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Essay / Research Paper Abstract
A 9 page paper discussing four areas that have the potential of affecting or being affected by managed care organizations generally referred to as health maintenance organizations (HMOs). Health prevention and cost containment strategies directly relate to managed care; quality improvement has less direct effect. Population health focus affects managed care only when public education leads individuals to seek testing or treatment from health care providers. Bibliography lists 8 sources.
Page Count:
9 pages (~225 words per page)
File: CC6_KShmoCostPrev.rtf
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Unformatted sample text from the term paper:
Managed care organizations are finding it increasingly difficult to operate profitably or to exert further influence on the overall health care industry. Following are four areas that have
the potential of affecting or being affected by managed care organizations generally referred to as health maintenance organizations (HMOs). Health prevention and cost containment strategies directly relate to managed
care; quality improvement has less direct effect. Population health focus affects managed care only when public education leads individuals to seek testing or treatment from health care providers. Health
Prevention Initiatives Torakis and Smigielski (2000) report that the Neuman model "characterizes nursing intervention as levels of prevention: primary, secondary, and tertiary" (p.
394), and that either one or all may be used simultaneously for nursing action, depending on patient needs. The goal of primary prevention is to "prevent stressors from impacting
the client" (Torakis and Smigielski, 2000; p. 394). An example is teaching parents about asthma triggers or urging middle-aged and older women to ensure that their doctors monitor bone
density as they age. Secondary prevention provides "appropriate treatment of symptoms" (Torakis and Smigielski, 2000; p. 394) with the goal of attaining patient
stability, while the goal of tertiary prevention "is to help the patient return to wellness following treatment" (Torakis and Smigielski, 2000; p. 394).
From a management perspective, it is only primary prevention that can be approached as a broad-based prevention target because the other levels address specific conditions that vary between individuals.
Primary prevention absolutely can benefit individuals within the managed care context, because generally it is more cost effective to prevent a disease than to treat it. One 50-year-old woman
...