Differences in rates of cancer screening by usual source of medical care. Data from the 1987 National Health Interview Survey.

Abstract:

:Data from the Cancer Control Supplement of the 1987 Health Interview Survey (NHIS), a nationally representative sample of the United States population, was used to examine rates of six screening tests for cancer. The rates of screening were compared for people who receive their usual source of medical care in an HMO or prepaid group practice versus those who receive it in the fee-for-service sector. The purpose of this article is to determine whether HMOs remain more likely to offer cancer screening examinations than the fee-for-service sector. Results indicate that for five of six screening tests examined (Pap smear, mammography, breast physical examination, digital rectal examination, and blood stool test), members of HMOs are significantly more likely to have received the test within the last 3-year period. These results hold in a multivariate analysis when many factors correlated with selection into HMOs, health status, and use of medical services are controlled for, although results are only generalizable to whites. Future research should focus on why the rates for five of the six cancer screening tests examined are higher in HMO settings, and how we can use the HMO experience to improve consensus as to the usefulness of the tests in the non-HMO physician pool, and ultimately increase rates of screening tests in the non-HMO population.

journal_name

Med Care

journal_title

Medical care

authors

Bernstein AB,Thompson GB,Harlan LC

subject

Has Abstract

pub_date

1991-03-01 00:00:00

pages

196-209

issue

3

eissn

0025-7079

issn

1537-1948

journal_volume

29

pub_type

杂志文章
  • Effect of standardized, patient-centered label instructions to improve comprehension of prescription drug use.

    abstract:OBJECTIVE:To evaluate the effectiveness of standardized, patient-centered label (PCL) instructions to improve comprehension of prescription drug use compared with typical instructions. METHODS:A total of 500 adult patients recruited from 2 academic and 2 community primary care clinics in Chicago, IL and Shreveport, LA...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181f38174

    authors: Wolf MS,Davis TC,Curtis LM,Webb JA,Bailey SC,Shrank WH,Lindquist L,Ruo B,Bocchini MV,Parker RM,Wood AJ

    更新日期:2011-01-01 00:00:00

  • Posttraumatic concerns: a patient-centered approach to outcome assessment after traumatic physical injury.

    abstract:BACKGROUND:Approximately 2.5 million Americans are admitted to the hospital after traumatic physical injury each year. Few investigations have elicited patients' perspectives regarding posttraumatic outcomes. OBJECTIVE:To identify and categorize physically injured trauma survivors' posttraumatic concerns. RESEARCH DE...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200104000-00004

    authors: Zatzick DF,Kang SM,Hinton WL,Kelly RH,Hilty DM,Franz CE,Le L,Kravitz RL

    更新日期:2001-04-01 00:00:00

  • Children's health care and the changing role of women.

    abstract::The pivotal role of women as wife, mother or adult daughter in performing health-related activities for family members has received little attention from health researchers or policymakers. Yet the majority of health problems do not reach the medical care system, but are dealt with informally or through other social s...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198012000-00006

    authors: Carpenter ES

    更新日期:1980-12-01 00:00:00

  • US pharmacists' effect as team members on patient care: systematic review and meta-analyses.

    abstract:BACKGROUND:One approach postulated to improve the provision of health care is effective utilization of team-based care including pharmacists. OBJECTIVE:The objective of this study was to conduct a comprehensive systematic review with focused meta-analyses to examine the effects of pharmacist-provided direct patient ca...

    journal_title:Medical care

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MLR.0b013e3181e57962

    authors: Chisholm-Burns MA,Kim Lee J,Spivey CA,Slack M,Herrier RN,Hall-Lipsy E,Graff Zivin J,Abraham I,Palmer J,Martin JR,Kramer SS,Wunz T

    更新日期:2010-10-01 00:00:00

  • Boston Working Group on Improving Health Care Outcomes Through Geriatric Rehabilitation.

    abstract::Geriatric rehabilitation is a multidisciplinary set of evaluative, diagnostic, and therapeutic interventions whose purpose is to restore functional ability or enhance residual functional capability in elderly people with disabling impairments. The Boston Working Group on Improving Health Care Outcomes Through Geriatri...

    journal_title:Medical care

    pub_type:

    doi:10.1097/00005650-199706001-00003

    authors:

    更新日期:1997-06-01 00:00:00

  • The feasibility of an outcome approach to quality assurance--a report from one HMO.

    abstract::Recent federal legislation has contained the stipulation that participating health maintenance organizations (HMOs) include a quality assurance program which stresses health outcomes. This provision was ostensibly directed at correcting alleged abuses in HMOs serving the urban poor. One version of the outcome method w...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197601000-00005

    authors: Schroeder SA,Donaldson MS

    更新日期:1976-01-01 00:00:00

  • Measuring population health: a comparison of three generic health status measures.

