Preferences for current health and their association with outcomes in patients with kidney disease.

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 cohort of incident hemodialysis patients. METHODS:In 567 patients treated at 74 clinics, we measured patients' preferences by time trade-off on a 0-1 scale (1=willingness to sacrifice no life expectancy to achieve perfect health; 0=zero value of current health). Associations between these preferences and outcomes were examined with Poisson (hospitalization), logistic (progression of comorbidity and clinical performance), and Cox proportional hazards (mortality) models. RESULTS:The distribution of preference scores was skewed, with a mean of 0.69 and a median of 0.83. Highest (1.0) scores were associated with decreased incidence of hospitalization (incidence risk ratio=0.88, 95% confidence interval=0.80-0.97), relative to the lowest (<0.50) scores, a finding that was consistent across gender and race, with women and white subjects having greater decreases (Pinteraction<0.001). Higher preferences for current health also were associated with less worsening of comorbidity. Adjusted risks of death for patients with intermediate (>or=0.50-1.0) and the highest preference scores for current health were not different from those with lower scores. CONCLUSION:In patients with chronic kidney disease, a stronger preference for current health is associated with lower hospital admission rates and improved comorbidity but not better survival.

journal_name

Med Care

journal_title

Medical care

authors

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

doi

10.1097/01.mlr.0000250260.28692.9b

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

230-7

issue

3

eissn

0025-7079

issn

1537-1948

pii

00005650-200703000-00007

journal_volume

45

pub_type

杂志文章,多中心研究
  • Patient complexity and risk factor control among multimorbid patients with type 2 diabetes: results from the R2D2C2 study.

    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

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MLR.0b013e318273119b

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

    更新日期:2013-02-01 00:00:00

  • Psychiatric severity of illness. A case mix study.

    abstract::This study was undertaken to determine if a measure of severity of illness for psychiatric patients, the Psychiatric Severity of Illness Index, could produce psychiatric case mix groups that are more homogeneous with respect to resource use than the diagnosis-related groups (DRGs). Psychiatric Severity of Illness data...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198901000-00007

    authors: Horn SD,Chambers AF,Sharkey PD,Horn RA

    更新日期:1989-01-01 00:00:00

  • Net health plan savings from reference pricing for angiotensin-converting enzyme inhibitors in elderly British Columbia residents.

    abstract:BACKGROUND:Reference drug pricing (RP) is a cost-sharing strategy commonly used to control drug expenditures. Under RP, a benefit plan fully reimburses medications that are equally or less expensive than the reference price, and requires patients to pay the extra cost of therapeutically equivalent but higher priced dru...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000129497.10930.a2

    authors: Schneeweiss S,Dormuth C,Grootendorst P,Soumerai SB,Maclure M

    更新日期:2004-07-01 00:00:00

  • Case mix and outcomes of nursing home patients. The importance of prior nursing home care and admission from home versus hospital.

    abstract::The authors compared the personal characteristics, measures of functional status/case mix, and discharge outcomes of nursing home patients admitted to skilled nursing facilities (SNFs) in 1984 for the first time (first admissions) to those of patients with a prior history of nursing home care (readmissions). Compared ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198904000-00005

    authors: Lewis MA,Leake B,Clark V,Leal-Sotelo M

    更新日期:1989-04-01 00:00:00

  • Should Do-Not-Resuscitate status be included as a mortality risk adjustor? The impact of DNR variations on performance reporting.

    abstract:BACKGROUND:The practice of ordering "Do-Not-Resuscitate" (DNR) varies across hospitals. No research has explored how the DNR variation would affect cross-institutional performance reporting when DNR status is used as a risk adjustor. OBJECTIVE:We sought to assess the impact of DNR variation on performance reporting. ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000167106.09265.4e

    authors: Tabak YP,Johannes RS,Silber JH,Kurtz SG

    更新日期:2005-07-01 00:00:00

  • Veterans Health Administration patients' use of the private sector for coronary revascularization in New York: opportunities to improve outcomes by directing care to high-performance hospitals.

    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

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000215888.20004.5e

    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

  • Medicaid Health Home Reducing Costs and Reliance on Emergency Department: Evidence From Iowa.

    abstract:BACKGROUND:The Affordable Care Act allowed an optional Medicaid State Plan benefit for states to establish Health Homes coordinating care for people who have chronic conditions. Differences in medical home program incentives and implementation styles are important to understand in evaluating effects on key outcomes suc...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000555

    authors: Shane DM,Nguyen-Hoang P,Bentler SE,Damiano PC,Momany ET

    更新日期:2016-08-01 00:00:00

  • Changes in follow-up care for Medicare surgical patients under the prospective payment system.

    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

    pub_type: 杂志文章

    doi:10.1097/00005650-199303000-00005

    authors: Kominski GF,Biddle AK

    更新日期:1993-03-01 00:00:00

  • The use of VA and non-VA mental health services by female veterans.

