Primary care of long-stay nursing home residents: approaches of three health maintenance organizations

Article Abstract:

Nursing home patients enrolled in health maintenance organizations (HMOs) may receive more regular care without requiring hospitalization than patients using a fee-for-service (FFS) approach. A comparison of three different HMOs and 20 different nursing homes suggested less emergency department use and hospitalization events among members of one HMO that also provided the most patient visits. The other two HMOs still provided more visits than FFS care. All three HMOs utilized nurse practitioners and physician's assistants.

Standards, Evaluation, Managed care plans (Medical care)

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Use of primary care teams by HMOS for care of long-stay nursing home residents

Article Abstract:

Primary care programs in nursing home affiliates may not be feasible for some health maintenance organizations (HMOs). According to a survey of 34 HMOs, only eight of 21 responding HMOs reported the use of primary care programs. Reasons for not having a primary care program included financial considerations and the small number of nursing home residents. Typical primary care programs had designated physicians and utilized physician extenders.

Practice, Surveys, Physicians (General practice), General practitioners

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Biographical sketch of David H. Soloman, MD

Article Abstract:

David H. Soloman grew up in Brookline, Massachusetts. His academic qualifications, career and achievements in medical stream, contributions for developing the Journal of the Americans Geriatrics Society from 1988 to 1993, are discussed.

United States, Experimental psychologists, Soloman, David H.

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