Health Insurance Portability and Accountability Act of 1996: lessons from the States.

abstract：BACKGROUND:Demand for surgical treatment is rising while operating room (OR) resources are limited. Requests for more resources therefore can only be partly met by repartitioning the existing sparse resources. OBJECTIVE:Our goal is to define a method to allocate OR block times among surgical disciplines in such a way ...

journal_title：Medical care

authors： Vansteenkiste N,Lamote C,Vandersmissen J,Luysmans P,Monnens P,De Voldere G,Kips J,Rademakers FE

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:Hospital discharge planning has been hampered by the lack of predictive models. OBJECTIVE:To develop predictive models for nonelective rehospitalization and postdischarge mortality suitable for use in commercially available electronic medical records (EMRs). DESIGN:Retrospective cohort study using split va...

journal_title：Medical care

authors： Escobar GJ,Ragins A,Scheirer P,Liu V,Robles J,Kipnis P

更新日期：2015-11-01 00:00:00

abstract：OBJECTIVES:The aim of this study was to determine whether parents rate their children's care differently when they also rate their own care than when they do not. METHODS:Subjects were employees of Washington State who had been enrolled in a health plan for at least 6 months and who had at least one covered child. Sub...

journal_title：Medical care

authors： Shaul JA,Fowler FJ Jr,Zaslavsky AM,Homer CJ,Gallagher PM,Cleary PD

更新日期：1999-03-01 00:00:00

abstract：BACKGROUND:Services targeting social determinants of health-such as income support, housing, and nutrition-have been shown to improve health outcomes and reduce health care costs for older adults. Nevertheless, evidence on the properties of effective collaborative networks across health care and social services sectors...

journal_title：Medical care

authors： Brewster AL,Yuan CT,Tan AX,Tangoren CG,Curry LA

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Since COVID-19 has caused dramatic changes in everyday life, a major concern is whether patients have adequate access to mental health care despite shelter-in-place ordinances, school closures, and social distancing practices. OBJECTIVES:The aim was to examine the availability of telehealth services at outp...

journal_title：Medical care

authors： Cantor JH,McBain RK,Kofner A,Stein BD,Yu H

更新日期：2021-01-21 00:00:00

abstract：:Legal factors related to the malpractice liability insurance purchased by general dentists in the United States were investigated using a comprehensive multivariate model that assessed the contribution of legal provisions affecting the probability of a malpractice claim, the probability of a payment, and the average s...

journal_title：Medical care

authors： Milgrom P,Whitney C,Conrad D,Fiset L,O'Hara D

更新日期：1995-08-01 00:00:00

abstract：BACKGROUND:Monitoring mental health treatment outcomes for populations requires an understanding as to which patient information is needed in electronic format and is feasible to obtain in routine care. OBJECTIVE:To examine whether bipolar disorder outcomes can be accurately predicted and how much clinical detail is n...

journal_title：Medical care

authors： Busch AB,Neelon B,Zelevinsky K,He Y,Normand SL

更新日期：2012-04-01 00:00:00

abstract：:Many health care system, including that of the Department of Veterans Affairs (VA), are facing dramatic changes as they adapt to state-level reform legislation and move into managed care environments. As new costing systems are designed and as researchers seek to conduct cost-effectiveness studies to guide health poli...

journal_title：Medical care

authors： Swindle RW Jr,Beattie MC,Barnett PG

更新日期：1996-03-01 00:00:00

abstract：OBJECTIVE:Most Veterans Affairs (VA) Health Care System enrollees age 65+ also have the option of obtaining care through Medicare. Reliance upon VA varies widely and there is a need to optimize its prediction in an era of expanding choice for veterans to obtain care within or outside of VA. We examined whether survey-b...

journal_title：Medical care

authors： Wong ES,Maciejewski ML,Hebert PL,Reddy A,Liu CF

更新日期：2019-08-01 00:00:00

abstract：OBJECTIVES:The authors examined organizational characteristics of 16 primary care group practices to determine their influence on quality or quality improvement. METHODS:The authors used a data base compiled during a randomized, controlled trial of quality assurance interventions consisting of measures of guideline-re...

