Antidepressant use: concordance between self-report and claims records.

abstract：OBJECTIVES:The authors developed an "off-the-shelf" source of health-related quality of life (HRQL) scores for cost-effectiveness analysts unable to collect primary data. METHODS:The authors derived and conducted preliminary validation on a set of health-related quality of life scores for chronic conditions using nati...

journal_title：Medical care

authors： Gold MR,Franks P,McCoy KI,Fryback DG

更新日期：1998-06-01 00:00:00

abstract：BACKGROUND:Little is known about the extent to which consumers have specific problems with their managed care organizations (MCOs) or whether these problems differ by type of MCO. OBJECTIVE:To estimate the prevalence at which consumers in managed care report specific problems and to assess whether rates in preferred p...

journal_title：Medical care

authors： Schauffler HH,McMenamin S,Cubanski J,Hanley HS

更新日期：2001-01-01 00:00:00

abstract：:The Seattle Prepaid Health Care Evaluation Project is a comparative study designed to assess the care received by persons enrolled in either a large prepaid group practice (PGP) or in a prepaid, independent practice setting in which physicians are reimbursed on a fee-for-service basis (IPP). As part of the study we as...

journal_title：Medical care

authors： LoGerfo JP,Efird RA,Diehr PK,Richardson WC

更新日期：1979-01-01 00:00:00

abstract：BACKGROUND:Although patients readmitted to intensive care units (ICUs) typically have poor outcomes, ICU readmission rates have not been studied as a measure of hospital performance. OBJECTIVES:To determine variation in ICU readmission rates across hospitals and associations of readmission rates with other ICU-based m...

journal_title：Medical care

authors： Cooper GS,Sirio CA,Rotondi AJ,Shepardson LB,Rosenthal GE

更新日期：1999-04-01 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：:In a longitudinal, prospective study of patient's decisions about influenza vaccination, the stability of attitudes about the flu and flu shots, the stability of flu shot decisions, and the relationship of attitude shifts to compliance were studied. In both 1981 and 1982 for 216 patients at high risk for complications...

journal_title：Medical care

authors： Buchner DM,Carter WB,Inui TS

更新日期：1985-06-01 00:00:00

abstract：OBJECTIVES:The authors examined how the courts have responded to public and private insurers' use of medical appropriateness criteria to establish coverage and payment policies. METHODS:A structured review of all federal and state court health insurance cases decided between 1960 and June 1994 that involved a dispute ...

journal_title：Medical care

authors： Anderson G,Hall MA,Smith TR

更新日期：1998-08-01 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:Opioid use disorders are frequently associated with medical and psychiatric comorbidities (eg, HIV infection and depression), as well as social problems (eg, lack of health insurance). Comprehensive services addressing these conditions improve outcomes. OBJECTIVE:To compare the proportion of for-profit, non...

journal_title：Medical care

authors： Bachhuber MA,Southern WN,Cunningham CO

更新日期：2014-05-01 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：: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：OBJECTIVES:The first objective of this study was to examine the prevalence of prescriptions that offer the opportunity for generic drug use (a prescription for a multisource drug product). The second objective was to examine the prevalence of generic drug use by examining the rate of generic drug prescribing for multis...

journal_title：Medical care

authors： Mott DA,Cline RR

更新日期：2002-08-01 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：: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：OBJECTIVE:We studied the effects of health insurance, health care needs, and demographic and area characteristics on out-of-pocket health care spending for low and higher income insured populations. MATERIALS AND METHODS:We used the 2002 National Survey of America's Families to analyze out-of-pocket health spending. P...

journal_title：Medical care

authors： Shen YC,McFeeters J

更新日期：2006-03-01 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：OBJECTIVE:The Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) 10, "Postoperative Physiologic and Metabolic Derangement" (PPMD), uses administrative data to detect postoperative acute kidney injury (AKI) requiring dialysis and diabetes-related complications. We sought to evaluate the indicator'...

