Beta-binomial regression and bimodal utilization.

abstract：OBJECTIVE:To understand patient loyalty to providers over time, informing effective population health management. STUDY SETTING:Patient care-seeking patterns over a 6-year timeframe in Minnesota, where care systems have a significant portion of their revenue generated by shared-saving contracts with public and private...

journal_title：Health services research

authors： Carlin CS

更新日期：2014-06-01 00:00:00

abstract：OBJECTIVE:To examine financial and nonfinancial access to care and utilization of primary health care services among children of working low-income families earning below 200 percent of the federal poverty level in California, and to compare them to children in nonworking low-income families and in families earning ove...

journal_title：Health services research

authors： Guendelman S,Wyn R,Tsai YW

更新日期：2000-06-01 00:00:00

abstract：OBJECTIVE:To examine changes in children's albuterol use and out-of-pocket (OOP) costs in response to increased copayments after the Food and Drug Administration banned inhalers with chlorofluorocarbon (CFC) propellants. SETTING:Four health maintenance organizations (HMOs), two that increased copayments for albuterol ...

journal_title：Health services research

authors： Galbraith AA,Fung V,Li L,Butler MG,Nordin JD,Hsu J,Smith D,Vollmer WM,Lieu TA,Soumerai SB,Wu AC

更新日期：2018-02-01 00:00:00

abstract：:The strategic behaviors of small multihospital systems have received little attention in the literature despite the fact that small systems are the predominant scale among multihospital systems. This study examines one important aspect of small-system strategic behaviors: the birth-order or evolutionary patterns of ho...

journal_title：Health services research

authors： Luke RD,Ozcan YA,Begun JW

更新日期：1990-06-01 00:00:00

abstract：:The concepts of class, race, and ethnicity figure prominently in health services research in Britain. Occupational class has been employed for nearly a century to investigate social inequalities in health and access to care. More recently, researchers have identified differences in health status and utilization betwee...

journal_title：Health services research

authors： Benzeval M,Judge K,Smaje C

更新日期：1995-04-01 00:00:00

abstract：OBJECTIVE:To examine the impact of the Short Stay Transfer Policy (SSTP) on practice patterns. DATA SOURCES:This study uses data from the Centers for Medicare and Medicaid Services Medicare Provider Analysis and Review (MEDPAR) file, Home Health Standard Analytical File, 1999 Provider of Service file, and data from th...

journal_title：Health services research

authors： FitzGerald JD,Boscardin WJ,Hahn BH,Ettner SL

更新日期：2007-02-01 00:00:00

abstract：OBJECTIVE:To produce cost estimates of proposed health insurance benefit mandates for the California legislature. DATA SOURCES:The 2001 California Health Interview Survey, 2002 Kaiser Family Foundation/Health Research and Education Trust California Employer Health Benefits Survey, Milliman Health Cost Guidelines, and ...

journal_title：Health services research

authors： Kominski GF,Ripps JC,Laugesen MJ,Cosway RG,Pourat N

更新日期：2006-06-01 00:00:00

abstract：OBJECTIVE:To use statistical process control charts to monitor in-hospital outcomes at the hospital level for a wide range of procedures and diagnoses. DATA SOURCES:Routine English hospital admissions data. STUDY DESIGN:Retrospective analysis using risk-adjusted log-likelihood cumulative sum (CUSUM) charts, comparing...

journal_title：Health services research

authors： Bottle A,Aylin P

更新日期：2008-02-01 00:00:00

abstract：:OBJECTIVE. : To determine whether racial/ethnic disparities in colonoscopy use vary by physician availability. DATA SOURCE. : We used 100 percent Texas Medicare claims data for 2003-2007. STUDY DESIGN. : We identified beneficiaries aged 66-79 in 2007, examined racial/ethnic differences in colonoscopy use from 2003 to ...

journal_title：Health services research

authors： Benarroch-Gampel J,Sheffield KM,Lin YL,Kuo YF,Goodwin JS,Riall TS

更新日期：2012-06-01 00:00:00

abstract：OBJECTIVE:To examine the hospital coding response to a payment model using a case-mix measurement system based on multiple diagnoses and the resulting impact on a hospital cost model. DATA SOURCES:Financial, clinical, and supplementary data for all Ontario short stay hospitals from years 1997 to 2002. STUDY DESIGN:Di...

