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BACKGROUND The psychometric properties of the 12-Item Short-Form Health Survey (SF-12), a subset of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), have been tested in the general population and certain disease states. OBJECTIVE The purpose of this study was to evaluate the psychometric properties of the SF-12 as a generic measure of(More)
  • J W Salmon
  • 1985
Throughout this century, profit has been an underlying motor force for health sector developments. However, as the concentration and centralization of health care delivery has proceeded in the United States, the pursuit of profit has become central. Even before the Reagan policy redirections raised "marketplace efficiency" as the supreme determinant of how(More)
The corporatization of U.S. health care has directed cost containment efforts toward scrutinizing the clinical decisions of physicians. This stimulated a variety of new utilization management interventions, particularly in hospital and managed care settings. Recent changes in fee-for-service medicine and physicians' traditional agency relationships with(More)
OBJECTIVES To investigate the impact of urinary incontinence (UI) on health-related quality of life (QOL), as measured by the Medical Outcomes Study Short Form-36 (SF-36) and to compare UI and non-UI elderly Medicare beneficiaries enrolled in managed care plans on the prevalence of depression and self-rated health. METHODS After excluding beneficiaries(More)
This paper reviews the various organizations in the United States that perform accreditation and establish standards for healthcare delivery. These agencies include the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the National Committee for Quality Assurance (NCQA), the American Medical Accreditation Program (AMAP), the American(More)
  • J W Salmon
  • 1995
The ever-increasing ownership of health service providers, suppliers, and insurers by investor-owned enterprises presents an unforeseen complexity and diversity to health care delivery. This article reviews the history of the for-profit invasion of the health sector, linking corporate purchaser directions to the now dominant mode of delivery in managed(More)
Large corporate health care firms are seeking to reorganize the production of health services under growing cost-containment pressures from government and business payors. Medical management information systems (MMIS) applications are producing an increasing number of financially motivated utilization management interventions designed to constrain wide(More)
In 1993, the Colombian government sought to reform its health care system under the guidance of international financial institutions (the World Bank and International Monetary Fund). These institutions maintain that individual private health insurance systems are more appropriate than previously established national public health structures for overcoming(More)
OBJECTIVE To explain rural-urban differences in mammography screening by supply of health care services. METHODS Logistic regression models were used to assess whether variation in the supply of health care services related to mammography screening explained rural-urban differences in mammography screening rates. RESULTS Women living in small (thinly(More)
Policy-oriented investigations into public health care delivery have been limited, especially during the Reagan era of competition and profit-based health care, when the inner city was essentially forgotten. In this study, policymakers toured five urban public health care systems in different parts of the country to promote consideration of a new governance(More)