s yacht club.
Life with Cancer at Inova Schar Cancer Institute
Published in Oncology Issues, 2018
Intartaglia creates job descriptions with clear expectations for her volunteer pool and then hires and trains these individuals. Some of Life with Cancer's 150 volunteers help with logistics for fitness programs, including setting up the room, checking in participants, managing paperwork and waivers, and assisting the instructors. Others provide the many hands that are needed for Life with Cancer's fundraising events. One volunteer distributes the distress screening on the oncology inpatient unit at the Inova Fairfax Medical Campus, helping Life with Cancer staff identify patients who could benefit from psychosocial intervention or education. Catherine would like to train more volunteers to perform this task, which requires someone with objectivity and good boundaries. Help with community outreach for health fairs and other events for which less training is necessary is another opportunity for volunteers. “I pay attention to the reasons why people volunteer and what they find fulfilling, so we can keep them for a long time,” says Intartaglia.
Cultural primer for cardiometabolic health: health disparities, structural factors, community, pathways to improvement, and clinical applications
Published in Postgraduate Medicine, 2018
Partnering with private and public institutions is a method with great potential to benefit all concerned. Large grocers, institutions, and places of worship are usually eager to participate in health fairs. Hospitals and health facilities too may sponsor runs and theme-based health initiatives, where they can solicit providers to render services, while simultaneously educating the public about new techniques, services, and programs. Banks and investment houses may seek community involvement in any way possible to enhance their image and reach. Newspapers and other media outlets hold employment fairs for health-care workers where free health screens can be offered. Partnering with philanthropies is another avenue communities may pursue [23]. A potential role of businesses and celebrities as anchors and liaisons respectively may exist, but appropriateness of these roles may vary.
Elevated Blood Pressure in Low-Income, Rural Preschool Children is Associated with Maternal Hypertension during Pregnancy
Published in Journal of Community Health Nursing, 2018
Paige Johnson, Michele Montgomery, Patrick Ewell
The American Heart Association (AHA) Council on CVD in the Young supports the recommendation of the Second National Heart, Lung, and Blood Institute Task Force on BP and the update published by the National High Blood Pressure Education Program that all children > 3 years of age should have their BP measured in the course of routine health care (Williams et al., 2002). Appropriate screening of preschool children can be expected to result in earlier identification of those children at-risk for the development of HTN and associated cardiovascular risk factors, and early screening programs can help reduce the risk of complications. School-based screenings can be beneficial in screening a large group of children who may otherwise not receive routine health care. Screenings were performed at on-site health fairs conducted at the county’s early learning center.