The state of disparities in opportunistic infection prophylaxis for blacks with HIV/AIDS.

abstract：:The effect of large numbers of patients with a history of substance abuse upon a health care system is rarely considered, nor is the health care system's response to such a clientele ever assessed. In this preliminary study, the collective effect of large numbers of substance abuse patients upon a clinic serving the u...

journal_title：Medical care

authors： Cahill DF,Hodgkins BJ

更新日期：1991-10-01 00:00:00

abstract：BACKGROUND:Previous studies of nonresponders have not assessed the effects of nonresponse on the accuracy of clinician behavior measurements. Knowledge of these effects is critical to both research and quality improvement. OBJECTIVE:To evaluate the hypothesis that nonresponders to a survey would not adversely affect t...

journal_title：Medical care

authors： Solberg LI,Beth Plane M,Brown RL,Underbakke G,McBride PE

更新日期：2002-04-01 00:00:00

abstract：OBJECTIVES:Use of antepartum tests of fetal well-being is widespread even though effectiveness in preventing fetal damage or stillbirth has not been established. The study objective was to examine whether aggressive use of these tests might contribute to increased rates of other birth outcomes, including low birth weig...

journal_title：Medical care

authors： Helfand M,Zimmer-Gembeck MJ

更新日期：1997-01-01 00:00:00

abstract：BACKGROUND:Electronic health record (EHR) databases contain vast amounts of information about patients. Machine learning techniques such as Boosting and support vector machine (SVM) can potentially identify patients at high risk for serious conditions, such as heart disease, from EHR data. However, these techniques hav...

journal_title：Medical care

authors： Wu J,Roy J,Stewart WF

更新日期：2010-06-01 00:00:00

abstract：BACKGROUND:To optimize the use of patient-reported outcomes (PROs) in clinical research, it is first necessary to review the current use of these outcomes in clinical trials to determine under what circumstances they are most useful, and to reveal current limitations. PURPOSE:To investigate current patterns of use of ...

journal_title：Medical care

authors： Dinan MA,Compton KL,Dhillon JK,Hammill BG,Dewitt EM,Weinfurt KP,Schulman KA

更新日期：2011-04-01 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：:Effective physician involvement in quality assurance in hospitals is necessary both to identify problems in patient care and to bring about problem resolution. This report describes a controlled, longitudinal study designed to measure effects on physician performance of involving physicians in setting medical audit cr...

journal_title：Medical care

authors： Sommers LS,Sholtz R,Shepherd RM,Starkweather DB

更新日期：1984-12-01 00:00:00

abstract：BACKGROUND:Under the Affordable Care Act, the Centers for Medicare and Medicaid Services has greatly expanded inpatient fee-for-value programs including the Hospital Value-based Purchasing (HVBP) program. Existing evidence from the HVBP program is mixed. There is a need for a systematic review of the HVBP program to in...

journal_title：Medical care

authors： Hong YR,Nguyen O,Yadav S,Etzold E,Song J,Duncan RP,Turner K

更新日期：2020-08-01 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：: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：BACKGROUND:Monitoring mental health treatment outcomes for populations requires an understanding as to which patient information is needed in electronic format and is feasible to obtain in routine care. OBJECTIVE:To examine whether bipolar disorder outcomes can be accurately predicted and how much clinical detail is n...

journal_title：Medical care

authors： Busch AB,Neelon B,Zelevinsky K,He Y,Normand SL

更新日期：2012-04-01 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：OBJECTIVE:We sought to quantify Veterans Health Administration (VA) patients' utilization of coronary revascularization in the private sector and to assess the potential impact of directing this care to high-performance hospitals. METHODS:Using VA and New York State administrative and clinical databases, we conducted ...

journal_title：Medical care

authors： Weeks WB,Bott DM,Bazos DA,Campbell SL,Lombardo R,Racz MJ,Hannan EL,Wright SM,Fisher ES

更新日期：2006-06-01 00:00:00

abstract：:In a large randomized trial involving over 2,000 women with abnormal cervical cytology (pap smear), three clinic-based interventions were tested as strategies to increase return rates for screening follow-up: 1) a personalized follow-up letter and pamphlet; 2) a slide-tape program on pap smears; and 3) transportation ...

journal_title：Medical care

authors： Marcus AC,Crane LA,Kaplan CP,Reading AE,Savage E,Gunning J,Bernstein G,Berek JS

更新日期：1992-03-01 00:00:00

abstract：:An expository account of multiple time series analysis is presented. Modeling several related time series together makes it possible to ascertain dynamic leading, lagging, and feedback relationships among the series; to produce more efficient forecasts and, in some situations; to develop control schemes. Procedures fo...

journal_title：Medical care

authors： Tiao GC

更新日期：1993-05-01 00:00:00

abstract：:This study examines practice mobility among young physicians, based on a large nationwide 1987 survey of physicians under age 40 years and in their second through fifth years of practice. Averaged across all physicians, there is a 10% to 12% chance of changing practices for each of the first 3 years, and about one in ...