journal_title：Medical care

authors： Hargraves JL,Palmer RH,Orav EJ,Wright EA

更新日期：1996-09-01 00:00:00

abstract：BACKGROUND:The relationship between psychiatric consultation and antipsychotic prescribing in nursing homes (NH) is unknown. OBJECTIVE:To identify the association between psychiatric consultant groups and NH-level antipsychotic prescribing after adjustment for resident case-mix and facility characteristics. RESEARCH ...

journal_title：Medical care

authors： Tjia J,Field T,Lemay C,Mazor K,Pandolfi M,Spenard A,Ho SY,Kanaan A,Donovan J,Gurwitz JH,Briesacher B

更新日期：2014-03-01 00:00:00

abstract：:Current health care system reform proposals center on reducing the number of uninsured by extending private health insurance coverage. Discussion has also included enrolling Medicaid recipients in private programs. Much of the deliberation concerning extending coverage has centered on cost, but largely has not address...

journal_title：Medical care

authors： Hahn B

更新日期：1994-03-01 00:00:00

abstract：BACKGROUND:Incomplete participation is of particular concern for surveys of patient perceptions of care because patients who have negative opinions may be least likely to participate. OBJECTIVE:We sought to examine indirect evidence of nonresponse bias. DESIGN:We re-analyzed data from a cross-sectional patient survey...

journal_title：Medical care

authors： Perneger TV,Chamot E,Bovier PA

更新日期：2005-04-01 00:00:00

abstract：:Ninety-two general medical outpatients were surveyed with an interview, questionnaires, and a medical record review to investigate the relationships among psychiatric disorder (depression and hypochondriasis), somatic symptoms, medical morbidity, and the utilization of ambulatory medical services. Medical utilization ...

journal_title：Medical care

authors： Barsky AJ,Wyshak G,Klerman GL

更新日期：1986-06-01 00:00:00

abstract：OBJECTIVES:An important factor contributing to the steep rise in health care costs in the late 1960s was a reversal from the predominance of acute illness to that of chronic disease. Beginning with the philosophy of Illich and Levin, and the practical instruments of Fries, Sehnert, Vickery, and Ferguson, a new movement...

journal_title：Medical care

authors： Shoor S,Lorig KR

更新日期：2002-04-01 00:00:00

abstract：BACKGROUND:Latino populations have disproportionately moved to areas in the Southeast and Midwest (emerging destinations), outside traditional Latino enclaves, in recent years. OBJECTIVE:To examine whether health care experiences differ between traditional and emerging destinations for Latino children. RESEARCH DESIG...

journal_title：Medical care

authors： Saloner B,Gresenz CR

更新日期：2016-05-01 00:00:00

abstract：OBJECTIVE:We sought to evaluate the extent of changes in usual source of care and associations with perceived health care access, quality, and use. RESEARCH DESIGN:We collected cross-sectional data on adults from the 1998 to 1999 Community Tracking Household Survey (n = 48,720). Linear and logistic regressions account...

journal_title：Medical care

authors： Smith MA,Bartell JM

更新日期：2004-10-01 00:00:00

abstract：:A factorial design randomized controlled trial to test several clinically feasible strategies primary-care practitioners may use in routine practice to increase patient participation in occult blood testing for colorectal cancer is reported. Three compliance-enhancing intervention strategies (physician/nurse talk, and...

journal_title：Medical care

authors： Thompson RS,Michnich ME,Gray J,Friedlander L,Gilson B

更新日期：1986-10-01 00:00:00

abstract：OBJECTIVES:To help resolve the current controversy over the validity of early readmission as an indicator of the quality of care, the authors critically reviewed the literature using meta-analysis to derive summary estimates of effect and evaluate inter-study heterogeneity. METHODS:The authors selected reports meeting...

journal_title：Medical care

authors： Ashton CM,Del Junco DJ,Souchek J,Wray NP,Mansyur CL

更新日期：1997-10-01 00:00:00

abstract：:In 1977, the American Heart Association recommended that patients with mitral valve prolapse (MVP) and mitral insufficiency receive antibiotic prophylaxis prior to procedures that place them at risk for bacterial endocarditis. To study how clinicians conformed to this recommendation, the authors selected 126 patients ...

