Merwyn R Greenlick
Dados Biográficos
| ID | 4229356 |
|---|---|
| NOME | Merwyn R Greenlick |
| PRENOMES | Merwyn R |
| SOBRENOME | Greenlick |
| ASSINATURA | GREENLICK M R |
| AFILIAÇÕES | Kaiser Foundation Hospital |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 23 |
| TOTAL DE CITAÇÕES | 45 |
| TOTAL COMO AUTOR | 23 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1966 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2008 |
| ÍNDICE H | 4 |
Impact of a Medicaid Copayment Policy on Prescription Drug and Health Services Utilization in a Fee-for-Service Medicaid Population
BACKGROUND: Copayments (copays) for prescription drugs are a common policy among state Medicaid programs. Research exploring the effects of copays on pharmacy and health care utilization in Medicaid patients is limited, especially among patients with chronic disease. OBJECTIVES: The goal of this research was to quantify the impact of a copay policy for prescription drugs on medication and health services utilization overall and among subjects wit…
Does Providing Consumer Health Information Affect Self-Reported Medical Utilization? Evidence From the Healthwise Communities Project
OBJECTIVE: To determine whether providing health information to residents of Boise ID had an effect on their self-reported medical utilization. RESEARCH DESIGN: The Healthwise Communities Project (HCP) evaluation followed a quasi-experimental design. SUBJECTS: Random households in metropolitan zip codes were mailed questionnaires before and after the HCP. A total of 5,909 surveys were returned. MEASURES: The dependent variable was self-reported n…
When Parents Are Given Greater Access to Health Information, Does It Affect Pediatric Utilization
OBJECTIVE: Most studies assessing the effects of consumer health information on medical utilization have used randomized controlled clinical trials with the chronically ill. In this paper, we analyze the effect of the Healthwise Communities Project, a natural experiment that provided free self-care resources, on reported pediatric utilization. RESEARCH DESIGN: Random household surveys were collected before and after the intervention in Boise, Ida…
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…
Mutuality and preparedness as predictors of caregiver role strain
Data from 78 older persons and their family caregivers were obtained at 6 weeks and 9 months after hospital discharge. Hierarchical multiple regression was used to determine whether mutuality and preparedness for caregiving were related to lower levels of caregiver role strain. The results indicated that, after controlling for five other variables commonly found to be related to caregiver role strain, mutuality and preparedness ameliorated some b…
Prenatal care and pregnancy outcome in an HMO and general population
We studied the use of prenatal care and pregnancy outcome in 4,148 deliveries among members of a well-established health maintenance organization (HMO) and 19,116 births among the 1973-1974 White birth cohort in the Portland, Oregon area. Mothers in the HMO were almost one year older on the average, slightly better educated, and less frequently unmarried, but had virtually identical past pregnancy histories when compared with the general populati…
Effect of Hospital-Based Primary Care Setting on Internists?? Use of Inpatient Hospital Resources
Hospital-based primary care is expanding, yet the impact of the hospital setting on physician practice patterns and health care costs is unknown. This project compared the use of inpatient hospital resources between internists practicing in hospital-based and freestanding primary care clinics. All hospitalizations over a two-year period by internists in the Kaiser-Permanente Medical Care Program--Oregon Region were analyzed ( n = 5,623). Organiza…
Ambulatory Surgery in an HMO
This study is a retrospective examination of data from a prepaid group practice that introduced a change in surgical services so that about 35 per cent of patients having surgery in the operating room were not admitted to the hospital. The study population is the membership of the Oregon Region of the Kaiser Foundation Health Plan for the period 1966 through 1974. The data come from 100 per cent of the hospital admissions and 100 per cent of the …
Characteristics of men most likely to respond to an invitation to be screened
Some of the characteristics of men, with known risk factors, who were most likely to respond to an invitation to be screened in a national randomized clinical trial to prevent heart disease were determined in 18,872 men, 35-57 years of age, members of the Kaiser Foundation Health Plan of Oregon. Demographic characteristics and risk factor variables (blood pressure, blood cholesterol, and cigarette smoking levels) were abstracted from medical reco…
The Worried-Well Revisited
To determine if an undifferentiated entry mix impedes the effective and efficient delivery of health care services, the relative impact of nonsick patients on a health care system is empirically examined. The distribution of new presenting morbidities in a 5 per cent sample of Kaiser Health Plan members seen by all physicians in the ambulatory care system for 1970 and the distribution of all presenting morbidities in the sample seen by primary ph…
The Sociology of Health