    abstract:OBJECTIVES:The relative performance of three widely used generic health status measures (EQ-5D, a modified HUI3 [mHUI3], and SF-12) was compared within a general population sample. MATERIALS AND METHODS:Data were taken from a cohort of persons identified from the patient list of a large general practice in York, UK. T...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.MLR.0000044901.57067.19

    authors: Macran S,Weatherly H,Kind P

    更新日期:2003-02-01 00:00:00

  • The state of disparities in opportunistic infection prophylaxis for blacks with HIV/AIDS.

    abstract:OBJECTIVES:The purpose of this review is to identify and analyze published studies that have evaluated disparities for opportunistic infection (OI) prophylaxis between blacks and whites with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) in the United States. METHODS:The authors conducted...

    journal_title:Medical care

    pub_type: 杂志文章,评审

    doi:10.1097/MLR.0b013e31826c85d1

    authors: Oramasionwu CU,Koeller JM,Lawson KA,Brown CM,Morse GD,Frei CR

    更新日期:2012-11-01 00:00:00

  • Variation in the rate of cervical spine surgery in Washington State.

    abstract::Lack of consensus about the treatment of low back pain is reflected by wide regional variations in lumbar spine surgery rates. Neck pain may be as common as low back pain, but there has been no similar evaluation of regional variation for the surgical treatment of neck pain. This report examines the geographic variati...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199308000-00004

    authors: Einstadter D,Kent DL,Fihn SD,Deyo RA

    更新日期:1993-08-01 00:00:00

  • Cross-sectional versus longitudinal performance assessments in the management of diabetes.

    abstract:BACKGROUND:Performance assessments help to quantify the level of adherence with practice standards and are often used to measure and compare the quality of care. However, most performance assessments are based on a cross-sectional analysis of patient information, whereas patient care is inherently longitudinal. This di...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000109167.86509.24

    authors: Weiner M,Long J

    更新日期:2004-02-01 00:00:00

  • Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients.

    abstract:OBJECTIVES:Many patients have limited English proficiency and require an interpreter. The authors evaluated the effect of current interpreting practices on Spanish-speaking patients' satisfaction with the patient-provider relationship. METHODS:A cross-sectional survey was conducted of 457 patients seen in a public hos...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199810000-00004

    authors: Baker DW,Hayes R,Fortier JP

    更新日期:1998-10-01 00:00:00

  • Placebo adherence, clinical outcomes, and mortality in the women's health initiative randomized hormone therapy trials.

    abstract:BACKGROUND:Medication adherence may be a proxy for healthy behaviors and other factors that affect outcomes. Prior studies of the association between placebo adherence and health outcomes have been limited primarily to men enrolled in clinical trials and cardiovascular disease outcomes. We examined associations between...

    journal_title:Medical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MLR.0b013e318207ed9e

    authors: Curtis JR,Larson JC,Delzell E,Brookhart MA,Cadarette SM,Chlebowski R,Judd S,Safford M,Solomon DH,Lacroix AZ

    更新日期:2011-05-01 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

  • A comparison of contract-managed and traditionally managed nonprofit hospitals.

    abstract::During the past five years, contract management of nonprofit hospitals by for-profit corporations has increased markedly. However, while a number of studies have been conducted on investor-owned hospitals and proprietary hospital systems, contract-managed hospitals have not been evaluated systematically. This paper re...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198006000-00002

    authors: Biggs EL,Kralewski JE,Brown GD

    更新日期:1980-06-01 00:00:00

  • Nonelective Rehospitalizations and Postdischarge Mortality: Predictive Models Suitable for Use in Real Time.

    abstract:BACKGROUND:Hospital discharge planning has been hampered by the lack of predictive models. OBJECTIVE:To develop predictive models for nonelective rehospitalization and postdischarge mortality suitable for use in commercially available electronic medical records (EMRs). DESIGN:Retrospective cohort study using split va...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000435

    authors: Escobar GJ,Ragins A,Scheirer P,Liu V,Robles J,Kipnis P

    更新日期:2015-11-01 00:00:00

  • Care of disabled children and women's time use.

    abstract::Previous research has estimated the effect of children's health care needs on women's market and nonmarket roles. This article reports the results of a study on the impact of health care for disabled children on women's nonmarket work. (Effects on women's market work are reported elsewhere.) Data from 369 families of ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198306000-00004

    authors: Breslau N

    更新日期:1983-06-01 00:00:00

  • Urgent care in the HMO: evolution of a system in Washington, D.C.

    abstract::In 1961, Group Health Association, a large, non-hospital based, prepaid group practice in Washington, D.C. established an after-hours walk-in clinic on its premises for the care of medical problems requiring prompt attention. Within a year, this clinic's operation was extended to daytime hours for the use of the consu...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197805000-00001

    authors: Turner RW

    更新日期:1978-05-01 00:00:00

  • Failure to rescue: validation of an algorithm using administrative data.

    abstract:BACKGROUND:Failure to rescue (FTR), the rate of death in patients suffering 1 of 6 in-hospital complications, is an Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator calculated from administrative data. OBJECTIVE:: We sought to assess the accuracy of the AHRQ FTR algorithm. METHODS:We underto...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000250226.33094.d4

    authors: Horwitz LI,Cuny JF,Cerese J,Krumholz HM

    更新日期:2007-04-01 00:00:00

  • Psychiatric disorders and their treatment: a community survey.