journal_title：Medical care

authors： Retchin SM,Fletcher RH,Buescher PC,Waugh RA,Battaglini SW

更新日期：1985-10-01 00:00:00

abstract：:Although there are large-scale forces that influence the economic behavior of the health care delivery system, it is the physician who has primary authority to make decisions about the use of resources. Consequently, when considering alternative options for controlling rising health care expenditures, it is useful to ...

journal_title：Medical care

authors： Grossman RM

更新日期：1983-08-01 00:00:00

abstract：BACKGROUND:If shape of a person's utility function is associated with his health status, as is predicted by Prospect Theory, the use of utilities from the healthy could result in 'de facto' discrimination against the sick. OBJECTIVES:To determine if patients' utilities for hypothetical states and for their current hea...

journal_title：Medical care

authors： Lenert LA,Treadwell JR,Schwartz CE

更新日期：1999-05-01 00:00:00

abstract：:In the Seattle Prepaid Health Care Project, we studied medical records and claims information for all 97 children undergoing tonsillectomy and/or adenoidectomy in an independent practice plan from February 1971, through January 1975. Overall only 32 per cent of the procedures met commonly promulgated indications of su...

journal_title：Medical care

authors： LoGerfo JP,Dynes IM,Frost F,Diehr PK,Richardson WC

更新日期：1978-11-01 00:00:00

abstract：:The authors assess the factorial validity of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) for use in a clinical sample of disadvantaged, older adults with significant comorbidities. Confirmatory factor analysis was performed using LISREL VIII on data obtained from baseline face-to-face interview...

journal_title：Medical care

authors： Wolinsky FD,Stump TE

更新日期：1996-06-01 00:00:00

abstract：BACKGROUND:Current health care reform efforts are focused on reorganizing health care systems to reduce waste in the US health care system. OBJECTIVE:To compare rates of overuse in different health care systems and examine whether certain systems of care or insurers have lower rates of overuse of health care services....

journal_title：Medical care

authors： Keyhani S,Falk R,Howell EA,Bishop T,Korenstein D

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Among older women with early-stage breast cancer, patients with a short life expectancy (LE) are much less likely to benefit from adjuvant radiation therapy (RT). Little is known about the impact of physicians and regional factors on the use of RT across LE groups. OBJECTIVE:To determine the relative contri...

journal_title：Medical care

authors： Feinstein AJ,Soulos PR,Long JB,Herrin J,Roberts KB,Yu JB,Gross CP

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Though demand for mental health services (MHS) among US veterans is increasing, MHS utilization per veteran is decreasing. With health and social service needs competing for limited resources, it is important to understand the association between patient factors, MHS utilization, and clinical outcomes. OBJE...

journal_title：Medical care

authors： Fasoli DR,Glickman ME,Eisen SV

更新日期：2010-04-01 00:00:00

abstract：BACKGROUND:Little is known about the time health professionals spend with inpatients that are close to the end of life. SUBJECTS AND METHODS:We asked day-shift nurses to use a standardized log sheet to record how much time they spent in various categories of activity for 146 seriously ill medical inpatients with poor ...

journal_title：Medical care

authors： Sulmasy DP,Sood JR

更新日期：2003-04-01 00:00:00

abstract：BACKGROUND:Primary care teams face daily time pressures both during patient encounters and outside of appointments. OBJECTIVES:We theorize 2 types of time pressure, and test hypotheses about organizational determinants and patient consequences of time pressure. RESEARCH DESIGN:Cross-sectional, observational analysis ...

journal_title：Medical care

authors： McDonald KM,Rodriguez HP,Shortell SM

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:To optimize the use of patient-reported outcomes (PROs) in clinical research, it is first necessary to review the current use of these outcomes in clinical trials to determine under what circumstances they are most useful, and to reveal current limitations. PURPOSE:To investigate current patterns of use of ...

journal_title：Medical care

authors： Dinan MA,Compton KL,Dhillon JK,Hammill BG,Dewitt EM,Weinfurt KP,Schulman KA

更新日期：2011-04-01 00:00:00