journal_title：Health services research

authors： Preyra C

更新日期：2004-08-01 00:00:00

abstract：OBJECTIVE:To examine the influence of dimensions of service quality on patient experience of primary care. DATA SOURCES/STUDY SETTING:Data from the national GP Patient Survey in England 2014/15, with responses from 858,351 patients registered at 7,918 practices. STUDY DESIGN:Expert panel and principal component analy...

journal_title：Health services research

authors： Hudson Smith M,Smith D

更新日期：2018-12-01 00:00:00

abstract：OBJECTIVE:To test the effectiveness of financial incentives for smoking cessation in the Medicaid population. DATA SOURCES:Secondary data from the Medicaid Incentives for Prevention of Chronic Disease (MIPCD) program and Medicaid claims/encounter data from 2010 to 2015 for five states. STUDY DESIGN:Beneficiaries were...

journal_title：Health services research

authors： Witman A,Acquah J,Alva M,Hoerger T,Romaire M

更新日期：2018-12-01 00:00:00

abstract：OBJECTIVE:To evaluate the effects of depression treatment in primary care on patients' clinical status and employment, over six months. DATA SOURCES/STUDY SETTING:Data are from a randomized controlled trial of quality improvement for depression that included 938 adults with depressive disorder in 46 managed primary ca...

journal_title：Health services research

authors： Schoenbaum M,Unützer J,McCaffrey D,Duan N,Sherbourne C,Wells KB

更新日期：2002-10-01 00:00:00

abstract：OBJECTIVE:An ecological framework is proposed for assessing factors important to consider in allocating funds to promote sound performance of interorganizational programs. DATA SOURCE/STUDY SETTING:This framework is used to examine the first generation of Community Clinical Oncology Programs (CCOPs) funded by the Nati...

journal_title：Health services research

authors： Schopler JH

更新日期：1993-04-01 00:00:00

abstract：OBJECTIVE:To examine factors associated with guideline-concordant adjuvant therapy among breast cancer patients in a rural region of the United States and to present an advancement in quality-of-care assessment in the context of multiple treatments. DATA SOURCES:Chart abstraction on initial therapy received by 868 wom...

journal_title：Health services research

authors： Guy GP Jr,Lipscomb J,Gillespie TW,Goodman M,Richardson LC,Ward KC

更新日期：2015-08-01 00:00:00

abstract：OBJECTIVE:To develop novel, scalable, and valid literacy profiles for identifying limited health literacy patients by harnessing natural language processing. DATA SOURCE:With respect to the linguistic content, we analyzed 283 216 secure messages sent by 6941 diabetes patients to physicians within an integrated system'...

journal_title：Health services research

authors： Schillinger D,Balyan R,Crossley SA,McNamara DS,Liu JY,Karter AJ

更新日期：2020-09-23 00:00:00

abstract：:A location model is used to determine the most efficient (i.e., least-cost) number and location of ambulance facilities in a rural area. The model incorporates response time and service time standards into the analysis and indicates the trade-off between costs and various time standards. The financial feasibility of i...

journal_title：Health services research

authors： Daberkow SG

更新日期：1977-10-01 00:00:00

abstract：OBJECTIVE:The design of health insurance, and the role out-of-pocket (OOP) payments play in it, is a key policy issue as rising health costs have encouraged greater cost-sharing measures. This paper compares the percentage of Americans spending large amounts OOP to meet their health needs with percentages in eight othe...

journal_title：Health services research

authors： Baird K

更新日期：2016-08-01 00:00:00

abstract：OBJECTIVE:To describe the development of an instrument for assessing workforce perceptions of hospital safety culture and to assess its reliability and validity. DATA SOURCES/STUDY SETTING:Primary data collected between March 2004 and May 2005. Personnel from 105 U.S. hospitals completed a 38-item paper and pencil sur...

journal_title：Health services research

authors： Singer S,Meterko M,Baker L,Gaba D,Falwell A,Rosen A

更新日期：2007-10-01 00:00:00

abstract：OBJECTIVE:To understand reasons why California has lower Consumer Assessment of Healthcare Providers and Systems (CAHPS) scores than the rest of the country, including differing patterns of CAHPS scores between Medicare Advantage (MA) and fee-for-service, effects of additional demographic characteristics of beneficiari...

