A national catalog of preference-based scores for chronic conditions in the United States.

abstract：OBJECTIVE:This paper describes the history of the Department of Veterans Affairs (VA) Community-Based Outpatient Clinics (CBOCs), CBOC Performance Evaluation Project, and characteristics of CBOCs within the VA, and summarizes the findings and implications of the CBOC Performance Evaluation Project. SUBJECTS:There were...

journal_title：Medical care

authors： Chapko MK,Borowsky SJ,Fortney JC,Hedeen AN,Hoegle M,Maciejewski ML,VanDeusen Lukas C

更新日期：2002-07-01 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：: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：: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：: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：:In the Seattle Prepaid Health Care Project, we studied medical records and claims information for all 97 children undergoing tonsillectomy and/or adenoidectomy in an independent practice plan from February 1971, through January 1975. Overall only 32 per cent of the procedures met commonly promulgated indications of su...

journal_title：Medical care

authors： LoGerfo JP,Dynes IM,Frost F,Diehr PK,Richardson WC

更新日期：1978-11-01 00:00:00

abstract：OBJECTIVES:The authors identify demographic and clinical characteristics associated with noncompliance in patients beginning medical therapy for the treatment of glaucoma in a managed care setting. METHODS:The authors describe a retrospective cohort study in a group-model health maintenance organization in Massachuset...

journal_title：Medical care

authors： Gurwitz JH,Yeomans SM,Glynn RJ,Lewis BE,Levin R,Avorn J

更新日期：1998-03-01 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：:Between 1989 and 1992, the Agency for Health Care Policy and Research (AHCPR) awarded funding to 14 special projects known as Patient Outcomes Research Teams (PORTs). These large, complex projects form the centerpiece of the first generation of research under the Medical Treatment Effectiveness Program. In carrying ou...

journal_title：Medical care

authors： Maklan CW,Greene R,Cummings MA

更新日期：1994-07-01 00:00:00

abstract：:Foreign-born physicians graduated from foreign medical schools who were unlicensed in California are described by nationality, age, sex, location, visa status, employment, English fluency, and specialty. Over 1,210 unlicensed foreign medical graduates (FMGs) were located in California and 736 were interviewed, approxi...

journal_title：Medical care

authors： Smith MW,Fowkes VK

更新日期：1983-12-01 00:00:00

abstract：BACKGROUND:Multiple claims-based proxy measures of poor function have been developed to address confounding in observational studies of drug effects in older adults. We evaluated agreement between these measures and their associations with treatment receipt and mortality in a cohort of older colon cancer patients. MET...

journal_title：Medical care

authors： Mayer SE,Tan HJ,Peacock Hinton S,Sanoff HK,Stürmer T,Hester LL,Faurot KR,Jonsson Funk M,Lund JL

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:One approach postulated to improve the provision of health care is effective utilization of team-based care including pharmacists. OBJECTIVE:The objective of this study was to conduct a comprehensive systematic review with focused meta-analyses to examine the effects of pharmacist-provided direct patient ca...

journal_title：Medical care

authors： Chisholm-Burns MA,Kim Lee J,Spivey CA,Slack M,Herrier RN,Hall-Lipsy E,Graff Zivin J,Abraham I,Palmer J,Martin JR,Kramer SS,Wunz T

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND/OBJECTIVE:Patients with multiple chronic conditions (MCCs) are a critical but undefined group for quality measurement. We present a generally applicable systematic approach to defining an MCC cohort of Medicare fee-for-service beneficiaries that we developed for a national quality measure, risk-standardized ...

journal_title：Medical care

authors： Drye EE,Altaf FK,Lipska KJ,Spatz ES,Montague JA,Bao H,Parzynski CS,Ross JS,Bernheim SM,Krumholz HM,Lin Z

更新日期：2018-02-01 00:00:00

abstract：:There has been controversy about whether confounding by indication for treatment--that is, owing to physicians' conscious efforts to base treatment decisions on patients' pretreatment prognoses--makes nonrandomized, observational comparisons of treatments invalid. Some now believe evidence from studies of practice var...

journal_title：Medical care

authors： Poses RM,Smith WR,McClish DK,Anthony M

更新日期：1995-04-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to examine the dimensions of physician work satisfaction across a variety of medical specialties and practice settings. METHODS:A modified version of the Scheckler et al survey instrument was mailed to all physicians in Marion County, Indiana. Forty-two percent (777) of the eli...

