Services and charges by PPO physicians for PPO and indemnity patients. An episode of care comparison.

abstract：:The goals of this study were to determine 1) the prevalence of exposure to intrafamilial violence among children attending a pediatric primary care clinic; 2) the prevalence of psychosocial distress among mothers bringing their children to the clinic; 3) the extent to which pediatricians are aware of family violence a...

journal_title：Medical care

authors： Wissow LS,Wilson ME,Roter D,Larson S,Berman HI

更新日期：1992-05-01 00:00:00

abstract：BACKGROUND/OBJECTIVES:The importance of teams for improving quality of care has received increased attention. We examine both the correlates of self-assessed or perceived team effectiveness and its consequences for actually making changes to improve care for people with chronic illness. STUDY SETTING AND METHODS: Data ...

journal_title：Medical care

authors： Shortell SM,Marsteller JA,Lin M,Pearson ML,Wu SY,Mendel P,Cretin S,Rosen M

更新日期：2004-11-01 00:00:00

abstract：:This article examines changes in the service mix of California hospitals as part of their response to shifts in the system of reimbursement between 1983 and 1988. The Hospital Discharge Data Set and the Annual Hospital Disclosure Report produced by California Office of Statewide Health Planning and Development were us...

journal_title：Medical care

authors： Zwanziger J,Melnick GA,Simonson L

更新日期：1996-04-01 00:00:00

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

authors： Schneeweiss S,Dormuth C,Grootendorst P,Soumerai SB,Maclure M

更新日期：2004-07-01 00:00:00

abstract：BACKGROUND:Readmission and length of stay (LOS) are increasingly accepted as quality measures for surgical care. Centers for Medicare & Medicaid Services will soon assess penalties for excessive readmissions after coronary artery bypass graft (CABG) surgery and hip and knee replacements. OBJECTIVE:To determine and com...

journal_title：Medical care

authors： Sedrakyan A,Kamel H,Mao J,Ting H,Paul S

更新日期：2016-06-01 00:00:00

abstract：OBJECTIVES:Although information technology (IT) may improve efficiency and quality of patient care, the adoption of clinical IT by physicians has been limited. This study investigates the relationships between physician practice revenue and use of clinical IT. RESEARCH DESIGN:We undertook a cross-sectional analysis of...

journal_title：Medical care

authors： Furukawa MF,Ketcham JD,Rimsza ME

更新日期：2007-02-01 00:00:00

abstract：:Utilization review has heretofore emphasized "length of stay" as the criterion for deciding when the patient is ready to leave the hospital. We suggest that "level of care" (the type, number, and/or intensity of a combination of physician, skilled nursing, and ancillary services) received by the patient should replace...

journal_title：Medical care

authors： Goldberg GA,Holloway DC

更新日期：1975-06-01 00:00:00

abstract：:Prospective payment for inpatient hospital care is based on the ideal that hospitals that produce similar outputs, as measured by the types of cases the hospital treats, should be paid similar prices. However, similar output is a multidimensional concept. Thus operationalization of this ideal will ultimately require a...

journal_title：Medical care

authors： Vertrees JC,Manton KG

更新日期：1986-04-01 00:00:00

abstract：BACKGROUND:Little is known about the time health professionals spend with inpatients that are close to the end of life. SUBJECTS AND METHODS:We asked day-shift nurses to use a standardized log sheet to record how much time they spent in various categories of activity for 146 seriously ill medical inpatients with poor ...

journal_title：Medical care

authors： Sulmasy DP,Sood JR

更新日期：2003-04-01 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：:In 1979, MEDICAL CARE published a supplement that summarized and evaluated existing research on changes in health care patterns associated with mental health, alcoholism, and drug abuse treatment. This paper, limited to alcoholism treatment, reviews research that has been completed since the 1979 supplement. Considera...

journal_title：Medical care

authors： Holder HD

更新日期：1987-01-01 00:00:00

abstract：:Two opposing theories have been suggested to describe the relationships among member dissatisfaction with a prepaid group practice (PGP), the choice to go outside for care normally covered by the plan, and disenrollment from the PGP: 1) out-of-plan use--a consequence of dissatisfaction, precedes disenrollment and 2) d...

journal_title：Medical care

authors： Hennelly VD,Boxerman SB

更新日期：1983-03-01 00:00:00

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：: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

abstract：BACKGROUND:Administrative database research can provide insight into the real-world effectiveness of invasive electrophysiology procedures. However, no validated algorithm to identify these procedures within administrative data currently exists. OBJECTIVE:To develop and validate algorithms to identify atrial fibrillat...

journal_title：Medical care

authors： Singh SM,Webster L,Calzavara A,Wijeysundera HC

更新日期：2017-06-01 00:00:00

abstract：BACKGROUND:The quality of care for Medicare beneficiaries with diabetes remains suboptimal. The contributing factors at the physician level are not well characterized, especially the relationship of patient volume and physician performance. OBJECTIVE:We sought to determine associations between the number of Medicare d...

