The impact of a change in Medicare reimbursement policy and HEDIS measures on stage at diagnosis among Medicare HMO and fee-for-service female breast cancer patients.

abstract：BACKGROUND:Quality improvement organizations (QIOs) are contracted to improve the quality of care delivered to Medicare beneficiaries. The purpose of this study was to determine whether provider participation in New York State QIO activities resulted in significant improvements in the quality of diabetes care during th...

journal_title：Medical care

authors： Wu WY,Chen JJ,Shih A

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:Medicare and private plans are encouraging individuals to seek care at hospitals that are designated as centers of excellence. Few evaluations of such programs have been conducted. This study examines a large national initiative that designated hospitals as centers of excellence for knee and hip replacement....

journal_title：Medical care

authors： Mehrotra A,Sloss EM,Hussey PS,Adams JL,Lovejoy S,Soohoo NF

更新日期：2013-01-01 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, trends in hospital use were identified in Japanese cities. Data for all inpatient care in May 1985 (9,555 patients) and in May 1988 (11,205 patients) paid for by National Health Insurance in 12 cities in Osaka Prefecture were analyzed. The main factor affecting differences in inpatient days per insured ...

journal_title：Medical care

authors： Tatara K,Shinsho F,Nishigaki C,Takatorige T,Okamoto E,Kuroda K

更新日期：1993-04-01 00:00:00

abstract：BACKGROUND:Information is limited regarding the effects of processes of care on cardiac surgical outcomes. Correspondingly, many recommended cardiac surgical processes of care are derived from animal experiments or clinical judgment. This report from the VA Cooperative Study in Health Services, "Processes, Structures, ...

journal_title：Medical care

authors： O'Brien MM,Shroyer AL,Moritz TE,London MJ,Grunwald GK,Villanueva CB,Thottapurathu LG,MaWhinney S,Marshall G,McCarthy M Jr,Henderson WG,Sethi GK,Grover FL,Hammermeister KE,VA Cooperative Study Group on Processes, Structures, a

更新日期：2004-01-01 00:00:00

abstract：OBJECTIVE:To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS:We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,...

journal_title：Medical care

authors： Liu CF,Manning WG,Burgess JF Jr,Hebert PL,Bryson CL,Fortney J,Perkins M,Sharp ND,Maciejewski ML

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Teamwork in health care settings is widely recognized as an important factor in providing high-quality patient care. However, the behaviors that comprise effective teamwork, the organizational factors that support teamwork, and the relationship between teamwork and patient outcomes remain empirical questions...

journal_title：Medical care

authors： Valentine MA,Nembhard IM,Edmondson AC

更新日期：2015-04-01 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：:Effective physician involvement in quality assurance in hospitals is necessary both to identify problems in patient care and to bring about problem resolution. This report describes a controlled, longitudinal study designed to measure effects on physician performance of involving physicians in setting medical audit cr...

journal_title：Medical care

authors： Sommers LS,Sholtz R,Shepherd RM,Starkweather DB

更新日期：1984-12-01 00:00:00

abstract：:To study associations between payer and provision of services for patients hospitalized for coronary atherosclerosis, the authors analyzed abstracts of 24,424 discharges from California acute care hospitals during 1989. Services examined included receipt of coronary artery bypass surgery, percutaneous transluminal cor...

journal_title：Medical care

authors： Kuykendall DH,Johnson ML,Geraci JM

更新日期：1995-07-01 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：BACKGROUND:Hospitalizations are costly for health insurers and society. OBJECTIVES:To develop and validate a predictive model for acute care hospitalization from administrative claims for a population including all age groups. RESEARCH DESIGN:We constructed a retrospective cohort study using a US health plan claims d...

journal_title：Medical care

authors： Lemke KW,Weiner JP,Clark JM

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES:To assess the impact of a state policy implemented in June 2010 that required prospect...

journal_title：Medical care

authors： Graves JM,Fulton-Kehoe D,Jarvik JG,Franklin GM

更新日期：2018-06-01 00:00:00

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：OBJECTIVE:To compare mental health service utilization and its associated factors between African Americans and whites in the 1980s and 1990s. DESIGN:Household-based longitudinal study with baseline interviews in 1981 and follow-up interviews from 1993 to 1996. SETTING:The Baltimore Epidemiologic Catchment Area (ECA)...

journal_title：Medical care

authors： Cooper-Patrick L,Gallo JJ,Powe NR,Steinwachs DM,Eaton WW,Ford DE

更新日期：1999-10-01 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:There has been considerable debate in recent years about whether, and how, to risk-adjust quality measures for sociodemographic characteristics. However, geographic location, especially rurality, has been largely absent from the discussion. OBJECTIVE:To examine differences by rurality in quality outcomes, a...

journal_title：Medical care

authors： Henning-Smith C,Kozhimannil K,Casey M,Prasad S,Moscovice I

更新日期：2017-09-01 00:00:00

abstract：OBJECTIVES:This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies, and more useful info...

