Identification of hospital-acquired catheter-associated urinary tract infections from Medicare claims: sensitivity and positive predictive value.

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：OBJECTIVES:This study investigates the use of data from automated systems within a large managed care plan to create indicators of clinical quality. METHODS:Measures from the first year of Health Plan Employer Data and Information Set, HEDIS 2.0, are used to compare chart review and automated analysis methodologies. T...

journal_title：Medical care

authors： Dresser MV,Feingold L,Rosenkranz SL,Coltin KL

更新日期：1997-06-01 00:00:00

abstract：BACKGROUND:In the setting of declining U.S. literacy, new policies include use of clear communication and low-literacy accessibility practices with all patients. Reliable methods for adapting health information to meet such criteria remain a pressing need. OBJECTIVES:To report method validation (study 1) and method re...

journal_title：Medical care

authors： Hill-Briggs F,Schumann KP,Dike O

更新日期：2012-04-01 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:Studies have documented that patients of female physicians receive higher levels of preventive services. However, most studies include patients of only one gender, examine mainly gender-specific screening services, and do not examine patient education and counseling. OBJECTIVES:This study tests both physici...

journal_title：Medical care

authors： Henderson JT,Weisman CS

更新日期：2001-12-01 00:00:00

abstract：:There has been controversy about whether confounding by indication for treatment--that is, owing to physicians' conscious efforts to base treatment decisions on patients' pretreatment prognoses--makes nonrandomized, observational comparisons of treatments invalid. Some now believe evidence from studies of practice var...

journal_title：Medical care

authors： Poses RM,Smith WR,McClish DK,Anthony M

更新日期：1995-04-01 00:00:00

abstract：BACKGROUND:The association between volume of patients treated and quality of care has important implications for patient referral policies and approaches to quality improvement. Most studies have focused on hospital volume alone and health outcomes. OBJECTIVES:The objective of this work was to examine the association ...

journal_title：Medical care

authors： Willison DJ,Soumerai SB,Palmer RH

更新日期：2000-11-01 00:00:00

abstract：BACKGROUND:Breast cancer missed on diagnostic mammography may contribute to delayed diagnoses, whereas false-positive results may lead to unnecessary invasive procedures. Whether accuracy of diagnostic mammography at facilities serving vulnerable women differs from other facilities is unknown. OBJECTIVE:To compare the...

journal_title：Medical care

authors： Goldman LE,Walker R,Miglioretti DL,Smith-Bindman R,Kerlikowske K,National Cancer Institute Breast Cancer Surveillance Consortium.

更新日期：2011-01-01 00:00:00

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：: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

abstract：BACKGROUND:The relationship between health status and Hispanic ethnicities, language, and nativity is poorly understood, due to the limitations and conflicting findings of previous studies. OBJECTIVES:To examine the effects of language and nativity on health status in Hispanic ethnic subgroups and non-Hispanic whites ...

journal_title：Medical care

authors： Jerant A,Arellanes R,Franks P

更新日期：2008-07-01 00:00:00

abstract：BACKGROUND:When suffering becomes unbearable for patients they might request for euthanasia. OBJECTIVE:To study which patients request for euthanasia and which requests actually resulted in euthanasia in relation with diagnosis, care setting at the end of life, and patient demographics. DESIGN:A cross-sectional study...

journal_title：Medical care

authors： Onwuteaka-Philipsen BD,Rurup ML,Pasman HR,van der Heide A

更新日期：2010-07-01 00:00:00

abstract：BACKGROUND:Performance measurement at the provider group level is increasingly advocated, but different methods for selecting patients when calculating provider group performance have received little evaluation. OBJECTIVE:We compared 2 currently used methods according to characteristics of the patients selected and im...

journal_title：Medical care

authors： Thorpe CT,Flood GE,Kraft SA,Everett CM,Smith MA

更新日期：2011-08-01 00:00:00

abstract：BACKGROUND:Estimating influenza vaccine effectiveness using an unvaccinated comparison group may result in biased effect estimates. OBJECTIVES:To explore the reduction of confounding bias in an active comparison of high-dose versus standard-dose influenza vaccines, as compared with vaccinated versus unvaccinated compa...

journal_title：Medical care

authors： Butler AM,Layton JB,Krueger WS,Kshirsagar AV,McGrath LJ

更新日期：2019-01-01 00:00:00

abstract：OBJECTIVES:To study the reported medical practice of euthanasia in Belgium since implementation of the euthanasia law. RESEARCH DESIGN:Analysis of the anonymous database of all euthanasia cases reported to the Federal Control and Evaluation Committee Euthanasia. SUBJECTS:All euthanasia cases reported by physicians fo...

journal_title：Medical care

authors： Smets T,Bilsen J,Cohen J,Rurup ML,Deliens L

更新日期：2010-02-01 00:00:00

abstract：BACKGROUND:Without advanced preparation of legal documents, state law determines who may serve as a surrogate decision maker for patients in hospitals. OBJECTIVES:To examine the relationship characteristics associated with traditional versus nontraditional health care surrogates who are making medical decisions for pa...

journal_title：Medical care

authors： Comer AR,Slaven JE,Montz A,Burke E,Inger L,Torke A

更新日期：2018-04-01 00:00:00

abstract：:Many health care system, including that of the Department of Veterans Affairs (VA), are facing dramatic changes as they adapt to state-level reform legislation and move into managed care environments. As new costing systems are designed and as researchers seek to conduct cost-effectiveness studies to guide health poli...

