Biomedical subjects

S H Kramer

Publications and source records attributed to S H Kramer.

3 recordsLinked to original sources

PubMed1995

Improved maternal and child health care access in a rural community.

Few studies have measured the extent to which expansion of health services for pregnant women and children in poor rural communities improves access to care and health status. This paper describes an underserved rural community in which health care initiatives increased access to comprehensive care. Over a three-year period, use of preventive services increased, whereas emergency room visits and hospitalizations at the community hospital decreased. Low birthweight, risk of congenital syphilis and childhood tuberculosis, and child mortality all decreased. Provision of comprehensive services was met with increased use of preventive health care and improved health outcomes in this rural community.

Child↗

PubMed1994

Direct contracting: the future of managed care.

Direct contracting is an agreement whereby healthcare providers directly contract with employers or health plan purchasing cooperatives to provide healthcare services to their employees or enrollees. While this type of arrangement requires a high degree of integration and cooperation between the delivery and financing of care, the flexibility it offers makes it a necessity in the new world of integrated healthcare financing and delivery systems. This article demonstrates the importance of strong vertical and horizontal links with both other providers and various components of the financing system. It also shows how those organizations with the capacity to finance and assume risk for employers will be most successful and play a major role in the healthcare system of the future.

Capitation Fee↗

PubMed1986

Visual hallucinations: meaning and management.

Visual hallucinations of low vision patients may serve as indicators of trauma, illness and psychological disturbance or concerns. Routine inquiry about them is suggested and two case illustrations of this procedure are presented. Primary consideration is management of patient anxiety and fear, as well as indications for referral to allied professions. The incidence of hallucinations is very likely under-reported, though detailed exploration of the parameters of hallucinations in the visually impaired population can enhance existing knowledge and often alleviate fears of mental illness.

Blindness↗