Effect of a self-care education program on medical visits
D. M. Vickery, H. Kalmer, D. Lowry, M. Constantine, E. Wright and W. Loren
A prospective, randomized, controlled trial of self-care educational
interventions was conducted in a health maintenance organization to
determine their effect on ambulatory care utilization. Statistically
significant decreases in total medical visits and minor illness visits were
found in each of three experimental groups as compared with a control
group. These decreases averaged 17% and 35%, respectively. These results
were most clearly linked to a system of written communications emphasizing
personal decision making about the use of medical care. The addition of a
nurse counseling session to the written materials may increase cost savings
and appears to be attractive to "high utilizers." A telephone information
service was offered but not used. It is estimated that the decreases in
utilization could result in a savings of approximately $ 2.50 to $ 3.50 for
each dollar spent ona nurse counseling session to the written materials may
increase cost savings and appears to be attractive to "high utilizers." A
telephone information service was offered but not used. It is estimated
that the decreases in utilization could result in a savings of
approximately $ 2.50 to $ 3.50 for each dollar spent on the educational
interventions. Self-care education systems may have important effects on
medical care costs, physician satisfaction, and patient confidence.
Physician-Patient Communication: A Lost Art?
Frymoyer and Frymoyer
J Am Acad Orthop Surg 2002;10:95-105.
ABSTRACT
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The Impact of a Community-Wide Self-Care Information Project on Self-Care and Medical Care Utilization
Hibbard et al.
Eval Health Prof 2001;24:404-423.
ABSTRACT
Effect of a Pediatric Self-Care Book on Utilization of Services in a Group Model HMO
France et al.
CLIN PEDIATR 1999;38:709-715.
ABSTRACT
The Web, Communication Trends, and Children's Health Part 3: The Web and Health Consumers
Izenberg and Lieberman
CLIN PEDIATR 1998;37:275-285.
ABSTRACT
Moving Diabetes Management From Clinic to Community: Development of a Prototype Based on Automated Voice Messaging
Piette
The Diabetes Educator 1997;23:672-680.
Health Education: What Can It Look Like after Health Care Reform? 1993 SOPHE Presidential Address
Jorgensen
Health Educ Behav 1994;21:11-26.
ABSTRACT
Reducing Health Care Costs by Reducing the Need and Demand for Medical Services
Fries et al.
NEJM 1993;329:321-325.
FULL TEXT
Health Education and Medicine: Competition or Cooperation?
Bartlett and Windsor
Health Educ Behav 1985;12:219-229.
ABSTRACT
