Use of pharmacy data to assess quality of pharmacotherapy for schizophrenia in a national health care system: individual and facility predictors.

abstract：OBJECTIVES:Although information technology (IT) may improve efficiency and quality of patient care, the adoption of clinical IT by physicians has been limited. This study investigates the relationships between physician practice revenue and use of clinical IT. RESEARCH DESIGN:We undertook a cross-sectional analysis of...

journal_title：Medical care

authors： Furukawa MF,Ketcham JD,Rimsza ME

更新日期：2007-02-01 00:00:00

abstract：:This study of patient and bystander responses to medical emergencies revealed serious shortcomings in the public's ability to respond appropriately to such situations. Decision delays at least as long as ambulance response delays were found to be the result of confusion regarding the seriousness of the emergency, conf...

journal_title：Medical care

authors： Mogielnicki RP,Stevenson KA,Willemain TR

更新日期：1975-09-01 00:00:00

abstract：BACKGROUND:As Medicaid clients have come to be enrolled in managed care, concerns have arisen about the ability of private sector systems to meet the needs of enrollees with substance abuse problems. OBJECTIVES:This project describes treatment initiation and duration for Medicaid and commercial substance abuse treatme...

journal_title：Medical care

authors： McFarland BH,Lynch FL,Freeborn DK,Green CA,Polen MR,Deck DD,Dickinson DM

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:Relative to traditional fee-for-service Medicare, managed care plans caring for Medicare beneficiaries may be better positioned to promote recommended services and discourage burdensome procedures with little clinical value at the end of life. OBJECTIVE:To compare end-of-life service use for enrollees in Me...

journal_title：Medical care

authors： Stevenson DG,Ayanian JZ,Zaslavsky AM,Newhouse JP,Landon BE

更新日期：2013-10-01 00:00:00

abstract：BACKGROUND:Numerous studies have examined the impacts of pay-for-performance programs, yet little is known about their long-term effects on health care expenses. OBJECTIVES:This study aimed to examine the long-term effects of a pay-for-performance program for diabetes care on health care utilization and expenses. MET...

journal_title：Medical care

authors： Cheng SH,Lee TT,Chen CC

更新日期：2012-02-01 00:00:00

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: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：OBJECTIVE:The objective of this study was to examine how pre-Affordable Care Act (ACA) state-level Medicaid expansions affect dual enrollment and utilization of Veterans Health Administration (VA) and Medicaid-funded care. RESEARCH DESIGN:We employed difference-in-difference analysis to determine the association betwe...

journal_title：Medical care

authors： O'Mahen PN,Petersen LA

更新日期：2020-06-01 00:00:00

abstract：RESEARCH OBJECTIVE:Pharmacists are an expensive and limited resource in the hospital and outpatient setting. A pharmacist can spend up to 25% of their day planning. Time spent planning is time not spent delivering an intervention. A readmission risk adjustment model has potential to be used as a universal outcome-based...

journal_title：Medical care

authors： Kabue S,Greene J,Kipnis P,Lawson B,Rinetti-Vargas G,Liu V,Escobar G

更新日期：2019-04-01 00:00:00

abstract：:Although there have been a number of studies linking psychological distress to the demand for medical care, few studies have examined this relationship among the aged. The issue is important, however, partly because it has been suggested that distress might cause some individuals to seek unneeded medical care. The fin...

journal_title：Medical care

authors： Berkanovic E,Hurwicz ML

更新日期：1989-11-01 00:00:00

abstract：OBJECTIVE:To investigate patterns of complementary and alternative medicine (CAM) use disclosure across medical and sociobehavioral factors and to provide a model that takes into account factors in explaining those patterns. SUBJECTS:A total of 21,849 CAM use episodes from 7347 respondents in the 2007 US National Heal...

