Expanding the uses of AHRQ's prevention quality indicators: validity from the clinician perspective.

abstract：OBJECTIVES:We examine the relationship between health insurance coverage and children's access to and utilization of medical care. Access measures we study are having a usual source of care (USC) and lacking a USC for financial or insurance reasons. We also examine indicators for ambulatory visits, well-child visits, d...

journal_title：Medical care

authors： Selden TM,Hudson JL

更新日期：2006-05-01 00:00:00

abstract：:A population-based, retrospective analysis of Medicare Part A and Blue Cross hospital insurance claims data was used to determine whether hospice home care cost savings to third-party insurers are substantial and result from the substitution of less expensive home care visits for more costly hospital inpatient days. T...

journal_title：Medical care

authors： Brooks CH,Smyth-Staruch K

更新日期：1984-08-01 00:00:00

abstract：BACKGROUND:The Affordable Care Act allowed an optional Medicaid State Plan benefit for states to establish Health Homes coordinating care for people who have chronic conditions. Differences in medical home program incentives and implementation styles are important to understand in evaluating effects on key outcomes suc...

journal_title：Medical care

authors： Shane DM,Nguyen-Hoang P,Bentler SE,Damiano PC,Momany ET

更新日期：2016-08-01 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：: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：:The present research was designed to identify psychosocial correlates of adherence among patients receiving hemodialysis at two outpatient clinics. The 116 participants were interviewed concerning their knowledge of treatment, health beliefs, treatment history, social support, personal characteristics, and adherence t...

journal_title：Medical care

authors： Cummings KM,Becker MH,Kirscht JP,Levin NW

更新日期：1982-06-01 00:00:00

abstract：BACKGROUND:Researchers need valid methods to assess whether patients are taking their antidepressant medications. Two important sources of data on drug exposure are patients' self-reports and pharmacy claims. OBJECTIVE:To compare self-report and claims data for antidepressant exposure. RESEARCH DESIGN:Cross-sectional...

journal_title：Medical care

authors： Kwon A,Bungay KM,Pei Y,Rogers WH,Wilson IB,Zhou Q,Adler DA

更新日期：2003-03-01 00:00:00

abstract：BACKGROUND:Primary care teams face daily time pressures both during patient encounters and outside of appointments. OBJECTIVES:We theorize 2 types of time pressure, and test hypotheses about organizational determinants and patient consequences of time pressure. RESEARCH DESIGN:Cross-sectional, observational analysis ...

journal_title：Medical care

authors： McDonald KM,Rodriguez HP,Shortell SM

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:The use of league tables during the last decade has frequently been employed to assess quality in health care. However, few studies have attempted to assess quality by quantifying the variability across the organizational units or attempted to investigate whether the units are the correct context that really...

journal_title：Medical care

authors： Ohlsson H,Librero J,Sundquist J,Sundquist K,Merlo J

更新日期：2011-03-01 00:00:00

abstract：:This article emphasizes the advantages and disadvantages of the National Center for Health Statistics Health Interview Surveys (HIS) when applied to the needs of ethnic minorities at the local level. While HIS gives information on health status of minorities and their use of services at the national level, this inform...

journal_title：Medical care

authors： Salber EJ,Beza AG

更新日期：1980-03-01 00:00:00

abstract：BACKGROUND:Patients have longer lengths of hospital stay (LOS) in VA medical centers than in the general health care system. OBJECTIVE:The objective of this study was to determine whether resource use and outcome differences between VA and non-VA inpatient rehabilitation facilities remain after controlling for patient...

journal_title：Medical care

authors： Stineman MG,Ross RN,Hamilton BB,Maislin G,Bates B,Granger CV,Asch DA

更新日期：2001-02-01 00:00:00

abstract：BACKGROUND:Health plans commonly face the conflicting demands of trying to provide access to novel technologies, including new classes of medications, while trying to contain costs. These demands are particularly acute for California's Medicaid program, known as Medi-Cal, which is responsible for delivery of medical ca...

journal_title：Medical care

authors： Croghan TW,Johnstone BM,Buesching DP,Kessler RC

更新日期：1999-04-01 00:00:00

abstract：:Cataract surgery is the most frequently performed surgical procedure on Medicare beneficiaries, with an annual cost to the Medicare program of more than $3.4 billion. In this study, the relationship between demographic, environmental, and provider-related factors, and the likelihood that cataract surgery will be perfo...

journal_title：Medical care

authors： Javitt JC,Kendix M,Tielsch JM,Steinwachs DM,Schein OD,Kolb MM,Steinberg EP

