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Descriptor English: Health Maintenance Organizations
Descriptor Spanish: Sistemas Prepagos de Salud
Descriptor sistemas de prepago de salud
Entry term(s) HMO
organizaciones de atención a la salud de grupos prepagas
organizaciones de prepago de atención a la salud de grupos
Scope note: Sistemas organizados para proporcionar una atención integral a la salud con cinco atributos básicos: (1) proporcionan la atención en un área geográfica determinada, (2) proporcionan y aseguran un conjunto de servicios sanitarios básicos y suplementarios y servicios de tratamiento, (3) son beneficiarios un grupo de personas que voluntariamente se inscriben en el seguro, (4) requieren que los beneficiarios utilicen los servicios de los proveedores designados y (5) son reembolsados según pagos periódicos fijos y predeterminados del asegurado, sin relación con los servicios prestados. (Traducción libre del original: Facts on File Dictionary of Health Care Management, 1988).
Descriptor Portuguese: Sistemas Pré-Pagos de Saúde
Descriptor French: Health Maintenance Organizations (USA)
Entry term(s): Group Health Organizations, Prepaid
HMO
Health Maintenance Organization
Organization, Health Maintenance
Organizations, Health Maintenance
Prepaid Group Health Organizations
Tree number(s): N03.219.521.576.343.800.400
N03.219.521.576.343.925.400
N04.452.758.244.425
N04.590.374.410.400
RDF Unique Identifier: https://id.nlm.nih.gov/mesh/D006279
Scope note: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)
Allowable Qualifiers: CL classification
EC economics
ES ethics
HI history
LJ legislation & jurisprudence
OG organization & administration
SN statistics & numerical data
ST standards
TD trends
Previous Indexing: Group Practice (1966-1970)
Insurance, Health (1966-1970)
Public MeSH Note: 74
History Note: 74(71)
DeCS ID: 28065
Unique ID: D006279
NLM Classification: W 132
Documents indexed in the Virtual Health Library (VHL): Click here to access the VHL documents
Date Established: 1974/01/01
Date of Entry: 1999/01/01
Revision Date: 1999/11/08
Health Maintenance Organizations - Preferred
Concept UI M0009853
Scope note Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)
Preferred term Health Maintenance Organizations
Entry term(s) Group Health Organizations, Prepaid
HMO
Health Maintenance Organization
Organization, Health Maintenance
Organizations, Health Maintenance
Prepaid Group Health Organizations



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