Can history and physical examination be used as markers of quality? An analysis of the initial visit note in musculoskeletal care.

abstract：:A clustering method for the analysis of ambulatory morbidity data is presented. This approach reduces spurious variations resulting from idiosyncratic diagnosis labeling and coding habits of physicians and facilitates the analysis of the content of ambulatory medical care through the use of aggregate morbidity data. T...

journal_title：Medical care

authors： Schneeweiss R,Rosenblatt RA,Cherkin DC,Kirkwood CR,Hart G

更新日期：1983-01-01 00:00:00

abstract：BACKGROUND:There is limited information on patients' knowledge about their cost-sharing requirements and how that influenced their care-seeking behavior. OBJECTIVE:To examine patients' knowledge of their office visit copayments, their self-reported responses to perceived and actual copayments, and discussions with phy...

journal_title：Medical care

authors： Benedetti NJ,Fung V,Reed M,Price M,Brand R,Newhouse JP,Hsu J

更新日期：2008-04-01 00:00:00

abstract：:To study associations between payer and provision of services for patients hospitalized for coronary atherosclerosis, the authors analyzed abstracts of 24,424 discharges from California acute care hospitals during 1989. Services examined included receipt of coronary artery bypass surgery, percutaneous transluminal cor...

journal_title：Medical care

authors： Kuykendall DH,Johnson ML,Geraci JM

更新日期：1995-07-01 00:00:00

abstract：BACKGROUND:Adherence to medication treatment plans is important for chronic disease (CD) management. Cost-related nonadherence (CRN) puts patients at risk for complications. Native Hawaiians and Pacific Islanders (NHPI) suffer from high rates of CD and socioeconomic disparities that could increase CRN behaviors. OBJEC...

journal_title：Medical care

authors： McElfish PA,Long CR,Payakachat N,Felix H,Bursac Z,Rowland B,Hudson JS,Narcisse MR

更新日期：2018-04-01 00:00:00

abstract：:Practice patterns and patient-reported outcomes of care are compared in detail for ten physicians and 12 new health practitioners delivering ambulatory care in two departments of a prepaid group practice, the Columbia Medical Plan (CMP). All providers completed questionnaires for a 50 per cent random sample of patient...

journal_title：Medical care

authors： Levine DM,Morlock LL,Mushlin AI,Shapiro S,Malitz FE

更新日期：1976-04-01 00:00:00

abstract：BACKGROUND:Most health insurance plans monitor ambulatory care quality using the Healthcare Effectiveness Data and Information Set (HEDIS), publicly reporting results at the plan level. Plan-level comparisons obscure the influence of patients served or settings where care is delivered. Mental illness, substance abuse, ...

journal_title：Medical care

authors： Clark RE,Weir S,Ouellette RA,Zhang J,Baxter JD

更新日期：2009-05-01 00:00:00

abstract：:The primary aim of this paper is to examine the impact of mergers on the performance of hospitals. The study tests the null hypothesis that no significant differences exist in efficiency and effectiveness between hospitals that merge and those which remain independent entities. The performance evaluation model follows...

journal_title：Medical care

authors： Treat TF

更新日期：1976-03-01 00:00:00

abstract：BACKGROUND:Studies have documented that patients of female physicians receive higher levels of preventive services. However, most studies include patients of only one gender, examine mainly gender-specific screening services, and do not examine patient education and counseling. OBJECTIVES:This study tests both physici...

journal_title：Medical care

authors： Henderson JT,Weisman CS

更新日期：2001-12-01 00:00:00

abstract：BACKGROUND:Planned health insurance reform promises and has started to cut reimbursement to Medicare managed care (MMC) plans. If such plans provide better care, adjusting for possible better health of their enrollees, then such reimbursement changes may have unforeseen quality consequences. OBJECTIVES:To examine whet...

journal_title：Medical care

authors： Huesch MD

更新日期：2012-01-01 00:00:00

abstract：OBJECTIVES:Use of antepartum tests of fetal well-being is widespread even though effectiveness in preventing fetal damage or stillbirth has not been established. The study objective was to examine whether aggressive use of these tests might contribute to increased rates of other birth outcomes, including low birth weig...

