Improving risk adjustment for Medicare capitated reimbursement using nonlinear models.

abstract：BACKGROUND:Health care providers and health care training institutions need more specific, relevant, and useful information for providing culturally sensitive health care. OBJECTIVE:We sought to determine what patients considered to be culturally sensitive health care. RESEARCH DESIGN AND PARTICIPANTS:We conducted 20...

journal_title：Medical care

authors： Tucker CM,Herman KC,Pedersen TR,Higley B,Montrichard M,Ivery P

更新日期：2003-07-01 00:00:00

abstract：BACKGROUND:The Agency for Healthcare Research and Quality's prevention quality indicators (PQIs) are used as a metric of area-level access to quality care. Recently, interest has expanded to using the measures at the level of payer or large physician groups, including public reporting or pay-for-performance programs. H...

journal_title：Medical care

authors： Davies S,McDonald KM,Schmidt E,Schultz E,Geppert J,Romano PS

更新日期：2011-08-01 00:00:00

abstract：OBJECTIVE:The objective of this systematic review was to identify factors that consistently predict nursing home admission (NHA) in persons with dementia. METHODS:Studies published in English were retrieved by searching the MEDLINE (1966-2006), PSYCINFO (1950-2006), CINAHL (1982-2006), and Digital Dissertations (1950-...

journal_title：Medical care

authors： Gaugler JE,Yu F,Krichbaum K,Wyman JF

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:Latino populations have disproportionately moved to areas in the Southeast and Midwest (emerging destinations), outside traditional Latino enclaves, in recent years. OBJECTIVE:To examine whether health care experiences differ between traditional and emerging destinations for Latino children. RESEARCH DESIG...

journal_title：Medical care

authors： Saloner B,Gresenz CR

更新日期：2016-05-01 00:00:00

abstract：:The burn problem in the United States, as reflected in published data, is serious. More than 2,000,000 people are injured in burn accidents each year; 70,000 are hospitalized, involving approximately 9,000,000 disability days; and an estimated 9,000 die from their injuries. In 1964, the National Burn Information Excha...

journal_title：Medical care

authors： Praiss IL,Feller I,James MH

更新日期：1980-02-01 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: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：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:Emergency Department (ED) boarding threatens patient safety. It is unclear whether boarding differentially affects patients admitted to intensive care units (ICUs) versus non-ICU settings. RESEARCH DESIGN AND SUBJECTS:We performed a 2-hospital, 18-month, cross-sectional, observational, descriptive study of ...

journal_title：Medical care

authors： Reznek MA,Upatising B,Kennedy SJ,Durham NT,Forster RM,Michael SS

更新日期：2018-05-01 00:00:00

abstract：BACKGROUND:Despite clinical guidelines, many patients with hypercholesterolemia do not achieve treatment goals in clinical practice. OBJECTIVES:This study examined physician attitudes and beliefs about hyperlipidemia and whether they are associated with lipid treatment decisions. METHODS:This was a cross-sectional st...

journal_title：Medical care

authors： Foley KA,Denke MA,Kamal-Bahl S,Simpson R Jr,Berra K,Sajjan S,Alexander CM

更新日期：2006-05-01 00:00:00

abstract：:A retention study was implemented in Marshfield, Massachusetts in May 1974 in order to ascertain if cardiopulmonary resuscitation (CPR) skills could be retained by secondary school students who had 15 months previously received training in mouth to mouth resuscitation and cardiac compression. The retention study also ...

journal_title：Medical care

authors： Vanderschmidt H,Burnap TK,Thwaites JK

更新日期：1976-02-01 00:00:00

abstract：:A valid and reliable vignette-based measure of DSM-III psychiatric diagnostic knowledge was administered to practicing primary care physicians (PCPs; generally, internal and family practice medicine) and mental health professionals (MHPs, in psychiatry and psychology). Recognition, diagnosis, and treatment recommendat...

journal_title：Medical care

authors： Andersen SM,Harthorn BH

更新日期：1989-09-01 00:00:00

abstract：OBJECTIVE:To examine the effects of health plan enrollment [health maintenance organizations (HMO) or fee-for-service (FFS)], a change in Medicare reimbursement policy which allowed for annual rather than biennial mammograms, and Health Plan Employer Data Information Set (HEDIS) measures on stage at diagnosis among old...

journal_title：Medical care

authors： Habermann EB,Virnig BA,Riley GF,Baxter NN

更新日期：2007-08-01 00:00:00

abstract：BACKGROUND:Disabled Americans who qualify for Medicare coverage typically have multiple chronic conditions, are highly dependent on effective drug therapy, and have limited financial resources, putting them at risk for cost-related medication nonadherence (CRN). Since 2006, the Part D benefit has helped Medicare benefi...