journal_title：Medical care

authors： Shim JM,Schneider J,Curlin FA

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Outcome measures, like hospital standardized mortality ratios (HSMRs), are increasingly used to assess quality of care. The validity of HSMRs and their accuracy to reflect quality of care is heavily contested. OBJECTIVE:We explored apparent and potential shortcomings and adverse effects of the HSMR in the a...

journal_title：Medical care

authors： van Gestel YR,Lemmens VE,Lingsma HF,de Hingh IH,Rutten HJ,Coebergh JW

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Although individuals' health insurance coverage changes frequently, previous analyses have not accounted for changes in insurance coverage over time. OBJECTIVE:We sought to determine the independent association between lack of insurance and the risk of a decline in self-reported overall health and death fro...

journal_title：Medical care

authors： Baker DW,Sudano JJ,Durazo-Arvizu R,Feinglass J,Witt WP,Thompson J

更新日期：2006-03-01 00:00:00

abstract：BACKGROUND:There are currently no Medicare claims-based algorithms to identify patients receiving nursing home care (NHC). This constitutes an important limitation in outcome studies using population-based data. OBJECTIVES:To assess the ability of claims data to identify patients receiving NHC, using the nursing home ...

journal_title：Medical care

authors： Koroukian SM,Xu F,Murray P

更新日期：2008-11-01 00:00:00

abstract：BACKGROUND:Many state Medicaid programs use prior authorization programs to limit spending on cyclooxygenase-2 selective nonsteroidal anti-inflammatory drugs (coxibs). However, the evidence base for the prior authorization criteria has not been examined previously. METHODS:We determined whether prior authorization was...

journal_title：Medical care

authors： Fischer MA,Cheng H,Schneeweiss S,Avorn J,Solomon DH

更新日期：2006-07-01 00:00:00

abstract：BACKGROUND:Latinos make up the largest group of minority children in the United States. Despite great diversity among Latino children, studies have traditionally treated them as a monolithic group. Few studies have examined patterns and determinants of access to and use of health care for different subgroups of Latino ...

journal_title：Medical care

authors： Perez VH,Fang H,Inkelas M,Kuo AA,Ortega AN

更新日期：2009-06-01 00:00:00

abstract：:This article is an analysis of patient choice of providers by the employees of the Security Pacific Bank of California and their dependents who have access to the Med Network Preferred Provider Organization (PPO). The empirical results show that not only is the PPO used by individuals who require relatively little med...

journal_title：Medical care

authors： Wouters AV,Hester J

更新日期：1988-03-01 00:00:00

abstract：:Patient care classification in Canada in the past has been largely dictated by insurance coverage and the fiscal policies of the individual provinces. In recent years, however, the Canadian Department of Health and Welfare has been promoting the development of a standard patient care classification based on assessment...

journal_title：Medical care

authors： MacDonell JA

更新日期：1976-05-01 00:00:00

abstract：:Application of generic and specific measures of health status and quality of life to different diseases, conditions, states, and populations is increasing. Four strategies for using these measures are separate generic and specific measures, modified generic measures, disease-specific supplements, and batteries. The pr...

journal_title：Medical care

authors： Patrick DL,Deyo RA

更新日期：1989-03-01 00:00:00

abstract：:The purpose of this study was to develop a "time-insensitive" predictive instrument (TIPI) for acute hospital mortality due to congestive heart failure. In Phase 1, based on prospectively collected data on 401 congestive heart failure patients among 5,773 study patients who presented to six New England hospitals over ...

journal_title：Medical care

authors： Selker HP,Griffith JL,D'Agostino RB

更新日期：1994-10-01 00:00:00

abstract：BACKGROUND:It is unclear if volume-outcome relationships exist in inpatient rehabilitation. OBJECTIVES:Assess associations between facility volumes and 2 patient-centered outcomes in the 3 most common diagnostic groups in inpatient rehabilitation. RESEARCH DESIGN:We used hierarchical linear and generalized linear mod...