journal_title：Medical care

authors： Swindle RW Jr,Beattie MC,Barnett PG

更新日期：1996-03-01 00:00:00

abstract：BACKGROUND:Travel time, an access barrier, may contribute to attrition of women veterans from Veterans Health Administration (VHA) care. OBJECTIVE:We examined whether travel time influences attrition: (a) among women veterans overall, (b) among new versus established patients, and (c) among rural versus urban patients...

journal_title：Medical care

authors： Friedman SA,Frayne SM,Berg E,Hamilton AB,Washington DL,Saechao F,Maisel NC,Lin JY,Hoggatt KJ,Phibbs CS

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVES:The Manitoba Centre for Health Policy and Evaluation (MCHPE) collaborated with a provincially-appointed Physician Resource Committee in an assessment of provincial physician resources. RESEARCH DESIGN:Beginning with map-based analyses of physician supply and contacts across the province, compared with the h...

journal_title：Medical care

authors： Roos NP,Fransoo R,Bogdanovic B,Carriere KC,Frohlich N,Friesen D,Patton D,Wall R

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:Safety-net and teaching hospitals are somewhat more likely to be penalized for excess readmissions, but the association of other hospital characteristics with readmission rates is uncertain and may have relevance for hospital-centered interventions. OBJECTIVE:To examine the independent association of 8 hosp...

journal_title：Medical care

authors： Horwitz LI,Bernheim SM,Ross JS,Herrin J,Grady JN,Krumholz HM,Drye EE,Lin Z

更新日期：2017-05-01 00:00:00

abstract：:A process was developed to encourage individuals to take more responsibility for their health by using a client-held health record. The motivation for the record, called a Personal Life Health Plan (PLHP), stems from the fact that the majority of ills which afflict an individual can be abated by behavior changes. The ...

journal_title：Medical care

authors： Giglio R,Spears B,Rumpf D,Eddy N

更新日期：1978-09-01 00:00:00

abstract：OBJECTIVES:Veterans Health Administration encourages auricular acupuncture (Battlefield Acupuncture/BFA) as a nonpharmacologic approach to pain management. Qualitative reports highlighted a "gateway hypothesis": providing BFA can lead to additional nonpharmacologic treatments. This analysis examines subsequent use of t...

journal_title：Medical care

authors： Thomas ER,Zeliadt SB,Coggeshall S,Gelman H,Resnick A,Giannitrapani K,Olson J,Kligler B,Taylor SL

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:Continuity of the relationship between patients and primary care providers (PCPs) is an important component of care from the consumer perspective that may be affected by variation in cost containment strategies within managed care. OBJECTIVE:To evaluate the effects of cost containment strategies on the cont...

journal_title：Medical care

authors： Meredith LS,Sturm R,Camp P,Wells KB

更新日期：2001-10-01 00:00:00

abstract：:Queues arise in medical care and serve as allocators in the absence of an effective market and when resources become perceptibly constrained. This is essentially the case in all countries where money is not the means for gaining access to medical services. A study estimated that the total wait in England was 96 days f...

journal_title：Medical care

authors： Bloom BS,Fendrick AM

更新日期：1987-02-01 00:00:00

abstract：BACKGROUND:The major fault with existing reimbursement systems lies in their failure to discriminate for the effectiveness of stay, both when paying per day and when paying per episode of treatment. OBJECTIVES:We sought to define an average length of effective stay and recovery trends by impairment category, to design...

journal_title：Medical care

authors： Saitto C,Marino C,Fusco D,Arcà M,Perucci CA,Prospective Payment in Rehabilitation Collaborative Group.

更新日期：2005-09-01 00:00:00

abstract：OBJECTIVES:We sought to assess the responses of providers to recommendations generated by a computer-management system for chronic heart failure (CHF). METHODS:This study is an analysis of primary care providers' responses to evidence-based computer-generated suggestions regarding patients with CHF at one center of a ...

journal_title：Medical care

authors： Keeffe B,Subramanian U,Tierney WM,Udris E,Willems J,McDonell M,Fihn SD

更新日期：2005-05-01 00:00:00

abstract：BACKGROUND:Cost-utility analyses using formulas to convert depression-free days (DFDs) to utility-weighted scores are increasingly common. These formulas are based on linear extrapolation of data documenting the correlation between depression symptom severity and generic health-related quality of life. OBJECTIVE:We so...

journal_title：Medical care

authors： Pyne JM,Tripathi S,Williams DK,Fortney J

更新日期：2007-04-01 00:00:00

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

authors： Gold M,Franks P,Erickson P

更新日期：1996-02-01 00:00:00

abstract：:There have been recent increases in asthma prevalence, morbidity, and mortality in the United States. There is substantial evidence that problems in health care delivery may be contributing to these recent trends. Because of these recent changes, a reduction in asthma-related morbidity has been identified as a new nat...

journal_title：Medical care

authors： Weiss KB,Budetti P

更新日期：1993-03-01 00:00:00

abstract：BACKGROUND:Applying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden. OBJECTIVES:To describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH DESIGN:Cross-sectional and longitudina...

journal_title：Medical care

authors： Boyd CM,Wolff JL,Giovannetti E,Reider L,Weiss C,Xue QL,Leff B,Boult C,Hughes T,Rand C

更新日期：2014-03-01 00:00:00