Physician practice revenues and use of information technology in patient care.

abstract：OBJECTIVE:We sought to quantify Veterans Health Administration (VA) patients' utilization of coronary revascularization in the private sector and to assess the potential impact of directing this care to high-performance hospitals. METHODS:Using VA and New York State administrative and clinical databases, we conducted ...

journal_title：Medical care

authors： Weeks WB,Bott DM,Bazos DA,Campbell SL,Lombardo R,Racz MJ,Hannan EL,Wright SM,Fisher ES

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:The 2006 Massachusetts health reform substantially decreased uninsurance rates. Yet, little is known about the reform's impact on actual health care utilization among poor and minority populations, particularly for receipt of inpatient surgical procedures that are commonly initiated by outpatient physician r...

journal_title：Medical care

authors： Hanchate AD,Lasser KE,Kapoor A,Rosen J,McCormick D,D'Amore MM,Kressin NR

更新日期：2012-07-01 00:00:00

abstract：PURPOSE:To explore whether there was a significant relationship between difficulty paying for ostomy supplies and overall quality of life among a sample of ostomates receiving care from the Veterans Health Administration (VHA). METHODS:The data were collected as part of the Veterans Affairs (VA) Ostomy Health-Related ...

journal_title：Medical care

authors： Coons SJ,Chongpison Y,Wendel CS,Grant M,Krouse RS

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:Among patients with type 2 diabetes, it is not known whether risk factor control is better or worse for those who also have heart disease, depression, multiple other comorbidities, and associated management challenges. OBJECTIVE:To examine the relationship between this complex constellation of multimorbidit...

journal_title：Medical care

authors： Malik S,Billimek J,Greenfield S,Sorkin DH,Ngo-Metzger Q,Kaplan SH

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:In Ontario, Canada, the 70/90 regulations were instituted in May 1993 to establish provincial government procurement prices for generic drugs. Accordingly, the first generic entrant's price could not exceed 70% of the incumbent's branded price. Subsequent entrants' prices could not exceed 90% of the first en...

journal_title：Medical care

authors： Anis AH,Guh DP,Woolcott J

更新日期：2003-01-01 00:00:00

abstract：:To explore the reliability of Medicare Part A claims data for clinical and health services research related to the care of patients with cancer, the authors compared estimates of the incidence of and resection rates for cancer of the breast, colon, and lung derived from analysis of Medicare Part A data versus data fro...

journal_title：Medical care

authors： Whittle J,Steinberg EP,Anderson GF,Herbert R

更新日期：1991-12-01 00:00:00

abstract：BACKGROUND:Econometric modeling of healthcare costs and expenditures has become an important component of decision-making across a wide array of real-world settings. OBJECTIVES:The objective of this article is to provide a brief summary of important conceptual and analytical issues involved in econometric healthcare c...

journal_title：Medical care

authors： Mullahy J

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:In response to the growing concern about healthcare-associated infections (HAIs), US Department of Health and Human Services (HHS) developed the National Action Plan to Prevent Healthcare-associated Infections. A key focus of the Action Plan is the setting of HAI metrics and targets and the enhancement and d...

journal_title：Medical care

authors： Weinberg DA,Kahn KL

更新日期：2014-02-01 00:00:00

abstract：:The study determined the intrarelationships and interrelationships of two sets of physician performance measures: technical quality and utilization of medical resources. The performance measures were based on 2,431 episodes in 15 diagnostic categories involving 454 physicians. A series of correlations were used to det...

journal_title：Medical care

authors： Rhee SO,Lyons T,Payne B

更新日期：1978-06-01 00:00:00

abstract：BACKGROUND:Medication adherence may be a proxy for healthy behaviors and other factors that affect outcomes. Prior studies of the association between placebo adherence and health outcomes have been limited primarily to men enrolled in clinical trials and cardiovascular disease outcomes. We examined associations between...

journal_title：Medical care

authors： Curtis JR,Larson JC,Delzell E,Brookhart MA,Cadarette SM,Chlebowski R,Judd S,Safford M,Solomon DH,Lacroix AZ

更新日期：2011-05-01 00:00:00

abstract：BACKGROUND:Studies evaluating patient outcomes in dialysis as a function of quality of predialysis therapeutic care are lacking. OBJECTIVE:To evaluate the association of quality of predialysis therapeutic practices with survival and hospitalization during the first year of dialysis. RESEARCH DESIGN:The AVantagE de la...

journal_title：Medical care

authors： Thilly N,Boini S,Loos-Ayav C,Kessler M,Briançon S,Frimat L

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:The use of league tables during the last decade has frequently been employed to assess quality in health care. However, few studies have attempted to assess quality by quantifying the variability across the organizational units or attempted to investigate whether the units are the correct context that really...

journal_title：Medical care

authors： Ohlsson H,Librero J,Sundquist J,Sundquist K,Merlo J

更新日期：2011-03-01 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:The transition from Medicaid-only to dual Medicare/Medicaid coverage has the potential to reduce financial barriers to health care for patients with serious mental illness through increased coverage or expanded access to clinicians as their reimbursement increases. AIMS:To estimate the effect of dual covera...

