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PubMedDate not supplied

A comprehensive assessment of National Health Program Guidelines in Canada: management review and redirections. Guidelines developed under the auspices of the Federal, Provincial and Territorial Advisory Committee on Institutional and Medical Services (ACIMS).

A comprehensive audit of the Health Program Guidelines in Canada was undertaken between January and September 1992. This review examined the strategic effectiveness and operational efficiency of the guidelines developed under the auspices of the Federal, Provincial and Territorial Advisory Committee on Institutional and Medical Services (ACIMS). To assess the perceived management utility of the guidelines, over 185 structured mail questionnaires were sent to a random representative sample of health care managers stratified by type of health-related organization and Canadian province and territory. With a response rate of over 80.5%, a profile of management perceptions of the need for the current Program Guidelines was created. In tandem an internal review of the efficiency and effectiveness of the design and development of the Guidelines was conducted using over 45 structured interviews with key informants. Both components of the comprehensive audit provided the basis of report recommendations that are relevant to the Canadian health system community.

Canada↗
PubMed1985

Family-focused services for children with rare disorders, exemplified by bladder exstrophy. A Norwegian national health program.

Families of children with rare disorders have many experiences in common, as well as special problems related to the specific disorder. This paper presents Frambu Health Centre and the family-focused services offered to patients with bladder exstrophy during the first information and treatment course arranged for this group at the Centre. Main areas of concern as reported by the families are presented.

Adolescent↗
PubMedDate not supplied

Health USA. A national health program for the United States.

The Health USA Act of 1991 addresses two fundamental health services financing problems: the more than 30 million uninsured persons and the rising costs for health care and for health insurance. Health USA would provide coverage of the entire resident population for comprehensive medical and preventive health and long-term care services through a universal tax-funded financing system. The federal government would contribute an average of 87% of program costs to each state, which would establish, under federal guidelines, a state health program. Each individual or family may enroll in any health plan approved by the state program, including many private plans, or a plan run by the state program. Through the approved plan of their choice, enrollees would receive covered services and obtain their care from participating physicians and other professional practitioners, hospitals, and other facilities. The state program would pay approved plans a capitation payment for every person enrolled. The plans would pay professional providers fees, as part of an all-payer system of fee schedules and expenditure targets, or capitation payments or salary. Hospitals would be financed through global budgets negotiated by the state program with each hospital. The plan run by the state program would pay the health care costs of any person who does not enroll in an approved plan, making the state plan the payer of last resort and eliminating uncompensated care and cost shifting by providers. Health USA would separate health care coverage from employment, ensuring uninterrupted coverage and eliminating employers' administrative role in providing coverage. Federal and state taxes would replace present methods of financing by private insurance premiums and large out-of-pocket expenditures. Building on the present system of health plans, Health USA would offer all persons a wide choice of competing plans in which to enroll and offer professional providers a wide choice of plans in which to practice. It would control costs by increasing financial accountability of providers and health plans, reducing present reliance on intrusive utilization review and on patient cost sharing. By controlling health care and administrative costs, Health USA would cover the entire population and, according to independent cost estimates, reduce national health expenditures by $11.5 billion in 1991.

Cost Control↗
PubMed1991

The Health Security Partnership: an equitable, pragmatic, and passable national health program.

The Health Security Partnership is an equitable, pragmatic, and legislatively passable health program. The proposed reform of the health care system is based on realistic principles designed to promote access and produce changes that will restrain costs while delivering quality health services. Among the principles on which the program is built are full and equitable access to health care, along with abolition of the "separate but less equal" system called Medicaid, and a national-state administration that requires uniform standards of core benefits across state lines combined with differing patterns of state administration. States will be able to expand benefits as appropriate. Enforceable cost-containment measures are seen as essential corollaries to universal access. Biennial state and national budgets, prospective global hospital and other institutional budgets, relative-value physician fee schedules, and controls on prescription drug prices are essential parts of the program. The plan provides for evolutionary change and orderly transition to a reformed delivery system. The retention of free choice of physicians and simplified administration with substantial consumer choice in decision-making offer the hope of sharply reduced financing cost increases combined with the growth in delivery of quality medical care.

Community Participation↗
PubMed1992

Why the United States does not have a national health program: the medical-industry complex and its PAC contributions to congressional candidates, January 1, 1981, through June 30, 1991. Common Cause.

The Common Cause study presents data on medical-industry PAC contributions to Members of Congress during the period January 1, 1981, through June 30, 1991. Included are listings of the top 25 congressional recipients, the top 25 Senate recipients, and the top 50 House recipients of contributions from medical-industry PACs; medical-industry PAC contributions to members of the four key congressional committees and to the congressional leadership; top congressional recipients of contributions from medical professionals' PACs, including the American Medical Association, from health insurance PACs from pharmaceutical PACs, and from hospitals and care-provider PACs; and the top medical-industry PACs. State-by-state lists of medical-industry PAC contributions to Senators and to Representatives, including breakdowns of insurance, AMA, and pharmaceutical contributions, are given in the appendixes.

American Medical Association↗
PubMed1994

Psychology's role in a national health program.

Despite APA's virulent opposition to managed care, the reality is that with the forthcoming universal health coverage, managed care in some form is going to be central to whatever specific plan is adopted. The American Psychological Association has done the profession a great disservice by its unrelenting attacks on managed care. During the years that psychology could have played a role in shaping managed care, APA has sat on the sidelines simply carping at these new developments in the health care marketplace. Psychologists must recognize the reality of these changes and adapt to them, or we will find ourselves in the next 5 to 10 years in a health profession that time has passed by.

Cost Control↗