Determinants of Medical Care Utilization
This study is an analysis of patient and physician characteristics that are related to failure of patients to keep an appointment in a prepaid, multispecialty group practice. There was a high relationship between the frequency of appointments and the frequency of appointment failures, leading to the conclusion that the probability of failures is relatively equal across appointments. High medical care utilizers, therefore, were most likely to have…
Determinants of Medical Care Utilization
The importance of the telephone in the American medical care system is only beginning to receive appropriate attention. Fast studies indicate that a significant proportion of new diseases and a significant proportion of all medical care contacts take place by phone. A study of telephone use in a prepaid group practice system is presented. Data on telephone utilization are analyzed to determine the significance of telephone utilization of the popu…
Determinants of medical care utilization
Determinants of medical care utilization: physicians' use of laboratory services. D K Freeborn, D Baer, M R Greenlick, and J W BaileyCopyRight https://doi.org/10.2105/AJPH.62.6.846 Published Online: October 07, 2011
The Impact of Prepaid Group Practice on American Medical Care
This paper examines the concept of prepaid group medical practice, evaluating its principles and assessing the relevant data. Various features of this health care alterna tive are shown to offer potential for control of quality and efficiency. Group medical practice has been shown to reduce hospitalization rates and to diminish markedly what can be viewed as unnecessary surgery. Judging from the high pro portion of eligible members who receive so…
Comparing the Use of Medical Care Services by a Medically Indigent and a General Membership Population in a Comprehensive Prepaid Group Practice Program
The utilization of medical-care services by the general membership of a prepaid group practice program is compared with that of the participants of an OEO Comprehensive Neighborhood Health Center Program. This OEO program provides medical care for 1,500 urban indigent families by integrating them on a prepaid capitated basis into the Kaiser Foundation Health Plan in Portland, Oregon. Generally, the findings indicate that the rate and patterns of …
The Utilization and Cost of Home Care and Extended Care Facility Services in a Comprehensive, Prepaid Group Practice Program
We report here a project designed to provide the home care and extended care facility services presently available under Medicare to a population of more than 100,000 people under 65 years of age in a comprehensive, prepaid group practice program. Data are presented on the impact of these services on the use of hospital care by the population. Costs and utilization data are presented, and the total cost of home care, extended care facility, and h…
Health Insurance Plans
HEALTH INSURANCE PLANS: STUDIES IN ORGANIZATIONAL DIVERSITY Merwyn R. Greenlick CopyRight https://doi.org/10.2105/AJPH.61.10.2142-a Published Online: August 29, 2011
Determinants of Medical Care Utilization
Clyde R. Pope, Samuel S. Yoshioka, Merwyn R. Greenlick, Determinants of Medical Care Utilization: The Use of the Telephone for Reporting Symptoms, Journal of Health and Social Behavior, Vol. 12, No. 2 (Jun., 1971), pp. 155-162
The integration of an OEO health program into a prepaid comprehensive group practice plan
The integration of an OEO health program into a prepaid comprehensive group practice plan. T J Colombo, E W Saward, and M R GreenlickCopyRight https://doi.org/10.2105/AJPH.59.4.641 Published Online: August 29, 2011
The Organization and Utilization of Home-care and Extended-care-facility Services in a Prepaid Comprehensive Group Practice Plan
Hurtado, Arnold V. M.D.; Greenlick, Merwyn R. Ph.D.; Saward, Ernest W. M.D. Author Information
Documentation of Twenty Years of Operation and Growth of a Prepaid Group Practice Plan
Saward, Ernest W. M.D.; Blank, Janet D. B.S.; Greenlick, Merwyn R. Ph.D. Author Information
The objective measurement of the post-hospital needs of a known population
The objective measurement of the post-hospital needs of a known population. M R Greenlick, A V Hurtado, and E W SawardCopyRight https://doi.org/10.2105/AJPH.56.8.1193 Published Online: August 29, 2011
Prenatal care and pregnancy outcome in an HMO and general population
We studied the use of prenatal care and pregnancy outcome in 4,148 deliveries among members of a well-established health maintenance organization (HMO) and 19,116 births among the 1973-1974 White birth cohort in the Portland, Oregon area. Mothers in the HMO were almost one year older on the average, slightly better educated, and less frequently unmarried, but had virtually identical past pregnancy histories when compared with the general populati…
Determinants of medical care utilization
Determinants of medical care utilization: physicians' use of laboratory services. D K Freeborn, D Baer, M R Greenlick, and J W BaileyCopyRight https://doi.org/10.2105/AJPH.62.6.846 Published Online: October 07, 2011
Characteristics of men most likely to respond to an invitation to be screened
