Effectiveness of long-term acute care hospitalization in elderly patients with chronic critical illness.

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：: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:Many national surveys have found substantial differences in self-reported overall health between Spanish-speaking Hispanics and other racial/ethnic groups. However, because cultural and language differences may create measurement bias, it is unclear whether observed differences in self-reported overall healt...

journal_title：Medical care

authors： Sudano JJ,Perzynski A,Love TE,Lewis SA,Murray PM,Huber GM,Ruo B,Baker DW

更新日期：2011-05-01 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：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：:Data from the Cancer Control Supplement of the 1987 Health Interview Survey (NHIS), a nationally representative sample of the United States population, was used to examine rates of six screening tests for cancer. The rates of screening were compared for people who receive their usual source of medical care in an HMO o...

journal_title：Medical care

authors： Bernstein AB,Thompson GB,Harlan LC

更新日期：1991-03-01 00:00:00

abstract：BACKGROUND:Hospitalizations for ambulatory care-sensitive conditions (ACSCs) and early rehospitalizations increase health care costs. OBJECTIVES:To determine if individuals with serious mental illnesses (SMIs) (eg, schizophrenia or bipolar disorder) are at increased risk for hospitalizations for ACSCs, and rehospitali...

journal_title：Medical care

authors： Davydow DS,Ribe AR,Pedersen HS,Fenger-Grøn M,Cerimele JM,Vedsted P,Vestergaard M

更新日期：2016-01-01 00:00:00

abstract：:Teaching hospitals have higher charges than nonteaching hospitals, and teaching patients within a single institution incur higher charges than do private patients. Teaching hospitals claim that these higher charges are due to caring for patients with more complex illnesses. Critics claim that the increased charges are...

journal_title：Medical care

authors： Jones KR

更新日期：1985-03-01 00:00:00

abstract：OBJECTIVES:The authors examined how the courts have responded to public and private insurers' use of medical appropriateness criteria to establish coverage and payment policies. METHODS:A structured review of all federal and state court health insurance cases decided between 1960 and June 1994 that involved a dispute ...

journal_title：Medical care

authors： Anderson G,Hall MA,Smith TR

更新日期：1998-08-01 00:00:00

abstract：BACKGROUND:Planned health insurance reform promises and has started to cut reimbursement to Medicare managed care (MMC) plans. If such plans provide better care, adjusting for possible better health of their enrollees, then such reimbursement changes may have unforeseen quality consequences. OBJECTIVES:To examine whet...

journal_title：Medical care

authors： Huesch MD

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:While standard methods for conducting economic evaluations have evolved, little attention has been paid to the conduct of these studies in special populations such as children. OBJECTIVES:To build a database of pediatric economic evaluations and to examine trends in publication characteristics over a 20-yea...

journal_title：Medical care

authors： Ungar WJ,Santos MT

更新日期：2003-10-01 00:00:00

abstract：:This study analyzes the relationship between medical student participation in rural training programs, including preceptorships, and the decision to locate medical practice in rural areas. Data consist primarily of responses to questionnaires mailed in 1972 to all graduates of United States medical schools in 1965. St...

journal_title：Medical care

authors： Steinwald B,Steinwald C

更新日期：1975-03-01 00:00:00

abstract：:Four separate human services programs and their West Philadelphia service consumers were studied by the 1971 Health Network Project: a hospital receiving ward, a community mental health satellite center, a public assistance district office, and a public child welfare agency. The basic hypotheses were that 1) the four ...

journal_title：Medical care

authors： Leopold EA,Schein L

更新日期：1975-07-01 00:00:00

abstract：BACKGROUND:Breast cancer missed on diagnostic mammography may contribute to delayed diagnoses, whereas false-positive results may lead to unnecessary invasive procedures. Whether accuracy of diagnostic mammography at facilities serving vulnerable women differs from other facilities is unknown. OBJECTIVE:To compare the...

journal_title：Medical care

authors： Goldman LE,Walker R,Miglioretti DL,Smith-Bindman R,Kerlikowske K,National Cancer Institute Breast Cancer Surveillance Consortium.