    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

    pub_type: 杂志文章

    doi:10.1097/00005650-199811000-00002

    authors: Hoff RA,Rosenheck RA

    更新日期:1998-11-01 00:00:00

  • Explaining urban-rural health disparities in China.

    abstract:BACKGROUND:Given strict residency controls and geographic imbalances in health care resources, China may experience serious urban-rural health disparities. OBJECTIVES:To investigate urban-rural disparities in the patterns of health status and health care utilization in China and to examine the evolution of these dispa...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181adcc32

    authors: Fang H,Chen J,Rizzo JA

    更新日期:2009-12-01 00:00:00

  • Collaboration in Health Care and Social Service Networks for Older Adults: Association With Health Care Utilization Measures.

    abstract:BACKGROUND:Services targeting social determinants of health-such as income support, housing, and nutrition-have been shown to improve health outcomes and reduce health care costs for older adults. Nevertheless, evidence on the properties of effective collaborative networks across health care and social services sectors...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001097

    authors: Brewster AL,Yuan CT,Tan AX,Tangoren CG,Curry LA

    更新日期:2019-05-01 00:00:00

  • Preferences for colorectal cancer screening among racially/ethnically diverse primary care patients.

    abstract:BACKGROUND:Incorporating patients' preferences into colorectal cancer (CRC) screening recommendations has been identified as a potential mechanism for increasing adherence. This study used conjoint analysis to describe variation in CRC screening preferences among racially/ethnically diverse primary care patients. METH...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31817d932e

    authors: Hawley ST,Volk RJ,Krishnamurthy P,Jibaja-Weiss M,Vernon SW,Kneuper S

    更新日期:2008-09-01 00:00:00

  • Use of the SF-36v2 Health Survey as a Screen for Risk of Major Depressive Disorder in a US Population-based Sample and Subgroup With Chronic Pain.

    abstract:STUDY OBJECTIVES:To assess the feasibility of using the SF-36v2 mental health (MH) and mental component summary (MCS) scores for classification of risk for major depressive disorder (MDD), and to determine cut-off scores based on the sensitivity and specificity in a general US representative sample, and a chronic pain ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000617

    authors: Bell JA,daCosta DiBonaventura M,Witt EA,Ben-Joseph R,Reeve BB

    更新日期:2017-02-01 00:00:00

  • Health insurance coverage and the risk of decline in overall health and death among the near elderly, 1992-2002.

    abstract:BACKGROUND:Although individuals' health insurance coverage changes frequently, previous analyses have not accounted for changes in insurance coverage over time. OBJECTIVE:We sought to determine the independent association between lack of insurance and the risk of a decline in self-reported overall health and death fro...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000199696.41480.45

    authors: Baker DW,Sudano JJ,Durazo-Arvizu R,Feinglass J,Witt WP,Thompson J

    更新日期:2006-03-01 00:00:00

  • Physician attitudes and experience regarding the care of patients with acquired immunodeficiency syndrome (AIDS) and related disorders (ARC).

    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

    pub_type: 杂志文章

    doi:10.1097/00005650-198708000-00001

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

    更新日期:1987-08-01 00:00:00

  • Hospital efficiency measurement and evaluation. Empirical test of a new technique.

    abstract::A new technique for identifying inefficient hospitals, Data Envelopment Analysis (DEA), is field tested by application to a group of teaching hospitals. DEA is found to provide meaningful insights into the location and nature of hospital inefficiencies as judged by the opinion of a panel of hospital experts. DEA provi...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198410000-00005

    authors: Sherman HD

    更新日期:1984-10-01 00:00:00

  • Physician gender affects how physician nonverbal behavior is related to patient satisfaction.

    abstract:BACKGROUND:Physician and patient gender both influence medical communication. Nonverbal behavior is generally under-researched in the medical encounter but plays an important role for patient outcomes such as satisfaction. OBJECTIVE:This article aims at identifying how specific physician nonverbal behaviors predict an...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31817e1877

    authors: Mast MS,Hall JA,Köckner C,Choi E

    更新日期:2008-12-01 00:00:00

  • Continuity of medical care: its impact on physician utilization.

    abstract::Past research in continuity of medical care has generally examined its determinants or its consequences. A model is proposed which combines these lines of research and incorporates a continuity measure as a process and specifying variable. The validity of this model is tested with a set of data consisting of 1,410 per...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197910000-00004

    authors: Hennelly VD,Boxerman SB

    更新日期:1979-10-01 00:00:00

  • Portal Use Among Patients With Chronic Conditions: Patient-reported Care Experiences.

    abstract:BACKGROUND:Personal health records offer patients access to view their own health information and to manage their care online through secure patient portal tools. Little is known about the patient-reported experience in using health portals to manage chronic conditions. OBJECTIVE:In a patient-centered research study, ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001178

    authors: Reed ME,Huang J,Millman A,Graetz I,Hsu J,Brand R,Ballard DW,Grant R

    更新日期:2019-10-01 00:00:00

  • Satisfaction, gender, and communication in medical visits.

