Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

Delivering Prevention: The Role of Public Programs in Delivering Care to High-Risk Populations

Leslie L. Roos, Dawn Traverse and Donna Turner
Medical Care
Vol. 37, No. 6, Supplement: Academics at the Policy Interface: Revisiting the Manitoba Centre for Health Policy and Evaluation and Its Population-Based Health Information System (Jun., 1999), pp. JS264-JS278
Stable URL: http://www.jstor.org/stable/3767280
Page Count: 15
  • More info
  • Cite this Item
Delivering Prevention: The Role of Public Programs in Delivering Care to High-Risk Populations
Preview not available

Abstract

A successful program of prevention or early detection should have a high level of population coverage and should ensure that high-risk populations are targeted. In practice, relatively little attention has been paid to the tendency toward greater use of preventive care by populations at lower risk, in other words, for higher use by the wealthy than by the poor. Current delivery patterns of preventive care raise questions as to how to organize these services more effectively. Physician-based delivery of preventive care in a fee-for-service system seems to result in Canadian patterns of use that are fairly similar to those found in the United States. Universal free insurance alone does not appear to be enough to counteract the failure to target preventive care toward the least-healthy groups. Appropriately-run Canadian provincial programs may be able both to expand coverage and to target high-risk populations. The population coverage for three measures directed toward prevention or early detection-childhood immunization (which in Manitoba has been offered through a long-standing provincial program), screening mammography (a new provincial program), and cervical cancer screening (no provincial program)-are compared using longitudinal administrative data from Manitoba. The discussion emphasizes the role of provincial programs and the possibilities for using population-based data to help provide cost-effective care to high-risk populations.

Page Thumbnails

  • Thumbnail: Page 
JS264
    JS264
  • Thumbnail: Page 
JS265
    JS265
  • Thumbnail: Page 
JS266
    JS266
  • Thumbnail: Page 
JS267
    JS267
  • Thumbnail: Page 
JS268
    JS268
  • Thumbnail: Page 
JS269
    JS269
  • Thumbnail: Page 
JS270
    JS270
  • Thumbnail: Page 
JS271
    JS271
  • Thumbnail: Page 
JS272
    JS272
  • Thumbnail: Page 
JS273
    JS273
  • Thumbnail: Page 
JS274
    JS274
  • Thumbnail: Page 
JS275
    JS275
  • Thumbnail: Page 
JS276
    JS276
  • Thumbnail: Page 
JS277
    JS277
  • Thumbnail: Page 
JS278
    JS278