journal_title：Medical care

authors： Graham JE,Deutsch A,O'Connell AA,Karmarkar AM,Granger CV,Ottenbacher KJ

更新日期：2013-05-01 00:00:00

abstract：OBJECTIVES:This study compared the performance of generic measures of Medical Outcome Study Short Form 36-Item Health Survey physical functioning and role limitations with disease-specific measures of physical functioning and role limitations using specific disease attributions for chronic lung disease, chronic low bac...

journal_title：Medical care

authors： Ren XS,Kazis L,Lee A,Miller DR,Clark JA,Skinner K,Rogers W

更新日期：1998-02-01 00:00:00

abstract：:Despite the dramatic fall in ischemic heart disease (IHD) mortality rates over the last 3 decades, it remains the number one cause of death in the United States, and one of the most frequent indications for care by the US Department of Veterans Affairs. National practice guidelines have been developed and disseminated...

journal_title：Medical care

authors： Every NR,Fihn SD,Sales AE,Keane A,Ritchie JR

更新日期：2000-06-01 00:00:00

abstract：BACKGROUND:Although cardiac procedures are commonly used to treat cardiovascular disease, they are costly. Administrative data sources could be used to track cardiac procedures, but sources of such data have not been validated against clinical registries. OBJECTIVES:To examine accuracy of cardiac procedure coding in a...

journal_title：Medical care

authors： Lee DS,Stitt A,Wang X,Yu JS,Gurevich Y,Kingsbury KJ,Austin PC,Tu JV

更新日期：2013-04-01 00:00:00

abstract：:An expository account of multiple time series analysis is presented. Modeling several related time series together makes it possible to ascertain dynamic leading, lagging, and feedback relationships among the series; to produce more efficient forecasts and, in some situations; to develop control schemes. Procedures fo...

journal_title：Medical care

authors： Tiao GC

更新日期：1993-05-01 00:00:00

abstract：:In a Veterans Administration ambulatory care facility staffed by experienced nurse practitioners, we observed the length of visits, time utilization for various activities, and the use of diagnostic tests before and after introducing algorithms for 12 common chief complaints. Charges for diagnostic tests decreased as ...

journal_title：Medical care

authors： Orient JM,Kettel LJ,Sox HC Jr,Sox CH,Berggren HJ,Woods AH,Brown BW,Lebowitz M

更新日期：1983-02-01 00:00:00

abstract：BACKGROUND:Geographic rates of preventable hospitalization are used internationally as an indicator of accessibility and quality of primary care. Much research has correlated the indicator with the supply of primary care services, yet multiple other factors may influence these admissions. OBJECTIVE:To quantify the rel...

journal_title：Medical care

authors： Falster MO,Jorm LR,Douglas KA,Blyth FM,Elliott RF,Leyland AH

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:Among patients with type 2 diabetes, it is not known whether risk factor control is better or worse for those who also have heart disease, depression, multiple other comorbidities, and associated management challenges. OBJECTIVE:To examine the relationship between this complex constellation of multimorbidit...

journal_title：Medical care

authors： Malik S,Billimek J,Greenfield S,Sorkin DH,Ngo-Metzger Q,Kaplan SH

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:Engaging patients as partners in their care is clinically appealing, yet challenging to implement, and we lack a measurement framework that is applicable to vulnerable populations. To address this gap, we conducted a qualitative study to refine a conceptual framework that reflects an individual's propensity ...

journal_title：Medical care

authors： Kimerling R,Lewis ET,Javier SJ,Zulman DM

更新日期：2020-02-01 00:00:00

abstract：:Lack of consensus about the treatment of low back pain is reflected by wide regional variations in lumbar spine surgery rates. Neck pain may be as common as low back pain, but there has been no similar evaluation of regional variation for the surgical treatment of neck pain. This report examines the geographic variati...

journal_title：Medical care

authors： Einstadter D,Kent DL,Fihn SD,Deyo RA

更新日期：1993-08-01 00:00:00