Perceptions of providers and administrators in the Veterans Health Administration regarding complementary and alternative medicine.

abstract：:Many health care system, including that of the Department of Veterans Affairs (VA), are facing dramatic changes as they adapt to state-level reform legislation and move into managed care environments. As new costing systems are designed and as researchers seek to conduct cost-effectiveness studies to guide health poli...

journal_title：Medical care

authors： Swindle RW Jr,Beattie MC,Barnett PG

更新日期：1996-03-01 00:00:00

abstract：OBJECTIVE:The aim of this study was to assess the impact of removing prior-authorization restrictions on the use of thiazolidinediones (TZDs) and outcomes. METHODS:In a controlled interrupted time-series analysis, whereby new users of antidiabetic agents over 65 years of age in adjacent Canadian provinces with differe...

journal_title：Medical care

authors： Gamble JM,Majumdar SR,Johnson JA,McAlister FA,Simpson SH,Eurich DT

更新日期：2014-01-01 00:00:00

abstract：STUDY OBJECTIVES:To assess the feasibility of using the SF-36v2 mental health (MH) and mental component summary (MCS) scores for classification of risk for major depressive disorder (MDD), and to determine cut-off scores based on the sensitivity and specificity in a general US representative sample, and a chronic pain ...

journal_title：Medical care

authors： Bell JA,daCosta DiBonaventura M,Witt EA,Ben-Joseph R,Reeve BB

更新日期：2017-02-01 00:00:00

abstract：OBJECTIVES:Studies of cancer recurrences and second primary tumors require information on outcome dates. Little is known about how well electronic health record-based algorithms can identify dates or how errors in dates can bias analyses. RESEARCH DESIGN:We assessed rule-based and model-fitting approaches to assign ev...

journal_title：Medical care

authors： Chubak J,Onega T,Zhu W,Buist DSM,Hubbard RA

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:The transition from Medicaid-only to dual Medicare/Medicaid coverage has the potential to reduce financial barriers to health care for patients with serious mental illness through increased coverage or expanded access to clinicians as their reimbursement increases. AIMS:To estimate the effect of dual covera...

journal_title：Medical care

authors： Burns ME,Huskamp HA,Smith JC,Madden JM,Soumerai SB

更新日期：2016-09-01 00:00:00

abstract：:In this study, trends in hospital use were identified in Japanese cities. Data for all inpatient care in May 1985 (9,555 patients) and in May 1988 (11,205 patients) paid for by National Health Insurance in 12 cities in Osaka Prefecture were analyzed. The main factor affecting differences in inpatient days per insured ...

journal_title：Medical care

authors： Tatara K,Shinsho F,Nishigaki C,Takatorige T,Okamoto E,Kuroda K

更新日期：1993-04-01 00:00:00

abstract：OBJECTIVES:The relative performance of three widely used generic health status measures (EQ-5D, a modified HUI3 [mHUI3], and SF-12) was compared within a general population sample. MATERIALS AND METHODS:Data were taken from a cohort of persons identified from the patient list of a large general practice in York, UK. T...

journal_title：Medical care

authors： Macran S,Weatherly H,Kind P

更新日期：2003-02-01 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: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：: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：OBJECTIVES:We conducted a theoretically guided study of access to inpatient or residential treatment among a probability sample of homeless adults with alcohol or drug use disorders in Houston, Texas. METHODS:This study used a cross-sectional, retrospective design with data collected from a multistage random sample of...

journal_title：Medical care

authors： Wenzel SL,Audrey Burnam M,Koegel P,Morton SC,Miu A,Jinnett KJ,Greer Sullivan J

更新日期：2001-11-01 00:00:00

abstract：BACKGROUND:The cesarean rate has served an integral role in the monitoring of obstetrical care, and in 2002, the national rate reached 26.1%, the highest ever reported. OBJECTIVE:We sought to describe the effect of clinical complications on hospital cesarean rates. RESEARCH DESIGN:This was a population-based cohort s...

journal_title：Medical care

authors： Korst LM,Gornbein JA,Gregory KD

更新日期：2005-03-01 00:00:00

abstract：:The authors describe a new model for classifying hospitalized patients with acquired immunodeficiency syndrome (AIDS) according to their severity of illness. In the first phase of the project, a clinical model indicating the relative severity of AIDS complications was formulated, based on the clinical literature and e...

journal_title：Medical care

authors： Turner BJ,Kelly JV,Ball JK

更新日期：1989-04-01 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：:It is generally agreed that patients have a right to be adequately informed. However, little is known about the extent to which doctors and patients agree about information that should be disclosed. We studied what patients want to know, as contrasted with what physicians report actually disclosing, in a population of...

journal_title：Medical care

authors： Faden RR,Becker C,Lewis C,Freeman J,Faden AI

更新日期：1981-07-01 00:00:00

abstract：OBJECTIVE:To compare mental health service utilization and its associated factors between African Americans and whites in the 1980s and 1990s. DESIGN:Household-based longitudinal study with baseline interviews in 1981 and follow-up interviews from 1993 to 1996. SETTING:The Baltimore Epidemiologic Catchment Area (ECA)...

journal_title：Medical care

authors： Cooper-Patrick L,Gallo JJ,Powe NR,Steinwachs DM,Eaton WW,Ford DE

更新日期：1999-10-01 00:00:00

abstract：OBJECTIVES:Patient perceptions are increasingly used to measure quality of care in a diversity of health-care delivery settings. The goals of this article are to review the current use of patient perceptions and to review what is known about the sensitivity of patient perceptions for discerning variations in care acros...

