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Biomedical subjects

H Nussenblatt

Publications and source records attributed to H Nussenblatt.

13 recordsLinked to original sources
PubMed1990

Resource-based relative value scale: a new payment system for practitioners under Medicare.

Congress has directed the Physician Payment Review Commission to evaluate ways that the Part B Medicare program may be changed to modify the way physicians are reimbursed and to slow down the growth of expenditures in the program. This survey article summarizes the work in the development of a resource-based relative value scale (RVS), discusses the major issues dealt with by the PPRC, the results of Congressional action, and the issues of concern for optometrists.

Fee Schedules↗
PubMed1989

Alternate delivery systems.

Alternate delivery systems have made significant inroads in the delivery of health care services in the United States. The emergence of health maintenance organizations (HMOs), preferred provider organizations (PPOs) and other integrated delivery systems have changed the way patients and providers relate to each other. This paper reviews the various types of alternate delivery systems and discusses issues of concern to optometrists who wish to participate in these plans.

Delivery of Health Care↗
PubMed1988

Factors influencing participation in an optometric comanagement center.

Health care is undergoing significant changes and one effect in the optometric profession has been the establishment of comanagement centers. These centers provide specialty optometric and ophthalmologic services to community optometrists on a referral basis. The centers are having an impact on traditional optometric/ophthalmologic referral patterns. This study surveyed all optometrists practicing near a comanagement center in order to determine the extent of participation, the factors affecting participation, and to design a predictive model for participation. The model identified three practice variables and five provider variables as being important in predicting participation in center activities.

Delivery of Health Care↗
PubMed1988

Optometric utilization and level of satisfaction with a comanagement center.

Optometrists in many communities are responding to increased competitive pressures by reevaluating their delivery methods in order to successfully preserve and expand their patient base. One response has been the establishment of comanagement centers that provide secondary and tertiary ophthalmic services, continuing education, and other support services. This study examined the level of satisfaction of optometrists with a community comanagement center, the level of participation by practitioners, and the reasons why practitioners do or do not participate. It was found that the center was serving as an important support structure for the practitioners who use it; the practitioners were very satisfied with the services provided; and the center was an alternative to the traditional optometric/ophthalmologic referral system.

Attitude of Health Personnel↗
PubMed1985

Computers in optometric education.

The use of computers in the educational process is rapidly changing with emphasis now being given on the use of computers in improving the education process, primarily through computer aided instruction (CAI). A number of optometric faculty have developed CAI packages both for class and lab instruction and for simulation of clinical care. These activities are only a small part of what computers can do to enhance the educational process as the faculties and colleges need to emphasize the use of computing for both educational and information uses. The potential of improving the way students learn and deal with information is there, but the extent of the impact may not be apparent for a number of years.

Computer-Assisted Instruction↗
PubMed1985

Evaluation of the NSPB elementary school teaching units on eye health and safety.

The purpose of this study was to assess the effectiveness of elementary school teaching units on eye health and safety developed by the National Society to Prevent Blindness. Pretest and posttest scores on a questionnaire covering the units' information were compared for experimental and matched control groups from second, third, fifth and sixth grade classrooms in three states. The experimental groups showed significant increases in mean classroom scores. However, these increases were not as large as expected and suggest a need for additional development of the teaching units. Results of a teacher survey indicated that the teaching units produced positive changes in the students' knowledge, awareness and behavior related to eye health and safety. Parents reported no noticeable change in these areas as indicated by their responses to a survey. Recommendations for teachers, parents, care-givers, eye-care practitioners and their associated organizations to improve the eye health and safety of children are given.

Accident Prevention↗
PubMed1983

Computer simulation of an optometric practice.

Computer simulation languages have been used extensively in industry to model specific jobs or operations and these same languages can be used in health care settings to analyze the performance of optometric practices. A General Purpose Simulation System (GPSS) simulation of an optometric practice is described which permits 21 different reasons for visits. The model individually simulates each type of visit, provides unique criteria concerning who sees each patient, computes service times and office delays, and uses return visit probabilities to simulate patient flow through the office. Statistics are collected which can be used to analyze the performance of the office. Through this technique the optometrist can evaluate or discover new ways to improve his/her practice.

Computers↗
PubMed1981

Vision care in health system plans.

The establishment of Health System Agencies, with the responsibility of developing a Health Systems Plan and Annual Implementation Plan, enables community vision care needs to be addressed in a logical and rational manner. Vision care program and activities that could be incorporated into these plans are discussed as they relate to HSP development and to a suggested HSP classification system.

Adult↗
PubMed1979

Early and Periodic Screening, Diagnosis, and Treatment Program.

Preventive health care for children can have a significant impact on detecting and treating potential health problems. The Early and periodic screening, diagnosis, and Treatment Program (EPSDT) is a preventive health program under Medicaid designed to improve the health of indigent children. Since this program is the only federal Medicaid program which requires vision screening and treatment services, the opportunity exists for enormous benefits for detecting and treating an indigent child's vision problems, as well as general health problems. Even though the program has been slow in evolving, it is taking an expanding role in all phases of indigent child health care, including vision care.

Adolescent↗
PubMed1979

Optometric manpower in Texas--Part I: Demographic characteristics.

The renewed emphasis in health planning within the last few years makes it imperative that optometric manpower be described as comprehensively as possible not only on a national level but also on a state level. This report utilized remittance advice forms completed during the 1978 license renewal cycle of Texas licensed optometrists to complete demographic, educational, and practice characteristics of actively practicing civilian optometrtists in Texas during 1977. Data was examined for the state as a whole and for each Health Service Area (HSA) in the state. A two part paper is presented... Part I, Demographic Characteristics and Part II, Educational and Practice Characteristics (Will appear in August issue).

Adult↗
PubMed1979

Optometric manpower in Texas; Part II -- educational and practice characteristics.

The renewed emphasis in health planning within the last few years makes it imperative that optometric manpower be described as comprehensively as possible not only on a national level but also on a state level. This report utilized remittance advice forms completed during the 1978 license renewal cycle of Texas licensed optometrists to complete demographic, educational, and practice characteristics of actively practicing civilian optometrists in Texas during 1977. Data was examined for the state as a whole and for each Health Service Area (HSA) in the state. This is the second part of a two part article, the first part, Demographic Characteristics, appeared in the July issue.

Optometry↗