Using health status measures in the hospital setting: from acute care to 'outcomes management'.

abstract：BACKGROUND:Although most of the elderly are covered by Medicare, they potentially face large out-of-pocket costs for their health care because of excluded services. Aside from nursing home care, the exclusion of prescription drugs is one of the most significant. Several earlier policy initiatives have proposed adding p...

journal_title：Medical care

authors： Lillard LA,Rogowski J,Kington R

更新日期：1999-09-01 00:00:00

abstract：:The effectiveness of sharing medical records in improving physician-older patient communication was evaluated in 203 ambulatory chronically ill older patients (mean age, 70.1 years) by a randomized controlled trial. Ninety-five experimental group patients received copies of their physicians' progress notes 1 week afte...

journal_title：Medical care

authors： Bronson DL,Costanza MC,Tufo HM

更新日期：1986-04-01 00:00:00

abstract：:The application of health status measures in policy research relies considerably on patterns of mortality, life expectancy, and health status indicators, such as hospital readmission and institutionalization rates. In recent years the state of the art in health status measurement has advanced substantially with the de...

journal_title：Medical care

authors： Steinwachs DM

更新日期：1989-03-01 00:00:00

abstract：:The techniques of cost-effectiveness are employed to simplify resource allocation decisions concerned with the use of land and air transport systems in the health services of a developing country. Outcome classifications are produced for patients seen by mobile and fixed primary care units. The mobile services examine...

journal_title：Medical care

authors： Walker G,Gish O

更新日期：1977-04-01 00:00:00

abstract：BACKGROUND:While standard methods for conducting economic evaluations have evolved, little attention has been paid to the conduct of these studies in special populations such as children. OBJECTIVES:To build a database of pediatric economic evaluations and to examine trends in publication characteristics over a 20-yea...

journal_title：Medical care

authors： Ungar WJ,Santos MT

更新日期：2003-10-01 00:00:00

abstract：OBJECTIVES:The authors examined organizational characteristics of 16 primary care group practices to determine their influence on quality or quality improvement. METHODS:The authors used a data base compiled during a randomized, controlled trial of quality assurance interventions consisting of measures of guideline-re...

journal_title：Medical care

authors： Hargraves JL,Palmer RH,Orav EJ,Wright EA

更新日期：1996-09-01 00:00:00

abstract：BACKGROUND:Patients with chronic disease who express stronger preference for their current health might be expected to have better outcomes than patients who assign lower utility to their current health state. OBJECTIVE:We sought to examine associations between preferences for current health and outcomes in a national...

journal_title：Medical care

authors： Plantinga LC,Fink NE,Bass EB,Boulware LE,Meyer KB,Powe NR

更新日期：2007-03-01 00:00:00

abstract：BACKGROUND:Recent combat operations have involved large numbers of personnel. Long-term health effects of military deployment remain largely unknown. OBJECTIVES:To examine patterns and trends in long-term disability among combat veterans and to relate disability to aspects of wartime experience. PARTICIPANTS:A total ...

journal_title：Medical care

authors： Clarke PM,Gregory R,Salomon JA

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:Indwelling urinary catheters are used postoperatively in hip fracture care. Their use beyond the immediate postoperative period may result in excess nosocomial infections. OBJECTIVES:The objectives of this study were to explore the relationship between extended indwelling urinary catheterization and outcome...

journal_title：Medical care

authors： Wald H,Epstein A,Kramer A

更新日期：2005-10-01 00:00:00

abstract：:The desired form and style of written drug information for patients were assessed in a national survey of oral contraceptive (OC) users. These women were queried about two forms of OC information: a short insert included with dispensed drugs and a longer brochure delivered by the physician upon patient request. Longer...

journal_title：Medical care

authors： Mazis M,Morris LA,Gordon E

更新日期：1978-12-01 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:The surgical strategy for neonates with tetralogy of Fallot (TOF) consists of complete or staged repair. Assessing the comparative effectiveness of these approaches is facilitated by a large multicenter cohort. We propose a novel process for cohort assembly using the Pediatric Health Information System (PHIS...

journal_title：Medical care

authors： Savla JJ,Fisher BT,Faerber JA,Huang YV,Mercer-Rosa L

更新日期：2018-11-01 00:00:00

abstract：BACKGROUND:Hospitalization is a difficult experience, especially for patients with dementia. Understanding whether better continuity of care (COC) reduces hospitalizations can indicate interventions that might help curb hospitalizations. OBJECTIVE:To estimate the causal impact of COC on hospitalizations and different ...

journal_title：Medical care

authors： Lei L,Cai S,Conwell Y,Fortinsky RH,Intrator O

更新日期：2020-11-01 00:00:00

abstract：:A common objective of health services is to provide high quality care at the least cost, yet some services achieve these objectives better than others. Moreover, there are questions about relationships between cost and quality: do higher expenditures usually result in higher quality, or, conversely, is it possible to ...

journal_title：Medical care

authors： Schulz RI,Greenley JR,Peterson RW

更新日期：1983-09-01 00:00:00

abstract：:The number of patients with acquired immunodeficiency syndrome (AIDS) continues to increase. These patients require medical care from physicians who are well trained and who are willing to provide that care. In 1985, we undertook a survey of 314 heterosexual and homosexual physicians in Los Angeles County to determine...

journal_title：Medical care

authors： Richardson JL,Lochner T,McGuigan K,Levine AM

更新日期：1987-08-01 00:00:00

abstract：:Research indicates that approximately one in five hospital admissions is unnecessary or inappropriate, based on accepted clinical criteria. Various cost-containment approaches have been initiated to reduce unnecessary hospital care. Among these approaches, hospital utilization review (UR) has shown promise as a cost-c...

