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Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association, Vol. 32, No. 6. (December 2005), pp. 670-674.

A preponderance of data highlights significant improvements in outcomes when patients dialyze with arteriovenous fistulae compared with either catheters or grafts. "Fistula First" is a nationwide, evidence-based, quality improvement effort that is striving to improve vascular access outcomes by increasing the percentage of patients who dialyze with arteriovenous fistulae. Nephrology nurses will have a profound effect on achieving the goals outlined by Fistula First, including both the choice and longevity of vascular accesses.
Donna Mapes
 
N Engl J Med, Vol. 359, No. 1. (3 July 2008), pp. 3-5.

10.1056/NEJMp0803749
Glenn Hackbarth, Robert Reischauer, Anne Mutti
 
N Engl J Med, Vol. 360, No. 6. (5 February 2009), pp. 626-633.

10.1056/NEJMhpr0807774
Peter Bach
 
JAMA-J. Am. Med. Assoc., Vol. 280, No. 20. (1998), 1739-1740.
WL Roper, GP Mays
 
Inquiry-J. Health Care Organ. Provis. Financ., Vol. 37, No. 4. (2000), 389-410.

Growth in managed care enrollment potentially creates incentives for health plans to become involved in public health activities, such as health promotion and disease prevention interventions, and care for vulnerable populations. Using cross-sectional data from 60 diverse markets, this study explores the extent to which health maintenance organizations (HMOs) form cooperative alliances with local public health agencies to perform such activities. Results from multivariate models suggest that the incentives for cooperation vary substantially with health plan ownership and market structure. In view of recent HMO industry trends, these findings raise questions about the ability of alliances to integrate the practice of public health and medicine on a broad national scale, as some proponents suggest they do.
GP Mays, PK Halverson, AD Kaluzny, EC Norton

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