journal_title：Medical care

authors： Helfand M,Zimmer-Gembeck MJ

更新日期：1997-01-01 00:00:00

abstract：OBJECTIVE:We sought to project the lifetime cost of medical care for human immunodefiency virus (HIV)-infected adults using current antiretroviral therapy (ART) standards. METHODS:Medical visits and hospitalizations for any reason were from the HIV Research Network, a consortium of high-volume HIV primary care sites. ...

journal_title：Medical care

authors： Schackman BR,Gebo KA,Walensky RP,Losina E,Muccio T,Sax PE,Weinstein MC,Seage GR 3rd,Moore RD,Freedberg KA

更新日期：2006-11-01 00:00:00

abstract：:Breast cancer is the most common neoplasm in North American women. The psychosocial impact of breast cancer has been extensively studied, and a number of investigators have attempted to characterize women who are at high risk for increased psychosocial morbidity. Although a detailed interview performed by a profession...

journal_title：Medical care

authors： Ganz PA,Hirji K,Sim MS,Schag CA,Fred C,Polinsky ML

更新日期：1993-05-01 00:00:00

abstract：:In summary, readers are encouraged to read carefully the IRT articles in this special issue. They provide theoretical as well as practical arguments in favor of using IRT models in the health outcomes measurement field. At the same time, readers should be aware that the IRT field is complex and software is limited and...

journal_title：Medical care

authors： Hambleton RK

更新日期：2000-09-01 00:00:00

abstract：BACKGROUND:Process measures have been developed and implemented to evaluate the quality of care patients receive in the hospital. This study examines whether there is an association between the quality of in-hospital cardiac care and a hospital's proportion of low-income patients. METHODS AND RESULTS:A retrospective a...

journal_title：Medical care

authors： Culler SD,Schieb L,Casper M,Nwaise I,Yoon PW

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:Acute health care utilization often occurs among persons experiencing homelessness. However, knowing which individuals will be persistent super-utilizers of acute care is less well understood. OBJECTIVE:The objective of the study was to identify those more likely to be persistent super-utilizers of acute ca...

journal_title：Medical care

authors： Szymkowiak D,Montgomery AE,Johnson EE,Manning T,O'Toole TP

更新日期：2017-10-01 00:00:00

abstract：OBJECTIVES:This study compared Department of Veterans Affairs (VA) and non-VA mental health service use among male and female veterans. Because female veterans are a distinct minority in VA, it was hypothesized that they would be less likely to use VA mental health care than would male veterans. METHODS:Using data fro...

journal_title：Medical care

authors： Hoff RA,Rosenheck RA

更新日期：1998-11-01 00:00:00

abstract：BACKGROUND:Although the life expectancy for the US population has increased, a high proportion of this population has lived with ≥1 chronic conditions. We have quantified the burden of disease associated with 15 chronic conditions and combinations of conditions by estimating quality-adjusted life years (QALYs) for olde...

journal_title：Medical care

authors： Jia H,Lubetkin EI,Barile JP,Horner-Johnson W,DeMichele K,Stark DS,Zack MM,Thompson WW

更新日期：2018-08-01 00:00:00

abstract：:The authors conducted two studies of routine medical visits, investigating the relation of physician gender, patient gender, and physician age to patient satisfaction, and the correlations between communication behaviors and satisfaction separately for different combinations of patient and physician gender. Study 1 wa...

journal_title：Medical care

authors： Hall JA,Irish JT,Roter DL,Ehrlich CM,Miller LH

更新日期：1994-12-01 00:00:00

abstract：:This paper describes an instrument design effort aimed at measuring patient-satisfaction among older (65 years and over) subscribers of HMOs. The study was conducted in a multi-satellite prepaid group practice in Buffalo, New York. In order to be able to construct a satisfaction measure that would reflect the interest...

journal_title：Medical care

authors： Cryns AG,Nichols RC,Katz LA,Calkins E

更新日期：1989-08-01 00:00:00

abstract：OBJECTIVES:This study investigates the use of data from automated systems within a large managed care plan to create indicators of clinical quality. METHODS:Measures from the first year of Health Plan Employer Data and Information Set, HEDIS 2.0, are used to compare chart review and automated analysis methodologies. T...