更新日期：1995-01-01 00:00:00

abstract：:The Seattle Prepaid Health Care Evaluation Project is a comparative study designed to assess the care received by persons enrolled in either a large prepaid group practice (PGP) or in a prepaid, independent practice setting in which physicians are reimbursed on a fee-for-service basis (IPP). As part of the study we as...

journal_title：Medical care

authors： LoGerfo JP,Efird RA,Diehr PK,Richardson WC

更新日期：1979-01-01 00:00:00

abstract：BACKGROUND:There is an increasing demand for electronic health record (EHR)-based risk stratification and predictive modeling tools at the population level. This trend is partly due to increased value-based payment policies and the increasing availability of EHRs at the provider level. Risk stratification models, howev...

journal_title：Medical care

authors： Kharrazi H,Chi W,Chang HY,Richards TM,Gallagher JM,Knudson SM,Weiner JP

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Valid, comprehensive instruments to describe, monitor, and evaluate health from childhood through adolescence are almost nonexistent, but are critical for health resource planning, evaluation of policy, preventive, and clinical interventions, and understanding trajectories of health during this important per...

journal_title：Medical care

authors： Riley AW,Forrest CB,Starfield B,Rebok GW,Robertson JA,Green BF

更新日期：2004-03-01 00:00:00

abstract：BACKGROUND:We evaluated the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese breast and nasopharyngeal cancer patients. METHODS:A sample of Chinese breast (n = 250) and nasopharyngeal (n = 242) cancer patients were assessed during their first outpatient visit (b...

journal_title：Medical care

authors： Wong WS,Fielding R

更新日期：2009-08-01 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:Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement. OBJECTIVE:To examine whether various nursing hours measures yield different mo...

journal_title：Medical care

authors： Park SH,Blegen MA,Spetz J,Chapman SA,De Groot HA

更新日期：2015-01-01 00:00:00

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

authors： Schroeder SA,Donaldson MS

更新日期：1976-01-01 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：BACKGROUND:Cardiac risk assessment may not be routinely performed. Electronic health records (EHRs) offer the potential to automate risk estimation. We compared EHR-based assessment with manual chart review to determine the accuracy of automated cardiac risk estimation and determination of candidates for antiplatelet o...

journal_title：Medical care

authors： Persell SD,Dunne AP,Lloyd-Jones DM,Baker DW

更新日期：2009-04-01 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：:This study compares health insurance payments and patient utilization patterns for episodes of care for common lumbar and low back conditions treated by chiropractic and medical providers. Using 2 years of insurance claims data, this study examines 6,183 patients who had episodes with medical or chiropractic first-con...

journal_title：Medical care

authors： Stano M,Smith M

更新日期：1996-03-01 00:00:00

abstract：:In comparison to the living conditions that existed before 1949, the People's Republic of China (PRC) represents a remarkable story of achievement. Western knowledge about the PRC has recently increased by leaps and bounds as detente with the United States has allowed many Americans to witness the "awakening of the dr...

journal_title：Medical care

authors： Louie R

更新日期：1978-07-01 00:00:00

abstract：BACKGROUND:Teens and racial and ethnic minority women are less likely to initiate prenatal care (PNC) in the first trimester of pregnancy than their counterparts. OBJECTIVE:This study examines the impact of Medicaid program changes in the late 1990s on the timing of Medicaid enrollment and PNC initiation among pregnan...

journal_title：Medical care

authors： Kuo TM,Gavin NI,Adams EK,Ayadi MF

更新日期：2008-10-01 00:00:00

abstract：:This article reports the results of an analysis to determine the relationships between the quality of restorative dental care for 1,466 patients and 9 categories of dentist characteristics for 102 volunteer Washington practitioners. In this study, patients were recalled and restorations were examined clinically. Quest...

journal_title：Medical care

authors： Milgrom P,Ratener P,Conrad D,Weinstein P

更新日期：1980-04-01 00:00:00

abstract：:This research explored whether differentiating patients whose severity of illness worsened, improved, or remained the same over the hospital stay is a good screen for quality of care. The hypothesis was that substandard care is more likely to occur among patients who have worsened. Severity was measured using the Comp...

journal_title：Medical care

authors： Iezzoni LI,Restuccia JD,Shwartz M,Schaumburg D,Coffman GA,Kreger BE,Butterly JR,Selker HP

更新日期：1992-05-01 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：:Current efforts to contain health care costs include a variety of strategies aimed at the users of health services. These approaches attempt to encourage users to be more cost-conscious and to shop for lower-cost services and more efficient health care plans. The primary method for achieving this is by increasing the ...

journal_title：Medical care

authors： Hibbard JH,Weeks EC

更新日期：1987-11-01 00:00:00