Abstract:
OBJECTIVE:To identify patient characteristics and health care experiences associated with primary care linkage after alcohol or drug detoxification. DATA SOURCES/STUDY SETTING:Primary data collected over two years. Subjects were adults without primary medical care, in an urban residential detoxification program. STUDY DESIGN:A prospective cohort study in the context of a randomized trial of a linkage intervention, and an expansion of Medicaid benefits. DATA COLLECTION/EXTRACTION METHODS:Data were collected by interview assessment of predisposing, enabling, and illness variables. Linkage was defined as self-report of at least one visit with a primary care clinician during follow-up. PRINCIPAL FINDINGS:Of 400 subjects, 63 percent linked with primary medical care. In a multivariable model adjusting for randomization assignment, predisposing, enabling, and illness variables, women, those with no recent incarceration, those with support for abstinence by family or friends, and those who had visited a medical clinic or physician recently were significantly more likely to link with primary care. Those with health insurance during follow-up were also more likely to link. Recent mental health or addictions treatment utilization and health status were not associated with linkage. CONCLUSIONS:A substantial proportion of adults with addictions do not link with primary medical care. These data suggest that efforts could be focused on those least likely to link, that contacts with mental health and addictions treatment providers are underutilized opportunities for these efforts, and that health policy changes such as expanding health insurance benefits may improve entry of substance-dependent patients into primary medical care.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Saitz R,Larson MJ,Horton NJ,Winter M,Samet JHdoi
10.1111/j.1475-6773.2004.00246.xkeywords:
subject
Has Abstractpub_date
2004-06-01 00:00:00pages
587-606issue
3eissn
0017-9124issn
1475-6773pii
HESR246journal_volume
39pub_type
杂志文章abstract::This article examines factors related to hospital closures, using a longitudinal sample of surviving and closed hospitals. The hospitals are drawn from three states with different regulatory programs. Size of hospital and occupancy rate are shown to be related to likelihood of closure, while ownership, length of stay,...
journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1983-01-01 00:00:00
abstract::The concept of propensity to use ambulatory care is defined as the probability that a utilization occurs in a very small interval of time, given that no utilization has been observed before. With this definition of utilization, survival analysis can be used to assess the effect of a set of predictors on utilization. T...
journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1988-06-01 00:00:00
abstract:OBJECTIVES:The primary aim of this article was to identify the latent failures that are perceived to underpin medication errors. STUDY SETTING:The study was conducted within three medical wards in a hospital in the United Kingdom. STUDY DESIGN:The study employed a cross-sectional qualitative design. DATA COLLECTION ...
journal_title:Health services research
pub_type: 杂志文章,多中心研究
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更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:To determine if sufficient nurse staffing reduced in-hospital fractures in acute care hospitals. DATA SOURCES/STUDY SETTING:The Japanese Diagnosis Procedure Combination inpatient (DPC) database from July 2010 to March 2014 linked with the Surveys for Medical Institutions. STUDY DESIGN:We conducted a retrosp...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.12529
更新日期:2017-06-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2009.01002.x
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:This article tests whether or not the factors that affect hospital choice differ for selected subgroups of the population. DATA SOURCES:1985 California Office of Statewide Health Planning and Development (OSHPD) discharge abstracts and hospital financial data were used. STUDY DESIGN:Models for hospital choi...
journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::The cost of capital for hospitals is a topic of continuing interest as Medicare's new capital payment policy is implemented. This study examines the determinants of tax-exempt revenue bond yields, the primary source of long-term capital for hospitals. Two important methodological issues are addressed. A probit analysi...
journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1979-01-01 00:00:00
abstract:OBJECTIVE:The design of health insurance, and the role out-of-pocket (OOP) payments play in it, is a key policy issue as rising health costs have encouraged greater cost-sharing measures. This paper compares the percentage of Americans spending large amounts OOP to meet their health needs with percentages in eight othe...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.12444
更新日期:2016-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1475-6773.2011.01279.x
更新日期:2011-10-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2006.00601.x
更新日期:2007-02-01 00:00:00
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journal_title:Health services research
pub_type: 历史文章,杂志文章,评审
doi:
更新日期:1989-02-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章,评审
doi:
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the role of health plan benefit design and price on consumers' decisions to purchase health insurance in the nongroup market and their choice of plan. DATA SOURCES AND STUDY SETTING:Administrative data from the three largest nongroup insurers in California and survey data about those insured in t...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2007.00726.x
更新日期:2007-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2012.01421.x
更新日期:2012-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/1475-6773.13112
更新日期:2019-06-01 00:00:00
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pub_type: 杂志文章,评审
doi:
更新日期:1999-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1985-10-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
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doi:
更新日期:2000-08-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1980-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1475-6773.2010.01126.x
更新日期:2010-12-01 00:00:00
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doi:10.1111/1475-6773.12324
更新日期:2015-08-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1990-06-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1994-08-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1991-10-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1986-06-01 00:00:00
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更新日期:1998-08-01 00:00:00