Enhancing protections for human participants in clinical and health services research: a continuing process.

abstract：BACKGROUND:In 2007 Cancer Care Ontario (CCO) implemented standardized systematic symptom evaluation in all cancer patients in Ontario using the Edmonton Symptom Assessment System. The initial implementation did not include symptom management guidance and this limited the success of the implementation. Within a short ti...

journal_title：Medical care

authors： Barbera L,Moody L

更新日期：2019-05-01 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：BACKGROUND:Research on frequent emergency department (ED) use shows that a subgroup of patients visits multiple EDs. This study characterizes these individuals. OBJECTIVE:The objective of this study was to determine how many frequent ED users seek care at multiple EDs and to identify sociodemographic, clinical, and co...

journal_title：Medical care

authors： Giannouchos TV,Washburn DJ,Kum HC,Sage WM,Ohsfeldt RL

更新日期：2020-02-01 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：:This study examines practice mobility among young physicians, based on a large nationwide 1987 survey of physicians under age 40 years and in their second through fifth years of practice. Averaged across all physicians, there is a 10% to 12% chance of changing practices for each of the first 3 years, and about one in ...

journal_title：Medical care

authors： Willke RJ

更新日期：1991-10-01 00:00:00

abstract：:A common objective of health services is to provide high quality care at the least cost, yet some services achieve these objectives better than others. Moreover, there are questions about relationships between cost and quality: do higher expenditures usually result in higher quality, or, conversely, is it possible to ...

journal_title：Medical care

authors： Schulz RI,Greenley JR,Peterson RW

更新日期：1983-09-01 00:00:00

abstract：BACKGROUND:: Previous research suggests, but does not definitively establish, that a high level of uninsurance in a community may negatively affect access to and quality of health care for insured persons. OBJECTIVE:: To assess the effect of the level of uninsurance in a community on access to and satisfaction with ca...

journal_title：Medical care

authors： Gresenz CR,Escarce JJ

更新日期：2011-09-01 00:00:00

abstract：:Cataract surgery is the most frequently performed surgical procedure on Medicare beneficiaries, with an annual cost to the Medicare program of more than $3.4 billion. In this study, the relationship between demographic, environmental, and provider-related factors, and the likelihood that cataract surgery will be perfo...

journal_title：Medical care

authors： Javitt JC,Kendix M,Tielsch JM,Steinwachs DM,Schein OD,Kolb MM,Steinberg EP

更新日期：1995-01-01 00:00:00

abstract：OBJECTIVE:We evaluated the association of medication refill adherence with demographic and prescription characteristics to determine whether such factors could guide intervention strategies in an indigent rural population. METHODS:The study was conducted at a University-based internal medicine practice serving an indi...

journal_title：Medical care

authors： Schectman JM,Bovbjerg VE,Voss JD

更新日期：2002-12-01 00:00:00

abstract：BACKGROUND:Performance assessments help to quantify the level of adherence with practice standards and are often used to measure and compare the quality of care. However, most performance assessments are based on a cross-sectional analysis of patient information, whereas patient care is inherently longitudinal. This di...

journal_title：Medical care

authors： Weiner M,Long J

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:Health plans commonly face the conflicting demands of trying to provide access to novel technologies, including new classes of medications, while trying to contain costs. These demands are particularly acute for California's Medicaid program, known as Medi-Cal, which is responsible for delivery of medical ca...

journal_title：Medical care

authors： Croghan TW,Johnstone BM,Buesching DP,Kessler RC

更新日期：1999-04-01 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:Versus whites, blacks with diabetes have poorer control of hemoglobin A1c (HbA1c), higher systolic blood pressure (SBP), and higher low-density lipoprotein (LDL) cholesterol as well as higher rates of morbidity and microvascular complications. OBJECTIVE:To examine whether several mutable risk factors were m...

journal_title：Medical care

authors： Duru OK,Gerzoff RB,Selby JV,Brown AF,Ackermann RT,Karter AJ,Ross S,Steers N,Herman WH,Waitzfelder B,Mangione CM

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:Given strict residency controls and geographic imbalances in health care resources, China may experience serious urban-rural health disparities. OBJECTIVES:To investigate urban-rural disparities in the patterns of health status and health care utilization in China and to examine the evolution of these dispa...

journal_title：Medical care

authors： Fang H,Chen J,Rizzo JA

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Acute health shocks can reduce the ability to work and earn among working-age survivors. The full economic impact includes labor market effects on spouses/partners, but there is a knowledge gap in this area. OBJECTIVES:The objective of this study was to assess how 3 common health shocks, acute myocardial in...

journal_title：Medical care

authors： Jeon SH,Stepner M,Rotermann M,Fransoo R,Sanmartin C,Scales DC,Wunsch H,Iwashyna TJ,Garland A

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Although studies have shown that a high rate of uninsurance in a community reduces access to and satisfaction with health care among the insured population, little is known about whether the community uninsurance rate also affects quality of care and clinical outcomes among the insured. OBJECTIVE:To assess ...