journal_title：Medical care

authors： Bates AS,Harris LE,Tierney WM,Wolinsky FD

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND:Demand for surgical treatment is rising while operating room (OR) resources are limited. Requests for more resources therefore can only be partly met by repartitioning the existing sparse resources. OBJECTIVE:Our goal is to define a method to allocate OR block times among surgical disciplines in such a way ...

journal_title：Medical care

authors： Vansteenkiste N,Lamote C,Vandersmissen J,Luysmans P,Monnens P,De Voldere G,Kips J,Rademakers FE

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:Opioid use disorders are frequently associated with medical and psychiatric comorbidities (eg, HIV infection and depression), as well as social problems (eg, lack of health insurance). Comprehensive services addressing these conditions improve outcomes. OBJECTIVE:To compare the proportion of for-profit, non...

journal_title：Medical care

authors： Bachhuber MA,Southern WN,Cunningham CO

更新日期：2014-05-01 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:Planned health insurance reform promises and has started to cut reimbursement to Medicare managed care (MMC) plans. If such plans provide better care, adjusting for possible better health of their enrollees, then such reimbursement changes may have unforeseen quality consequences. OBJECTIVES:To examine whet...

journal_title：Medical care

authors： Huesch MD

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Patient-centered communication (PCC) is associated with more appropriate treatment of depression in primary care. Aside from patient presentation, little is known about other influences on PCC. We investigated whether PCC is influenced by personality dispositions of primary care providers, independent of pat...

journal_title：Medical care

authors： Chapman BP,Duberstein PR,Epstein RM,Fiscella K,Kravitz RL

更新日期：2008-08-01 00:00:00

abstract：:Dummy variables frequently are used in regression analysis but often in an incorrect fashion. A brief review of examples in the medical care literature showed that the interpretation of dummy variable regression coefficients and their significance was often incorrect or unclear. This article shows how dummy variables ...

journal_title：Medical care

authors： Polissar L,Diehr P

更新日期：1982-09-01 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：OBJECTIVES:This study compared Department of Veterans Affairs (VA) and non-VA mental health service use among male and female veterans. Because female veterans are a distinct minority in VA, it was hypothesized that they would be less likely to use VA mental health care than would male veterans. METHODS:Using data fro...

journal_title：Medical care

authors： Hoff RA,Rosenheck RA

更新日期：1998-11-01 00:00:00

abstract：OBJECTIVE:Emergency departments (ED) were on the front lines for possible cases of transmission during the severe acute respiratory syndrome (SARS) epidemic. The purpose of this study was to investigate the impact of the SARS catastrophe on an urban ED. METHODS:The patients' characteristics in an urban ED were collect...

journal_title：Medical care

authors： Chen WK,Cheng YC,Chung YT,Lin CC

更新日期：2005-02-01 00:00:00

abstract：BACKGROUND:In 1998, the Province of Ontario in Canada adopted price-cap "70/90" regulations whereby the first generic entrant was required to be priced at ≤70% of the associated brand-name product and subsequent generics were priced at ≤90% of the first generic price. The price-caps were further lowered to 50% in 2006 ...

journal_title：Medical care

authors： Zhang W,Guh D,Sun H,Marra CA,Lynd LD,Anis AH

更新日期：2016-09-01 00:00:00

abstract：OBJECTIVES:We conducted a theoretically guided study of access to inpatient or residential treatment among a probability sample of homeless adults with alcohol or drug use disorders in Houston, Texas. METHODS:This study used a cross-sectional, retrospective design with data collected from a multistage random sample of...

journal_title：Medical care

authors： Wenzel SL,Audrey Burnam M,Koegel P,Morton SC,Miu A,Jinnett KJ,Greer Sullivan J

更新日期：2001-11-01 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: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：BACKGROUND:Acute health shocks can reduce the ability to work and earn among working-age survivors. The full economic impact includes labor market effects on spouses/partners, but there is a knowledge gap in this area. OBJECTIVES:The objective of this study was to assess how 3 common health shocks, acute myocardial in...

journal_title：Medical care

authors： Jeon SH,Stepner M,Rotermann M,Fransoo R,Sanmartin C,Scales DC,Wunsch H,Iwashyna TJ,Garland A

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:The quality of care for Medicare beneficiaries with diabetes remains suboptimal. The contributing factors at the physician level are not well characterized, especially the relationship of patient volume and physician performance. OBJECTIVE:We sought to determine associations between the number of Medicare d...

journal_title：Medical care

authors： Holmboe ES,Wang Y,Tate JP,Meehan TP

更新日期：2006-12-01 00:00:00