John P Mullooly
Datos Biográficos
| ID | 2135144 |
|---|---|
| NOMBRE | John P Mullooly |
| NOMBRES | John P |
| APELLIDO | Mullooly |
| FIRMA | MULLOOLY J P |
| AFILIACIONES | Kaiser Permanente Center for Health Research |
| VERIFICADO | No |
| TOTAL DE OBRAS | 16 |
| TOTAL DE CITAS | 79 |
| TOTAL COMO AUTOR | 16 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1977 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 1998 |
| ÍNDICE H | 3 |
Elimination of Over-the-Counter Medication Coverage in the Oregon Medicaid Population
OBJECTIVES: To reduce program costs, the Oregon Medicaid program eliminated reimbursement for over-the-counter (OTC) medications. Considering that physicians might substitute more expensive prescription-only products for eliminated OTC therapy, this investigation evaluates the policy's impact on medication costs. METHODS: This retrospective investigation examines pharmacy claims for adult Medicaid eligible recipients between March 1992 and Februa…
Gender differences in the relationship between social network support and mortality
Mental health status as a predictor of morbidity and mortality
OBJECTIVES. This study sought to relate preexisting depression, worries, affect balance, and mental health symptoms to subsequent risk of morbidity and mortality. METHODS. A random sample of members of a health maintenance organization were interviewed at home in a 1970/71 survey. Baseline psychological measures from that survey were then related to 15-year mortality and first incidence of cancer, heart disease, hypertension, stroke, functional g…
Smoking Cessation Experiences of Chronic Lung Disease Patients Living in Rural and Urban Areas of Virginia
Rural residents differ from individuals living in urban areas in their views about health and health behavior, their socioeconomic status, and their access to health care services. Such differences may have implications for health policy and the focus and design of health care services, including educational interventions. This paper reports findings from a comparative analysis of rural and urban chronic obstructive pulmonary disease (COPD) patie…
Smoking and consistently high use of medical care among older HMO members
Smoking behavior of consistently high and low users of medical care services were compared in two groups of older health maintenance organization (HMO) members continuously enrolled for five years and a subgroup who were continuously enrolled for 10 years. Smokers and former smokers, combined, were more likely than never-smokers to be consistently high users of ambulatory services (52 percent vs 34 percent in the five-year group, and 45 percent v…
Consistently High Users of Medical Care Among the Elderly
This study identified consistently high and low users of medical care services in a group of older HMO members continuously enrolled for six years. Consistently high users made up 26% of the sample, but accounted for more than 50% of total outpatient contacts and hospital admissions. Average ambulatory care costs were more than four times greater for the high users compared with the low users. Consistently high users were older than consistently …
Increasing influenza vaccination among high-risk elderly
A randomized controlled trial demonstrated that a single mailed influenza vaccination cue increased the vaccination rate among elderly HMO members with high-risk chronic conditions (n = 2217) from 30 per cent to 39 per cent during the fall and winter of 1984/85
Utilization Patterns and Mortality of HMO Enrollees
Data from a 6-year follow-up period were used to analyze the mortality of adults who had been continuously enrolled in a prepaid group practice health maintenance organization (HMO) for the previous 7 years. Thirteen percent of the HMO members were classified as consistently high users of outpatient care. Even after adjustment for age, sex, and cigarette smoking, this high user group's mortality rates during the follow-up period were significantl…
Utilization Patterns Among Long-term Enrollees in a Prepaid Group Practice Health Maintenance Organization
Criteria used in this study established that 13% of long-term adult members of a prepaid group practice health maintenance organization (HMO) were consistently high users of outpatient medical care services. This population accounted for 31% of the total doctor office visits (DOVs), 35% of the hospital admissions, and 30% of the outpatient surgical services for long-term members. The most frequent reason for DOVs in this high user group was treat…
Tetanus immunization of adult members of an HMO