    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

    pub_type: 杂志文章

    doi:10.1097/00005650-199412000-00005

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

    更新日期:1994-12-01 00:00:00

  • Use of traditional Indian medicine among urban native Americans.

    abstract::The purpose of this paper is to provide a systematic explanation of the use of traditional medicine among the native American population living in the San Francisco Bay area. Several hypotheses concerning the factors associated with this behavior are tested. These include tribal grouping, socioeconomic and sociocultur...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197511000-00004

    authors: Fuchs M,Bashshur R

    更新日期:1975-11-01 00:00:00

  • Assessing the health of the nation. The predictive validity of a preference-based measure and self-rated health.

    abstract::Health-related quality-of-life (HRQOL) measures are becoming increasingly important for evaluating the effectiveness of medical interventions and assessing the health of populations. Preference-based instruments, a subset of HRQOL measures, allow comparisons of overall health status in populations and in clinical sett...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199602000-00008

    authors: Gold M,Franks P,Erickson P

    更新日期:1996-02-01 00:00:00

  • Short- and long-term residents of nursing homes.

    abstract::This article analyzes reported data on length of stay of discharged patients from the 1977 National Nursing Home Survey. Assuming that patients admitted to nursing homes are one of two types, short-stayers and long-stayers, the statistically best-fitting proportions and expected lengths of stay for the two types are d...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198103000-00011

    authors: Keeler EB,Kane RL,Solomon DH

    更新日期:1981-03-01 00:00:00

  • Reducing bias in the assessment of treatment effectiveness: androgen deprivation therapy for prostate cancer.

    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

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318245a086

    authors: Kuo YF,Montie JE,Shahinian VB

    更新日期:2012-05-01 00:00:00

  • Novel Health Information Technology to Aid Provider Recognition and Treatment of Major Depressive Disorder and Posttraumatic Stress Disorder in Primary Care.

    abstract:BACKGROUND:Millions of traumatized refugees worldwide have resettled in the United States. For one of the largest, the Cambodian community, having their mental health needs met has been a continuing challenge. A multicomponent health information technology screening tool was designed to aid provider recognition and tre...

    journal_title:Medical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MLR.0000000000001036

    authors: Sorkin DH,Rizzo S,Biegler K,Sim SE,Nicholas E,Chandler M,Ngo-Metzger Q,Paigne K,Nguyen DV,Mollica R

    更新日期:2019-06-01 00:00:00

  • Mapping the SF-12 to preference-based instruments: convergent validity in a low-income, minority population.

    abstract:BACKGROUND:The profile-based SF-12 has a low respondent burden and is used widely in clinical settings to monitor health and evaluate programs. Deriving preference scores for the SF-12 health profile would permit its use in cost-effectiveness analyses. Previous mapping studies of SF family instruments to preference-bas...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.MLR.0000093480.58308.D8

    authors: Franks P,Lubetkin EI,Gold MR,Tancredi DJ

    更新日期:2003-11-01 00:00:00

  • Generic and disease-specific measures in assessing health status and quality of life.

    abstract::Application of generic and specific measures of health status and quality of life to different diseases, conditions, states, and populations is increasing. Four strategies for using these measures are separate generic and specific measures, modified generic measures, disease-specific supplements, and batteries. The pr...

    journal_title:Medical care

    pub_type: 杂志文章,评审

    doi:10.1097/00005650-198903001-00018

    authors: Patrick DL,Deyo RA

    更新日期:1989-03-01 00:00:00

  • Service use at the end-of-life in Medicare advantage versus traditional Medicare.

    abstract:BACKGROUND:Relative to traditional fee-for-service Medicare, managed care plans caring for Medicare beneficiaries may be better positioned to promote recommended services and discourage burdensome procedures with little clinical value at the end of life. OBJECTIVE:To compare end-of-life service use for enrollees in Me...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182a50278

    authors: Stevenson DG,Ayanian JZ,Zaslavsky AM,Newhouse JP,Landon BE

    更新日期:2013-10-01 00:00:00

  • Reliability of clinical guideline development using mail-only versus in-person expert panels.

    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

    pub_type: 杂志文章

    doi:10.1097/01.MLR.0000100583.76137.3E

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

    更新日期:2003-12-01 00:00:00

  • The SF-36 Health Survey as a generic outcome measure in clinical trials of patients with osteoarthritis and rheumatoid arthritis: tests of data quality, scaling assumptions and score reliability.

    abstract:OBJECTIVE:To evaluate the psychometric assumptions underlying the construction and scoring of SF-36 scales and summary measures among clinical trial participants with arthritis. METHODS:Cross-sectional SF-36 data from the baseline assessment of adult patients (n = 1,016) participating in four placebo-controlled clinic...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199905001-00002

    authors: Kosinski M,Keller SD,Hatoum HT,Kong SX,Ware JE Jr

    更新日期:1999-05-01 00:00:00