Some of the characteristics of men, with known risk factors, who were most likely to respond to an invitation to be screened in a national randomized clinical trial to prevent heart disease were determined in 18,872 men, 35-57 years of age, members of the Kaiser Foundation Health Plan of Oregon. Demographic characteristics and risk factor variables (blood pressure, blood cholesterol, and cigarette smoking levels) were abstracted from medical reco…
Determinants of Medical Care Utilization
Clyde R. Pope, Samuel S. Yoshioka, Merwyn R. Greenlick, Determinants of Medical Care Utilization: The Use of the Telephone for Reporting Symptoms, Journal of Health and Social Behavior, Vol. 12, No. 2 (Jun., 1971), pp. 155-162
The Impact of Prepaid Group Practice on American Medical Care
This paper examines the concept of prepaid group medical practice, evaluating its principles and assessing the relevant data. Various features of this health care alterna tive are shown to offer potential for control of quality and efficiency. Group medical practice has been shown to reduce hospitalization rates and to diminish markedly what can be viewed as unnecessary surgery. Judging from the high pro portion of eligible members who receive so…
The objective measurement of the post-hospital needs of a known population
The objective measurement of the post-hospital needs of a known population. M R Greenlick, A V Hurtado, and E W SawardCopyRight https://doi.org/10.2105/AJPH.56.8.1193 Published Online: August 29, 2011
Documentation of Twenty Years of Operation and Growth of a Prepaid Group Practice Plan
Saward, Ernest W. M.D.; Blank, Janet D. B.S.; Greenlick, Merwyn R. Ph.D. Author Information
The integration of an OEO health program into a prepaid comprehensive group practice plan
The integration of an OEO health program into a prepaid comprehensive group practice plan. T J Colombo, E W Saward, and M R GreenlickCopyRight https://doi.org/10.2105/AJPH.59.4.641 Published Online: August 29, 2011
The Organization and Utilization of Home-care and Extended-care-facility Services in a Prepaid Comprehensive Group Practice Plan
Hurtado, Arnold V. M.D.; Greenlick, Merwyn R. Ph.D.; Saward, Ernest W. M.D. Author Information
Health Insurance Plans
HEALTH INSURANCE PLANS: STUDIES IN ORGANIZATIONAL DIVERSITY Merwyn R. Greenlick CopyRight https://doi.org/10.2105/AJPH.61.10.2142-a Published Online: August 29, 2011
Determinants of Medical Care Utilization
Clyde R. Pope, Samuel S. Yoshioka, Merwyn R. Greenlick, Determinants of Medical Care Utilization: The Use of the Telephone for Reporting Symptoms, Journal of Health and Social Behavior, Vol. 12, No. 2 (Jun., 1971), pp. 155-162
Determinants of medical care utilization
Determinants of medical care utilization: physicians' use of laboratory services. D K Freeborn, D Baer, M R Greenlick, and J W BaileyCopyRight https://doi.org/10.2105/AJPH.62.6.846 Published Online: October 07, 2011
The Impact of Prepaid Group Practice on American Medical Care
This paper examines the concept of prepaid group medical practice, evaluating its principles and assessing the relevant data. Various features of this health care alterna tive are shown to offer potential for control of quality and efficiency. Group medical practice has been shown to reduce hospitalization rates and to diminish markedly what can be viewed as unnecessary surgery. Judging from the high pro portion of eligible members who receive so…
Comparing the Use of Medical Care Services by a Medically Indigent and a General Membership Population in a Comprehensive Prepaid Group Practice Program
The utilization of medical-care services by the general membership of a prepaid group practice program is compared with that of the participants of an OEO Comprehensive Neighborhood Health Center Program. This OEO program provides medical care for 1,500 urban indigent families by integrating them on a prepaid capitated basis into the Kaiser Foundation Health Plan in Portland, Oregon. Generally, the findings indicate that the rate and patterns of …
The Utilization and Cost of Home Care and Extended Care Facility Services in a Comprehensive, Prepaid Group Practice Program
We report here a project designed to provide the home care and extended care facility services presently available under Medicare to a population of more than 100,000 people under 65 years of age in a comprehensive, prepaid group practice program. Data are presented on the impact of these services on the use of hospital care by the population. Costs and utilization data are presented, and the total cost of home care, extended care facility, and h…
The Sociology of Health
Determinants of Medical Care Utilization
This study is an analysis of patient and physician characteristics that are related to failure of patients to keep an appointment in a prepaid, multispecialty group practice. There was a high relationship between the frequency of appointments and the frequency of appointment failures, leading to the conclusion that the probability of failures is relatively equal across appointments. High medical care utilizers, therefore, were most likely to have…
Determinants of Medical Care Utilization
The importance of the telephone in the American medical care system is only beginning to receive appropriate attention. Fast studies indicate that a significant proportion of new diseases and a significant proportion of all medical care contacts take place by phone. A study of telephone use in a prepaid group practice system is presented. Data on telephone utilization are analyzed to determine the significance of telephone utilization of the popu…
