Office visit copayments: patient knowledge, response, and communication with providers.

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：OBJECTIVE:Compare healthcare utilization and total payments for community-acquired pneumonia (CAP) episodes-of-care among 5 health plan designs spanning the continuum of managed care. RESEARCH DESIGN:Medical and prescription claims analysis of CAP episodes among enrollees of employer-sponsored health plans. Episode ch...

journal_title：Medical care

authors： Landsman PB,Smith DG,Fendrick AM

更新日期：2009-10-01 00:00:00

abstract：OBJECTIVES:Patient perceptions are increasingly used to measure quality of care in a diversity of health-care delivery settings. The goals of this article are to review the current use of patient perceptions and to review what is known about the sensitivity of patient perceptions for discerning variations in care acros...

journal_title：Medical care

authors： Rosenthal GE,Shannon SE

更新日期：1997-11-01 00:00:00

abstract：PURPOSE:Healthcare organizations have undergone major change efforts in the past decade. Sustained change is related to continued alignment among organizational participants and may fail with incongruent perceptions of change. This study identifies factors contributing to the alignment in perceptions of organizational ...

journal_title：Medical care

authors： Walston SL,Chou AF

更新日期：2006-09-01 00:00:00

abstract：:The goals of this study were to determine 1) the prevalence of exposure to intrafamilial violence among children attending a pediatric primary care clinic; 2) the prevalence of psychosocial distress among mothers bringing their children to the clinic; 3) the extent to which pediatricians are aware of family violence a...

journal_title：Medical care

authors： Wissow LS,Wilson ME,Roter D,Larson S,Berman HI

更新日期：1992-05-01 00:00:00

abstract：OBJECTIVE:Understanding provider perceptions of and experiences with order entry and order checks (drug alerts) in an electronic prescribing system may help improve medication safety technology. DESIGN:Cross-sectional, national survey of Veterans Administration physicians practicing in various specialties. MEASUREMEN...

journal_title：Medical care

authors： Spina JR,Glassman PA,Simon B,Lanto A,Lee M,Cunningham F,Good CB

更新日期：2011-10-01 00:00:00

abstract：:The Resource-Based Relative Value Scale (RBRVS) was developed by surveying panels of physicians from single specialties, then merging the specialty-specific results into a common work scale. The merging process involved two steps: 1) specification of links or equivalent services across specialties: and 2) use of links...

journal_title：Medical care

authors： Morton SC,Kominski GF,Kahan JP

更新日期：1994-01-01 00:00:00

abstract：BACKGROUND:Federal, state, and local governments provide substantial subsidies to so-called "safety-net" hospitals, in part, to offset the loss in revenue associated with providing a disproportionate share (DSH) of care to low-income and uninsured patients, with the goal to improve access to care for uninsured and ensu...

journal_title：Medical care

authors： Fonkych K,Melnick G

更新日期：2010-09-01 00:00:00

abstract：OBJECTIVES:Family members and other "carepartners" often play an important role in the care and support of patients during and after hospitalization, yet little is known about how they assess their hospital experience or the factors that may influence their perceptions. METHODS:A nationwide telephone survey of 1,800 r...

journal_title：Medical care

authors： vom Eigen KA,Walker JD,Edgman-Levitan S,Cleary PD,Delbanco TL

更新日期：1999-01-01 00:00:00

abstract：BACKGROUND:Continuity of nursing care in hospitals remains poor and not prioritized, and we do not know whether discontinuous nursing care is negatively impacting patient outcomes. OBJECTIVES:This study aims to examine nursing care discontinuity and its effect on patient clinical condition over the course of acute hos...

journal_title：Medical care

authors： Yakusheva O,Costa DK,Weiss M

更新日期：2017-04-01 00:00:00

abstract：BACKGROUND:The United States has a culturally and demographically diverse populace, and the aim of this study was to examine differences in health preferences by sex, age, ethnicity, and race. METHODS:We assessed preferences for health outcomes defined by the PROMIS-29 survey in a sample of the US population. On the b...

journal_title：Medical care

authors： Craig BM,Reeve BB,Cella D,Hays RD,Pickard AS,Revicki DA

更新日期：2014-04-01 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：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:Many state Medicaid programs use prior authorization programs to limit spending on cyclooxygenase-2 selective nonsteroidal anti-inflammatory drugs (coxibs). However, the evidence base for the prior authorization criteria has not been examined previously. METHODS:We determined whether prior authorization was...

journal_title：Medical care

authors： Fischer MA,Cheng H,Schneeweiss S,Avorn J,Solomon DH

更新日期：2006-07-01 00:00:00

abstract：BACKGROUND:There is growing attention given to the spiritual needs of dying patients and long-term care (LTC) facilities are common settings in which patients receive care as they approach death. OBJECTIVES:To describe the sources of support, the structure and processes of spiritual care in LTC, and examine the relati...

