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Federally funded sexually transmitted disease programs
and managed care: a review of current and planned partnerships.
Sexually
Transmitted Diseases 2001;28(6):336-342.
Rein DB,
Anderson LA, Gowda V, Dixon J, Irwin KL.
Abstract
BACKGROUND: The Centers for Disease Control and Prevention requested that sexually
transmitted disease (STD) programs report their current activities and plans
to collaborate with managed care organizations in their 1999 applications
for federal funding. GOAL: To review CDC STD program applications for funding
to assess the number of activities between STD programs and managed care
organizations. METHODS: Narrative data on managed care topics were abstracted
from 59 funding applications (50 states, 7 cites or counties, and 2 US territories),
using standard qualitative methods. A coding system was applied to categorize
each managed care activity into one of nine categories (interrater reliability,
93%). An expert panel ranked activities by complexity, and these scores were
used to develop an overall complexity score for each program. RESULTS: All
but 9 of the 59 applicants reported managed care organization activities.
Altogether, 208 activities were specifically documented, 45% of which were
classified as operational in 1999. The most frequently reported activities
involved gathering and giving information and promoting STD care through
legislation and state Medicaid activities. CONCLUSIONS: Considerable information
transfer and policy action between STD programs and managed care organizations
are taking place. Further integration of services and policies should be
studied and encouraged to promote the effective treatment of STD.