The role of perceived team effectiveness in improving chronic illness care.

abstract：BACKGROUND:Regret after one of the many decisions and interventions that health care professionals make every day can have an impact on their own health and quality of life, and on their patient care practices. OBJECTIVES:To validate a new care-related regret intensity scale (RIS) for health care professionals. RESEA...

journal_title：Medical care

authors： Courvoisier DS,Cullati S,Haller CS,Schmidt RE,Haller G,Agoritsas T,Perneger TV

更新日期：2013-03-01 00:00:00

abstract：:Hospital cost-containment programs should themselves be cost-effective, targeting high-cost physicians (which requires adjusting for case mix) and patients (which requires early identification). In this study, clinical data available within 24 hours of admission from an electronic medical record system were used to de...

journal_title：Medical care

authors： Tierney WM,Fitzgerald JF,Miller ME,James MK,McDonald CJ

更新日期：1995-01-01 00:00:00

abstract：:An interest in using nosocomial infection rates as an outcome measure to reflect quality of care in hospitals prompted us to consider factors in addition to quality that influence these rates. Approximately one third of nosocomial infections are potentially preventable, and changes in this "preventable" stratum of inf...

journal_title：Medical care

authors： Larson E,Oram LF,Hedrick E

更新日期：1988-07-01 00:00:00

abstract：BACKGROUND:Accurate estimation of medical care costs raises a host of issues, both practical and methodological. OBJECTIVES:This article reviews methods for estimating the long-term medical care costs associated with a cancer diagnosis. METHODS:The authors consider data from administrative claims databases and descri...

journal_title：Medical care

authors： Etzioni R,Riley GF,Ramsey SD,Brown M

更新日期：2002-06-01 00:00:00

abstract：:This article reports on a study of the labor efficiency of 461 nursing homes located in Pennsylvania. Data envelopment analysis was used to estimate efficiency scores. Tobit equations were estimated for the entire sample and for subsamples consisting of for-profit (FP) and not-for-profit (NFP) nursing homes. The autho...

journal_title：Medical care

authors： Rosko MD,Chilingerian JA,Zinn JS,Aaronson WE

更新日期：1995-10-01 00:00:00

abstract：BACKGROUND:Various forms of differential item functioning (DIF) in the Mini-Mental State Examination (MMSE) have been identified. Items have been found to perform differently for individuals of different educational levels, racial/ethnic groups, and/or of groups whose first language is not English. The articles in this...

journal_title：Medical care

authors： Ramirez M,Teresi JA,Holmes D,Gurland B,Lantigua R

更新日期：2006-11-01 00:00:00

abstract：:One widely discussed response to the severe problems faced by many rural hospitals is to convert them into organizations that provide health services other than general, acute inpatient care. This study identifies conversions that occurred nationally from 1984 to 1991. The study also empirically examines the determina...

journal_title：Medical care

authors： Alexander JA,D'Aunno TA,Succi MJ

更新日期：1996-01-01 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：OBJECTIVE:Analysts performing cost-effectiveness analyses often do not have the resources to gather original quality-of-life (QOL) weights. Furthermore, variability in QOL for the same health state hampers the comparability of cost-effectiveness analyses. For these reasons, opinion leaders such as the Panel on Cost-Eff...

journal_title：Medical care

authors： Tengs TO,Wallace A

更新日期：2000-06-01 00:00:00

abstract：:A combined optimization-simulation model is used to examine the extent of productivity and economic benefits to be gained from adding a physician's assistant to a one-physician ambulatory health care practice. It is shown that previous models (which have predicted productivity gains as large as 90 per cent) have overs...

journal_title：Medical care

authors： Hershey JC,Kropp DH

更新日期：1979-06-01 00:00:00

abstract：BACKGROUND:Estimates of the costs of medical care vary across patient populations, data sources, and methods. The objective of this study was to compare 3 approaches for estimating the incidence costs of colorectal cancer (CRC) care using similar patient populations, but different data sources and methods. METHODS:We ...

journal_title：Medical care

authors： Yabroff KR,Warren JL,Schrag D,Mariotto A,Meekins A,Topor M,Brown ML

更新日期：2009-07-01 00:00:00

abstract：OBJECTIVES:The authors compare two generic measures of health status with disease-specific measures in a randomized controlled trial of transurethral resection of the prostate with laser vaporization prostatectomy for benign prostatic hypertrophy. METHODS:Patients entered into the trial completed the following questio...

journal_title：Medical care

authors： Jenkinson C,Gray A,Doll H,Lawrence K,Keoghane S,Layte R

更新日期：1997-11-01 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：:A process was developed to encourage individuals to take more responsibility for their health by using a client-held health record. The motivation for the record, called a Personal Life Health Plan (PLHP), stems from the fact that the majority of ills which afflict an individual can be abated by behavior changes. The ...

journal_title：Medical care

authors： Giglio R,Spears B,Rumpf D,Eddy N

更新日期：1978-09-01 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：BACKGROUND:Despite clinical guidelines, many patients with hypercholesterolemia do not achieve treatment goals in clinical practice. OBJECTIVES:This study examined physician attitudes and beliefs about hyperlipidemia and whether they are associated with lipid treatment decisions. METHODS:This was a cross-sectional st...

journal_title：Medical care

authors： Foley KA,Denke MA,Kamal-Bahl S,Simpson R Jr,Berra K,Sajjan S,Alexander CM

