The Pediatric Economic Database Evaluation (PEDE) Project: establishing a database to study trends in pediatric economic evaluation.

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：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:In 2002 British Columbia, Canada began redistributing its hospital services. OBJECTIVE AND DESIGN:We used administrative data and interrupted time series analyses to determine how recent hospital closures affected patient outcomes. SUBJECTS:All adult acute myocardial infarction (AMI), stroke, and trauma ev...

journal_title：Medical care

authors： Panagiotoglou D,Law MR,McGrail K

更新日期：2017-01-01 00:00:00

abstract：BACKGROUND:Little is known about the time health professionals spend with inpatients that are close to the end of life. SUBJECTS AND METHODS:We asked day-shift nurses to use a standardized log sheet to record how much time they spent in various categories of activity for 146 seriously ill medical inpatients with poor ...

journal_title：Medical care

authors： Sulmasy DP,Sood JR

更新日期：2003-04-01 00:00:00

abstract：BACKGROUND:The profile-based SF-12 has a low respondent burden and is used widely in clinical settings to monitor health and evaluate programs. Deriving preference scores for the SF-12 health profile would permit its use in cost-effectiveness analyses. Previous mapping studies of SF family instruments to preference-bas...

journal_title：Medical care

authors： Franks P,Lubetkin EI,Gold MR,Tancredi DJ

更新日期：2003-11-01 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

abstract：OBJECTIVE:To test whether an intervention to improve primary care depression management significantly improves productivity at work and absenteeism over 2 years. SETTING AND SUBJECTS:Twelve community primary care practices recruiting depressed primary care patients identified in a previsit screening. RESEARCH DESIGN:...

journal_title：Medical care

authors： Rost K,Smith JL,Dickinson M

更新日期：2004-12-01 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：OBJECTIVES:The author highlights changes in hospital utilization that have occurred in association with restructuring of Ontario hospitals. The basic features of the epidemiology of hospital utilization described link the analysis of the organizational and structural components of hospitals with a more comprehensive ev...

journal_title：Medical care

authors： Anderson GM

更新日期：1997-10-01 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:A prerequisite for using administrative data to study the care of critically ill patients in intensive care units (ICUs) is that it accurately identifies such care. Only limited data exist on this subject. OBJECTIVE:To assess the accuracy of administrative data in the Canadian province of Manitoba for ident...

journal_title：Medical care

authors： Garland A,Yogendran M,Olafson K,Scales DC,McGowan KL,Fransoo R

更新日期：2012-03-01 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: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:Hospital occupancy, nurse staffing levels, weekend admission, and seasonal influenza have all been shown to be associated with in-hospital mortality. Yet, no study has simultaneously compared the strength of associations of these 4 factors with in-hospital mortality. OBJECTIVE:To compare the risk of in-hosp...

journal_title：Medical care

authors： Schilling PL,Campbell DA Jr,Englesbe MJ,Davis MM

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:Increasing surgical access to previously underserved populations in the United States may require a major expansion of the use of operating rooms on weekends to take advantage of unused capacity. Although the so-called weekend effect for surgery has been described in other countries, it is unknown whether US...

journal_title：Medical care

authors： Glance LG,Osler T,Li Y,Lustik SJ,Eaton MP,Dutton RP,Dick AW

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:Once just a small part of the Medicare program, private managed care plans now cover over one-third of all Medicare beneficiaries and cost the Federal government ~$210 billion each year. Importantly, the evolution of Medicare managed care policy has been far from linear; for several decades there have been d...

journal_title：Medical care

authors： Adrion ER

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to test the hypothesis that social support is an important predictor of mortality in a frail older population receiving formal long-term care services. RESEARCH DESIGN AND METHODS:The analysis is based on 3138 individuals enrolled in 28 Programs of All-Inclusive Care for the E...

journal_title：Medical care

authors： Temkin-Greener H,Bajorska A,Peterson DR,Kunitz SJ,Gross D,Williams TF,Mukamel DB

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:Teens and racial and ethnic minority women are less likely to initiate prenatal care (PNC) in the first trimester of pregnancy than their counterparts. OBJECTIVE:This study examines the impact of Medicaid program changes in the late 1990s on the timing of Medicaid enrollment and PNC initiation among pregnan...