journal_title：Medical care

authors： Zrelak PA,Romano PS,Tancredi DJ,Geppert JJ,Utter GH

更新日期：2013-09-01 00:00:00

abstract：:To explore the reliability of Medicare Part A claims data for clinical and health services research related to the care of patients with cancer, the authors compared estimates of the incidence of and resection rates for cancer of the breast, colon, and lung derived from analysis of Medicare Part A data versus data fro...

journal_title：Medical care

authors： Whittle J,Steinberg EP,Anderson GF,Herbert R

更新日期：1991-12-01 00:00:00

abstract：BACKGROUND:The number of older patients enrolling in health maintenance organizations (HMOs) is increasing. Concerns have been raised that older patients may be targeted by HMOs for more stringent cost-containment mechanisms, including reduced access to expensive specialty care. OBJECTIVES:We investigated the relation...

journal_title：Medical care

authors： Smith MA,Shahar E,McGovern PG,Kane RL,Doliszny KM,Arnett DK,Luepker RV

更新日期：1999-12-01 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：BACKGROUND:Risk adjustment is useful for adjusting health care payments based on patients' health status. OBJECTIVE:This work seeks to examine how well pharmacy- and diagnosis-based risk adjusters predict child health expenditures in Medicaid populations. RESEARCH DESIGN:We used 1994-1995 Medicaid claims files for al...

journal_title：Medical care

authors： Kuhlthau K,Ferris TG,Davis RB,Perrin JM,Iezzoni LI

更新日期：2005-11-01 00:00:00

abstract：IMPORTANCE:Hospitals that serve poorer populations have higher readmission rates. It is unknown whether these hospitals effectively lowered readmission rates in response to the Hospital Readmissions Reduction Program (HRRP). OBJECTIVE:To compare pre-post differences in readmission rates among hospitals with different ...

journal_title：Medical care

authors： Wasfy JH,Bhambhani V,Healy EW,Choirat C,Dominici F,Wadhera RK,Shen C,Wang Y,Yeh RW

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:Prescription of new drugs contributes to substantial increases in annual drug expenditures. A small proportion of physicians appear to be early users of new prescription drugs and little is known about their characteristics. OBJECTIVE:To estimate the initial utilization rate of new prescription drugs among ...

journal_title：Medical care

authors： Tamblyn R,McLeod P,Hanley JA,Girard N,Hurley J

更新日期：2003-08-01 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：: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:The primary objective of this study was to examine veterans' reliance on health care services provided by the Veterans Health Administration (VHA) within Minnesota and estimate the potential effect on uninsurance rates if all eligible veterans relied on VHA coverage. Secondary objectives were to compare vete...

journal_title：Medical care

authors： Jonk YC,Call KT,Cutting AH,O'Connor H,Bansiya V,Harrison K

更新日期：2005-08-01 00:00:00

abstract：:Effective physician involvement in quality assurance in hospitals is necessary both to identify problems in patient care and to bring about problem resolution. This report describes a controlled, longitudinal study designed to measure effects on physician performance of involving physicians in setting medical audit cr...

journal_title：Medical care

authors： Sommers LS,Sholtz R,Shepherd RM,Starkweather DB

更新日期：1984-12-01 00:00:00

abstract：BACKGROUND:Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. OBJECTIVES:To link Meals on Wheels (MOW) program data to Med...

journal_title：Medical care

authors： Shan M,Gutman R,Dosa D,Gozalo PL,Ogarek JA,Kler S,Thomas KS

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:Care for patients with chronic conditions often requires coordination between multiple physicians and delivery sites. Electronic Health Record (EHR) use could improve care quality and efficiency in part by facilitating care coordination. OBJECTIVE:We examined the association between EHR use and clinician pe...

journal_title：Medical care

authors： Graetz I,Reed M,Shortell SM,Rundall TG,Bellows J,Hsu J

更新日期：2014-12-01 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