Care of Patients With Colorectal Cancer
A Comparison of a Health Maintenance Organization and Fee-for-Service Practices
Bibliographic Data
| ID | 9098968 |
|---|---|
| Authors | Anita M Francis (Fred Hutch Cancer Center, corresponding author), Lincoln Polissar (University of Washington), Ann Browder Lorenz |
| Year | 1984 |
| Volume | 22 |
| Issue | 5 |
| Pages | 418-429 |
| Publication date | 1984-05-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-198405000-00006 |
| PMID | 6717122 |
| OpenAlex | W1986396449 |
| Language | EN |
| Citations received | 7 |
The presence of a population-based cancer registry in a community with a health maintenance organization (HMO) enabled a detailed, longitudinal comparison to be made of care given for colorectal cancer in an HMO with traditional fee-for-services (FFS) care. An interview survey of 39 HMO and 150 FFS patients was supplemented with data from the cancer registry. Patients seen by the two provider groups were similar with respect to sociodemographic characteristics, severity of disease at diagnosis, and concurrent medical conditions. The HMO patients received more prediagnostic care but did not receive definitive surgical treatment as quickly as the FFS group. There were few differences in care, however, once diagnosis was made; there were no differences in access to care, rates of definitive surgery, chemotherapy, radiation therapy, length of hospitalization, number of follow-up physician visits, and most measures of satisfaction with care. No differences in outcome, including 4-year survival and 1-year health status, were found. HMO patients expressed significantly less concern about the cost of their care. These findings suggest an initial hesitancy to provide definitive care by the HMO but no significant differences in either the process or outcome of care once definitive care is begun
Cancer · Cancer registry · Colorectal cancer · Disease · Family medicine · Health care · Health maintenance · Managed care · MEDLINE · Population · Radiation therapy · Colorectal Cancer Screening and Detection · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Palliative Care and End-of-Life Issues
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| Citations per year | 0.17 |
|---|---|
| Citation span | 1986 - 2005 (20) |
| Highly cited | No |