The Impact of Managed Care on the Mix of Vulnerable Populations Served by Community Health Centers

2001 ◽  
Vol 24 (1) ◽  
pp. 51-66 ◽  
Author(s):  
Leiyu Shi ◽  
Robert M. Politzer ◽  
Jerri Regan ◽  
Deborah Lewis-Idema ◽  
Marilyn Falik
Keyword(s):  
Managed Care ◽  
Community Health ◽  
Vulnerable Populations ◽  
Community Health Centers ◽  
Health Centers ◽  
The Impact

Impact of dermoscopy-aided pediatric teledermatology program on the accessibility and efficiency of dermatology care at community health centers

2021 ◽  
pp. 1357633X2110682
Author(s):  
Rebecca Calafiore ◽  
Aziz Khan ◽  
Daren Anderson ◽  
Zhao Helen Wu ◽  
Jun Lu
Keyword(s):  
Community Health ◽  
Community Health Centers ◽  
Large Scale ◽  
Pediatric Population ◽  
Adult Population ◽  
Health Centers ◽  
Referral System ◽  
Pediatric Dermatology ◽  
Store And Forward ◽  
The Impact

Background There are few studies focusing on pediatric teledermatology, and the impact of a large-scale pediatric teledermatology program on the accessibility and efficiency of dermatology care remains unclear. This study evaluated the impact of a state-wide implementation of a store-and-forward teledermatology program augmented by the incorporation of dermoscopy in pediatric patients visiting community health centers. Methods It was a descriptive, retrospective cohort study of 876 pediatric dermatology referrals. Results In the traditional referral system, only 60 patients (17.6%) were seen by dermatologists with average waiting times of 75 days due to limited access. In comparison, with an implementation of dermoscopy-aided teledermatology, all 536 teledermatology referrals received dermatological care within 24 h, of which only 64 (12%) patients requires face-to-face (F2F) consultation. Patients referred for F2F consultation via eConsults had a much lower no-show rate as compared to the traditional referral system (39% vs. 71%). Side by side comparison between general population and pediatric population has demonstrated shared features in efficiency and access improvement but revealed specific characteristics of pediatric teledermatology in terms of diagnosis and treatment. Conclusion Coordinated store-and-forward teledermatology platform with incorporation of dermoscopy between large community care network and dermatology provider can greatly improve access to pediatric dermatology care especially in underserved population. The efficiency of teledermatology in access improvement for pediatric population is comparable with adult population in eConsults. There are also unique features and challenges in pediatric teledermatology that require further research.

Washington Watch

1987 ◽  
Vol 9 (4) ◽  
pp. 24-25
Keyword(s):  
Community Health ◽  
Program Development ◽  
Vulnerable Populations ◽  
Community Health Centers ◽  
Nonprofit Organization ◽  
National Association ◽  
Health Centers

As Director of Program Development for the National Association of Community Health Centers, a D.C.-based nonprofit organization, I track the legislation that affects our nation wide membership of 640 health centers serving America's six million poorest citizens. This update on recent "hill" activities that have concerned us will interest applied anthropologists dealing with vulnerable populations including migrants and the homeless.

Performance of community health centers under managed care

1995 ◽  
Vol 18 (3) ◽  
pp. 77-88 ◽  
Author(s):  
Rhoda Abrams ◽  
Terry Savela ◽  
Margaret Thomas Trinity ◽  
Marilyn Falik ◽  
Beth Tutunjian ◽  
...  
Keyword(s):  
Managed Care ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers

scholarly journals The impact of applying 5S management method on patient satisfaction in healthcare centers' services

2019 ◽  
Author(s):  
Shadab Shahali ◽  
Massomeh Khajehasani ◽  
Amin Torabipoor ◽  
Kambiz AhmadiAngali
Keyword(s):  
Service Quality ◽  
Community Health ◽  
Community Health Centers ◽  
Health Centers ◽  
Management Approach ◽  
Before And After ◽  
Quasi Experimental ◽  
Health Service Quality ◽  
The Impact

Abstract Background: Improving service quality and increasing clients' satisfaction is the most important aim of the health centers. This study aimed to investigate the effect of implementing the 5S management approach on the service quality provided at community health centers.Methods: This is a quasi-experimental study done with the participation of 220 pregnant women at a health center in Ahvaz in 2018. The quality gap and weaknesses were measured before 5S implementation by using adornment system (5S) checklist and SERVQUAL questionnaire. Interventions were designed and implemented with regard to the system weaknesses and the next evaluation was carried out 2 months after intervention.Results: Based on the findings of this study, the 5S score was 2.4 before the 5S implementation and 4.2 after the intervention. The mean scores of health service quality provided in community health centers significantly differed before and after the 5S implementation (P <0.0001).Conclusions: Implementation of 5S can improve the work environment adornment and the satisfaction of health centers' patients. Therefore, it is advised to use techniques to increase the quality of health centers’ services.

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