Do the AHRQ patient safety indicators flag conditions that are present at the time of hospital admission?

abstract：:This study examines practice mobility among young physicians, based on a large nationwide 1987 survey of physicians under age 40 years and in their second through fifth years of practice. Averaged across all physicians, there is a 10% to 12% chance of changing practices for each of the first 3 years, and about one in ...

journal_title：Medical care

authors： Willke RJ

更新日期：1991-10-01 00:00:00

abstract：BACKGROUND:Although there are several studies of the human and system factors that influence the outcomes of cardiac surgery, it remains difficult to draw conclusions because many do not simultaneously adjust for the characteristics of patients, physicians, and institutions. The current study explores the associations ...

journal_title：Medical care

authors： Norcini JJ,Boulet JR,Opalek A,Dauphinee WD

更新日期：2013-12-01 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：OBJECTIVES:The effectiveness of case-managed residential care (CMRC) in reducing substance abuse, increasing employment, decreasing homelessness, and improving health was examined. METHODS:A five-year prospective experiment included 358 homeless addicted male veterans 3, 6, and 9 months during their enrollment and at ...

journal_title：Medical care

authors： Conrad KJ,Hultman CI,Pope AR,Lyons JS,Baxter WC,Daghestani AN,Lisiecki JP Jr,Elbaum PL,McCarthy M Jr,Manheim LM

更新日期：1998-01-01 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：OBJECTIVES:Adverse outcome rates are increasingly used as yardsticks for the quality of hospital care. However, the validity of many outcome studies has been undermined by the application of one outcome to all patients in large, diagnostically diverse populations, many of which lack evidence of a link between anteceden...

journal_title：Medical care

authors： Wray NP,Peterson NJ,Souchek J,Ashton CM,Hollingsworth JC

更新日期：1997-08-01 00:00:00

abstract：:This article reports on a study of the labor efficiency of 461 nursing homes located in Pennsylvania. Data envelopment analysis was used to estimate efficiency scores. Tobit equations were estimated for the entire sample and for subsamples consisting of for-profit (FP) and not-for-profit (NFP) nursing homes. The autho...

journal_title：Medical care

authors： Rosko MD,Chilingerian JA,Zinn JS,Aaronson WE

更新日期：1995-10-01 00:00:00

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

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

更新日期：2006-03-01 00:00:00

abstract：BACKGROUND:Medicare's Nonpayment Program of 2008 (hereafter called Program) withholds hospital reimbursement for costs related to hospital-acquired conditions (HACs). Little is known whether a hospital's Medicare patient load [quantified by the hospital's Medicare utilization ratio (MUR), which is the proportion of inp...

journal_title：Medical care

authors： Thirukumaran CP,Glance LG,Temkin-Greener H,Rosenthal MB,Li Y

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND:Monitoring mental health treatment outcomes for populations requires an understanding as to which patient information is needed in electronic format and is feasible to obtain in routine care. OBJECTIVE:To examine whether bipolar disorder outcomes can be accurately predicted and how much clinical detail is n...

journal_title：Medical care

authors： Busch AB,Neelon B,Zelevinsky K,He Y,Normand SL

更新日期：2012-04-01 00:00:00

abstract：BACKGROUND:Although studies have shown that a high rate of uninsurance in a community reduces access to and satisfaction with health care among the insured population, little is known about whether the community uninsurance rate also affects quality of care and clinical outcomes among the insured. OBJECTIVE:To assess ...

journal_title：Medical care

authors： Escarce JJ,Edgington SE,Roan Gresenz C

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Functional limitations of persons living with HIV affect their care needs and ability to perform social roles such as employment. Earlier estimates are outdated, and nationally representative estimates of prevalence and distribution of these limitations have not previously been available. OBJECTIVES:The obj...

journal_title：Medical care

authors： Crystal S,Fleishman JA,Hays RD,Shapiro MF,Bozzette SA

更新日期：2000-12-01 00:00:00

abstract：BACKGROUND:Research on frequent emergency department (ED) use shows that a subgroup of patients visits multiple EDs. This study characterizes these individuals. OBJECTIVE:The objective of this study was to determine how many frequent ED users seek care at multiple EDs and to identify sociodemographic, clinical, and co...

journal_title：Medical care

authors： Giannouchos TV,Washburn DJ,Kum HC,Sage WM,Ohsfeldt RL

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Variance reduction is sometimes considered as a goal of clinical quality improvement. Variance among physicians, hospitals, or health plans has been evaluated as the proportion of total variance (or intraclass correlation, ICC) in a quality measure; low ICCs have been interpreted to indicate low potential fo...