journal_title：Medical care

authors： Kuo TM,Gavin NI,Adams EK,Ayadi MF

更新日期：2008-10-01 00:00:00

abstract：:The authors provide brief information about the Department of Veterans Affairs (VA) and the Veterans Health Administration, to establish an understanding of this large, multifaceted organization. They then offer an overview of the VA's Office of Research and Development, with particular emphasis on recent and ongoing ...

journal_title：Medical care

authors： Feussner JR,Burris JF,McGlynn G,Lavori PW

更新日期：2002-09-01 00:00:00

abstract：OBJECTIVES:Medicare hospitalizations involve both facility and physician services. Although several studies analyze hospital-level variations in Medicare inpatient facility and inpatient physician services per admission, few studies directly explore the relationship between these services. Theoretically, inpatient faci...

journal_title：Medical care

authors： Miller ME,Welch WP,Wong HS

更新日期：1997-02-01 00:00:00

abstract：:To test the hypothesis that the ability of physicians to speak the same language as asthmatic patients promotes patient compliance and the use of scheduled office appointments in preference to emergency services, the charts of 96 Spanish-speaking patients with asthma were reviewed. Of these patients, 65 were cared for...

journal_title：Medical care

authors： Manson A

更新日期：1988-12-01 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：PURPOSE:To explore whether there was a significant relationship between difficulty paying for ostomy supplies and overall quality of life among a sample of ostomates receiving care from the Veterans Health Administration (VHA). METHODS:The data were collected as part of the Veterans Affairs (VA) Ostomy Health-Related ...

journal_title：Medical care

authors： Coons SJ,Chongpison Y,Wendel CS,Grant M,Krouse RS

更新日期：2007-09-01 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：OBJECTIVE:To assess the effects on overall self-rated health of the broad range of symptoms and impairments that are routinely asked about in national surveys. DATA:We use data from adults in the nationally representative Medical Expenditure Panel Survey (MEPS) 2002 with validation in an independent sample from MEPS 2...

journal_title：Medical care

authors： Stewart ST,Woodward RM,Rosen AB,Cutler DM

更新日期：2008-09-01 00:00:00

abstract：OBJECTIVES:This study investigates the use of data from automated systems within a large managed care plan to create indicators of clinical quality. METHODS:Measures from the first year of Health Plan Employer Data and Information Set, HEDIS 2.0, are used to compare chart review and automated analysis methodologies. T...

journal_title：Medical care

authors： Dresser MV,Feingold L,Rosenkranz SL,Coltin KL

更新日期：1997-06-01 00:00:00

abstract：:The increased demand for health status measures in evaluating medical interventions has increased the importance of clarifying when to use generic versus disease-specific health status measures. The authors compared the performance of a well known generic health status measure, the Sickness Impact Profile (SIP), and a...

journal_title：Medical care

authors： Damiano AM,Steinberg EP,Cassard SD,Bass EB,Diener-West M,Legro MW,Tielsch J,Schein OD,Javitt J,Kolb M

更新日期：1995-04-01 00:00:00

abstract：OBJECTIVES:Patient perceptions are increasingly used to measure quality of care in a diversity of health-care delivery settings. The goals of this article are to review the current use of patient perceptions and to review what is known about the sensitivity of patient perceptions for discerning variations in care acros...

journal_title：Medical care

authors： Rosenthal GE,Shannon SE

更新日期：1997-11-01 00:00:00

abstract：OBJECTIVES:To examine the prevalence of obesity and its relationship with pressure ulcers among nursing home (NH) populations, and whether such relationship varies with certified nursing assistant (CNA) level in NHs. DATA AND STUDY POPULATION: The 1999-2009 nationwide Minimum Data Sets were linked with Online Survey of...

journal_title：Medical care

authors： Cai S,Rahman M,Intrator O

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Valid and comparable measures of health outcomes are needed for clinical trials, studies on quality of healthcare, and population health monitoring. OBJECTIVE:To examine comparability of patient-reported health status across populations. RESEARCH DESIGN:Logistic regression analysis of health status across ...

journal_title：Medical care

authors： Salomon JA,Patel A,Neal B,Glasziou P,Grobbee DE,Chalmers J,Clarke PM

更新日期：2011-10-01 00:00:00