Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact.

abstract：:Hospital cost-containment programs should themselves be cost-effective, targeting high-cost physicians (which requires adjusting for case mix) and patients (which requires early identification). In this study, clinical data available within 24 hours of admission from an electronic medical record system were used to de...

journal_title：Medical care

authors： Tierney WM,Fitzgerald JF,Miller ME,James MK,McDonald CJ

更新日期：1995-01-01 00:00:00

abstract：:Ninety-two general medical outpatients were surveyed with an interview, questionnaires, and a medical record review to investigate the relationships among psychiatric disorder (depression and hypochondriasis), somatic symptoms, medical morbidity, and the utilization of ambulatory medical services. Medical utilization ...

journal_title：Medical care

authors： Barsky AJ,Wyshak G,Klerman GL

更新日期：1986-06-01 00:00:00

abstract：:In this paper the individual is employed as the unit of analysis to examine the extent to which the use of physician care by beneficiaries insured under the Canadian Medicare program is determined by medical needs and sociodemographic characteristics as opposed to economic considerations. The data were derived from th...

journal_title：Medical care

authors： Broyles RW,Manga P,Binder DA,Angus DE,Charette A

更新日期：1983-11-01 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：:The total utilization rate of ambulatory illness-related physician services in Finland is higher in big urban health center areas than in rural areas. When only the health center physician utilization rates were studied the finding was opposite. A notable finding related to the impact of the national health planning w...

journal_title：Medical care

authors： Kekki P

更新日期：1982-08-01 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:Medicare and private plans are encouraging individuals to seek care at hospitals that are designated as centers of excellence. Few evaluations of such programs have been conducted. This study examines a large national initiative that designated hospitals as centers of excellence for knee and hip replacement....

journal_title：Medical care

authors： Mehrotra A,Sloss EM,Hussey PS,Adams JL,Lovejoy S,Soohoo NF

更新日期：2013-01-01 00:00:00

abstract：:Nurse anesthetists (CRNAs) are a lower cost substitute for anesthesiologists in the delivery of anesthesia services. This article addresses the question of when anesthesiologists delegate in a team approach as opposed to using a solo arrangement. Logistic regression analysis was done using data from the 1986 Anesthesi...

journal_title：Medical care

authors： Rosenbach ML,Cromwell J

更新日期：1989-05-01 00:00:00

abstract：BACKGROUND:Physical functioning is an important health domain for adults. OBJECTIVE:Evaluate physical functioning items in Medicare beneficiaries. RESEARCH DESIGN:Survey data from the 2010 Consumer Assessment of Healthcare Providers and Systems Medicare survey. SUBJECTS:The 366,701 respondents were 58% female; 38% w...

journal_title：Medical care

authors： Hays RD,Mallett JS,Gaillot S,Elliott MN

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:Health care providers and health care training institutions need more specific, relevant, and useful information for providing culturally sensitive health care. OBJECTIVE:We sought to determine what patients considered to be culturally sensitive health care. RESEARCH DESIGN AND PARTICIPANTS:We conducted 20...

journal_title：Medical care

authors： Tucker CM,Herman KC,Pedersen TR,Higley B,Montrichard M,Ivery P

更新日期：2003-07-01 00:00:00

abstract：BACKGROUND:Managed care is the dominant form of health insurance in the United States, covering millions of children. Little is known about whether inner-city parents adequately understand managed care's complex definitions and rules. OBJECTIVE:The objective of this study was to examine managed care knowledge and prac...

journal_title：Medical care

authors： Flores G,Abreu M,Sun D,Tomany SC

更新日期：2004-04-01 00:00:00

abstract：:In summary, readers are encouraged to read carefully the IRT articles in this special issue. They provide theoretical as well as practical arguments in favor of using IRT models in the health outcomes measurement field. At the same time, readers should be aware that the IRT field is complex and software is limited and...

journal_title：Medical care

authors： Hambleton RK

更新日期：2000-09-01 00:00:00

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：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:Indication bias is the major challenge in assessing treatment effectiveness in observational studies. We explored the potential advantages of using an instrumental variable approach in the context of primary androgen deprivation therapy (ADT) for prostate cancer. METHODS:We identified 31,930 men in the link...

journal_title：Medical care

authors： Kuo YF,Montie JE,Shahinian VB

更新日期：2012-05-01 00:00:00

abstract：:In the 2 months immediately after a premium rate increase, the Genesee Valley Group Health Association (Group Health) lost over 600 subscriber contracts. A survey was conducted to determine the reasons for disenrollment and compare the demographic and utilization characteristics of disenrollees with those of all membe...

journal_title：Medical care

authors： Wersinger RP,Sorensen AA

更新日期：1982-12-01 00:00:00

abstract：:A national sample of both hospital administrators and hospital review chair-persons (the two adversarial providers in the hospital regulatory milieu) were surveyed and asked to estimate the degree and kind of unnecessary hospital utilization taking place both in the U.S. and at their own institution. Both groups indic...

journal_title：Medical care

authors： Rothberg DL,Gertman PM

更新日期：1981-01-01 00:00:00

abstract：BACKGROUND:Versus whites, blacks with diabetes have poorer control of hemoglobin A1c (HbA1c), higher systolic blood pressure (SBP), and higher low-density lipoprotein (LDL) cholesterol as well as higher rates of morbidity and microvascular complications. OBJECTIVE:To examine whether several mutable risk factors were m...