Thirty-nine per cent of 1,900 randomly selected adult Health Plan members received one or more tetanus injections during a 10-year period of continuous eligibility. Age-specific immunization rates decreased from 47 per cent for 20-39 year olds to 28 per cent for those over age 70. Nearly half of the elderly, age 60+, received a booster of tetanus toxoid rather than tetanus-diphtheria toxoids as recommended by the Immunization Practices Advisory C…
Impact of type A influenza on children
Excess morbidity was studied during influenza A epidemics (1968-69, 1972-73) among children in a large prepaid group practice program. Excess rates of hospitalization for influenza-related conditions, primarily pneumonia and bronchitis, ranged from 5 per 10,000 (95 per cent confidence limits (CL): 1 to 9) for non-high-risk children to 29 per 10,000 (95 per cent CL: 5 to 53) for children with high-risk conditions. The relative increases in hospita…
Underestimation of the role of pneumonia and influenza in causing excess mortality
Underestimation of pneumonia and influenza (P&I) mortality during influenza epidemics was explored in 38 P&U associated deaths among a population of adults during two influenza A (H3N2) epidemics. Pneumonia or influenza was mentioned on 32 (84 per cent) of the death certificates. However, based on rules for assigning cause of death, only nine (24 per cent, SE = 7) and 23 (61 per cent, SE = 8) of the cases would have been included in P&I mortality…
The effect of outreach workers' educational efforts on disadvantaged preschool children's use of preventive services
A special program of outreach services was implemented to assist a poverty population to appropriately use health services in the Kaiser-Permanente Medical Care Program. A study was conducted to determine the effect of outreach workers' intervention on the use of preventive services by this population. Intially, families were divided into two groups, one with and one without outreach workers. Outreach workers (neighborhood health coordinators) we…
The Effect of Length of Membership Upon the Utilization of Ambulatory Care Services
The relationships between duration of membership and the use of outpatient medical care services for disadvantaged and general membership groups in a prepaid group practice were analyzed. The effects of duration of membership upon utilization rates during a six-year study period were estimated by retrospective cohort analyses. Rates were computed for successive three-month intervals. There were no significant start-up effects on use for new enrol…
Determinants of Lengths of Outpatient Visits in a Prepaid Group Practice Setting
In this paper we have examined the amount of time that physicians (MDs) and physician's assistants (PAs) expended on office visits. The purpose was to determine the extent to which a series of patient-related and system-related characteristics explain variations in that time. Using regression analyses, we found most of the explained variation generally to be due to system-related characteristics. Whether the provider was an MD or PA made little d…
Health Status, Socioeconomic Status, and Utilization of Outpatient Services for Members of a Prepaid Group Practice
When evaluating the effectiveness of medical care programs, one concern is whether receipt of care is based upon health care needs or upon socioeconomic status. This study describes the relation between health status and socioeconomic status and attempts to determine which has the greater effect on ambulatory care utilization. The study setting was an operating HMO serving a cross-sectional membership of nearly 200,000 persons. Outpatient utiliza…
Gender differences in the relationship between social network support and mortality
Underestimation of the role of pneumonia and influenza in causing excess mortality
Underestimation of pneumonia and influenza (P&I) mortality during influenza epidemics was explored in 38 P&U associated deaths among a population of adults during two influenza A (H3N2) epidemics. Pneumonia or influenza was mentioned on 32 (84 per cent) of the death certificates. However, based on rules for assigning cause of death, only nine (24 per cent, SE = 7) and 23 (61 per cent, SE = 8) of the cases would have been included in P&I mortality…
The effect of outreach workers' educational efforts on disadvantaged preschool children's use of preventive services
A special program of outreach services was implemented to assist a poverty population to appropriately use health services in the Kaiser-Permanente Medical Care Program. A study was conducted to determine the effect of outreach workers' intervention on the use of preventive services by this population. Intially, families were divided into two groups, one with and one without outreach workers. Outreach workers (neighborhood health coordinators) we…