journal_title：Medical care

authors： Willke RJ

更新日期：1991-10-01 00:00:00

abstract：BACKGROUND:Prescribing of exogenous testosterone is increasing. Because of the risks associated with testosterone, it is important to follow evidence-based procedures when initiating therapy. OBJECTIVE:We evaluated whether dispensing of testosterone was preceded by appropriate ascertainment of androgen deficiency, and...

journal_title：Medical care

authors： Jasuja GK,Bhasin S,Reisman JI,Berlowitz DR,Rose AJ

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES:To assess the impact of a state policy implemented in June 2010 that required prospect...

journal_title：Medical care

authors： Graves JM,Fulton-Kehoe D,Jarvik JG,Franklin GM

更新日期：2018-06-01 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:If shape of a person's utility function is associated with his health status, as is predicted by Prospect Theory, the use of utilities from the healthy could result in 'de facto' discrimination against the sick. OBJECTIVES:To determine if patients' utilities for hypothetical states and for their current hea...

journal_title：Medical care

authors： Lenert LA,Treadwell JR,Schwartz CE

更新日期：1999-05-01 00:00:00

abstract：:A factorial design randomized controlled trial to test several clinically feasible strategies primary-care practitioners may use in routine practice to increase patient participation in occult blood testing for colorectal cancer is reported. Three compliance-enhancing intervention strategies (physician/nurse talk, and...

journal_title：Medical care

authors： Thompson RS,Michnich ME,Gray J,Friedlander L,Gilson B

更新日期：1986-10-01 00:00:00

abstract：BACKGROUND:Estimating population-level obesity rates is important for informing policy and targeting treatment. The current gold standard for obesity measurement in the United States-the National Health and Nutrition Examination Survey (NHANES)-samples <0.1% of the population and does not target state-level or health s...

journal_title：Medical care

authors： Funk LM,Shan Y,Voils CI,Kloke J,Hanrahan LP

更新日期：2017-06-01 00:00:00

abstract：:Data were obtained from the American Medical Association on Iranian physicians practicing in the U.S., and from the Iranian Medical Registry on U.S.-trained Iranian physicians who have returned to practice in Iran. There were 2,066 Iranian physicians practicing in the U.S. in 1972, 1,234 (60%) of whom were not undergo...

journal_title：Medical care

authors： Ronaghy HA,Zeighami E,Zeighami B

更新日期：1976-06-01 00:00:00

abstract：BACKGROUND:Information is limited regarding the effects of processes of care on cardiac surgical outcomes. Correspondingly, many recommended cardiac surgical processes of care are derived from animal experiments or clinical judgment. This report from the VA Cooperative Study in Health Services, "Processes, Structures, ...

journal_title：Medical care

authors： O'Brien MM,Shroyer AL,Moritz TE,London MJ,Grunwald GK,Villanueva CB,Thottapurathu LG,MaWhinney S,Marshall G,McCarthy M Jr,Henderson WG,Sethi GK,Grover FL,Hammermeister KE,VA Cooperative Study Group on Processes, Structures, a

更新日期：2004-01-01 00:00:00

abstract：:One widely discussed response to the severe problems faced by many rural hospitals is to convert them into organizations that provide health services other than general, acute inpatient care. This study identifies conversions that occurred nationally from 1984 to 1991. The study also empirically examines the determina...

journal_title：Medical care

authors： Alexander JA,D'Aunno TA,Succi MJ

更新日期：1996-01-01 00:00:00

abstract：OBJECTIVES:To investigate the temporal association between symptoms of psychiatric disorder and physical aspects of health-related quality of life (HRQOL) in a sample of HIV-positive adults. METHODS:Sample included 2431 participants at baseline and the first follow-up (FU1; approximately 8 months later). Measures incl...

journal_title：Medical care

authors： Orlando M,Tucker JS,Sherbourne CD,Burnam MA

更新日期：2005-01-01 00:00:00

abstract：BACKGROUND:Acute health care utilization often occurs among persons experiencing homelessness. However, knowing which individuals will be persistent super-utilizers of acute care is less well understood. OBJECTIVE:The objective of the study was to identify those more likely to be persistent super-utilizers of acute ca...

journal_title：Medical care

authors： Szymkowiak D,Montgomery AE,Johnson EE,Manning T,O'Toole TP

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:The relationship between psychiatric consultation and antipsychotic prescribing in nursing homes (NH) is unknown. OBJECTIVE:To identify the association between psychiatric consultant groups and NH-level antipsychotic prescribing after adjustment for resident case-mix and facility characteristics. RESEARCH ...

journal_title：Medical care

authors： Tjia J,Field T,Lemay C,Mazor K,Pandolfi M,Spenard A,Ho SY,Kanaan A,Donovan J,Gurwitz JH,Briesacher B

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:Community-acquired pneumonia (CAP) is the most common infectious cause of death in the United States. To understand the effect of efforts to improve quality and efficiency of care in CAP, we examined the trends in mortality and costs among hospitalized CAP patients. METHODS:Using the National Inpatient Samp...

journal_title：Medical care

authors： Ruhnke GW,Coca-Perraillon M,Kitch BT,Cutler DM

更新日期：2010-12-01 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