journal_title：Medical care

authors： Wickizer TM,Wheeler JR,Feldstein PJ

更新日期：1989-06-01 00:00:00

abstract：BACKGROUND:Policymakers and researchers are concerned that changes in the healthcare market have stressed and weakened the safety net nationwide. OBJECTIVES:The objectives of this study were to investigate variations in the safety net across communities and over time and to explore the effect of market changes on the ...

journal_title：Medical care

authors： Marquis MS,Rogowski JA,Escarce JJ

更新日期：2004-05-01 00:00:00

abstract：BACKGROUND:Primary care teams face daily time pressures both during patient encounters and outside of appointments. OBJECTIVES:We theorize 2 types of time pressure, and test hypotheses about organizational determinants and patient consequences of time pressure. RESEARCH DESIGN:Cross-sectional, observational analysis ...

journal_title：Medical care

authors： McDonald KM,Rodriguez HP,Shortell SM

更新日期：2018-10-01 00:00:00

abstract：:The authors conducted two studies of routine medical visits, investigating the relation of physician gender, patient gender, and physician age to patient satisfaction, and the correlations between communication behaviors and satisfaction separately for different combinations of patient and physician gender. Study 1 wa...

journal_title：Medical care

authors： Hall JA,Irish JT,Roter DL,Ehrlich CM,Miller LH

更新日期：1994-12-01 00:00:00

abstract：BACKGROUND:Millions of Americans are burdened by out-of-pocket prescription costs. Although many survey measures have been developed to assess this burden, the construct validity and the factor structure of these instruments have not been rigorously assessed. OBJECTIVES:To characterize the factor structure and the con...

journal_title：Medical care

authors： Burcu M,Alexander GC,Ng X,Harrington D

更新日期：2015-02-01 00:00:00

abstract：:In response to health care reform, health care providers have begun to develop interorganizational networks. At present, however, relatively little is known about factors facilitating participation in networks. To this end, organizational characteristics and views were obtained from key informants from both "Lead" and...

journal_title：Medical care

authors： Guihan M,Manheim LM,Hughes SL

更新日期：1995-05-01 00:00:00

abstract：:Disparities by economic status are observed in the health status and health outcomes of Medicare beneficiaries. For health services and health policy researchers, one barrier to addressing these disparities is the ability to use Medicare data to ascertain information about an individual's income level or poverty, beca...

journal_title：Medical care

authors： Samson LW,Finegold K,Ahmed A,Jensen M,Filice CE,Joynt KE

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Difference-in-differences (DID) estimation has become increasingly popular as an approach to evaluate the effect of a group-level policy on individual-level outcomes. Several statistical methodologies have been proposed to correct for the within-group correlation of model errors resulting from the clustering...

journal_title：Medical care

authors： Rokicki S,Cohen J,Fink G,Salomon JA,Landrum MB

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:A need exists for adapting existing perioperative risk stratification methods such as the Charlson Comorbidity Index (CCI) for application with hospital administrative data in noncardiac surgery populations. OBJECTIVE:Develop and validate outcome-specific CCIs for predicting inpatient mortality, and cardiac...

journal_title：Medical care

authors： Moodley Y

更新日期：2016-12-01 00:00:00

abstract：OBJECTIVE:To investigate differences in self-rated health (SRH) between web and mail questionnaires in a mixed mode survey and to provide a model that explains those differences. SUBJECTS:A total of 15,200 mail respondents and 17,829 web respondents from the 2008 US National Health Survey conducted by the Gallup Panel...

journal_title：Medical care

authors： Shim JM,Shin E,Johnson TP

更新日期：2013-09-01 00:00:00

abstract：OBJECTIVE:To evaluate the effectiveness of standardized, patient-centered label (PCL) instructions to improve comprehension of prescription drug use compared with typical instructions. METHODS:A total of 500 adult patients recruited from 2 academic and 2 community primary care clinics in Chicago, IL and Shreveport, LA...

journal_title：Medical care

authors： Wolf MS,Davis TC,Curtis LM,Webb JA,Bailey SC,Shrank WH,Lindquist L,Ruo B,Bocchini MV,Parker RM,Wood AJ

更新日期：2011-01-01 00:00:00

abstract：:Although there have been a number of studies linking psychological distress to the demand for medical care, few studies have examined this relationship among the aged. The issue is important, however, partly because it has been suggested that distress might cause some individuals to seek unneeded medical care. The fin...

journal_title：Medical care

authors： Berkanovic E,Hurwicz ML

更新日期：1989-11-01 00:00:00

abstract：BACKGROUND:Traumatic brain injury (TBI) is a serious public health problem in the United States. Each year, TBIs substantially contribute to health care costs, which vary by severity. This is important to consider given the variability in recovery time by severity. RESEARCH DESIGN:This study quantifies the annual incr...

journal_title：Medical care

authors： Miller GF,DePadilla L,Xu L

更新日期：2021-01-28 00:00:00

abstract：:In comparison to the living conditions that existed before 1949, the People's Republic of China (PRC) represents a remarkable story of achievement. Western knowledge about the PRC has recently increased by leaps and bounds as detente with the United States has allowed many Americans to witness the "awakening of the dr...

journal_title：Medical care

authors： Louie R

更新日期：1978-07-01 00:00:00

abstract：:This article assesses the extent to which formally provided comprehensive community care tends to substitute for informal care provided by family and friends to impaired elderly persons living in the community. Using simultaneous equations causal modeling techniques to control for selective targeting and other interve...

journal_title：Medical care

authors： Greene VL

更新日期：1983-06-01 00:00:00