title: Preventive services in a Medicare managed care environment.
abstract: The results of a four year demonstration project of preventive services for Medicare managed care enrollees suggest that health promotion programs can impact health behaviors and outcomes. The study provided selected preventive services to 1,800 Medicare enrollees in a managed care environment. Participants were randomly assigned to control and experimental groups with the experimental group receiving an intervention service package and the control group usual care. The results included enhanced health behavior practices, lower depression, and higher immunization rates among those individuals in the experimental group. This study suggests that selected preventive services can be provided in a managed care environment to Medicare enrollees with likely positive health status and utilization outcomes.
authors.affiliation: Division of Health Services Administration, Graduate School of Public Health, San Diego State University, CA 92182-4162, USA.
authors.forename: S J
authors.initials: SJ
authors.lastname: Williams
authors.forename: J P
authors.initials: JP
authors.lastname: Elder
authors.forename: R L
authors.initials: RL
authors.lastname: Seidman
authors.forename: J A
authors.initials: JA
authors.lastname: Mayer
mesh_terms: D000368:Aged; D002140:California; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000458:organization & administration*; D006304:Health Status; D006801:Humans; D007114:Immunization; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D006278:Medicare / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D010865:Pilot Projects; D011314:Preventive Health Services / Q000458:organization & administration*; D015397:Program Evaluation; D011788:Quality of Life; D014481:United States