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T H Gardin

Publications and source records attributed to T H Gardin.

5 recordsLinked to original sources

How well will HEDIS 3.0 address the Medicaid population?

State Medicaid agencies have been looking for a standardized method to address the performance of managed care plans with which they contract. Although the recent release of the Health Plan Employer Data and Information Set for Medicaid plans was intended to satisfy this need, in the current and rapid evolution of performance measurement, it may be too little and too late. The author, one of the members of the original Medicaid HEDIS work group, describes some of the core challenges HEDIS 3.0 will face in improving on the Medicaid data set.

Centers for Medicare and Medicaid Services, U.S.↗

Obstetric care in a health maintenance organization and a private fee-for-service practice: a comparative analysis.

This study compares the quality of obstetric care provided for patients in two distinct groups: a federally-qualified health maintenance organization and a private fee-for-service practice. Patients of both groups were delivered in the same hospital with resident coverage equally accessible to both groups. From January, 1979, through December, 1981, the period of the study, the physician group delivered 2385 patients, 57% of them from the health maintenance organization and 43% from the fee-for-service practice. Not only were comparisons of maternal and fetal outcomes available for the two patient groups, but the yearly trends and individual performances of the physicians were available as well. This paper addresses the question, all other things being equal, is the level of care and ultimate outcome the same for both groups of patients? The results in some instances showed surprising differences.

Adult↗

The MMPI as a predictor of retention in a therapeutic community for heroin addicts.

Prediction of dropout from therapeutic community treatment for heroin addiction is of interest, given that premature termination is the norm. Previous literature indicted a negative association between elevation on various MMPI scales and dichotomized measures of retention, as well as other outcome indices. The present study examined the predictive relationship between pretreatment MMPI scores and a continuous measure of retention. Results indicated that the MMPI could significantly differentiate groups staying less than and more than 20 d in treatment, but had no power to predict to more precise ranges of retention.

History, 16th Century↗

Heroin abuse indicators: a test of recent assumptions.

Recent substance abuse literature discusses the measurement of heroin abuse prevalence using an indirect method of indicator analysis. Medical and legal indicators are assumed to be related to each other and to prevalence in specific directions. The present study tests the relationship between six commonly used indicators. The results indicate that not all assumed relationships are obtained in the predicted direction and implications of this for future prevalence study are discussed.

Costs and Cost Analysis↗