journal_title：Medical care

authors： Burns ME,Huskamp HA,Smith JC,Madden JM,Soumerai SB

更新日期：2016-09-01 00:00:00

abstract：BACKGROUND:We evaluated the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese breast and nasopharyngeal cancer patients. METHODS:A sample of Chinese breast (n = 250) and nasopharyngeal (n = 242) cancer patients were assessed during their first outpatient visit (b...

journal_title：Medical care

authors： Wong WS,Fielding R

更新日期：2009-08-01 00:00:00

abstract：:Whereas previous authors have used a variety of strategies to identify use of mental health services, the sensitivity of estimates to the definition of a visit has been little studied. The authors examined the sensitivity of estimates of use of outpatient mental health services in both HMO and fee-for-service plans to...

journal_title：Medical care

authors： Wells KB,Manning WG Jr,Benjamin B

更新日期：1987-09-01 00:00:00

abstract：BACKGROUND:Linking process and outcomes is critical to accurately estimating healthcare quality and quantifying its benefits. OBJECTIVES:The objective of this study was to explore the relationship of guideline-based depression process measures with subsequent overall and psychiatric hospitalizations. RESEARCH DESIGN:...

journal_title：Medical care

authors： Charbonneau A,Rosen AK,Owen RR,Spiro A 3rd,Ash AS,Miller DR,Kazis L,Kader B,Cunningham F,Berlowitz DR

更新日期：2004-06-01 00:00:00

abstract：:This paper describes an instrument design effort aimed at measuring patient-satisfaction among older (65 years and over) subscribers of HMOs. The study was conducted in a multi-satellite prepaid group practice in Buffalo, New York. In order to be able to construct a satisfaction measure that would reflect the interest...

journal_title：Medical care

authors： Cryns AG,Nichols RC,Katz LA,Calkins E

更新日期：1989-08-01 00:00:00

abstract：:Medical record review is increasing in importance as the need to identify and monitor utilization and quality of care problems grow. To conserve resources, reviews are usually performed on a subset of cases. If judgment is used to identify subgroups for review, this raises the following questions: How should subgroups...

journal_title：Medical care

authors： Ash A,Schwartz M,Payne SM,Restuccia JD

更新日期：1990-11-01 00:00:00

abstract：OBJECTIVES:Rebalancing the long-term care system between institutional care and home-based and community-based services (HCBS) has become an important policy goal of most state Medicaid programs and several provisions of the Affordable Care Act. This study estimated nursing home admission patterns by race and ethnicity...

journal_title：Medical care

authors： Cai X,Temkin-Greener H

更新日期：2015-07-01 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：:This study uses Medicare physician-claims data to examine patient and physician contributions to variations in cataract surgery rates across U.S. metropolitan areas. Utilization is modelled as having two phases: the decision to seek an ophthalmologist's care, which is made by patients, and the decision to perform surg...

journal_title：Medical care

authors： Escarce JJ

更新日期：1993-12-01 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:Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement. OBJECTIVE:To examine whether various nursing hours measures yield different mo...

journal_title：Medical care

authors： Park SH,Blegen MA,Spetz J,Chapman SA,De Groot HA

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:Trend analyses of opioid-related inpatient stays depend on the availability of comparable data over time. In October 2015, the US transitioned diagnosis coding from International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to ICD-10-CM, increasing from ∼14,000 to 68,000 codes...

journal_title：Medical care

authors： Heslin KC,Owens PL,Karaca Z,Barrett ML,Moore BJ,Elixhauser A

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:More than 70 million Americans are enrolled in a high-deductible health plan (HDHP), with high upfront cost-sharing to encourage strategies such as price shopping to mitigate out-of-pocket spending. Recent research suggests HDHP enrollees are reluctant to engage in these consumer strategies, but there is lit...

journal_title：Medical care

authors： Cliff BQ,Krenz C,West BT,Levy H,Fendrick AM,Winkelman TNA,So J,Fagerlin A,Kullgren JT

更新日期：2019-03-01 00:00:00

abstract：:The authors assess the factorial validity of the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) for use in a clinical sample of disadvantaged, older adults with significant comorbidities. Confirmatory factor analysis was performed using LISREL VIII on data obtained from baseline face-to-face interview...

journal_title：Medical care

authors： Wolinsky FD,Stump TE

更新日期：1996-06-01 00:00:00

abstract：:In 1979, MEDICAL CARE published a supplement that summarized and evaluated existing research on changes in health care patterns associated with mental health, alcoholism, and drug abuse treatment. This paper, limited to alcoholism treatment, reviews research that has been completed since the 1979 supplement. Considera...

journal_title：Medical care

authors： Holder HD

更新日期：1987-01-01 00:00:00

abstract：BACKGROUND:Indication bias is the major challenge in assessing treatment effectiveness in observational studies. We explored the potential advantages of using an instrumental variable approach in the context of primary androgen deprivation therapy (ADT) for prostate cancer. METHODS:We identified 31,930 men in the link...

journal_title：Medical care

authors： Kuo YF,Montie JE,Shahinian VB

更新日期：2012-05-01 00:00:00

abstract：:This article emphasizes the advantages and disadvantages of the National Center for Health Statistics Health Interview Surveys (HIS) when applied to the needs of ethnic minorities at the local level. While HIS gives information on health status of minorities and their use of services at the national level, this inform...

journal_title：Medical care

authors： Salber EJ,Beza AG

更新日期：1980-03-01 00:00:00