Application of health status assessment measures in policy research.

abstract：OBJECTIVE:The objective of this study was to test the hypothesis that social support is an important predictor of mortality in a frail older population receiving formal long-term care services. RESEARCH DESIGN AND METHODS:The analysis is based on 3138 individuals enrolled in 28 Programs of All-Inclusive Care for the E...

journal_title：Medical care

authors： Temkin-Greener H,Bajorska A,Peterson DR,Kunitz SJ,Gross D,Williams TF,Mukamel DB

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:Versus whites, blacks with diabetes have poorer control of hemoglobin A1c (HbA1c), higher systolic blood pressure (SBP), and higher low-density lipoprotein (LDL) cholesterol as well as higher rates of morbidity and microvascular complications. OBJECTIVE:To examine whether several mutable risk factors were m...

journal_title：Medical care

authors： Duru OK,Gerzoff RB,Selby JV,Brown AF,Ackermann RT,Karter AJ,Ross S,Steers N,Herman WH,Waitzfelder B,Mangione CM

更新日期：2009-06-01 00:00:00

abstract：OBJECTIVE:Test whether physicians' counseling patients for smoking cessation with an autonomy supportive rather than controlling style would increase patients' active involvement in the counseling session and increase maintained abstinence. DESIGN:Randomized trial of 27 community-based physicians using two interview s...

journal_title：Medical care

authors： Williams GC,Deci EL

更新日期：2001-08-01 00:00:00

abstract：BACKGROUND:The relationship between health status and Hispanic ethnicities, language, and nativity is poorly understood, due to the limitations and conflicting findings of previous studies. OBJECTIVES:To examine the effects of language and nativity on health status in Hispanic ethnic subgroups and non-Hispanic whites ...

journal_title：Medical care

authors： Jerant A,Arellanes R,Franks P

更新日期：2008-07-01 00:00:00

abstract：:This study uses Medicare physician-claims data to examine patient and physician contributions to variations in cataract surgery rates across U.S. metropolitan areas. Utilization is modelled as having two phases: the decision to seek an ophthalmologist's care, which is made by patients, and the decision to perform surg...

journal_title：Medical care

authors： Escarce JJ

更新日期：1993-12-01 00:00:00

abstract：BACKGROUND:One approach postulated to improve the provision of health care is effective utilization of team-based care including pharmacists. OBJECTIVE:The objective of this study was to conduct a comprehensive systematic review with focused meta-analyses to examine the effects of pharmacist-provided direct patient ca...

journal_title：Medical care

authors： Chisholm-Burns MA,Kim Lee J,Spivey CA,Slack M,Herrier RN,Hall-Lipsy E,Graff Zivin J,Abraham I,Palmer J,Martin JR,Kramer SS,Wunz T

更新日期：2010-10-01 00:00:00

abstract：BACKGROUND:Cardiac risk assessment may not be routinely performed. Electronic health records (EHRs) offer the potential to automate risk estimation. We compared EHR-based assessment with manual chart review to determine the accuracy of automated cardiac risk estimation and determination of candidates for antiplatelet o...

journal_title：Medical care

authors： Persell SD,Dunne AP,Lloyd-Jones DM,Baker DW

更新日期：2009-04-01 00:00:00

abstract：:In this paper the individual is employed as the unit of analysis to examine the extent to which the use of physician care by beneficiaries insured under the Canadian Medicare program is determined by medical needs and sociodemographic characteristics as opposed to economic considerations. The data were derived from th...

journal_title：Medical care

authors： Broyles RW,Manga P,Binder DA,Angus DE,Charette A

更新日期：1983-11-01 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：:Lack of consensus about the treatment of low back pain is reflected by wide regional variations in lumbar spine surgery rates. Neck pain may be as common as low back pain, but there has been no similar evaluation of regional variation for the surgical treatment of neck pain. This report examines the geographic variati...

journal_title：Medical care

authors： Einstadter D,Kent DL,Fihn SD,Deyo RA

更新日期：1993-08-01 00:00:00

abstract：BACKGROUND:Policymakers and researchers are concerned that changes in the healthcare market have stressed and weakened the safety net nationwide. OBJECTIVES:The objectives of this study were to investigate variations in the safety net across communities and over time and to explore the effect of market changes on the ...

journal_title：Medical care

authors： Marquis MS,Rogowski JA,Escarce JJ

更新日期：2004-05-01 00:00:00

abstract：OBJECTIVES:The aim of this study was to determine whether parents rate their children's care differently when they also rate their own care than when they do not. METHODS:Subjects were employees of Washington State who had been enrolled in a health plan for at least 6 months and who had at least one covered child. Sub...

journal_title：Medical care

authors： Shaul JA,Fowler FJ Jr,Zaslavsky AM,Homer CJ,Gallagher PM,Cleary PD

更新日期：1999-03-01 00:00:00

abstract：BACKGROUND:Teens and racial and ethnic minority women are less likely to initiate prenatal care (PNC) in the first trimester of pregnancy than their counterparts. OBJECTIVE:This study examines the impact of Medicaid program changes in the late 1990s on the timing of Medicaid enrollment and PNC initiation among pregnan...

