Biomedical subjects

M B Snapp

Publications and source records attributed to M B Snapp.

3 recordsLinked to original sources

PubMed1998

Consumer turnover in service utilization patterns: implications for capitated payment.

Risk-adjusted capitation rates based on a group's expected cost to a provider have been proposed to create incentives for including people with severe mental disabilities in managed healthcare systems. The most appropriate methods for classifying people according to levels of risk, however, have yet to be determined. This research employed cluster analysis statistical techniques to identify patterns of services delivered to a sample of 4,346 consumers in Ohio. Findings about the extent of client movement in and out of service clusters over time suggest caution in the implementation of risk-adjusted capitation plans, particularly those based primarily on past service utilization.

Capitation Fee↗

PubMed1996

Variation in civil commitment processes across jurisdictions: an approach for monitoring and managing change in mental health systems.

This article demonstrates how unique local factors affect implementation of commitment statutes and, consequently, the extent to which implementation supports fundamental treatment philosophies. Four local variations in the implementation of Ohio's commitment statute are examined with a methodology designed to describe commitment processes. Qualitative case studies highlight factors that appear to contribute to variability across these sites. The authors contend that this information can be used as a system management tool at the state and local levels to (1) suggest needed changes in local service systems, (2) identify specific options/interventions for effecting change in desired directions and (3) assess the extent to which changes affect commitment processes in predictable ways that are consistent with philosophical principles.

Chronic Disease↗

PubMed1992

Occupational stress, social support, and depression among black and white professional-managerial women.

This study employed a quota sample of 200 black and white professional-managerial women from the Memphis, Tennessee, area to explore the relationships among occupational stress, social support, and well-being. Data were gathered through face-to-face, focused life history interviews. Depression was measured using the Center for Epidemiologic Studies Depression Scale (CESD). Social support for one's career was assessed from three sources: family, friends, and co-workers, and measures of occupational stress included workload, unfair/impersonal treatment, and trouble with boss or subordinates. Using multiple regression techniques, the findings of this study indicate that there are complex differences in levels of social support, occupational stress, and depression across social structural dimensions (race, class background, supervisory status, marital status, parental status) for this sample, including significant two-and three-way interactions. Trouble with boss or subordinates was also found to be related to levels of depression. Career support from friends, co-workers, and family, on the other hand, did not directly benefit the women's well-being or lessen the damaging effects of interpersonal job conflict on their mental health.

Administrative Personnel↗