journal_title：Medical care

authors： Duru OK,Gerzoff RB,Selby JV,Brown AF,Ackermann RT,Karter AJ,Ross S,Steers N,Herman WH,Waitzfelder B,Mangione CM

更新日期：2009-06-01 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：:Survey data measuring outpatient health expenditure are evaluated for item nonresponse, measurement error, and bias. Item nonresponse is high for persons whose health care is financed through the public sector, but is otherwise manageable. Estimates of mean total and out-of-pocket physician and dental expenditure from...

journal_title：Medical care

authors： Marquis KH,Marquis MS,Newhouse JP

更新日期：1976-11-01 00:00:00

abstract：BACKGROUND:In 1998, the Province of Ontario in Canada adopted price-cap "70/90" regulations whereby the first generic entrant was required to be priced at ≤70% of the associated brand-name product and subsequent generics were priced at ≤90% of the first generic price. The price-caps were further lowered to 50% in 2006 ...

journal_title：Medical care

authors： Zhang W,Guh D,Sun H,Marra CA,Lynd LD,Anis AH

更新日期：2016-09-01 00:00:00

abstract：:The increased demand for health status measures in evaluating medical interventions has increased the importance of clarifying when to use generic versus disease-specific health status measures. The authors compared the performance of a well known generic health status measure, the Sickness Impact Profile (SIP), and a...

journal_title：Medical care

authors： Damiano AM,Steinberg EP,Cassard SD,Bass EB,Diener-West M,Legro MW,Tielsch J,Schein OD,Javitt J,Kolb M

更新日期：1995-04-01 00:00:00

abstract：BACKGROUND:There has been considerable debate in recent years about whether, and how, to risk-adjust quality measures for sociodemographic characteristics. However, geographic location, especially rurality, has been largely absent from the discussion. OBJECTIVE:To examine differences by rurality in quality outcomes, a...

journal_title：Medical care

authors： Henning-Smith C,Kozhimannil K,Casey M,Prasad S,Moscovice I

更新日期：2017-09-01 00:00:00

abstract：:With no additional effort to revise adult day health care (ADHC) services or the types of patients who receive them, it would appear that adding an ADHC program to a VA Medical Center would not achieve the desired objectives. The authors discuss here the advantages, disadvantages, and feasibility of 2 options for prog...

journal_title：Medical care

authors： Hedrick SC,Chapko M,Ehreth J,Rothman ML,Kelly JR,Inui TS

更新日期：1993-09-01 00:00:00

abstract：:When studying variation in medicine, traditional hypothesis-testing procedures are too limited to obtain useful inferences except in special situations. More generally, full probability modelling is necessary. Even a relatively simple example can illustrate this point rather dramatically. The development and applicati...

journal_title：Medical care

authors： Rubin DB

更新日期：1993-05-01 00:00:00

abstract：BACKGROUND:Changes in the demographic, specialty, and employment sector composition of medicine have altered physicians' jobs, limiting autonomy and reducing morale. Because physician job satisfaction has been linked to clinical variables, better measurement might help to ameliorate conditions linked to medical disaffe...

journal_title：Medical care

authors： Konrad TR,Williams ES,Linzer M,McMurray J,Pathman DE,Gerrity M,Schwartz MD,Scheckler WE,Van Kirk J,Rhodes E,Douglas J

更新日期：1999-11-01 00:00:00

abstract：BACKGROUND:Despite little available evidence to determine whether recently introduced selective α-1 blockers and 5-α reductase inhibitors (5-ARIs) are superior to the existing agents in treating benign prostatic hyperplasia (BPH), they are being increasingly prescribed. OBJECTIVE:To describe the prescribing patterns o...

journal_title：Medical care

authors： Han LC,Kim SP,Gross CP,Ross JS,Van Houten HK,Smaldone MC,Krambeck AE,Shah ND

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Methods to select physicians most likely to benefit from educational interventions to improve the outcome of depression have not been adequately developed. OBJECTIVE:The purpose of this study was to identify a combination of primary care provider (PCP) self-report questions to improve the precision of PCP e...

journal_title：Medical care

authors： Oxman TE,Korsen N,Hartley D,Sengupta A,Bartels S,Forester B

更新日期：2000-07-01 00:00:00

abstract：:Health insurance plans are evaluated here in terms of ability to guarantee financial access to a set of basic fertility-related health services. Extent of coverage is determined by whether a service is a contract benefit, its market cost, and how often it is used in a given population in one year. Comprehensive covera...

journal_title：Medical care

authors： Muller C,Krasner M,Jaffe FS

更新日期：1975-01-01 00:00:00

abstract：:The effectiveness of sharing medical records in improving physician-older patient communication was evaluated in 203 ambulatory chronically ill older patients (mean age, 70.1 years) by a randomized controlled trial. Ninety-five experimental group patients received copies of their physicians' progress notes 1 week afte...

journal_title：Medical care

authors： Bronson DL,Costanza MC,Tufo HM

更新日期：1986-04-01 00:00:00