Decision Making

521.

The transtheoretical model: an approach to behavioral change.

PURPOSE: Facilitating change in the behavior of clients to encourage effective and consistent oral self-care behaviors has been a main focus in the delivery of dental hygiene care. The Transtheoretical Model proposes that individuals progress through a ...
Deborah Bailey Astroth, Gail N Cross-Poline, Donna J Stach, Terri S I Tilliss, Sandra D Annan (J Dent Hyg, 2002FALL)
transtheoretical-model-approach-behavioral-change.asp

522.

Medicare health maintenance organization benefits packages and plan performance measures.

This article reports the results of an analysis of the relationship between supplemental benefits offered by Medicare+Choice (M+C) plans and their plan performance ratings. We examined two measures of plan performance: (1) plan ratings as reported in the ...
Don Cox, Bettina Lanyi, Allison Strabic (Health Care Financ Rev, 2002FALL)
medicare-health-maintenance-organization-benefits-packages-plan.asp

523.

Reflections and projections on nursing.

The author looks at the environment within which nurses work and the services that are being delivered in the health care delivery system. These observations serve as the background for predictions about what nursing must do and become to honor its ...
Lucille A Joel (Nurs Adm Q, 2002FALL)
reflections-projections-nursing.asp

524.

Consumer driven healthcare and the birth of health reimbursement arrangements.

Consumers are quickly becoming more involved in the decisionmaking process as consumer-driven healthcare plans are surfacing across the country. When benefit programs are designed properly and when employees are properly informed, they can make wise ...
Randall K Abbott, Kenneth E Feltman (Manag Care Q, 2002FALL)
consumer-driven-healthcare-birth-health-reimbursement-arrangements.asp

525.

IRS ruling makes patient power a reality for all employers.

In June, 2002, the Internal Revenue Service released guidance on the use of Health Reimbursement Arrangements (HRAs) by employers. This action added another important tool to the effort to restore patient power to a financing system that has become ever ...
Greg Scandlen (Manag Care Q, 2002FALL)
irs-ruling-makes-patient-power-reality-employers.asp

526.

Testing the effect of quality reports on the health plan choices of Medicare beneficiaries.

This article describes a laboratory experiment that used a convenience sample of 225 Medicare beneficiaries to test the effects of comparative quality information on plan choice. Providing information about quality did not significantly influence the ...
Jennifer D Uhrig, Pamela Farley Short (Inquiry, 2002-2003WINTER)
testing-effect-quality-reports-health-plan-choices-medicare.asp

527.

Parental decisions to abort or continue a pregnancy with an abnormal finding after an invasive prenatal test.

OBJECTIVE: To determine the importance of various factors on the decisions whether to terminate or continue a pregnancy after an abnormal result. METHODS: The decisions of 1467 women who had an abnormal result after an invasive prenatal test were ...
Joël Zlotogora (Prenat Diagn, 200212)
parental-decisions-abort-or-continue-pregnancy-abnormal-finding-after.asp

528.

Withholding the artificial administration of fluids and food from elderly patients with dementia: ethnographic study.

OBJECTIVE: To clarify the practice of withholding the artificial administration of fluids and food from elderly patients with dementia in nursing homes. DESIGN: Qualitative, ethnographic study in two phases. SETTING: 10 wards in two nursing homes in the ...
Anne-Mei The, Roeline Pasman, Bregje Onwuteaka-Philipsen, Miel Ribbe, Gerrit van der Wal (BMJ, 200212)
withholding-artificial-administration-fluids-food-elderly-patients.asp

529.

Clinical issues on consent: some philosophical concerns.

On occasions, laws on consent are subject to modification, largely on account of being subject to common law rather than statute-for example, in the UK. Guideline publications such as the UK Department of Health Reference Guide to Consent for Examination ...
R Worthington (J Med Ethics, 200212)
clinical-issues-consent-philosophical-concerns.asp

530.

Withholding life prolonging treatment, and self deception.

OBJECTIVES: To compare non-treatment decision making by general practitioners and geriatricians in response to vignettes. To see whether the doctors decisions were informed by ethical or legal reasoning. DESIGN: Qualitative study in which consultant ...
G M Sayers, S Perera (J Med Ethics, 200212)
withholding-life-prolonging-treatment-self-deception.asp