The hospital standardized mortality ratio fallacy: a narrative review.

abstract：BACKGROUND:Given strict residency controls and geographic imbalances in health care resources, China may experience serious urban-rural health disparities. OBJECTIVES:To investigate urban-rural disparities in the patterns of health status and health care utilization in China and to examine the evolution of these dispa...

journal_title：Medical care

authors： Fang H,Chen J,Rizzo JA

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Copayments (copays) for prescription drugs are a common policy among state Medicaid programs. Research exploring the effects of copays on pharmacy and health care utilization in Medicaid patients is limited, especially among patients with chronic disease. OBJECTIVES:The goal of this research was to quantify...

journal_title：Medical care

authors： Hartung DM,Carlson MJ,Kraemer DF,Haxby DG,Ketchum KL,Greenlick MR

更新日期：2008-06-01 00:00:00

abstract：:As part of a comprehensive evaluation of care received by enrollees in a prepaid community health care project, we studied the process of care for enrollees reported to have a urinary tract infection. The care given to 98 patients enrolled in a large prepaid group practice (PGP) and 69 patients seen by 45 physicians i...

journal_title：Medical care

authors： LoGerfo JP,Larson E,Richardson WC

更新日期：1978-06-01 00:00:00

abstract：BACKGROUND:Disabled Americans who qualify for Medicare coverage typically have multiple chronic conditions, are highly dependent on effective drug therapy, and have limited financial resources, putting them at risk for cost-related medication nonadherence (CRN). Since 2006, the Part D benefit has helped Medicare benefi...

journal_title：Medical care

authors： Naci H,Soumerai SB,Ross-Degnan D,Zhang F,Briesacher BA,Gurwitz JH,Madden JM

更新日期：2014-11-01 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：OBJECTIVE:To determine the impact on hospital ranking of different aggregation methods when creating a composite score from a set of quality indicators relating to a single clinical condition. DESIGN:The analysis was based on 14966 medical records taken from all French hospitals that treated over 30 patients with acut...

journal_title：Medical care

authors： Couralet M,Guérin S,Le Vaillant M,Loirat P,Minvielle E

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:Though demand for mental health services (MHS) among US veterans is increasing, MHS utilization per veteran is decreasing. With health and social service needs competing for limited resources, it is important to understand the association between patient factors, MHS utilization, and clinical outcomes. OBJE...

journal_title：Medical care

authors： Fasoli DR,Glickman ME,Eisen SV

更新日期：2010-04-01 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：BACKGROUND:Geographic rates of preventable hospitalization are used internationally as an indicator of accessibility and quality of primary care. Much research has correlated the indicator with the supply of primary care services, yet multiple other factors may influence these admissions. OBJECTIVE:To quantify the rel...

journal_title：Medical care

authors： Falster MO,Jorm LR,Douglas KA,Blyth FM,Elliott RF,Leyland AH

更新日期：2015-05-01 00:00:00

abstract：OBJECTIVES:The authors identify demographic and clinical characteristics associated with noncompliance in patients beginning medical therapy for the treatment of glaucoma in a managed care setting. METHODS:The authors describe a retrospective cohort study in a group-model health maintenance organization in Massachuset...

journal_title：Medical care

authors： Gurwitz JH,Yeomans SM,Glynn RJ,Lewis BE,Levin R,Avorn J

更新日期：1998-03-01 00:00:00

abstract：OBJECTIVE:The Agency for Healthcare Research and Quality (AHRQ) developed 20 patient safety indicators (PSIs) to identify potentially preventable complications of acute inpatient care based on administrative data. The objective of this patient safety performance study was to assess the impact of cases flagged by each P...

journal_title：Medical care

authors： Bahl V,Thompson MA,Kau TY,Hu HM,Campbell DA Jr

更新日期：2008-05-01 00:00:00

abstract：IMPORTANCE:Hospitals that serve poorer populations have higher readmission rates. It is unknown whether these hospitals effectively lowered readmission rates in response to the Hospital Readmissions Reduction Program (HRRP). OBJECTIVE:To compare pre-post differences in readmission rates among hospitals with different ...

journal_title：Medical care

authors： Wasfy JH,Bhambhani V,Healy EW,Choirat C,Dominici F,Wadhera RK,Shen C,Wang Y,Yeh RW

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:Drug provision within the German statutory health insurance system has undergone several reforms, including the introduction of drug macrobudgets in 1993. OBJECTIVE:The objective of this study was to investigate the extent to which statutorily (SHI) and fully privately (PHI) health-insured patients were pro...

journal_title：Medical care

authors： Krobot KJ,Miller WC,Kaufman JS,Christensen DB,Preisser JS,Ibrahim MA

更新日期：2004-05-01 00:00:00

abstract：:The published preferences for scale steps in a health-related quality-of-life scale have been noted to be contrary to some prior assumptions about their rank ordering. The differences noted are actually statistically nonsignificant, and the observed ordering has a clear intuitive explanation. Several alternative expla...