journal_title：Medical care

authors： Selby JV,Schmittdiel JA,Lee J,Fung V,Thomas S,Smider N,Crosson FJ,Hsu J,Fireman B

更新日期：2010-02-01 00:00:00

abstract：:Each physician's ability to treat disease is limited by his/her ability to discriminate among patients on the basis of risk. The relationship of physician expectation of outcome (prognosis) to actual outcome and to cost were determined for 1,757 patients seeking primary care. Outcome was measured by a seven-level func...

journal_title：Medical care

authors： Wright DD,Kane RL

更新日期：1982-02-01 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

abstract：:This study, based on household interviews of employed individuals and their families, examines the effects of type of health insurance program and various sociodemographic factors on patterns of use of preventive medical services. A major concern of the paper is to explore the issue of whether participants in prepaid ...

journal_title：Medical care

authors： Slesinger DP,Tessler RC,Mechanic D

更新日期：1976-05-01 00:00:00

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

authors： Hennelly VD,Boxerman SB

更新日期：1979-10-01 00:00:00

abstract：BACKGROUND:The 2016 President's Cancer Panel Connected Health report calls for thoroughly characterizing the team structures and processes involved in coordinating care for people with chronic conditions. We developed a multilevel care coordination framework by integrating existing frameworks from the teams and care co...

journal_title：Medical care

authors： Weaver SJ,Che XX,Petersen LA,Hysong SJ

更新日期：2018-03-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to compare poisoning mortality rates of states served by a poison control center certified by the American Association of Poison Control Centers (AAPCC) to those that are not served by a certified center because health policy has been based on certification status. METHODS:Poiso...

journal_title：Medical care

authors： Chyka PA,Somes GW

更新日期：2001-07-01 00:00:00

abstract：:A factorial design randomized controlled trial to test several clinically feasible strategies primary-care practitioners may use in routine practice to increase patient participation in occult blood testing for colorectal cancer is reported. Three compliance-enhancing intervention strategies (physician/nurse talk, and...

journal_title：Medical care

authors： Thompson RS,Michnich ME,Gray J,Friedlander L,Gilson B

更新日期：1986-10-01 00:00:00

abstract：BACKGROUND:Copayments (copays) for prescription drugs are a common policy among state Medicaid programs. Research exploring the effects of copays on pharmacy and health care utilization in Medicaid patients is limited, especially among patients with chronic disease. OBJECTIVES:The goal of this research was to quantify...

journal_title：Medical care

authors： Hartung DM,Carlson MJ,Kraemer DF,Haxby DG,Ketchum KL,Greenlick MR

更新日期：2008-06-01 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：BACKGROUND:Although the life expectancy for the US population has increased, a high proportion of this population has lived with ≥1 chronic conditions. We have quantified the burden of disease associated with 15 chronic conditions and combinations of conditions by estimating quality-adjusted life years (QALYs) for olde...

journal_title：Medical care

authors： Jia H,Lubetkin EI,Barile JP,Horner-Johnson W,DeMichele K,Stark DS,Zack MM,Thompson WW

更新日期：2018-08-01 00:00:00

abstract：:Physician integration strategies are attempts to bring physicians into hospital administration by giving them a role on the hospital board, employing them in administrative or clinical capacities, or expanding the administration issues dealt with by medical staff committees. This study used a production function model...

journal_title：Medical care

authors： Morrisey MA,Alexander JA,Ohsfeldt RL

更新日期：1990-07-01 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：:It is well-documented that ratings of medical care received personally (personal referent) yield more favorable responses than ratings of care received by people in general (general referent). Hence general items are useful in achieving greater variation in responses to satisfaction surveys. However, the validity of g...

journal_title：Medical care

authors： Hays RD,Ware JE Jr

更新日期：1986-06-01 00:00:00

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

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

更新日期：1999-05-01 00:00:00

abstract：OBJECTIVES:Various individual characteristics increase a nursing home resident's likelihood of being mechanically restrained. However, there is not good information on the role played by facility characteristics and geographic area in determining the likelihood of physical restraint use. This study investigates the imp...

journal_title：Medical care

authors： Phillips CD,Hawes C,Mor V,Fries BE,Morris JN,Nennstiel ME

更新日期：1996-11-01 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