journal_title：Medical care

authors： Curran GM,Bauer M,Mittman B,Pyne JM,Stetler C

更新日期：2012-03-01 00:00:00

abstract：:Every year since 1984, Congress has expanded Medicaid to cover an increasing proportion of low-income children. In this study, a multivariate analysis of data from the 1987 National Medical Expenditure Survey was used to determine whether expanded Medicaid eligibility is likely to be effective in encouraging recommend...

journal_title：Medical care

authors： Short PF,Lefkowitz DC

更新日期：1992-09-01 00:00:00

abstract：BACKGROUND:Barriers to colorectal cancer (CRC) screening are not well understood. OBJECTIVES:We sought to compare barriers to CRC screening reported by primary care physicians (PCPs) and by average-risk adults, and to examine characteristics of average-risk adults who identified lack of provider recommendation as a ma...

journal_title：Medical care

authors： Klabunde CN,Vernon SW,Nadel MR,Breen N,Seeff LC,Brown ML

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:Collaborative Chronic Care Models represent an evidence-based way to structure care for chronic conditions, including mental health conditions. Few studies, however, have examined the cost implications of collaborative care for mental health. OBJECTIVE:We aimed to conduct an economic analysis of implementin...

journal_title：Medical care

authors： Miller CJ,Griffith KN,Stolzmann K,Kim B,Connolly SL,Bauer MS

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:As clinical data are increasingly collected and stored electronically, their potential use for comparative effectiveness research (CER) grows. Despite this promise, challenges face those wishing to leverage such data. In this paper we aim to enumerate some of the knowledge management and informatics issues c...

journal_title：Medical care

authors： Embi PJ,Hebert C,Gordillo G,Kelleher K,Payne PR

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:Evidence that medical error is a systemic problem requiring systemic solutions continues to expand. Developing a "safety culture" is one potential strategy toward improving patient safety. A reliable and valid self-report measure of safety culture is needed that is both grounded in concrete behaviors and is ...

journal_title：Medical care

authors： Vogus TJ,Sutcliffe KM

更新日期：2007-01-01 00:00:00

abstract：:This prospective study was conducted to determine the influence of primary care patients' health perceptions on their utilization of health care services. Patients' health perceptions were measured using the RAND Corporation's General Health Perceptions Questionnaire. Physicians provided scores of how they thought the...

journal_title：Medical care

authors： Connelly JE,Philbrick JT,Smith GR Jr,Kaiser DL,Wymer A

更新日期：1989-03-01 00:00:00

abstract：:Health insurance plans are evaluated here in terms of ability to guarantee financial access to a set of basic fertility-related health services. Extent of coverage is determined by whether a service is a contract benefit, its market cost, and how often it is used in a given population in one year. Comprehensive covera...

journal_title：Medical care

authors： Muller C,Krasner M,Jaffe FS

更新日期：1975-01-01 00:00:00

abstract：:Even with the passage of state safety belt laws, primary care physicians can contribute to their patients' safety by brief interventions. The present study explores the prevalence of such action with adult patients and tests the power of constructs taken from social learning theory to explain physicians' behavior. The...

journal_title：Medical care

authors： Mullen PD,Gottlieb NH,Biddle AK,McCuan RA,McAlister AL

更新日期：1988-04-01 00:00:00

abstract：OBJECTIVES:Most tests of the practice-makes-perfect hypothesis have used cross-sectional data, which reveal that patients receiving surgery in high-volume hospitals tend to experience better postsurgery outcomes. This study uses longitudinal data to explicitly examine whether any given hospital's patient outcomes chang...

journal_title：Medical care

authors： Hamilton BH,Ho V

更新日期：1998-06-01 00:00:00

abstract：BACKGROUND:Young men who have sex with men (YMSM) have the highest rates of human immunodeficiency virus (HIV) infection in the United States. Decades into the HIV epidemic, the relationships that YMSM-serving health and social organizations have with one another has not been studied in depth. OBJECTIVES:The aim of th...

journal_title：Medical care

authors： Fujimoto K,Wang P,Kuhns LM,Ross MW,Williams ML,Garofalo R,Klovdahl AS,Laumann EO,Schneider JA

更新日期：2017-02-01 00:00:00

abstract：OBJECTIVE:To examine the association between registered nurse (RN) staffing and patient outcomes in acute care hospitals. STUDY SELECTION:Twenty-eight studies reported adjusted odds ratios of patient outcomes in categories of RN-to-patient ratio, and met inclusion criteria. Information was abstracted using a standardi...

journal_title：Medical care

authors： Kane RL,Shamliyan TA,Mueller C,Duval S,Wilt TJ

更新日期：2007-12-01 00:00:00

abstract：:Because of the rapid changes that have occurred in the dental profession, the Dentist Satisfaction Survey (DSS) was developed to assess both facet and overall job satisfaction among dentists. The DSS was administered to a sample of 558 California general dentists. The results suggest that the DSS is a practical, relia...

journal_title：Medical care

authors： Shugars DA,Hays RD,DiMatteo MR,Cretin S

更新日期：1991-08-01 00:00:00