journal_title：Medical care

authors： Naci H,Soumerai SB,Ross-Degnan D,Zhang F,Briesacher BA,Gurwitz JH,Madden JM

更新日期：2014-11-01 00:00:00

abstract：:While Preferred Provider Organizations (PPOs) are designed to contain the costs of health care, they may not be able to do so if sicker individuals opt not to use PPO providers. This study examined how level of mental health status and prior use of mental health services affected the decision to use or not use PPO pro...

journal_title：Medical care

authors： Wells KB,Marquis MS,Hosek SD

更新日期：1991-09-01 00:00:00

abstract：BACKGROUND/OBJECTIVES:The importance of teams for improving quality of care has received increased attention. We examine both the correlates of self-assessed or perceived team effectiveness and its consequences for actually making changes to improve care for people with chronic illness. STUDY SETTING AND METHODS: Data ...

journal_title：Medical care

authors： Shortell SM,Marsteller JA,Lin M,Pearson ML,Wu SY,Mendel P,Cretin S,Rosen M

更新日期：2004-11-01 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:Studies evaluating patient outcomes in dialysis as a function of quality of predialysis therapeutic care are lacking. OBJECTIVE:To evaluate the association of quality of predialysis therapeutic practices with survival and hospitalization during the first year of dialysis. RESEARCH DESIGN:The AVantagE de la...

journal_title：Medical care

authors： Thilly N,Boini S,Loos-Ayav C,Kessler M,Briançon S,Frimat L

更新日期：2012-01-01 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：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：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

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：OBJECTIVES:To reapportion Veterans Health Administration (VA) annual expenditures into benefit categories for comparison with estimated payments by private sector providers. METHODS:Total expenditures for six VA medical centers for federal fiscal year 1999 were reapportioned by benefit category using the cost distribu...

journal_title：Medical care

authors： Nugent G,Grippen G,Parris YC,Mitchell M

更新日期：2003-06-01 00:00:00

abstract：BACKGROUND:Services targeting social determinants of health-such as income support, housing, and nutrition-have been shown to improve health outcomes and reduce health care costs for older adults. Nevertheless, evidence on the properties of effective collaborative networks across health care and social services sectors...

journal_title：Medical care

authors： Brewster AL,Yuan CT,Tan AX,Tangoren CG,Curry LA

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Continuity of the relationship between patients and primary care providers (PCPs) is an important component of care from the consumer perspective that may be affected by variation in cost containment strategies within managed care. OBJECTIVE:To evaluate the effects of cost containment strategies on the cont...

journal_title：Medical care

authors： Meredith LS,Sturm R,Camp P,Wells KB

更新日期：2001-10-01 00:00:00

abstract：:Since the costs of nursing home care are a major component of the rapidly rising costs of health care, it is appropriate to base public policy discussions about cost containment on the determinants of nursing home costs. This article investigates the determinants of nursing home operating costs and reviews the results...

journal_title：Medical care

authors： Birnbaum H,Bishop C,Lee AJ,Jensen G

更新日期：1981-11-01 00:00:00

abstract：BACKGROUND:Spinal mobilization and manipulation are 2 therapies found to be generally safe and effective for chronic low back pain (CLBP). However, the question remains whether they are appropriate for all CLBP patients. RESEARCH DESIGN:An expert panel used a well-validated approach, including an evidence synthesis an...

journal_title：Medical care

authors： Herman PM,Hurwitz EL,Shekelle PG,Whitley MD,Coulter ID

更新日期：2019-05-01 00:00:00

abstract：:The second phase of the ADHC Evaluation Study was designed to assess ADHC provided under contract by community ADHC programs. Outcomes for the 163 patients enrolled in this prospective cohort evaluation were compared with those of patients assigned to ADHC provided directly by VA (VA-ADHC) and customary care in the ra...

journal_title：Medical care

authors： Rothman ML,Diehr P,Hedrick SC,Erdly WW,Nickinovich DG

更新日期：1993-09-01 00:00:00

abstract：RATIONALE:Moving patients from low-performing hospitals to high-performing hospitals may improve patient outcomes. These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival. OBJECTIVE:To characterize the existing critical care n...

journal_title：Medical care

authors： Iwashyna TJ,Christie JD,Moody J,Kahn JM,Asch DA

更新日期：2009-07-01 00:00:00

abstract：:Patterns of primary health care utilization for a random sample of urban elementary school children in three ethnic groups are described. Visit type, reasons for visit, and frequency of visits remained stable from year to year. More than 50 per cent of the children were non-visitors each year; 72 per cent of those not...

journal_title：Medical care

authors： Brink SG,Nader PR

更新日期：1981-06-01 00:00:00