Use of traditional Indian medicine among urban native Americans.

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: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: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

abstract：:Although Alzheimer's-type dementia (ATD) is characterized by global intellectual deterioration, few systematic efforts have been made to characterize overall dysfunction of ATD patients. The Sickness Impact Profile (SIP) was administered to ATD patients and family members to determine the concurrent validity of family...

journal_title：Medical care

authors： Krenz C,Larson EB,Buchner DM,Canfield CG

更新日期：1988-05-01 00:00:00

abstract：AIMS:There are situations in which patient self-reported health-related quality of life must be substituted by proxy assessments. Pickard and Knight recently delineated 2 proxy perspectives that may influence the nature of proxy measurements: the "proxy-patient" (the proxy's assessment from the patient's perspective) a...

journal_title：Medical care

authors： Gundy CM,Aaronson NK

更新日期：2008-02-01 00:00:00

abstract：:Prospective payment for inpatient hospital care is based on the ideal that hospitals that produce similar outputs, as measured by the types of cases the hospital treats, should be paid similar prices. However, similar output is a multidimensional concept. Thus operationalization of this ideal will ultimately require a...

journal_title：Medical care

authors： Vertrees JC,Manton KG

更新日期：1986-04-01 00:00:00

abstract：:The effect of a greater volume of patients with similar conditions being treated at a hospital on the outcomes achieved is studied using a variety of categories of patients, 15 surgical and 2 medical, and involving 550,000 patients treated in over 1,200 nonfederal United States acute care hospitals. After demonstratin...

journal_title：Medical care

authors： Flood AB,Scott WR,Ewy W

更新日期：1984-02-01 00:00:00

abstract：:A new technique for identifying inefficient hospitals, Data Envelopment Analysis (DEA), is field tested by application to a group of teaching hospitals. DEA is found to provide meaningful insights into the location and nature of hospital inefficiencies as judged by the opinion of a panel of hospital experts. DEA provi...

journal_title：Medical care

authors： Sherman HD

更新日期：1984-10-01 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：:Federal interest in prepaid group practices as a means to control rising health care costs in reviving. This article is an empirical study of price and membership at a prepaid group practice among employees of Yale University. This article is the first to estimate the effect of price on the decision for membership in ...

journal_title：Medical care

authors： McGuire TG

更新日期：1981-02-01 00:00:00

abstract：:The accurate measurement of physician job satisfaction in organized practice settings is important for both policy and administrative purposes. Previous efforts to measure physician job satisfaction have been unsatisfactory because of either conceptual or methodologic weaknesses. New measures of physician job satisfac...

journal_title：Medical care

authors： Lichtenstein R

更新日期：1984-01-01 00:00:00

abstract：:We conducted an 18-month longitudinal evaluation of a model-managed medical care program for severely disabled, independently living adults. Regression analyses using an additive model (no interaction effects) suggest that persons in the study group did not have statistically significantly different utilization experi...

journal_title：Medical care

authors： Meyers AR,Cupples A,Lederman RI,Branch LG,Feltin M,Master RJ,Nicastro D,Glover M,Kress D

更新日期：1987-11-01 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：OBJECTIVE:To examine the relationship between estimated travel time to admitting hospital and mortality for veterans with acute ischemic stroke, controlling for patient demographic, clinical, facility-level variables, as well as select in-hospital treatments and procedures. METHODS:A longitudinal observational populat...

journal_title：Medical care

authors： Ripley DC,Kwong PL,Vogel WB,Kurichi JE,Bates BE,Davenport C

更新日期：2015-06-01 00:00:00

abstract：:Physician integration strategies are attempts to bring physicians into hospital administration by giving them a role on the hospital board, employing them in administrative or clinical capacities, or expanding the administration issues dealt with by medical staff committees. This study used a production function model...

journal_title：Medical care

authors： Morrisey MA,Alexander JA,Ohsfeldt RL

更新日期：1990-07-01 00:00:00

abstract：BACKGROUND:Performance measurement at the provider group level is increasingly advocated, but different methods for selecting patients when calculating provider group performance have received little evaluation. OBJECTIVE:We compared 2 currently used methods according to characteristics of the patients selected and im...

journal_title：Medical care

authors： Thorpe CT,Flood GE,Kraft SA,Everett CM,Smith MA

更新日期：2011-08-01 00:00:00

abstract：OBJECTIVES:To examine the association between on-site gynecology and availability of sex-specific services and policies in Department of Veterans Affairs (VA) emergency departments (EDs). RESEARCH DESIGN:Cross-sectional analysis using data from a VA national inventory of emergency services for women and gynecologist s...

journal_title：Medical care

authors： Gray KE,Katon JG,Callegari LS,Cordasco KM,Zephyrin LC

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVES:Studies of cancer recurrences and second primary tumors require information on outcome dates. Little is known about how well electronic health record-based algorithms can identify dates or how errors in dates can bias analyses. RESEARCH DESIGN:We assessed rule-based and model-fitting approaches to assign ev...