    abstract::This paper examines relationships between true and treated prevalence of mental illness in a community by examining the use of mental health and other professional services for emotional problems and the relationship of this use to the individual's diagnostic status. The results are based upon a third round of 515 int...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198001000-00009

    authors: Myers JK,Weissman MM

    更新日期:1980-01-01 00:00:00

  • The importance of sense of community on people's perceptions of their health-care experiences.

    abstract:OBJECTIVES:The authors study the relationship between people's sense of community and problems they experience with the health-care system, specifically problems related to cost, access, provider choice, and satisfaction. METHODS:Data from a 1993 Florida poll (n = 1202) was used to conduct a multinomial logit analysis...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199609000-00004

    authors: Ahern MM,Hendryx MS,Siddharthan K

    更新日期:1996-09-01 00:00:00

  • The role of public insurance and the public delivery system in improving birth outcomes for low-income pregnant women.

    abstract:BACKGROUND:Insurance expansions and service delivery system expansions are alternative policy instruments used to try to improve birth outcomes for low-income women. OBJECTIVES:The objective of this research is to investigate the effect of expansions of public insurance on access and birth outcomes for pregnant women ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200211000-00006

    authors: Susan Marquis M,Long SH

    更新日期:2002-11-01 00:00:00

  • An examination of longitudinal CAUTI, SSI, and CDI rates from key HHS data systems.

    abstract:BACKGROUND:In response to the growing concern about healthcare-associated infections (HAIs), US Department of Health and Human Services (HHS) developed the National Action Plan to Prevent Healthcare-associated Infections. A key focus of the Action Plan is the setting of HAI metrics and targets and the enhancement and d...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000027

    authors: Weinberg DA,Kahn KL

    更新日期:2014-02-01 00:00:00

  • Hospital Characteristics Associated With Risk-standardized Readmission Rates.

    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

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000713

    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

  • One thousand health-related quality-of-life estimates.

    abstract:OBJECTIVE:Analysts performing cost-effectiveness analyses often do not have the resources to gather original quality-of-life (QOL) weights. Furthermore, variability in QOL for the same health state hampers the comparability of cost-effectiveness analyses. For these reasons, opinion leaders such as the Panel on Cost-Eff...

    journal_title:Medical care

    pub_type: 杂志文章,评审

    doi:10.1097/00005650-200006000-00004

    authors: Tengs TO,Wallace A

    更新日期:2000-06-01 00:00:00

  • Language concordance as a determinant of patient compliance and emergency room use in patients with asthma.

    abstract::To test the hypothesis that the ability of physicians to speak the same language as asthmatic patients promotes patient compliance and the use of scheduled office appointments in preference to emergency services, the charts of 96 Spanish-speaking patients with asthma were reviewed. Of these patients, 65 were cared for...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198812000-00003

    authors: Manson A

    更新日期:1988-12-01 00:00:00

  • A clinically guided approach for improving performance measurement for hypertension.

    abstract:BACKGROUND:Performance measures often fail to account for legitimate reasons why patients do not achieve recommended treatment targets. METHODS:We tested a novel performance measurement system for blood pressure (BP) control that was designed to mimic clinical reasoning. This clinically guided approach focuses on (1) ...

    journal_title:Medical care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MLR.0b013e318245a147

    authors: Steinman MA,Lee SJ,Peterson CA,Fung KZ,Goldstein MK

    更新日期:2012-05-01 00:00:00

  • Carepartner experiences with hospital care.

    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

    pub_type: 杂志文章

    doi:10.1097/00005650-199901000-00006

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

    更新日期:1999-01-01 00:00:00

  • Mental health and selection of preferred providers. Experience in three employee groups.

    abstract::While Preferred Provider Organizations (PPOs) are designed to contain the costs of health care, they may not be able to do so if sicker individuals opt not to use PPO providers. This study examined how level of mental health status and prior use of mental health services affected the decision to use or not use PPO pro...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199109000-00011

    authors: Wells KB,Marquis MS,Hosek SD

    更新日期:1991-09-01 00:00:00

  • Heterogeneity and the interpretation of treatment effect estimates from risk adjustment and instrumental variable methods.

    abstract:OBJECTIVES:To contrast the interpretations of treatment effect estimates using risk adjustment and instrumental variable (IV) estimation methods using observational data when the effects of treatment are heterogeneous across patients. We demonstrate these contrasts by examining the effect of breast conserving surgery p...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318070c069

    authors: Brooks JM,Chrischilles EA

    更新日期:2007-10-01 00:00:00

  • Mental health service utilization by African Americans and Whites: the Baltimore Epidemiologic Catchment Area Follow-Up.

    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

    pub_type: 杂志文章

    doi:10.1097/00005650-199910000-00007

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

    更新日期:1999-10-01 00:00:00