journal_title：Medical care

authors： Dresser MV,Feingold L,Rosenkranz SL,Coltin KL

更新日期：1997-06-01 00:00:00

abstract：BACKGROUND:Patient-centered communication (PCC) is associated with more appropriate treatment of depression in primary care. Aside from patient presentation, little is known about other influences on PCC. We investigated whether PCC is influenced by personality dispositions of primary care providers, independent of pat...

journal_title：Medical care

authors： Chapman BP,Duberstein PR,Epstein RM,Fiscella K,Kravitz RL

更新日期：2008-08-01 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:Medical error reporting is an essential component of patient safety enhancement. However, increasingly, the literature points to a problem of underreporting of treatment errors, mainly as a result of the fear of malpractice lawsuits and limited formal data collection systems. Few studies, if any, have examin...

journal_title：Medical care

authors： Naveh E,Katz-Navon T,Stern Z

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:Access to health care is a critical concept in the design, delivery, and evaluation of high quality care. Meaningful evaluation of access requires research evidence and the integration of perspectives of patients, providers, and administrators. OBJECTIVE:Because of high-profile access challenges, the Depart...

journal_title：Medical care

authors： Kaboli PJ,Miake-Lye IM,Ruser C,Yano EM,Orshansky G,Rubenstein L,Curtis I,Kirsh S,Hempel S

更新日期：2019-10-01 00:00:00

abstract：:Broken appointments have been a major problem at the Anthony L. Jordan Health Center since it opened in 1968. In an earlier 6-month study of broken appointments at the center the authors found 48% of pediatric appointments and 43% of medicine appointments to be broken. Daily broken appointment rates were correlated be...

journal_title：Medical care

authors： Morse DL,Coulter MP,Napodano RJ,Hwang HL,Lawrence C

更新日期：1984-09-01 00:00:00

abstract：:Medical record review is increasing in importance as the need to identify and monitor utilization and quality of care problems grow. To conserve resources, reviews are usually performed on a subset of cases. If judgment is used to identify subgroups for review, this raises the following questions: How should subgroups...

journal_title：Medical care

authors： Ash A,Schwartz M,Payne SM,Restuccia JD

更新日期：1990-11-01 00:00:00

abstract：BACKGROUND:Travel time, an access barrier, may contribute to attrition of women veterans from Veterans Health Administration (VHA) care. OBJECTIVE:We examined whether travel time influences attrition: (a) among women veterans overall, (b) among new versus established patients, and (c) among rural versus urban patients...

journal_title：Medical care

authors： Friedman SA,Frayne SM,Berg E,Hamilton AB,Washington DL,Saechao F,Maisel NC,Lin JY,Hoggatt KJ,Phibbs CS

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVES:Evidence is building that primary care is associated with quality of care and cost effectiveness. Still, little is known of the contribution of specific attributes of primary care to important health outcomes, such as the delivery of preventive services. This study tests the association of specific attribute...

journal_title：Medical care

authors： Flocke SA,Stange KC,Zyzanski SJ

更新日期：1998-08-01 00:00:00

abstract：BACKGROUND:Self-care management is recognized as a key component of care for multimorbid older adults; however, the characteristics of those most likely to participate in Chronic Disease Self-Management (CDSM) programs and strategies to maximize participation in such programs are unknown. OBJECTIVES:To identify indivi...

journal_title：Medical care

authors： Dattalo M,Giovannetti ER,Scharfstein D,Boult C,Wegener S,Wolff JL,Leff B,Frick KD,Reider L,Frey K,Noronha G,Boyd C

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:As clinical data are increasingly collected and stored electronically, their potential use for comparative effectiveness research (CER) grows. Despite this promise, challenges face those wishing to leverage such data. In this paper we aim to enumerate some of the knowledge management and informatics issues c...

journal_title：Medical care

authors： Embi PJ,Hebert C,Gordillo G,Kelleher K,Payne PR

更新日期：2013-08-01 00:00:00