journal_title：Medical care

authors： Daaleman TP,Williams CS,Hamilton VL,Zimmerman S

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:Previous studies relating the incidence of negligent medical care to malpractice lawsuits in the United States may not be generalizable. These studies are based on data from 2 of the most populous states (California and New York), collected more than a decade ago, during volatile periods in the history of ma...

journal_title：Medical care

authors： Studdert DM,Thomas EJ,Burstin HR,Zbar BI,Orav EJ,Brennan TA

更新日期：2000-03-01 00:00:00

abstract：OBJECTIVE:To compare primary care and traditional Internal Medicine residents in their adherence to preventive medicine guidelines, performance in the management of chronic diseases, and utilization of resources. DESIGN:Prospective cohort study. SETTING:Urban Internal Medicine residency program. PARTICIPANTS:Sixteen...

journal_title：Medical care

authors： Wong MD,Hollenberg JP,Charlson ME

更新日期：1999-08-01 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：OBJECTIVE:To examine variation in culture change to a person-centered care (PCC) model, and the association between culture change and a composite measure of quality in 107 Department of Veterans Affairs nursing homes. METHODS:We examined the relationship between a composite quality measure calculated from 24 quality ...

journal_title：Medical care

authors： Sullivan JL,Shwartz M,Burgess JF Jr,Peköz EA,Christiansen CL,Gerena-Melia M,Berlowitz D

更新日期：2013-02-01 00:00:00

abstract：:This is a report on the extension of the concept of the appropriateness of a procedure to the necessity, or crucial importance, of that procedure. To state that a procedure is crucial means that withholding the procedure would be deleterious to the patient's health. Appropriateness and necessity ratings for six proced...

journal_title：Medical care

authors： Kahan JP,Bernstein SJ,Leape LL,Hilborne LH,Park RE,Parker L,Kamberg CJ,Brook RH

更新日期：1994-04-01 00:00:00

abstract：:Of the key federal programs that finance in-home services to the elderly, the Medicare program represents the largest and fastest growing. Although Medicare is a federal program, utilization and expenditures for home care vary widely across the states. Building on the work of Feldstein, Scanlon, and others, theory and...

journal_title：Medical care

authors： Benjamin AE

更新日期：1986-06-01 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：:In this article, we compared hospital efficiency using a multiple input-output approach in two ways: one way used a straightforward count of inpatient days and outpatient services as outputs; and the second used a case mix-adjusted count of inpatient services and outpatient care as outputs. Our results show that there...

journal_title：Medical care

authors： Grosskopf S,Valdmanis V

更新日期：1993-06-01 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：BACKGROUND:By shifting a greater share of out-of-pocket medical costs to consumers, high-deductible health plans (HDHP) might discourage use of essential outpatient services. OBJECTIVE:The objective of the study was to examine the impact of an HDHP on outpatient visits and associated laboratory and radiology tests. R...

journal_title：Medical care

authors： Reddy SR,Ross-Degnan D,Zaslavsky AM,Soumerai SB,Wharam JF

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:With the increasing use of colonoscopy there is growing concern about the quality of these procedures. OBJECTIVE:To evaluate the rates of complete colonic evaluation after an incomplete colonoscopy and their associated factors. METHODS:Men and women > or =50 years old living in Ontario on January 1, 1997 w...

journal_title：Medical care

authors： Rizek R,Paszat LF,Stukel TA,Saskin R,Li C,Rabeneck L

更新日期：2009-01-01 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：OBJECTIVES:An important factor contributing to the steep rise in health care costs in the late 1960s was a reversal from the predominance of acute illness to that of chronic disease. Beginning with the philosophy of Illich and Levin, and the practical instruments of Fries, Sehnert, Vickery, and Ferguson, a new movement...

journal_title：Medical care

authors： Shoor S,Lorig KR

更新日期：2002-04-01 00:00:00

abstract：:The human immunodeficiency virus (HIV) epidemic and the prevalence of HIV-positive persons in the population has provoked marked anxiety among hospital staffs of acquiring nosocomially transmitted HIV infections. A national telephone survey of key staff in a sample of 561 acute-care hospitals was undertaken to describ...

journal_title：Medical care

authors： Freeman HE

更新日期：1991-02-01 00:00:00

abstract：BACKGROUND:Several quality assessment systems use administrative data to identify postoperative complications, with uncertain validity. OBJECTIVES:To determine how accurately postoperative complications are reported in administrative data, whether accuracy varies systematically across hospitals, and whether serious co...

journal_title：Medical care

authors： Romano PS,Chan BK,Schembri ME,Rainwater JA

更新日期：2002-10-01 00:00:00