What did the doctor say? Health literacy and recall of medical instructions.

abstract：:This study of patient and bystander responses to medical emergencies revealed serious shortcomings in the public's ability to respond appropriately to such situations. Decision delays at least as long as ambulance response delays were found to be the result of confusion regarding the seriousness of the emergency, conf...

journal_title：Medical care

authors： Mogielnicki RP,Stevenson KA,Willemain TR

更新日期：1975-09-01 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：BACKGROUND:Variance reduction is sometimes considered as a goal of clinical quality improvement. Variance among physicians, hospitals, or health plans has been evaluated as the proportion of total variance (or intraclass correlation, ICC) in a quality measure; low ICCs have been interpreted to indicate low potential fo...

journal_title：Medical care

authors： Selby JV,Schmittdiel JA,Lee J,Fung V,Thomas S,Smider N,Crosson FJ,Hsu J,Fireman B

更新日期：2010-02-01 00:00:00

abstract：:Earlier efforts of the Commission on Professional and Hospital Activities (CPHA) to develop a patient care data system for long-term care facilities were discontinued for lack of user interest and shortage of funds; however, the facilities were encouraged to participate in the hospital data system (PAS) and to use opt...

journal_title：Medical care

authors： Slee VN

更新日期：1976-05-01 00:00:00

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

authors： Turner RW

更新日期：1978-05-01 00:00:00

abstract：:Mental health services were included in comprehensive benefits available with no out-of-pocket expenses to enrollees in the Seattle Prepaid Health Care Project. This study was designed to examine the characteristics of users as compared to nonusers of mental health services and to examine the possibility of lower use ...

journal_title：Medical care

authors： Diehr P,Williams SJ,Shortell SM,Richardson WC,Drucker WL

更新日期：1979-09-01 00:00:00

abstract：:The association of underutilization of drugs prescribed for the treatment of hypertension and acute-care hospital readmissions was evaluated. The data base consisted of computerized hospitalization records and computerized out-patient pharmacy records, checked by chart audit for validity. The number of days' supply of...

journal_title：Medical care

authors： Maronde RF,Chan LS,Larsen FJ,Strandberg LR,Laventurier MF,Sullivan SR

更新日期：1989-12-01 00:00:00

abstract：BACKGROUND:Increasing surgical access to previously underserved populations in the United States may require a major expansion of the use of operating rooms on weekends to take advantage of unused capacity. Although the so-called weekend effect for surgery has been described in other countries, it is unknown whether US...

journal_title：Medical care

authors： Glance LG,Osler T,Li Y,Lustik SJ,Eaton MP,Dutton RP,Dick AW

更新日期：2016-06-01 00:00:00

abstract：:The second phase of the ADHC Evaluation Study was designed to assess ADHC provided under contract by community ADHC programs. Outcomes for the 163 patients enrolled in this prospective cohort evaluation were compared with those of patients assigned to ADHC provided directly by VA (VA-ADHC) and customary care in the ra...

journal_title：Medical care

authors： Rothman ML,Diehr P,Hedrick SC,Erdly WW,Nickinovich DG

更新日期：1993-09-01 00:00:00

abstract：BACKGROUND:The need for evidence about the effectiveness of therapeutics and other medical practices has triggered new interest in methods for comparative effectiveness research. OBJECTIVE:Describe an approach to comparative effectiveness research involving cluster randomized trials in networks of hospitals, health pl...

journal_title：Medical care

authors： Platt R,Takvorian SU,Septimus E,Hickok J,Moody J,Perlin J,Jernigan JA,Kleinman K,Huang SS

更新日期：2010-06-01 00:00:00

abstract：:Although there are large-scale forces that influence the economic behavior of the health care delivery system, it is the physician who has primary authority to make decisions about the use of resources. Consequently, when considering alternative options for controlling rising health care expenditures, it is useful to ...

journal_title：Medical care

authors： Grossman RM

更新日期：1983-08-01 00:00:00

abstract：BACKGROUND:Evidence that medical error is a systemic problem requiring systemic solutions continues to expand. Developing a "safety culture" is one potential strategy toward improving patient safety. A reliable and valid self-report measure of safety culture is needed that is both grounded in concrete behaviors and is ...

journal_title：Medical care

authors： Vogus TJ,Sutcliffe KM

更新日期：2007-01-01 00:00:00

abstract：:A population-based approach was used to analyze the utilization patterns of hospital care by Manitoba residents during the fiscal year 1991/1992. Patterns were analyzed for eight administrative regions, with use assigned to the patient's region of residence, regardless of the location of the hospitalization. Regional ...

journal_title：Medical care

authors： Black CD,Roos NP,Burchill CA

更新日期：1995-12-01 00:00:00

abstract：BACKGROUND:Although patients readmitted to intensive care units (ICUs) typically have poor outcomes, ICU readmission rates have not been studied as a measure of hospital performance. OBJECTIVES:To determine variation in ICU readmission rates across hospitals and associations of readmission rates with other ICU-based m...