更新日期：2006-05-01 00:00:00

abstract：BACKGROUND:Clinical practice guidelines quickly become outdated. One reason they might not be updated as often as needed is the expense of collecting expert judgment regarding the evidence. The RAND-UCLA Appropriateness Method is one commonly used method for collecting expert opinion. We tested whether a less expensive...

journal_title：Medical care

authors： Washington DL,Bernstein SJ,Kahan JP,Leape LL,Kamberg CJ,Shekelle PG

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:Little is known about how Medicare Part D affects the medication refill adherence for cardiovascular and diabetes medications, particularly among beneficiaries without prior drug coverage. OBJECTIVES:To evaluate Medicare Part D's effect on medication adherence among beneficiaries with hyperlipidemia, hypert...

journal_title：Medical care

authors： Zhang Y,Lave JR,Donohue JM,Fischer MA,Chernew ME,Newhouse JP

更新日期：2010-05-01 00:00:00

abstract：BACKGROUND:High opioid dosage has been associated with overdose, and clinical guidelines have cautioned against escalating dosages above 100 morphine-equivalent mg (MEM) based on the potential harm and the absence of evidence of benefit from high dosages. However, this 100 MEM threshold was chosen somewhat arbitrarily....

journal_title：Medical care

authors： Bohnert AS,Logan JE,Ganoczy D,Dowell D

更新日期：2016-05-01 00:00:00

abstract：BACKGROUND:Latinos make up the largest group of minority children in the United States. Despite great diversity among Latino children, studies have traditionally treated them as a monolithic group. Few studies have examined patterns and determinants of access to and use of health care for different subgroups of Latino ...

journal_title：Medical care

authors： Perez VH,Fang H,Inkelas M,Kuo AA,Ortega AN

更新日期：2009-06-01 00:00:00

abstract：OBJECTIVES:Although information technology (IT) may improve efficiency and quality of patient care, the adoption of clinical IT by physicians has been limited. This study investigates the relationships between physician practice revenue and use of clinical IT. RESEARCH DESIGN:We undertook a cross-sectional analysis of...

journal_title：Medical care

authors： Furukawa MF,Ketcham JD,Rimsza ME

更新日期：2007-02-01 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：BACKGROUND:Travel time, an access barrier, may contribute to attrition of women veterans from Veterans Health Administration (VHA) care. OBJECTIVE:We examined whether travel time influences attrition: (a) among women veterans overall, (b) among new versus established patients, and (c) among rural versus urban patients...

journal_title：Medical care

authors： Friedman SA,Frayne SM,Berg E,Hamilton AB,Washington DL,Saechao F,Maisel NC,Lin JY,Hoggatt KJ,Phibbs CS

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVE:To determine the impact on hospital ranking of different aggregation methods when creating a composite score from a set of quality indicators relating to a single clinical condition. DESIGN:The analysis was based on 14966 medical records taken from all French hospitals that treated over 30 patients with acut...

journal_title：Medical care

authors： Couralet M,Guérin S,Le Vaillant M,Loirat P,Minvielle E

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:Nearly half of US births are financed by Medicaid, and one-third of births occur by cesarean delivery, at double the cost of vaginal delivery. With the goal of reducing unnecessary cesarean use and improving value, in 2009 Minnesota's Medicaid program introduced a blended payment rate for uncomplicated birth...

journal_title：Medical care

authors： Kozhimannil KB,Graves AJ,Ecklund AM,Shah N,Aggarwal R,Snowden JM

更新日期：2018-08-01 00:00:00

abstract：OBJECTIVES:The effectiveness of case-managed residential care (CMRC) in reducing substance abuse, increasing employment, decreasing homelessness, and improving health was examined. METHODS:A five-year prospective experiment included 358 homeless addicted male veterans 3, 6, and 9 months during their enrollment and at ...

journal_title：Medical care

authors： Conrad KJ,Hultman CI,Pope AR,Lyons JS,Baxter WC,Daghestani AN,Lisiecki JP Jr,Elbaum PL,McCarthy M Jr,Manheim LM

更新日期：1998-01-01 00:00:00

abstract：:This study of patient and bystander responses to medical emergencies revealed serious shortcomings in the public's ability to respond appropriately to such situations. Decision delays at least as long as ambulance response delays were found to be the result of confusion regarding the seriousness of the emergency, conf...

journal_title：Medical care

authors： Mogielnicki RP,Stevenson KA,Willemain TR

更新日期：1975-09-01 00:00:00

abstract：AIMS:There are situations in which patient self-reported health-related quality of life must be substituted by proxy assessments. Pickard and Knight recently delineated 2 proxy perspectives that may influence the nature of proxy measurements: the "proxy-patient" (the proxy's assessment from the patient's perspective) a...

journal_title：Medical care

authors： Gundy CM,Aaronson NK

更新日期：2008-02-01 00:00:00

abstract：OBJECTIVE:To examine the relationship between estimated travel time to admitting hospital and mortality for veterans with acute ischemic stroke, controlling for patient demographic, clinical, facility-level variables, as well as select in-hospital treatments and procedures. METHODS:A longitudinal observational populat...

journal_title：Medical care

authors： Ripley DC,Kwong PL,Vogel WB,Kurichi JE,Bates BE,Davenport C

更新日期：2015-06-01 00:00:00

abstract：:Nurse anesthetists (CRNAs) are a lower cost substitute for anesthesiologists in the delivery of anesthesia services. This article addresses the question of when anesthesiologists delegate in a team approach as opposed to using a solo arrangement. Logistic regression analysis was done using data from the 1986 Anesthesi...

journal_title：Medical care

authors： Rosenbach ML,Cromwell J

更新日期：1989-05-01 00:00:00