Reliability of clinical guideline development using mail-only versus in-person expert panels.

abstract：:Utilization review has heretofore emphasized "length of stay" as the criterion for deciding when the patient is ready to leave the hospital. We suggest that "level of care" (the type, number, and/or intensity of a combination of physician, skilled nursing, and ancillary services) received by the patient should replace...

journal_title：Medical care

authors： Goldberg GA,Holloway DC

更新日期：1975-06-01 00:00:00

abstract：BACKGROUND:Assessing accuracy and completeness of data is an important component of conducting research. VA Healthcare System benefits from a highly developed electronic medical information system. The Immunology Case Registry was designed to monitor costs and quality of HIV care. The Decision Support System was develo...

journal_title：Medical care

authors： McGinnis KA,Skanderson M,Levin FL,Brandt C,Erdos J,Justice AC

更新日期：2009-01-01 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：:The authors tested the "uncertainty hypothesis," which holds that variations in rates of hospitalization or surgeries across small geographic areas reflect differences in physicians' decision making when confronting uncertainty. A small-areas variation analysis of suspected acute cardiac ischemia (ACI) admissions in n...

journal_title：Medical care

authors： Green LA,Becker MP

更新日期：1994-11-01 00:00:00

abstract：BACKGROUND:Several organizations are advocating for patients' preferences to be considered in clinical practice guideline development and implementation. However, lack of agreement on the goal and meaning of this policy curtails evaluation and development of patient involvement programs. GOAL:To describe guideline dev...

journal_title：Medical care

authors： Boivin A,Green J,van der Meulen J,Légaré F,Nolte E

更新日期：2009-08-01 00:00:00

abstract：OBJECTIVES:The Manitoba Centre for Health Policy and Evaluation (MCHPE) collaborated with a provincially-appointed Physician Resource Committee in an assessment of provincial physician resources. RESEARCH DESIGN:Beginning with map-based analyses of physician supply and contacts across the province, compared with the h...

journal_title：Medical care

authors： Roos NP,Fransoo R,Bogdanovic B,Carriere KC,Frohlich N,Friesen D,Patton D,Wall R

更新日期：1999-06-01 00:00:00

abstract：OBJECTIVES:To assess the likely effects of the 1996 Health Insurance Portability and Accessibility Act (HIPAA), based on small firms' experiences under state small group insurance reforms that were similar in design to HIPAA. METHODS:Data on 17,818 small businesses (range, 2-50 employees) nationwide from the 1994 Nati...

journal_title：Medical care

authors： Hing E,Jensen GA

更新日期：1999-07-01 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:Information is limited regarding the effects of processes of care on cardiac surgical outcomes. Correspondingly, many recommended cardiac surgical processes of care are derived from animal experiments or clinical judgment. This report from the VA Cooperative Study in Health Services, "Processes, Structures, ...

journal_title：Medical care

authors： O'Brien MM,Shroyer AL,Moritz TE,London MJ,Grunwald GK,Villanueva CB,Thottapurathu LG,MaWhinney S,Marshall G,McCarthy M Jr,Henderson WG,Sethi GK,Grover FL,Hammermeister KE,VA Cooperative Study Group on Processes, Structures, a

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND:If shape of a person's utility function is associated with his health status, as is predicted by Prospect Theory, the use of utilities from the healthy could result in 'de facto' discrimination against the sick. OBJECTIVES:To determine if patients' utilities for hypothetical states and for their current hea...

journal_title：Medical care

authors： Lenert LA,Treadwell JR,Schwartz CE

更新日期：1999-05-01 00:00:00

abstract：BACKGROUND:Most studies have found that black men are less likely to receive aggressive therapy for nonmetastatic prostate cancer, even after controlling for covariates. However, previous studies have not accounted for the clustering of outcomes by facility. OBJECTIVE:We sought to compare the proportions of black and ...

journal_title：Medical care

authors： Rose AJ,Backus BM,Gershman ST,Santos P,Ash AS,Battaglia TA

更新日期：2007-05-01 00:00:00

abstract：BACKGROUND:The 3 primary administrative data sets developed by the Centers for Medicare and Medicaid services (CMS) to support the Medicare Part D program implementation represent a valuable source of data for health services researchers. This paper describes the structure of the Medicare Part D program and the related...

journal_title：Medical care

authors： Greenwald LM

更新日期：2007-10-01 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:There has been considerable debate in recent years about whether, and how, to risk-adjust quality measures for sociodemographic characteristics. However, geographic location, especially rurality, has been largely absent from the discussion. OBJECTIVE:To examine differences by rurality in quality outcomes, a...

journal_title：Medical care

authors： Henning-Smith C,Kozhimannil K,Casey M,Prasad S,Moscovice I

更新日期：2017-09-01 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：:Earlier efforts of the Commission on Professional and Hospital Activities (CPHA) to develop a patient care data system for long-term care facilities were discontinued for lack of user interest and shortage of funds; however, the facilities were encouraged to participate in the hospital data system (PAS) and to use opt...