The Worried-Well Revisited
To determine if an undifferentiated entry mix impedes the effective and efficient delivery of health care services, the relative impact of nonsick patients on a health care system is empirically examined. The distribution of new presenting morbidities in a 5 per cent sample of Kaiser Health Plan members seen by all physicians in the ambulatory care system for 1970 and the distribution of all presenting morbidities in the sample seen by primary ph…
Characteristics of men most likely to respond to an invitation to be screened
Some of the characteristics of men, with known risk factors, who were most likely to respond to an invitation to be screened in a national randomized clinical trial to prevent heart disease were determined in 18,872 men, 35-57 years of age, members of the Kaiser Foundation Health Plan of Oregon. Demographic characteristics and risk factor variables (blood pressure, blood cholesterol, and cigarette smoking levels) were abstracted from medical reco…
Ambulatory Surgery in an HMO
This study is a retrospective examination of data from a prepaid group practice that introduced a change in surgical services so that about 35 per cent of patients having surgery in the operating room were not admitted to the hospital. The study population is the membership of the Oregon Region of the Kaiser Foundation Health Plan for the period 1966 through 1974. The data come from 100 per cent of the hospital admissions and 100 per cent of the …
Prenatal care and pregnancy outcome in an HMO and general population
We studied the use of prenatal care and pregnancy outcome in 4,148 deliveries among members of a well-established health maintenance organization (HMO) and 19,116 births among the 1973-1974 White birth cohort in the Portland, Oregon area. Mothers in the HMO were almost one year older on the average, slightly better educated, and less frequently unmarried, but had virtually identical past pregnancy histories when compared with the general populati…
Effect of Hospital-Based Primary Care Setting on Internists?? Use of Inpatient Hospital Resources
Hospital-based primary care is expanding, yet the impact of the hospital setting on physician practice patterns and health care costs is unknown. This project compared the use of inpatient hospital resources between internists practicing in hospital-based and freestanding primary care clinics. All hospitalizations over a two-year period by internists in the Kaiser-Permanente Medical Care Program--Oregon Region were analyzed ( n = 5,623). Organiza…
Mutuality and preparedness as predictors of caregiver role strain
Data from 78 older persons and their family caregivers were obtained at 6 weeks and 9 months after hospital discharge. Hierarchical multiple regression was used to determine whether mutuality and preparedness for caregiving were related to lower levels of caregiver role strain. The results indicated that, after controlling for five other variables commonly found to be related to caregiver role strain, mutuality and preparedness ameliorated some b…
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…
Does Providing Consumer Health Information Affect Self-Reported Medical Utilization? Evidence From the Healthwise Communities Project
OBJECTIVE: To determine whether providing health information to residents of Boise ID had an effect on their self-reported medical utilization. RESEARCH DESIGN: The Healthwise Communities Project (HCP) evaluation followed a quasi-experimental design. SUBJECTS: Random households in metropolitan zip codes were mailed questionnaires before and after the HCP. A total of 5,909 surveys were returned. MEASURES: The dependent variable was self-reported n…
When Parents Are Given Greater Access to Health Information, Does It Affect Pediatric Utilization
OBJECTIVE: Most studies assessing the effects of consumer health information on medical utilization have used randomized controlled clinical trials with the chronically ill. In this paper, we analyze the effect of the Healthwise Communities Project, a natural experiment that provided free self-care resources, on reported pediatric utilization. RESEARCH DESIGN: Random household surveys were collected before and after the intervention in Boise, Ida…
Impact of a Medicaid Copayment Policy on Prescription Drug and Health Services Utilization in a Fee-for-Service Medicaid Population
BACKGROUND: Copayments (copays) for prescription drugs are a common policy among state Medicaid programs. Research exploring the effects of copays on pharmacy and health care utilization in Medicaid patients is limited, especially among patients with chronic disease. OBJECTIVES: The goal of this research was to quantify the impact of a copay policy for prescription drugs on medication and health services utilization overall and among subjects wit…
Medicine (21 obras) · Family medicine (17 obras) · Health care (14 obras) · Environmental health (13 obras) · Population (11 obras) · Healthcare Policy and Management (9 obras) · Nursing (7 obras) · Business (6 obras) · Demography (6 obras) · Gerontology (6 obras)