journal_title：Medical care

authors： Rosenthal GE,Shannon SE

更新日期：1997-11-01 00:00:00

abstract：:Issues that arise in the development of methods for measuring adequacy of physician performance (MAPP) are discussed. The comparative content validity, scorability, cost, and acceptability of four MAPP strategies are assessed using a sample of clinic-based physicians treating 30 patients with chronic obstructive pulmo...

journal_title：Medical care

authors： Kemeny ME,Hargreaves WA,Gerbert B,Stone GC,Gullion DS

更新日期：1984-07-01 00:00:00

abstract：OBJECTIVE:To determine the impact on hospital ranking of different aggregation methods when creating a composite score from a set of quality indicators relating to a single clinical condition. DESIGN:The analysis was based on 14966 medical records taken from all French hospitals that treated over 30 patients with acut...

journal_title：Medical care

authors： Couralet M,Guérin S,Le Vaillant M,Loirat P,Minvielle E

更新日期：2011-06-01 00:00:00

abstract：OBJECTIVES:The authors study the relationship between people's sense of community and problems they experience with the health-care system, specifically problems related to cost, access, provider choice, and satisfaction. METHODS:Data from a 1993 Florida poll (n = 1202) was used to conduct a multinomial logit analysis...

journal_title：Medical care

authors： Ahern MM,Hendryx MS,Siddharthan K

更新日期：1996-09-01 00:00:00

abstract：:There have been recent increases in asthma prevalence, morbidity, and mortality in the United States. There is substantial evidence that problems in health care delivery may be contributing to these recent trends. Because of these recent changes, a reduction in asthma-related morbidity has been identified as a new nat...

journal_title：Medical care

authors： Weiss KB,Budetti P

更新日期：1993-03-01 00:00:00

abstract：BACKGROUND:Hospital occupancy, nurse staffing levels, weekend admission, and seasonal influenza have all been shown to be associated with in-hospital mortality. Yet, no study has simultaneously compared the strength of associations of these 4 factors with in-hospital mortality. OBJECTIVE:To compare the risk of in-hosp...

journal_title：Medical care

authors： Schilling PL,Campbell DA Jr,Englesbe MJ,Davis MM

更新日期：2010-03-01 00:00:00

abstract：:Our purpose was to identify factors predictive of reported dental care use by elders (65+) over a ten-year period in Massachusetts. The Massachusetts Health Care Panel Study began in 1974-75 (wave 1) as a statewide survey of 1625 noninstitutionalized elders. Wave 2 occurred in 1976, wave 3 in 1980, and wave 4 in 1985....

journal_title：Medical care

authors： Gilbert GH,Branch LG,Orav EJ

更新日期：1990-12-01 00:00:00

abstract：:Studies evaluating relationships between physician background characteristics (e.g. years of practice and medical training) and quality of care have found few consistent associations. Site of practice variables have been better predictors of quality than have characteristics of individual physicians. This study explor...

journal_title：Medical care

authors： Salem-Schatz SR,Avorn J,Soumerai SB

更新日期：1993-10-01 00:00:00

abstract：:Application of generic and specific measures of health status and quality of life to different diseases, conditions, states, and populations is increasing. Four strategies for using these measures are separate generic and specific measures, modified generic measures, disease-specific supplements, and batteries. The pr...

journal_title：Medical care

authors： Patrick DL,Deyo RA

更新日期：1989-03-01 00:00:00

abstract：BACKGROUND:Personal health records offer patients access to view their own health information and to manage their care online through secure patient portal tools. Little is known about the patient-reported experience in using health portals to manage chronic conditions. OBJECTIVE:In a patient-centered research study, ...

journal_title：Medical care

authors： Reed ME,Huang J,Millman A,Graetz I,Hsu J,Brand R,Ballard DW,Grant R

更新日期：2019-10-01 00:00:00

abstract：OBJECTIVE:This study aimed to describe the self-reported health status of the general adult U.S. population using 3 multi-attribute preference-based measures: the EQ-5D, Health Utilities Index Mark 2 (HUI2), and Mark 3 (HUI3). METHODS:We surveyed the general adult U.S. population using a probability sample with oversa...

journal_title：Medical care

authors： Luo N,Johnson JA,Shaw JW,Feeny D,Coons SJ

更新日期：2005-11-01 00:00:00

abstract：BACKGROUND:Indwelling urinary catheters are used postoperatively in hip fracture care. Their use beyond the immediate postoperative period may result in excess nosocomial infections. OBJECTIVES:The objectives of this study were to explore the relationship between extended indwelling urinary catheterization and outcome...

journal_title：Medical care

authors： Wald H,Epstein A,Kramer A

更新日期：2005-10-01 00:00:00

abstract：OBJECTIVES:This study examined factors that affect access to Veterans Administration mental health services. METHODS:Data from national Veterans Affairs databases and the 1990 Decennial Census were used to estimate rates of Veterans Affairs mental health service use in each US county (n = 3,156) among all US veterans ...

journal_title：Medical care

authors： Rosenheck R,Stolar M

更新日期：1998-04-01 00:00:00

abstract：OBJECTIVES:Reliability and validity are as necessary for predrafted advance directive forms as they are for all clinical assessment instruments. Performance of predrafted advance directive forms with both lay persons and clinicians is relevant. Evidence relating to test- retest reliability, content validity, and criter...

journal_title：Medical care

authors： Alpert HR,Hoijtink H,Fischer GS,Emanuel L

更新日期：1996-10-01 00:00:00