2023-09-28 14:46:10 +00:00
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abstract: 'Poor health status, rapidly escalating health care costs, and seemingly
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little association between investments in health care and health
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outcomes have prompted a call for a ``pay-for-performance{''''} system to
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improve population health. We suggest that both health plans and
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clinical service providers measure and report the rates of 5 behaviors:
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1) smoking, 2) physical activity, 3) excessive drinking, 4) nutrition,
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and 5) condom use by sexually active youth. Because preventive services
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can improve population health, we suggest that health plans and clinical
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service providers report delivery rates of preventive services. We also
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suggest that an independent organization report 8 county-level
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indicators of health care performance: 1) health care expenditures, 2)
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insurance coverage, 3) rates of unmet medical, dental, and prescription
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drug needs, 4) preventive services delivery rates, 5) childhood
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vaccination rates, 6) rates of preventable hospitalizations, 7) an index
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of affordability, and 8) disparities in access to health care associated
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with race and income. To support healthy behaviors, access to work site
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wellness and health promotion programs should be measured. To promote
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coordinated care, an indicator should be developed for whether a
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clinical service provider is a member of an accountable care
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organization. To encourage clinical service providers and health plans
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to address the social determinants of health, organizational
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participation in community-benefit initiatives that address the leading
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social determinants of health should be assessed.'
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affiliation: 'Kottke, TE (Corresponding Author), HealthPartners Inc, 8170 33rd Ave
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S,POB 1524,MS 21111R, Minneapolis, MN 55440 USA.
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Kottke, Thomas E.; Isham, George J., HealthPartners Inc, Minneapolis, MN 55440 USA.'
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article-number: A73
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author: Kottke, Thomas E. and Isham, George J.
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author-email: E.Kottke@HealthPartners.Com
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author_list:
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- family: Kottke
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given: Thomas E.
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- family: Isham
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given: George J.
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da: '2023-09-28'
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files: []
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issn: 1545-1151
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journal: PREVENTING CHRONIC DISEASE
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language: English
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month: JUL
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number: '4'
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number-of-cited-references: '41'
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papis_id: 366d76d31010b42e622f4f79c7d91fd6
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ref: Kottke2010measuringhealth
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researcherid-numbers: 'Kottke, Thomas/HKN-3550-2023
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Dalla Zuanna, Teresa/G-3133-2015'
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times-cited: '17'
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title: Measuring Health Care Access and Quality to Improve Health in Populations
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000208158700006
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usage-count-last-180-days: '0'
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usage-count-since-2013: '8'
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volume: '7'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2010'
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