journal_title：Medical care

authors： Kuo TM,Gavin NI,Adams EK,Ayadi MF

更新日期：2008-10-01 00:00:00

abstract：BACKGROUND:There is an increasing demand for electronic health record (EHR)-based risk stratification and predictive modeling tools at the population level. This trend is partly due to increased value-based payment policies and the increasing availability of EHRs at the provider level. Risk stratification models, howev...

journal_title：Medical care

authors： Kharrazi H,Chi W,Chang HY,Richards TM,Gallagher JM,Knudson SM,Weiner JP

更新日期：2017-08-01 00:00:00

abstract：BACKGROUND:Safety-net and teaching hospitals are somewhat more likely to be penalized for excess readmissions, but the association of other hospital characteristics with readmission rates is uncertain and may have relevance for hospital-centered interventions. OBJECTIVE:To examine the independent association of 8 hosp...

journal_title：Medical care

authors： Horwitz LI,Bernheim SM,Ross JS,Herrin J,Grady JN,Krumholz HM,Drye EE,Lin Z

更新日期：2017-05-01 00:00:00

abstract：BACKGROUND:Previous research has indicated that the needs of persons infected with human immunodeficiency virus (HIV) for supportive services often go unmet. Although case management has been advocated as a method of decreasing unmet needs for supportive services, its effectiveness is poorly understood. OBJECTIVES:To ...

journal_title：Medical care

authors： Katz MH,Cunningham WE,Mor V,Andersen RM,Kellogg T,Zierler S,Crystal SC,Stein MD,Cylar K,Bozzette SA,Shapiro MF

更新日期：2000-01-01 00:00:00

abstract：BACKGROUND:A requirement of the Arkansas Medicaid Section 1115 demonstration waiver was to evaluate the level of care received for Medicaid expansion eligible beneficiaries enrolled in commercial Qualified Health Plans (QHPs) in the Health Care Independence "Private Option" Program. This allowed for a direct comparison...

journal_title：Medical care

authors： Goudie A,Martin B,Li C,Lewis K,Han X,Kathe N,Wilson JC,Thompson J

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Previous studies relating the incidence of negligent medical care to malpractice lawsuits in the United States may not be generalizable. These studies are based on data from 2 of the most populous states (California and New York), collected more than a decade ago, during volatile periods in the history of ma...

journal_title：Medical care

authors： Studdert DM,Thomas EJ,Burstin HR,Zbar BI,Orav EJ,Brennan TA

更新日期：2000-03-01 00:00:00

abstract：:This study compares the characteristics of the practices and patients of recent graduates of family practice and general internal medicine residency programs. National samples of 104 family physicians and 134 general internists completed questionnaires and provided log-diary data for more than 7,500 office visits and ...

journal_title：Medical care

authors： Cherkin DC,Rosenblatt RA,Hart LG,Schleiter MK

更新日期：1986-12-01 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：: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 AND OBJECTIVE:Hospital-acquired catheter-associated urinary tract infection (CAUTI) is one of the first 6 conditions Medicare is targeting to reduce payment associated with hospital-acquired conditions under Congressional mandate. This study was to determine the positive predictive value (PPV) and sensitivit...

journal_title：Medical care

authors： Zhan C,Elixhauser A,Richards CL Jr,Wang Y,Baine WB,Pineau M,Verzier N,Kliman R,Hunt D

更新日期：2009-03-01 00:00:00

abstract：BACKGROUND:Estimates of the costs of medical care vary across patient populations, data sources, and methods. The objective of this study was to compare 3 approaches for estimating the incidence costs of colorectal cancer (CRC) care using similar patient populations, but different data sources and methods. METHODS:We ...

journal_title：Medical care

authors： Yabroff KR,Warren JL,Schrag D,Mariotto A,Meekins A,Topor M,Brown ML

更新日期：2009-07-01 00:00:00

abstract：OBJECTIVES:This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies, and more useful info...

journal_title：Medical care

authors： Curran GM,Bauer M,Mittman B,Pyne JM,Stetler C

更新日期：2012-03-01 00:00:00

abstract：:Satisfaction with health services is an aspect of quality of care that is of special importance for captive clients like low-income clinic users. Several methodologies have been reported, but validation has been difficult. This study compares two older scaling techniques with a new, nonmetric method to detect underlyi...

journal_title：Medical care

authors： Hengst A,Roghmann K

更新日期：1978-03-01 00:00:00

abstract：:This paper investigates the difficulties that people encounter in their attempt to obtain needed health services, other than their third-party coverage or lack of it. These problems can be temporal, geographic, attitudinal, or financial (even with insurance). A state-wide sample survey conducted in 1989 revealed that ...

journal_title：Medical care

authors： Bashshur RL,Homan RK,Smith DG

更新日期：1994-05-01 00:00:00

abstract：BACKGROUND:Traumatic brain injury (TBI) is a serious public health problem in the United States. Each year, TBIs substantially contribute to health care costs, which vary by severity. This is important to consider given the variability in recovery time by severity. RESEARCH DESIGN:This study quantifies the annual incr...

journal_title：Medical care

authors： Miller GF,DePadilla L,Xu L

更新日期：2021-01-28 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：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：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