PubMed Health⌕ Search

Biomedical subjects

Larry Gamm

Publications and source records attributed to Larry Gamm.

6 recordsLinked to original sources
PubMed2005

Chronic disease management in rural and underserved populations: innovation and system improvement help lead to success.

Successful implementation of disease management (DM) is based on the ability of an organization to overcome a variety of barriers to deliver timely, appropriate care of chronic illnesses. Such programs initiate DM services to patient populations while initiating self-management education among medication-resistant patients who are chronically ill. Despite formidable challenges, rural health care providers have been successful in initiating DM programs and have discovered several ways in which these programs benefit their organizations. This research reports on six DM programs that serve large rural and underserved populations and have demonstrated that DM can be successfully implemented in such areas.

Chronic Disease↗
PubMed2004

Rural healthy people 2010--evolving interactive practice.

The objectives of the Rural Healthy People 2010 project are to employ a survey of state and local rural health leaders to identify rural health priorities, to synthesize available research and other publications on these priorities, to identify and describe models for practice employed by rural communities to address these priorities, and to disseminate this information to rural communities. We describe these priorities; the content of Rural Healthy People 2010 products, methods, and target audiences; and the continuing evolution of the program. Rural Healthy People 2010 encourages rural support of Healthy People 2010 goals and invites state and local rural health leaders to share their successful models with others.

Health Status Indicators↗
PubMed2003

Rural health priorities in America: where you stand depends on where you sit.

PURPOSE: To assess levels of agreement on priority areas among state and local rural health leaders nationwide. METHODS: Analysis of responses to a mail survey sent to 999 rural health leaders, with 501 responses. Respondents were asked to rank importance to rural health of focus areas named in Healthy People 2010. FINDINGS: There was substantial agreement on top rural health priorities among state and local rural health leaders across the 50 states. "Access to quality health services" was the top priority among leaders of state-level rural agencies and health associations, local rural public health agencies, rural health clinics and community health centers, and rural hospitals. It was the top priority across all 4 major census regions of the nation as well. The next 4 top-ranking rural priorities--"heart disease and stroke," "diabetes," "mental health and mental disorders," and "oral health"--were selected as 1 of the top 5 rural priorities by one third or more of respondents across most groups and regions. At the same time, some observed differences in rural health priorities suggest opportunities for community partnership strategies or for regional multistate policy initiatives by states sharing similar rural health priorities.

Attitude of Health Personnel↗
PubMed2002

A real-time case approach to teaching information systems in health services administration: hardwiring research to teaching.

The pace of change in the health policy and health administration environments supports the need for linking teaching and research. This article describes a successful effort to tap real-time synergies between faculty research on health care information systems development and teaching in health services administration. It describes the real-time case approach (RTCA), a highly interactive case method employed in teaching a graduate health management information systems course. The approach offers another alternative to the "teach-the-text-and-lecture" model and adds important dimensions to the standard "case discussion" model. The article discusses the mechanics of implementing the RTCA, the instructor's role, and five cases used in the course. Among the benefits of the RTCA is that students place great reliance upon cases in interpreting other reading material, lectures, and discussion points in the course. Students are more likely to make theory connections to elements in one or more of the cases. Potential weaknesses include students' inhibitions to criticize and question key decision makers who they have met, as opposed to those who might appear in a fictional case. Also, some possible concession of comprehensiveness and time-ordered treatment of information systems issues, as might be found in a written case study, is made in favor of the dynamics of information gathering, distillation, and integration by students in the real-time case environment.

Education, Graduate↗
PubMedDate not supplied

Organizational technologies of chronic disease management programs in large rural multispecialty group practice systems.

Four large rural multispecialty group practice systems employ a mix of organizational technologies to provide chronic disease management with measurable impacts on their patient populations and costs. Four technologies-administrative, clinical, information, and social-are proposed as key dimensions for examining disease management programs. The benefits of disease management are recognized by these systems despite marked variability in the organization of the programs. Committees spanning health plans and clinics in the 4 systems and electronic medical records and/or other disease management information systems are important coordinating mechanisms. Increased reliance on nurses for patient education and care coordination in all 4 systems reflects significant extension of clinical and social technologies in the management of patient care. The promise of disease management as offered by these systems and other auspices are considered.

Chronic Disease↗