journal_title：Medical care

authors： Escarce JJ,Edgington SE,Roan Gresenz C

更新日期：2014-07-01 00:00:00

abstract：:The ability of a medical self-care program to have an impact on the utilization and cost of in-clinic and referral visits in a prepaid group practice was studied by following the medical encounter records of 900 HMO members in 217 families during a 12-month period. A control group selected by randomization after accep...

journal_title：Medical care

authors： Kemper DW

更新日期：1982-07-01 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：:The present research was designed to identify psychosocial correlates of adherence among patients receiving hemodialysis at two outpatient clinics. The 116 participants were interviewed concerning their knowledge of treatment, health beliefs, treatment history, social support, personal characteristics, and adherence t...

journal_title：Medical care

authors： Cummings KM,Becker MH,Kirscht JP,Levin NW

更新日期：1982-06-01 00:00:00

abstract：:This article examines changes in the service mix of California hospitals as part of their response to shifts in the system of reimbursement between 1983 and 1988. The Hospital Discharge Data Set and the Annual Hospital Disclosure Report produced by California Office of Statewide Health Planning and Development were us...

journal_title：Medical care

authors： Zwanziger J,Melnick GA,Simonson L

更新日期：1996-04-01 00:00:00

abstract：:Recent federal legislation has contained the stipulation that participating health maintenance organizations (HMOs) include a quality assurance program which stresses health outcomes. This provision was ostensibly directed at correcting alleged abuses in HMOs serving the urban poor. One version of the outcome method w...

journal_title：Medical care

authors： Schroeder SA,Donaldson MS

更新日期：1976-01-01 00:00:00

abstract：:This study developed an index of physician hospitalization practice style distinguishing physicians more prone to hospitalize patients from physicians less prone to hospitalize. The patients of physicians with markedly differing hospitalization styles are shown to be similar in such important characteristics as age, a...

journal_title：Medical care

authors： Roos NP

更新日期：1989-10-01 00:00:00

abstract：BACKGROUND:The medical record serves as an important source of information regarding the care process, but few studies have examined whether thoroughness of documentation is associated with outcomes. OBJECTIVE:The objectives of this study were to analyze the initial visit note for 513 patients presenting with acute mu...

journal_title：Medical care

authors： Solomon DH,Schaffer JL,Katz JN,Horsky J,Burdick E,Nadler E,Bates DW

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:Estimating population-level obesity rates is important for informing policy and targeting treatment. The current gold standard for obesity measurement in the United States-the National Health and Nutrition Examination Survey (NHANES)-samples <0.1% of the population and does not target state-level or health s...

journal_title：Medical care

authors： Funk LM,Shan Y,Voils CI,Kloke J,Hanrahan LP

更新日期：2017-06-01 00:00:00

abstract：BACKGROUND:The intensity of end-of-life care varies substantially both within and between areas. Differing practice patterns of individual physicians are likely influenced by their peers. OBJECTIVE:To assess whether intensity of end-of-life care previously provided by a physician's peers influences patterns of care at...

journal_title：Medical care

authors： Keating NL,O'Malley AJ,Onnela JP,Gray SW,Landon BE

更新日期：2019-06-01 00:00:00

abstract：:Foreign-born physicians graduated from foreign medical schools who were unlicensed in California are described by nationality, age, sex, location, visa status, employment, English fluency, and specialty. Over 1,210 unlicensed foreign medical graduates (FMGs) were located in California and 736 were interviewed, approxi...

journal_title：Medical care

authors： Smith MW,Fowkes VK

更新日期：1983-12-01 00:00:00

abstract：BACKGROUND:Hospital administrative health data create separate records for each hospital stay of patients. Treating a hospital transfer as a readmission could lead to biased results in health service research. METHODS:This is a cross-sectional study. We used the hospital discharge abstract database in 2013 from Albert...

journal_title：Medical care

authors： Peng M,Li B,Southern DA,Eastwood CA,Quan H

更新日期：2017-01-01 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：BACKGROUND:Medicare's Nonpayment Program of 2008 (hereafter called Program) withholds hospital reimbursement for costs related to hospital-acquired conditions (HACs). Little is known whether a hospital's Medicare patient load [quantified by the hospital's Medicare utilization ratio (MUR), which is the proportion of inp...

journal_title：Medical care

authors： Thirukumaran CP,Glance LG,Temkin-Greener H,Rosenthal MB,Li Y

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND:When suffering becomes unbearable for patients they might request for euthanasia. OBJECTIVE:To study which patients request for euthanasia and which requests actually resulted in euthanasia in relation with diagnosis, care setting at the end of life, and patient demographics. DESIGN:A cross-sectional study...

journal_title：Medical care

authors： Onwuteaka-Philipsen BD,Rurup ML,Pasman HR,van der Heide A

更新日期：2010-07-01 00:00:00