Trends in the utilization of mammography in Washington state and British Columbia: relation to stage of diagnosis and mortality.

abstract：BACKGROUND:Although there are several studies of the human and system factors that influence the outcomes of cardiac surgery, it remains difficult to draw conclusions because many do not simultaneously adjust for the characteristics of patients, physicians, and institutions. The current study explores the associations ...

journal_title：Medical care

authors： Norcini JJ,Boulet JR,Opalek A,Dauphinee WD

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Medical error reporting is an essential component of patient safety enhancement. However, increasingly, the literature points to a problem of underreporting of treatment errors, mainly as a result of the fear of malpractice lawsuits and limited formal data collection systems. Few studies, if any, have examin...

journal_title：Medical care

authors： Naveh E,Katz-Navon T,Stern Z

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:For limited English-proficient (LEP) patients, the digital divide has narrowed, creating a new population of Internet users. However, language-appropriate health information is difficult to find. Community health center (CHC) websites are health information resources and their homepages are critical access p...

journal_title：Medical care

authors： Rodriguez JA,Davis RB,Percac-Lima S

更新日期：2019-06-01 00:00:00

abstract：:The authors describe a new model for classifying hospitalized patients with acquired immunodeficiency syndrome (AIDS) according to their severity of illness. In the first phase of the project, a clinical model indicating the relative severity of AIDS complications was formulated, based on the clinical literature and e...

journal_title：Medical care

authors： Turner BJ,Kelly JV,Ball JK

更新日期：1989-04-01 00:00:00

abstract：:Previous research has estimated the effect of children's health care needs on women's market and nonmarket roles. This article reports the results of a study on the impact of health care for disabled children on women's nonmarket work. (Effects on women's market work are reported elsewhere.) Data from 369 families of ...

journal_title：Medical care

authors： Breslau N

更新日期：1983-06-01 00:00:00

abstract：OBJECTIVES:The present study evaluated alternative patient classification systems for skilled nursing facility and rehabilitation facility patients. METHODS:Medicare patients were selected from a random sample of 27 rehabilitation facilities and 65 skilled nursing facilities participating in a national longitudinal st...

journal_title：Medical care

authors： Eilertsen TB,Kramer AM,Schlenker RE,Hrincevich CA

更新日期：1998-05-01 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：:Substantial differences in the use of pediatric medical resources reinforce the need for identifying and understanding factors that influence the use of medical services for children. This research assesses the simultaneous impact of sociodemographic characteristics, health attitudes and beliefs, psychologic distress,...

journal_title：Medical care

authors： Horwitz SM,Morgenstern H,Berkman LF

更新日期：1985-08-01 00:00:00

abstract：OBJECTIVE:We sought to evaluate the extent of changes in usual source of care and associations with perceived health care access, quality, and use. RESEARCH DESIGN:We collected cross-sectional data on adults from the 1998 to 1999 Community Tracking Household Survey (n = 48,720). Linear and logistic regressions account...

journal_title：Medical care

authors： Smith MA,Bartell JM

更新日期：2004-10-01 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：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：:In this study, changes in the number, site, and source of follow-up visits and allowed charges were examined for follow-up visits provided to Medicare surgical patients between 1984 and 1986. Among the 21 surgical procedures studied, follow-up visits decreased by 5.2%, after adjusting for case mix. Despite the physici...

journal_title：Medical care

authors： Kominski GF,Biddle AK

更新日期：1993-03-01 00:00:00

abstract：:In recent years, employers, insurers, and government purchasers have paid increased attention to the measurement of patient outcomes and health status. Such interest is stimulated less by policy or quality concerns than by the need to reduce health care expenditures. Any expected benefits which might accrue from healt...

journal_title：Medical care

authors： Lansky D,Butler JB,Waller FT

更新日期：1992-05-01 00:00:00

abstract：OBJECTIVES:This article compares a linear risk-adjusted model of medical expenditures for Medicare patients with a model that explicitly account for skewness in distribution of expenditures. METHODS:A model of expenditures and a model of the square root of expenditures, each expressed as linear combinations of risk ad...

journal_title：Medical care

authors： Veazie PJ,Manning WG,Kane RL

更新日期：2003-06-01 00:00:00

abstract：:In a large randomized trial involving over 2,000 women with abnormal cervical cytology (pap smear), three clinic-based interventions were tested as strategies to increase return rates for screening follow-up: 1) a personalized follow-up letter and pamphlet; 2) a slide-tape program on pap smears; and 3) transportation ...

journal_title：Medical care

authors： Marcus AC,Crane LA,Kaplan CP,Reading AE,Savage E,Gunning J,Bernstein G,Berek JS

更新日期：1992-03-01 00:00:00

abstract：BACKGROUND:The SF-12 is a multidimensional generic measure of health-related quality of life. It has become widely used in clinical trials and routine outcome assessment because of its brevity and psychometric performance, but it cannot be used in economic evaluation in its current form. OBJECTIVES:We sought to derive...

journal_title：Medical care

authors： Brazier JE,Roberts J

更新日期：2004-09-01 00:00:00

abstract：:Physicians who participate in preferred provider organizations (PPOs) usually agree to various types of utilization review and sometimes discount their charges or agree to accept lower fees. This study was performed to determine whether they provided more or fewer services to their PPO patients than to their indemnity...