journal_title：Medical care

authors： Bush JW,Anderson JP,Kaplan RM,Blischke WR

更新日期：1982-05-01 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 a longitudinal, prospective study of patient's decisions about influenza vaccination, the stability of attitudes about the flu and flu shots, the stability of flu shot decisions, and the relationship of attitude shifts to compliance were studied. In both 1981 and 1982 for 216 patients at high risk for complications...

journal_title：Medical care

authors： Buchner DM,Carter WB,Inui TS

更新日期：1985-06-01 00:00:00

abstract：OBJECTIVE:To examine healthcare coverage and access disparities for American Indian/Alaska Native (AIAN) veterans compared with non-Hispanic white veterans. METHODS:We examined national survey data for honorably discharged veterans in the United States using National Health Interview Survey (NHIS) data between 1997 an...

journal_title：Medical care

authors： Johnson PJ,Carlson KF,Hearst MO

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:A need exists for adapting existing perioperative risk stratification methods such as the Charlson Comorbidity Index (CCI) for application with hospital administrative data in noncardiac surgery populations. OBJECTIVE:Develop and validate outcome-specific CCIs for predicting inpatient mortality, and cardiac...

journal_title：Medical care

authors： Moodley Y

更新日期：2016-12-01 00:00:00

abstract：BACKGROUND:Limited literacy has repeatedly been linked to problems comprehending health information, although the majority of studies to date have focused on reading various print health materials. We sought to investigate patients' ability to recall spoken medical instructions in the context of a hypothetical clinical...

journal_title：Medical care

authors： McCarthy DM,Waite KR,Curtis LM,Engel KG,Baker DW,Wolf MS

更新日期：2012-04-01 00:00:00

abstract：:Sequential analysis can be used as an early warning system about potential unintended consequences of health policy decisions, generating follow-up investigations, but it should not be used as causal evidence. ...

journal_title：Medical care

authors： Lu CY,Simon G,Soumerai SB,Kulldorff M

更新日期：2018-05-01 00:00:00

abstract：OBJECTIVES:To reapportion Veterans Health Administration (VA) annual expenditures into benefit categories for comparison with estimated payments by private sector providers. METHODS:Total expenditures for six VA medical centers for federal fiscal year 1999 were reapportioned by benefit category using the cost distribu...

journal_title：Medical care

authors： Nugent G,Grippen G,Parris YC,Mitchell M

更新日期：2003-06-01 00:00:00

abstract：OBJECTIVE:This paper describes the history of the Department of Veterans Affairs (VA) Community-Based Outpatient Clinics (CBOCs), CBOC Performance Evaluation Project, and characteristics of CBOCs within the VA, and summarizes the findings and implications of the CBOC Performance Evaluation Project. SUBJECTS:There were...

journal_title：Medical care

authors： Chapko MK,Borowsky SJ,Fortney JC,Hedeen AN,Hoegle M,Maciejewski ML,VanDeusen Lukas C

更新日期：2002-07-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to examine the dimensions of physician work satisfaction across a variety of medical specialties and practice settings. METHODS:A modified version of the Scheckler et al survey instrument was mailed to all physicians in Marion County, Indiana. Forty-two percent (777) of the eli...

journal_title：Medical care

authors： Bates AS,Harris LE,Tierney WM,Wolinsky FD

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND:Although studies have shown that a high rate of uninsurance in a community reduces access to and satisfaction with health care among the insured population, little is known about whether the community uninsurance rate also affects quality of care and clinical outcomes among the insured. OBJECTIVE:To assess ...

journal_title：Medical care

authors： Escarce JJ,Edgington SE,Roan Gresenz C

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:Medicare's Nonpayment Program of 2008 (hereafter called Program) withholds hospital reimbursement for costs related to hospital-acquired conditions (HACs). Little is known whether a hospital's Medicare patient load [quantified by the hospital's Medicare utilization ratio (MUR), which is the proportion of inp...

journal_title：Medical care

authors： Thirukumaran CP,Glance LG,Temkin-Greener H,Rosenthal MB,Li Y

更新日期：2017-05-01 00:00:00

abstract：OBJECTIVE:In the United States, data on transplanted and waitlisted patients collected by the Organ Procurement and Transplantation Network (OPTN) have been widely used in transplantation research. Administrative claims data, collected by health plans for reimbursement purposes, are also commonly used in health-service...

journal_title：Medical care

authors： Gilmore AS,Helderman JH,Ricci JF,Ryskina KL,Feng S,Kang N,Legorreta AP

更新日期：2007-06-01 00:00:00

abstract：OBJECTIVES:An important factor contributing to the steep rise in health care costs in the late 1960s was a reversal from the predominance of acute illness to that of chronic disease. Beginning with the philosophy of Illich and Levin, and the practical instruments of Fries, Sehnert, Vickery, and Ferguson, a new movement...

journal_title：Medical care

authors： Shoor S,Lorig KR

更新日期：2002-04-01 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: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：:A new technique for identifying inefficient hospitals, Data Envelopment Analysis (DEA), is field tested by application to a group of teaching hospitals. DEA is found to provide meaningful insights into the location and nature of hospital inefficiencies as judged by the opinion of a panel of hospital experts. DEA provi...

journal_title：Medical care

authors： Sherman HD

更新日期：1984-10-01 00:00:00