Mental health status as a predictor of morbidity and mortality
OBJECTIVES. This study sought to relate preexisting depression, worries, affect balance, and mental health symptoms to subsequent risk of morbidity and mortality. METHODS. A random sample of members of a health maintenance organization were interviewed at home in a 1970/71 survey. Baseline psychological measures from that survey were then related to 15-year mortality and first incidence of cancer, heart disease, hypertension, stroke, functional g…
Increasing influenza vaccination among high-risk elderly
A randomized controlled trial demonstrated that a single mailed influenza vaccination cue increased the vaccination rate among elderly HMO members with high-risk chronic conditions (n = 2217) from 30 per cent to 39 per cent during the fall and winter of 1984/85
Smoking and consistently high use of medical care among older HMO members
Smoking behavior of consistently high and low users of medical care services were compared in two groups of older health maintenance organization (HMO) members continuously enrolled for five years and a subgroup who were continuously enrolled for 10 years. Smokers and former smokers, combined, were more likely than never-smokers to be consistently high users of ambulatory services (52 percent vs 34 percent in the five-year group, and 45 percent v…
Health Status, Socioeconomic Status, and Utilization of Outpatient Services for Members of a Prepaid Group Practice
When evaluating the effectiveness of medical care programs, one concern is whether receipt of care is based upon health care needs or upon socioeconomic status. This study describes the relation between health status and socioeconomic status and attempts to determine which has the greater effect on ambulatory care utilization. The study setting was an operating HMO serving a cross-sectional membership of nearly 200,000 persons. Outpatient utiliza…
Determinants of Lengths of Outpatient Visits in a Prepaid Group Practice Setting
In this paper we have examined the amount of time that physicians (MDs) and physician's assistants (PAs) expended on office visits. The purpose was to determine the extent to which a series of patient-related and system-related characteristics explain variations in that time. Using regression analyses, we found most of the explained variation generally to be due to system-related characteristics. Whether the provider was an MD or PA made little d…
The effect of outreach workers' educational efforts on disadvantaged preschool children's use of preventive services
A special program of outreach services was implemented to assist a poverty population to appropriately use health services in the Kaiser-Permanente Medical Care Program. A study was conducted to determine the effect of outreach workers' intervention on the use of preventive services by this population. Intially, families were divided into two groups, one with and one without outreach workers. Outreach workers (neighborhood health coordinators) we…
The Effect of Length of Membership Upon the Utilization of Ambulatory Care Services
The relationships between duration of membership and the use of outpatient medical care services for disadvantaged and general membership groups in a prepaid group practice were analyzed. The effects of duration of membership upon utilization rates during a six-year study period were estimated by retrospective cohort analyses. Rates were computed for successive three-month intervals. There were no significant start-up effects on use for new enrol…
Underestimation of the role of pneumonia and influenza in causing excess mortality
Underestimation of pneumonia and influenza (P&I) mortality during influenza epidemics was explored in 38 P&U associated deaths among a population of adults during two influenza A (H3N2) epidemics. Pneumonia or influenza was mentioned on 32 (84 per cent) of the death certificates. However, based on rules for assigning cause of death, only nine (24 per cent, SE = 7) and 23 (61 per cent, SE = 8) of the cases would have been included in P&I mortality…
Impact of type A influenza on children
Excess morbidity was studied during influenza A epidemics (1968-69, 1972-73) among children in a large prepaid group practice program. Excess rates of hospitalization for influenza-related conditions, primarily pneumonia and bronchitis, ranged from 5 per 10,000 (95 per cent confidence limits (CL): 1 to 9) for non-high-risk children to 29 per 10,000 (95 per cent CL: 5 to 53) for children with high-risk conditions. The relative increases in hospita…
Tetanus immunization of adult members of an HMO