journal_title：Medical care

authors： Holmboe ES,Wang Y,Tate JP,Meehan TP

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:Studies evaluating patient outcomes in dialysis as a function of quality of predialysis therapeutic care are lacking. OBJECTIVE:To evaluate the association of quality of predialysis therapeutic practices with survival and hospitalization during the first year of dialysis. RESEARCH DESIGN:The AVantagE de la...

journal_title：Medical care

authors： Thilly N,Boini S,Loos-Ayav C,Kessler M,Briançon S,Frimat L

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE:To introduce and demonstrate two methods that can be us...

journal_title：Medical care

authors： Giesler RB,Ashton CM,Brody B,Byrne MM,Cook K,Geraci JM,Hanita M,Souchek J,Wray NP

更新日期：1999-06-01 00:00:00

abstract：OBJECTIVE:Compare healthcare utilization and total payments for community-acquired pneumonia (CAP) episodes-of-care among 5 health plan designs spanning the continuum of managed care. RESEARCH DESIGN:Medical and prescription claims analysis of CAP episodes among enrollees of employer-sponsored health plans. Episode ch...

journal_title：Medical care

authors： Landsman PB,Smith DG,Fendrick AM

更新日期：2009-10-01 00:00:00

abstract：:Previous research has neglected to delineate pediatric nurse practitioner (PNP) roles in tertiary care settings (TCS). New PNP roles have developed as TCS seek cost-effective solutions to providing quality patient care and to meeting new demands for outpatient care. The authors evaluated the roles of 11 PNPs in eight ...

journal_title：Medical care

authors： Cruikshank BM,Clow TJ,Seals B

更新日期：1986-04-01 00:00:00

abstract：BACKGROUND:Medicaid Disproportionate Share Hospital (DSH) payments are one of the major sources of financial support for hospitals providing care to low-income patients. However, Medicaid DSH payments will be redirected from hospitals to subsidize individual health insurance purchase through US national health reform. ...

journal_title：Medical care

authors： Hsieh HM,Bazzoli GJ,Chen HF,Stratton LS,Clement DG

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:The number of older patients enrolling in health maintenance organizations (HMOs) is increasing. Concerns have been raised that older patients may be targeted by HMOs for more stringent cost-containment mechanisms, including reduced access to expensive specialty care. OBJECTIVES:We investigated the relation...

journal_title：Medical care

authors： Smith MA,Shahar E,McGovern PG,Kane RL,Doliszny KM,Arnett DK,Luepker RV

更新日期：1999-12-01 00:00:00

abstract：OBJECTIVES:Most tests of the practice-makes-perfect hypothesis have used cross-sectional data, which reveal that patients receiving surgery in high-volume hospitals tend to experience better postsurgery outcomes. This study uses longitudinal data to explicitly examine whether any given hospital's patient outcomes chang...

journal_title：Medical care

authors： Hamilton BH,Ho V

更新日期：1998-06-01 00:00:00

abstract：BACKGROUND:Patient experience data can be collected by sampling patients periodically (eg, patients with any visits over a 1-year period) or sampling visits continuously (eg, sampling any visit in a monthly interval). Continuous sampling likely yields a sample with more frequent and more recent visits, possibly affecti...

journal_title：Medical care

authors： Setodji CM,Burkhart Q,Hays RD,Quigley DD,Skootsky SA,Elliott MN

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:The effects of continuity of care (COC) on health care outcomes are well established. However, the mechanism of this association is not fully understood. OBJECTIVE:The objective of this study was to examine the relationship between COC and medication adherence, as well as to investigate the mediating effect...

journal_title：Medical care

authors： Chen CC,Tseng CH,Cheng SH

更新日期：2013-03-01 00:00:00

abstract：:The primary aim of this paper is to examine the impact of mergers on the performance of hospitals. The study tests the null hypothesis that no significant differences exist in efficiency and effectiveness between hospitals that merge and those which remain independent entities. The performance evaluation model follows...

journal_title：Medical care

authors： Treat TF

更新日期：1976-03-01 00:00:00

abstract：OBJECTIVES:This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies, and more useful info...

journal_title：Medical care

authors： Curran GM,Bauer M,Mittman B,Pyne JM,Stetler C

更新日期：2012-03-01 00:00:00

abstract：:Patterns of primary health care utilization for a random sample of urban elementary school children in three ethnic groups are described. Visit type, reasons for visit, and frequency of visits remained stable from year to year. More than 50 per cent of the children were non-visitors each year; 72 per cent of those not...

journal_title：Medical care

authors： Brink SG,Nader PR

更新日期：1981-06-01 00:00:00

abstract：BACKGROUND:Complex health care interventions involve multiple distinct elements that contribute to their functioning. Conducting systematic reviews of complex interventions has substantial challenges. Although methodological guidance exists, less is known about the practical strategies and approaches undertaken by syst...

journal_title：Medical care

authors： Wilt TJ,Greer N,Duan-Porter W

更新日期：2019-10-01 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