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Biomedical subjects

S H Moore

Publications and source records attributed to S H Moore.

11 recordsLinked to original sources
PubMed1980

Effect of a self-care book on physician visits. A randomized trial.

A self-care book that guides patients in seeking home care or physician care for 63 medical problems was assessed in three randomly selected groups of families to determine the book's effect on the number of visits to physicians. The first group was given the book and an optional seminar on its use; the second group was identical to the first but each family was promised $50 if their visits to physicians dropped by one third; the third group was a control group (total, 699 families). The book had no significant effect on the number of physician's visits during six- and 12-month study periods even though one half of the families read most or all of the book, and more than one third used it for a specific medical problem. Large-scale distribution of this self-care book therefore did not result in significantly less dependence on physicians for treatment of acute medical problems.

Activities of Daily Living↗
PubMed1980

Attitudes toward self-care: a consumer study.

Although self-care is emerging as a growing movement wherein lay persons are assuming more responsibility for prvention, detection and treatment of health problems, we have almost no basic descriptive studies of attitudes toward self-care of professionals and consumers. The present study explored the reliability and validity of an attitude instrument designed to assess consumer's attitudes toward self-care and also its sensitivity to group differences in attitudes. A scale constructed for use with a provider population was revised and administered by telephone interview to 245 families in central California. Attitudes were found to be favorable. The scale's internal consistency reliability was calculated and found to be .65 (Cronbach's alpha); mean attitudes of three treatment groups were found to differ significantly. In view of the scale's moderate reliability, it is suggested that the scale be revised to provide a more sensitive discrimination of favorable attitudes.

Attitude to Health↗
PubMed1980

Cost containment through risk-sharing by primary care physicians: a history of the development of United Healthcare.

A new type of independent practice association has been organized to encourage primary care physicians in private practice to become coordinators and financial managers for their patients' medical care. Each patient chooses one internist, family or general physician, or pediatrician and must be referred by that physician for all specialized care. The primary care physician authorizes payment from his/her own account for hospital and referral care provided to patients. He or she shares any deficit or surplus remaining at the end of the year. This is a background paper detailing the history of development and specific features contained in this new concept of putting the physician in charge and "at risk" for the costs of medical care to his/her patients. The plan has been operating in northern California, Washington, and Utah and has 40,000 members and 750 participating physicians. This historical background paper is part of a large project--State Employees' Insurance Benefits Utilization Study (SEIBUS) being done by the University of Washington School of Public Health to evaluate use and costs of medical care under this innovative plan.

California↗