更新日期：2011-01-01 00:00:00

abstract：OBJECTIVE:To examine the association of drug users' outpatient patterns of care with subsequent intensity of antiretroviral therapy (ART). MATERIALS AND METHODS:Annual types of ART in 8897 New York State Medicaid drug users who were prescribed ART for > or =6 months in 1996 or 1997 were determined. From pharmacy claim...

journal_title：Medical care

authors： Laine C,Hauck WW,Turner BJ

更新日期：2002-10-01 00:00:00

abstract：:We conducted an 18-month longitudinal evaluation of a model-managed medical care program for severely disabled, independently living adults. Regression analyses using an additive model (no interaction effects) suggest that persons in the study group did not have statistically significantly different utilization experi...

journal_title：Medical care

authors： Meyers AR,Cupples A,Lederman RI,Branch LG,Feltin M,Master RJ,Nicastro D,Glover M,Kress D

更新日期：1987-11-01 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：:The purpose of this article is to examine children's use of ambulatory physician services in relation to three dimensions of family life: maternal employment, single-parent versus two-parent households, and the presence of a nuclear or extended family. Data from the National Medical Care Expenditure Survey show that m...

journal_title：Medical care

authors： Cafferata GL,Kasper JD

更新日期：1985-04-01 00:00:00

abstract：OBJECTIVE:To investigate differences in self-rated health (SRH) between web and mail questionnaires in a mixed mode survey and to provide a model that explains those differences. SUBJECTS:A total of 15,200 mail respondents and 17,829 web respondents from the 2008 US National Health Survey conducted by the Gallup Panel...

journal_title：Medical care

authors： Shim JM,Shin E,Johnson TP

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:Hospitalization is a difficult experience, especially for patients with dementia. Understanding whether better continuity of care (COC) reduces hospitalizations can indicate interventions that might help curb hospitalizations. OBJECTIVE:To estimate the causal impact of COC on hospitalizations and different ...

journal_title：Medical care

authors： Lei L,Cai S,Conwell Y,Fortinsky RH,Intrator O

更新日期：2020-11-01 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：:The management information system (FP/MIS) used by the Howard University Center for Family Planning Services, which operates community family planning clinics in Washington, D.C. is described. The system was developed to satisfy program objectives in patient management, program planning and evaluation, resource manage...

journal_title：Medical care

authors： Herson J,Crocker CL,Butts E,Phong LT,Haynes JA

更新日期：1977-05-01 00:00:00

abstract：BACKGROUND:Providing collaborative mental health treatment within primary care settings improves depression outcomes and may improve detection of mental disorders. Few studies have assessed the effect of collaborative mental health treatment programs on diagnosis of mental disorders in primary care populations. In 2008...

journal_title：Medical care

authors： Zivin K,Pfeiffer PN,Szymanski BR,Valenstein M,Post EP,Miller EM,McCarthy JF

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:High opioid dosage has been associated with overdose, and clinical guidelines have cautioned against escalating dosages above 100 morphine-equivalent mg (MEM) based on the potential harm and the absence of evidence of benefit from high dosages. However, this 100 MEM threshold was chosen somewhat arbitrarily....

journal_title：Medical care

authors： Bohnert AS,Logan JE,Ganoczy D,Dowell D

更新日期：2016-05-01 00:00:00

abstract：BACKGROUND:Persons with behavioral disorders incur higher healthcare costs. Although they utilize behavioral health (BH) services others do not, they also have higher utilization of medical services OBJECTIVES:: To determine the degree to which higher costs for persons with BH disorders are attributable to utilization...

journal_title：Medical care

authors： Freeman E,McGuire CA,Thomas JW,Thayer DA

更新日期：2014-03-01 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：:The differences between female and male general practitioners (GPs) were studied regarding three different factors: 1) Do female GPs see more female patients than their male colleagues in the same practice?; 2) Are female GPs confronted with different types of health problems from their male colleagues?; and 3) Do fem...

journal_title：Medical care

authors： Bensing JM,van den Brink-Muinen A,de Bakker DH

更新日期：1993-03-01 00:00:00

abstract：:Because of the rapid changes that have occurred in the dental profession, the Dentist Satisfaction Survey (DSS) was developed to assess both facet and overall job satisfaction among dentists. The DSS was administered to a sample of 558 California general dentists. The results suggest that the DSS is a practical, relia...

journal_title：Medical care

authors： Shugars DA,Hays RD,DiMatteo MR,Cretin S

更新日期：1991-08-01 00:00:00

abstract：:Although much is known about who pays the annual aggregate nursing home bill, relatively little is known about payment-source patterns of individuals during their lifetimes. In this article, lifetime payment-source patterns are analyzed for elderly nursing home users, particularly the extent to which they spend down a...

journal_title：Medical care

authors： Spillman BC,Kemper P

更新日期：1995-03-01 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