journal_title：Health services research

authors： Farley DO,Elliott MN,Haviland AM,Slaughter ME,Heller A

更新日期：2011-10-01 00:00:00

abstract：OBJECTIVE:To review two indirect methods, geocoding and surname analysis, for estimating race/ethnicity as a means for health plans to assess disparities in care. STUDY DESIGN:Review of published articles and unpublished data on the use of geocoding and surname analyses. PRINCIPAL FINDINGS:Few published studies have ...

journal_title：Health services research

authors： Fiscella K,Fremont AM

更新日期：2006-08-01 00:00:00

abstract：:This article describes a model development process that represents a useful step in classifying populations in terms of risk of institutionalization (Inst-Risk II). A four-category risk classification system--"High risk, Some risk, Low risk, and Very Low Risk"--was developed, based on combinations of measures of funct...

journal_title：Health services research

authors： Morris JN,Sherwood S,Gutkin CE

更新日期：1988-10-01 00:00:00

abstract：OBJECTIVE:To compare health care utilization between Canadian and U.S. residents. DATA SOURCES:Nationally representative 2007 surveys from the Medical Expenditure Panel Survey for the United States and the Canadian Community Health Survey for Canada. STUDY DESIGN:We use descriptive and multivariate methods to examine...

journal_title：Health services research

authors： Pylypchuk Y,Sarpong EM

更新日期：2013-04-01 00:00:00

abstract：OBJECTIVE:To discuss and quantify the incentives that Medicare managed care plans have to avoid (through selective enrollment or disenrollment) people who are at risk for very high costs, focusing on Medicare beneficiaries in the last year of life-a group that accounts for more than one-quarter of Medicare's annual exp...

journal_title：Health services research

authors： Buntin MB,Garber AM,McClellan M,Newhouse JP

更新日期：2004-02-01 00:00:00

abstract：OBJECTIVE:To assess the relative impact of clinical factors versus nonclinical factors-such as postacute care (PAC) supply-in determining whether patients receive care from skilled nursing facilities (SNFs) or inpatient rehabilitation facilities (IRFs) after discharge from acute care. DATA SOURCES AND STUDY SETTING:Me...

journal_title：Health services research

authors： Buntin MB,Garten AD,Paddock S,Saliba D,Totten M,Escarce JJ

更新日期：2005-04-01 00:00:00

abstract：:Limited information exists concerning lifetime use of nursing home services by the aged. This article examines the longitudinal experience, over four years, of elderly individuals at high risk of institutionalization, and develops a simple model of nursing home use based on these observations. This model allows us to ...

journal_title：Health services research

authors： Manheim LM,Hughes SL

更新日期：1986-06-01 00:00:00

abstract：OBJECTIVE:Substantial investment in electronic health records (EHRs) has provided an unprecedented opportunity to use clinical decision support (CDS) to increase guideline adherence. To inform efforts to maximize adoption, we characterized the adoption of an otitis media (OM) CDS system, the impact of performance feedb...

journal_title：Health services research

authors： Fiks AG,Zhang P,Localio AR,Khan S,Grundmeier RW,Karavite DJ,Bailey C,Alessandrini EA,Forrest CB

更新日期：2015-04-01 00:00:00

abstract：:Properties of the inverse gaussian distribution are presented with comments on fitting the distribution to lentgh-of-stay data. A conceptual framework for the hospitalization process is described; it suggests that the inverse gaussian distribution has considerable potential as both a descriptive and prescriptive model...

journal_title：Health services research

authors： Whitmore GA

更新日期：1975-10-01 00:00:00

abstract：OBJECTIVES:To test whether concordance or discordance of patient participation between patients and physicians is associated with higher satisfaction, and to examine the effects of patients' and physicians' participatory styles on patients' satisfaction with their physicians. DATA:Data collected in the Texas Tech 5000...

journal_title：Health services research

authors： Xu KT

更新日期：2004-04-01 00:00:00

abstract：OBJECTIVE:To determine factors associated with ruptured appendicitis among children, using administrative databases. Insurance-related differences in the risk of ruptured appendix among adults in California have previously been described (Braveman, Schaaf, Egerter, et al. 1994). DATA SOURCES/STUDY SETTING:State of Mar...

journal_title：Health services research

authors： Gadomski A,Jenkins P

更新日期：2001-04-01 00:00:00