{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:40:25Z","timestamp":1777664425799,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1981,12,1]],"date-time":"1981-12-01T00:00:00Z","timestamp":376012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Education Quarterly"],"published-print":{"date-parts":[[1981,12]]},"abstract":"<jats:p>Solid, though unspectacular, growth of the HMO concept and its concomitant health education components is noted in the 1970s. This trend is expected to continue through the 80s. The overarching priority concern in this decade is cost containment. Two strategies for containment, competition and regulation, are examined for their health education implications. The growth of IPA's brings forth problems in the delivery of health education services within that type of HMO. Other implications and issues within health education practice are identified. These include multiple definitions of health education, the interactive behavioral model, incongruent values among professionals, the relationship of patient education to the quality of care, the marginality of health education, financing, and consumer rights. Realistic, immediate expectations coupled with strong vision of the future potential for health education is urged.<\/jats:p>","DOI":"10.1177\/109019818100800402","type":"journal-article","created":{"date-parts":[[2007,2,13]],"date-time":"2007-02-13T18:51:22Z","timestamp":1171392682000},"page":"281-291","source":"Crossref","is-referenced-by-count":5,"title":["Overview: The HMO Environment in the Eighties and Related Issues in Health Education"],"prefix":"10.1177","volume":"8","author":[{"given":"Sigrid G.","family":"Deeds","sequence":"first","affiliation":[{"name":"Southern California Kaiser-Permanente Medical Care Program"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1981,12,1]]},"reference":[{"key":"atypb1","volume-title":"Health education project document Literature review of health education in health maintenance organizations","author":"American Hospital Assoc\/Bureau of Health Education","year":"1980"},{"key":"atypb2","volume-title":"HMO growth: 1977 to 1978. Excelsior","author":"InterStudy","year":"1978"},{"key":"atypb3","first-page":"243","author":"Saward EW","year":"1980","journal-title":"Scientific American"},{"key":"atypb4","volume-title":"American attitudes toward health maintenance organizations: A survey of the public","author":"Harris L and Assoc.","year":"1980"},{"key":"atypb5","volume-title":"census of pre-paid plans 1979","author":"National HMO","year":"1979"},{"key":"atypb6","first-page":"4","volume":"8","author":"Reilly JJ","year":"1981","journal-title":"Health Ed Q"},{"key":"atypb7","first-page":"56","author":"Goldberg LG","year":"1980","journal-title":"Economic Inquiry"},{"key":"atypb8","first-page":"141","volume":"57","author":"Enthoven AC","year":"1979","journal-title":"Harvard Business Rev"},{"key":"atypb9","volume-title":"Does anyone want competition? The politics of NHI","author":"Enthoven AC","year":"1980"},{"key":"atypb10","first-page":"4","volume":"8","author":"Mullen PD","year":"1981","journal-title":"Health Ed Q"},{"key":"atypb11","volume-title":"What is quality in patient education and how do we assess it","author":"Green LW","year":"1980"},{"key":"atypb12","unstructured":"National ambulatory medical care survey: 1977 summary USDHEW PHS National Center for Health Statistics (PHS): 80-1795, April, 1980"},{"key":"atypb13","unstructured":"Health planning reports Springfield, Virginia, National Technical Information Service, US Dept Commerce"},{"key":"atypb14","first-page":"4","volume":"8","author":"Squyres WD","year":"1981","journal-title":"Health Ed Q"},{"key":"atypb15","volume-title":"Health Education Planning: A Diagnostic Approach","author":"Green LW","year":"1980"},{"key":"atypb16","volume-title":"Values and Value Conflicts in Managing Human Resources in Health Care Organizations","author":"Rubin IM","year":"1978"},{"key":"atypb17","volume-title":"Developmental perspectives on interprofessional education","author":"Sheps CG","year":"1974"},{"key":"atypb18","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1097\/00005650-197709001-00005","volume":"15","author":"Brook RH","year":"1977","journal-title":"Medi Care"},{"key":"atypb19","first-page":"6","author":"Inui TS","year":"1978","journal-title":"Quality Asurance"},{"issue":"1","key":"atypb20","volume":"9","author":"Wilner S.","journal-title":"Health Ed Q"},{"issue":"1","key":"atypb21","volume":"9","author":"Mullen PD","journal-title":"Health Ed Q"},{"key":"atypb22","volume-title":"Your very good health","author":"Thomas L.","year":"1980"}],"container-title":["Health Education Quarterly"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/109019818100800402","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/109019818100800402","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:36:04Z","timestamp":1777448164000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/109019818100800402"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1981,12]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1981,12]]}},"alternative-id":["10.1177\/109019818100800402"],"URL":"https:\/\/doi.org\/10.1177\/109019818100800402","relation":{},"ISSN":["0195-8402"],"issn-type":[{"value":"0195-8402","type":"print"}],"subject":[],"published":{"date-parts":[[1981,12]]}}}