journal_title：Medical care

authors： Chubak J,Onega T,Zhu W,Buist DSM,Hubbard RA

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Medication error occurring during the care of HIV-infected patients may lead to treatment failure, drug toxicity, or even death. OBJECTIVE:The objective of this study was to ascertain and confirm 5 categories of medication error in the care of HIV-infected patients. RESEARCH DESIGN:This study was a retrosp...

journal_title：Medical care

authors： DeLorenze GN,Follansbee SF,Nguyen DP,Klein DB,Horberg M,Quesenberry CP Jr,Blick NT,Tsai AL

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:Variance reduction is sometimes considered as a goal of clinical quality improvement. Variance among physicians, hospitals, or health plans has been evaluated as the proportion of total variance (or intraclass correlation, ICC) in a quality measure; low ICCs have been interpreted to indicate low potential fo...

journal_title：Medical care

authors： Selby JV,Schmittdiel JA,Lee J,Fung V,Thomas S,Smider N,Crosson FJ,Hsu J,Fireman B

更新日期：2010-02-01 00:00:00

abstract：OBJECTIVES:Building on Andersen's behavioral model for the utilization of health care services, we examined factors associated with utilization of physician and hospital services among adults in Canada and the United States, with a focus on socioeconomic status (enabling resources in Andersen's framework). METHODS:Usi...

journal_title：Medical care

authors： Blackwell DL,Martinez ME,Gentleman JF,Sanmartin C,Berthelot JM

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:Understanding barriers to health care access experienced by people with disabilities who are members of underserved racial/ethnic groups is key to developing interventions to improve access. OBJECTIVE:To conduct a scoping review of the literature to examine the published literature on barriers to health car...

journal_title：Medical care

authors： Peterson-Besse JJ,Walsh ES,Horner-Johnson W,Goode TD,Wheeler B

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:By shifting a greater share of out-of-pocket medical costs to consumers, high-deductible health plans (HDHP) might discourage use of essential outpatient services. OBJECTIVE:The objective of the study was to examine the impact of an HDHP on outpatient visits and associated laboratory and radiology tests. R...

journal_title：Medical care

authors： Reddy SR,Ross-Degnan D,Zaslavsky AM,Soumerai SB,Wharam JF

更新日期：2014-01-01 00:00:00

abstract：:Amniocentesis and chorionic villus sampling are tests for the prenatal diagnosis of cytogenetic abnormalities. We calculated the incremental costs per abnormal birth averted, and the incremental costs per quality-adjusted outcome, of amniocentesis and chorionic villus sampling performed for the indication of maternal ...

journal_title：Medical care

authors： Heckerling PS,Verp MS

更新日期：1994-08-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to examine the dimensions of physician work satisfaction across a variety of medical specialties and practice settings. METHODS:A modified version of the Scheckler et al survey instrument was mailed to all physicians in Marion County, Indiana. Forty-two percent (777) of the eli...

journal_title：Medical care

authors： Bates AS,Harris LE,Tierney WM,Wolinsky FD

更新日期：1998-04-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to estimate the effect of Medicare Health Maintenance Organization (HMO) enrollment on hospitalization rates and total inpatient days for ambulatory care-sensitive conditions (ACSCs) after controlling for selection. RESEARCH DESIGN:Simultaneous equations using a discrete facto...

journal_title：Medical care

authors： Zeng F,O'Leary JF,Sloss EM,Lopez MS,Dhanani N,Melnick G

更新日期：2006-10-01 00:00:00

abstract：:Mental health services were included in comprehensive benefits available with no out-of-pocket expenses to enrollees in the Seattle Prepaid Health Care Project. This study was designed to examine the characteristics of users as compared to nonusers of mental health services and to examine the possibility of lower use ...

journal_title：Medical care

authors： Diehr P,Williams SJ,Shortell SM,Richardson WC,Drucker WL

更新日期：1979-09-01 00:00:00

abstract：OBJECTIVE:To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS:We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,...

journal_title：Medical care

authors： Liu CF,Manning WG,Burgess JF Jr,Hebert PL,Bryson CL,Fortney J,Perkins M,Sharp ND,Maciejewski ML

更新日期：2011-10-01 00:00:00

abstract：OBJECTIVES:Cutpoints are specific numeric values used to create discrete categories for patient-reported outcome (PRO) items or scales. Cutpoints are widely used in both clinical research and practice. This article offers a definition for cutpoints, describes strategies for determining actionable cutpoints, and discuss...

journal_title：Medical care

authors： Shi Q,Mendoza TR,Cleeland CS

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Similarities and differences in physician work intensity among specialties are poorly understood but have implications for quality of care, patient safety, practice organization and management, and payment. OBJECTIVE:To determine the magnitude and important dimensions of physician work intensity for 4 speci...

journal_title：Medical care

authors： Horner RD,Szaflarski JP,Ying J,Meganathan K,Matthews G,Schroer B,Weber D,Raphaelson M

更新日期：2011-11-01 00:00:00