journal_title：Medical care

authors： Slee VN

更新日期：1976-05-01 00:00:00

abstract：OBJECTIVES:Assess the validity of Medicare claims for identifying myocardial infarction (MI). METHODS:We used data from 9951 Medicare beneficiaries 65 years and above in the Reasons for Geographic And Racial Differences in Stroke study. Between 2003 and 2012, 669 participants had an MI identified and adjudicated throu...

journal_title：Medical care

authors： Colantonio LD,Levitan EB,Yun H,Kilgore ML,Rhodes JD,Howard G,Safford MM,Muntner P

更新日期：2018-12-01 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：BACKGROUND:The Affordable Care Act allowed an optional Medicaid State Plan benefit for states to establish Health Homes coordinating care for people who have chronic conditions. Differences in medical home program incentives and implementation styles are important to understand in evaluating effects on key outcomes suc...

journal_title：Medical care

authors： Shane DM,Nguyen-Hoang P,Bentler SE,Damiano PC,Momany ET

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:Adherence to medication treatment plans is important for chronic disease (CD) management. Cost-related nonadherence (CRN) puts patients at risk for complications. Native Hawaiians and Pacific Islanders (NHPI) suffer from high rates of CD and socioeconomic disparities that could increase CRN behaviors. OBJEC...

journal_title：Medical care

authors： McElfish PA,Long CR,Payakachat N,Felix H,Bursac Z,Rowland B,Hudson JS,Narcisse MR

更新日期：2018-04-01 00:00:00

abstract：BACKGROUND:Millions of traumatized refugees worldwide have resettled in the United States. For one of the largest, the Cambodian community, having their mental health needs met has been a continuing challenge. A multicomponent health information technology screening tool was designed to aid provider recognition and tre...

journal_title：Medical care

authors： Sorkin DH,Rizzo S,Biegler K,Sim SE,Nicholas E,Chandler M,Ngo-Metzger Q,Paigne K,Nguyen DV,Mollica R

更新日期：2019-06-01 00:00:00

abstract：:A national sample of both hospital administrators and hospital review chair-persons (the two adversarial providers in the hospital regulatory milieu) were surveyed and asked to estimate the degree and kind of unnecessary hospital utilization taking place both in the U.S. and at their own institution. Both groups indic...

journal_title：Medical care

authors： Rothberg DL,Gertman PM

更新日期：1981-01-01 00:00:00

abstract：PURPOSE:Healthcare organizations have undergone major change efforts in the past decade. Sustained change is related to continued alignment among organizational participants and may fail with incongruent perceptions of change. This study identifies factors contributing to the alignment in perceptions of organizational ...

journal_title：Medical care

authors： Walston SL,Chou AF

更新日期：2006-09-01 00:00:00

abstract：OBJECTIVES:Veterans Health Administration encourages auricular acupuncture (Battlefield Acupuncture/BFA) as a nonpharmacologic approach to pain management. Qualitative reports highlighted a "gateway hypothesis": providing BFA can lead to additional nonpharmacologic treatments. This analysis examines subsequent use of t...

journal_title：Medical care

authors： Thomas ER,Zeliadt SB,Coggeshall S,Gelman H,Resnick A,Giannitrapani K,Olson J,Kligler B,Taylor SL

更新日期：2020-09-01 00:00:00

abstract：:Breast cancer is the most common neoplasm in North American women. The psychosocial impact of breast cancer has been extensively studied, and a number of investigators have attempted to characterize women who are at high risk for increased psychosocial morbidity. Although a detailed interview performed by a profession...

journal_title：Medical care

authors： Ganz PA,Hirji K,Sim MS,Schag CA,Fred C,Polinsky ML

更新日期：1993-05-01 00:00:00

abstract：BACKGROUND/OBJECTIVES:Nearly 38 million Americans have hearing loss. Understanding how sensory deficits such as hearing loss, which limit communication, impact satisfaction has implications for Medicare value-based reimbursement mechanisms. The aim of this study was to characterize the association of functional hearing...

journal_title：Medical care

authors： Reed NS,Boss EF,Lin FR,Oh ES,Willink A

更新日期：2021-01-01 00:00:00

abstract：:Previous research has neglected to delineate pediatric nurse practitioner (PNP) roles in tertiary care settings (TCS). New PNP roles have developed as TCS seek cost-effective solutions to providing quality patient care and to meeting new demands for outpatient care. The authors evaluated the roles of 11 PNPs in eight ...

journal_title：Medical care

authors： Cruikshank BM,Clow TJ,Seals B

更新日期：1986-04-01 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：: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：OBJECTIVES:Use of antepartum tests of fetal well-being is widespread even though effectiveness in preventing fetal damage or stillbirth has not been established. The study objective was to examine whether aggressive use of these tests might contribute to increased rates of other birth outcomes, including low birth weig...

journal_title：Medical care

authors： Helfand M,Zimmer-Gembeck MJ

更新日期：1997-01-01 00:00:00