Thirty-nine per cent of 1,900 randomly selected adult Health Plan members received one or more tetanus injections during a 10-year period of continuous eligibility. Age-specific immunization rates decreased from 47 per cent for 20-39 year olds to 28 per cent for those over age 70. Nearly half of the elderly, age 60+, received a booster of tetanus toxoid rather than tetanus-diphtheria toxoids as recommended by the Immunization Practices Advisory C…
Utilization Patterns Among Long-term Enrollees in a Prepaid Group Practice Health Maintenance Organization
Criteria used in this study established that 13% of long-term adult members of a prepaid group practice health maintenance organization (HMO) were consistently high users of outpatient medical care services. This population accounted for 31% of the total doctor office visits (DOVs), 35% of the hospital admissions, and 30% of the outpatient surgical services for long-term members. The most frequent reason for DOVs in this high user group was treat…
Utilization Patterns and Mortality of HMO Enrollees
Data from a 6-year follow-up period were used to analyze the mortality of adults who had been continuously enrolled in a prepaid group practice health maintenance organization (HMO) for the previous 7 years. Thirteen percent of the HMO members were classified as consistently high users of outpatient care. Even after adjustment for age, sex, and cigarette smoking, this high user group's mortality rates during the follow-up period were significantl…
Increasing influenza vaccination among high-risk elderly
A randomized controlled trial demonstrated that a single mailed influenza vaccination cue increased the vaccination rate among elderly HMO members with high-risk chronic conditions (n = 2217) from 30 per cent to 39 per cent during the fall and winter of 1984/85
Smoking and consistently high use of medical care among older HMO members
Smoking behavior of consistently high and low users of medical care services were compared in two groups of older health maintenance organization (HMO) members continuously enrolled for five years and a subgroup who were continuously enrolled for 10 years. Smokers and former smokers, combined, were more likely than never-smokers to be consistently high users of ambulatory services (52 percent vs 34 percent in the five-year group, and 45 percent v…
Consistently High Users of Medical Care Among the Elderly
This study identified consistently high and low users of medical care services in a group of older HMO members continuously enrolled for six years. Consistently high users made up 26% of the sample, but accounted for more than 50% of total outpatient contacts and hospital admissions. Average ambulatory care costs were more than four times greater for the high users compared with the low users. Consistently high users were older than consistently …
Smoking Cessation Experiences of Chronic Lung Disease Patients Living in Rural and Urban Areas of Virginia
Rural residents differ from individuals living in urban areas in their views about health and health behavior, their socioeconomic status, and their access to health care services. Such differences may have implications for health policy and the focus and design of health care services, including educational interventions. This paper reports findings from a comparative analysis of rural and urban chronic obstructive pulmonary disease (COPD) patie…
Mental health status as a predictor of morbidity and mortality
OBJECTIVES. This study sought to relate preexisting depression, worries, affect balance, and mental health symptoms to subsequent risk of morbidity and mortality. METHODS. A random sample of members of a health maintenance organization were interviewed at home in a 1970/71 survey. Baseline psychological measures from that survey were then related to 15-year mortality and first incidence of cancer, heart disease, hypertension, stroke, functional g…
Gender differences in the relationship between social network support and mortality
Elimination of Over-the-Counter Medication Coverage in the Oregon Medicaid Population
OBJECTIVES: To reduce program costs, the Oregon Medicaid program eliminated reimbursement for over-the-counter (OTC) medications. Considering that physicians might substitute more expensive prescription-only products for eliminated OTC therapy, this investigation evaluates the policy's impact on medication costs. METHODS: This retrospective investigation examines pharmacy claims for adult Medicaid eligible recipients between March 1992 and Februa…
Medicine (16 obras) · Family medicine (11 obras) · Demography (10 obras) · Health care (10 obras) · Environmental health (9 obras) · Gerontology (9 obras) · Internal Medicine (9 obras) · Gerontology (8 obras) · Internal Medicine (8 obras) · Population (8 obras)