journal_title：Medical care

authors： Garnick DW,Luft HS,Gardner LB,Morrison EM,Barrett M,O'Neil A,Harvey B

更新日期：1990-10-01 00:00:00

abstract：BACKGROUND:With rising health spending, predicting costs is essential to identify patients for interventions. Many of the existing approaches have moderate predictive ability, which may result, in part, from not considering potentially meaningful changes in spending over time. Group-based trajectory modeling could be u...

journal_title：Medical care

authors： Lauffenburger JC,Franklin JM,Krumme AA,Shrank WH,Brennan TA,Matlin OS,Spettell CM,Brill G,Choudhry NK

更新日期：2017-01-01 00:00:00

abstract：:In the 2 months immediately after a premium rate increase, the Genesee Valley Group Health Association (Group Health) lost over 600 subscriber contracts. A survey was conducted to determine the reasons for disenrollment and compare the demographic and utilization characteristics of disenrollees with those of all membe...

journal_title：Medical care

authors： Wersinger RP,Sorensen AA

更新日期：1982-12-01 00:00:00

abstract：BACKGROUND:Measures for pay-for-performance and public reporting programs may be based on clinical practice guidelines. The impact of guideline changes over time-and whether evolving clinical evidence can render measures based on prior guidelines misleading-is not known. OBJECTIVE:To assess the impact of using differe...

journal_title：Medical care

authors： Lin GA,Redberg RF,Anderson HV,Shaw RE,Milford-Beland S,Peterson ED,Rao SV,Werner RM,Dudley RA

更新日期：2010-08-01 00:00:00

abstract：BACKGROUND:Breast cancer missed on diagnostic mammography may contribute to delayed diagnoses, whereas false-positive results may lead to unnecessary invasive procedures. Whether accuracy of diagnostic mammography at facilities serving vulnerable women differs from other facilities is unknown. OBJECTIVE:To compare the...

journal_title：Medical care

authors： Goldman LE,Walker R,Miglioretti DL,Smith-Bindman R,Kerlikowske K,National Cancer Institute Breast Cancer Surveillance Consortium.

更新日期：2011-01-01 00:00:00

abstract：BACKGROUND:To optimize the use of patient-reported outcomes (PROs) in clinical research, it is first necessary to review the current use of these outcomes in clinical trials to determine under what circumstances they are most useful, and to reveal current limitations. PURPOSE:To investigate current patterns of use of ...

journal_title：Medical care

authors： Dinan MA,Compton KL,Dhillon JK,Hammill BG,Dewitt EM,Weinfurt KP,Schulman KA

更新日期：2011-04-01 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:Health plans commonly face the conflicting demands of trying to provide access to novel technologies, including new classes of medications, while trying to contain costs. These demands are particularly acute for California's Medicaid program, known as Medi-Cal, which is responsible for delivery of medical ca...

journal_title：Medical care

authors： Croghan TW,Johnstone BM,Buesching DP,Kessler RC

更新日期：1999-04-01 00:00:00

abstract：BACKGROUND:Providing collaborative mental health treatment within primary care settings improves depression outcomes and may improve detection of mental disorders. Few studies have assessed the effect of collaborative mental health treatment programs on diagnosis of mental disorders in primary care populations. In 2008...

journal_title：Medical care

authors： Zivin K,Pfeiffer PN,Szymanski BR,Valenstein M,Post EP,Miller EM,McCarthy JF

更新日期：2010-09-01 00:00:00

abstract：:The evaluation of long-term care demonstrations has to deal with complex organizational entities, with large, heterogeneous client populations that, during the course of study, may have to change features of their organization or operation. The implications of such "real-time" changes are discussed for analyses of the...

journal_title：Medical care

authors： Manton KG,Newcomer R,Lowrimore GR,Vertrees JC,Harrington C

更新日期：1995-12-01 00:00:00

abstract：:In summary, readers are encouraged to read carefully the IRT articles in this special issue. They provide theoretical as well as practical arguments in favor of using IRT models in the health outcomes measurement field. At the same time, readers should be aware that the IRT field is complex and software is limited and...

journal_title：Medical care

authors： Hambleton RK

更新日期：2000-09-01 00:00:00

abstract：BACKGROUND:Little is known about the extent to which consumers have specific problems with their managed care organizations (MCOs) or whether these problems differ by type of MCO. OBJECTIVE:To estimate the prevalence at which consumers in managed care report specific problems and to assess whether rates in preferred p...

journal_title：Medical care

authors： Schauffler HH,McMenamin S,Cubanski J,Hanley HS

更新日期：2001-01-01 00:00:00

abstract：:Current health care system reform proposals center on reducing the number of uninsured by extending private health insurance coverage. Discussion has also included enrolling Medicaid recipients in private programs. Much of the deliberation concerning extending coverage has centered on cost, but largely has not address...

journal_title：Medical care

authors： Hahn B

更新日期：1994-03-01 00:00:00

abstract：OBJECTIVES:We examine the relationship between health insurance coverage and children's access to and utilization of medical care. Access measures we study are having a usual source of care (USC) and lacking a USC for financial or insurance reasons. We also examine indicators for ambulatory visits, well-child visits, d...

journal_title：Medical care

authors： Selden TM,Hudson JL

更新日期：2006-05-01 00:00:00