journal_title：Medical care

authors： Cooper GS,Sirio CA,Rotondi AJ,Shepardson LB,Rosenthal GE

更新日期：1999-04-01 00:00:00

abstract：:Breast cancer is the most common neoplasm in North American women. The psychosocial impact of breast cancer has been extensively studied, and a number of investigators have attempted to characterize women who are at high risk for increased psychosocial morbidity. Although a detailed interview performed by a profession...

journal_title：Medical care

authors： Ganz PA,Hirji K,Sim MS,Schag CA,Fred C,Polinsky ML

更新日期：1993-05-01 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:Without advanced preparation of legal documents, state law determines who may serve as a surrogate decision maker for patients in hospitals. OBJECTIVES:To examine the relationship characteristics associated with traditional versus nontraditional health care surrogates who are making medical decisions for pa...

journal_title：Medical care

authors： Comer AR,Slaven JE,Montz A,Burke E,Inger L,Torke A

更新日期：2018-04-01 00:00:00

abstract：OBJECTIVES:The effectiveness of case-managed residential care (CMRC) in reducing substance abuse, increasing employment, decreasing homelessness, and improving health was examined. METHODS:A five-year prospective experiment included 358 homeless addicted male veterans 3, 6, and 9 months during their enrollment and at ...

journal_title：Medical care

authors： Conrad KJ,Hultman CI,Pope AR,Lyons JS,Baxter WC,Daghestani AN,Lisiecki JP Jr,Elbaum PL,McCarthy M Jr,Manheim LM

更新日期：1998-01-01 00:00:00

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

authors： Brooks JM,Chrischilles EA

更新日期：2007-10-01 00:00:00

abstract：OBJECTIVE:To investigate patterns of complementary and alternative medicine (CAM) use disclosure across medical and sociobehavioral factors and to provide a model that takes into account factors in explaining those patterns. SUBJECTS:A total of 21,849 CAM use episodes from 7347 respondents in the 2007 US National Heal...

journal_title：Medical care

authors： Shim JM,Schneider J,Curlin FA

更新日期：2014-08-01 00:00:00

abstract：:This study, like two earlier studies by the author, examines the effects of changing medical technologies on medical care costs by comparing the costs of treatment of a number of common illnesses at two points in time, 1971 and 1981. While the earlier studies, covering the periods 1951-1964 and 1964-1971, showed that ...

journal_title：Medical care

authors： Scitovsky AA

更新日期：1985-12-01 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:Although the Affordable Care Act has been successful in expanding Medicaid to >17 million people, insurance alone may not translate into access to health care. Even among the insured, substantial barriers to accessing services inhibit health care utilization. OBJECTIVES:We examined the effect of selected ba...

journal_title：Medical care

authors： Allen EM,Call KT,Beebe TJ,McAlpine DD,Johnson PJ

更新日期：2017-03-01 00:00:00

abstract：BACKGROUND:Administrative databases are increasingly being used to study the incident dialysis population and have important advantages. However, traditional methods of risk adjustment have limitations in this patient population. OBJECTIVE:Our objective was to develop a prognostic index for 1-year mortality in inciden...

journal_title：Medical care

authors： Quinn RR,Laupacis A,Hux JE,Oliver MJ,Austin PC

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:Engaging patients as partners in their care is clinically appealing, yet challenging to implement, and we lack a measurement framework that is applicable to vulnerable populations. To address this gap, we conducted a qualitative study to refine a conceptual framework that reflects an individual's propensity ...

journal_title：Medical care

authors： Kimerling R,Lewis ET,Javier SJ,Zulman DM

更新日期：2020-02-01 00:00:00

abstract：OBJECTIVES:The authors examined organizational characteristics of 16 primary care group practices to determine their influence on quality or quality improvement. METHODS:The authors used a data base compiled during a randomized, controlled trial of quality assurance interventions consisting of measures of guideline-re...

journal_title：Medical care

authors： Hargraves JL,Palmer RH,Orav EJ,Wright EA

更新日期：1996-09-01 00:00:00

abstract：:The Resource-Based Relative Value Scale (RBRVS) was developed by surveying panels of physicians from single specialties, then merging the specialty-specific results into a common work scale. The merging process involved two steps: 1) specification of links or equivalent services across specialties: and 2) use of links...

journal_title：Medical care

authors： Morton SC,Kominski GF,Kahan JP

更新日期：1994-01-01 00:00:00

abstract：BACKGROUND:It is unclear if volume-outcome relationships exist in inpatient rehabilitation. OBJECTIVES:Assess associations between facility volumes and 2 patient-centered outcomes in the 3 most common diagnostic groups in inpatient rehabilitation. RESEARCH DESIGN:We used hierarchical linear and generalized linear mod...

journal_title：Medical care

authors： Graham JE,Deutsch A,O'Connell AA,Karmarkar AM,Granger CV,Ottenbacher KJ

更新日期：2013-05-01 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：BACKGROUND:Seizures and epilepsy are common in older adults especially in some minorities. Despite the importance of medical care to maximize seizure control, little is known about its quality across racial groups. One indicator of quality care is the receipt of electroencephalograms (EEG), and magnetic resonance imagi...

journal_title：Medical care

authors： Pisu M,Richman JS,Martin RC,Kim Y,Kratt P,Clements K,Funkhouser E,Knowlton R,Faught E

更新日期：2012-08-01 00:00:00