Abstract：
OBJECTIVE:To demonstrate how a researcher can investigate the appropriateness of a published comorbidity summary measure for use with a given sample. DATA SOURCE:Surveillance, Epidemiology, and End Results linked to Medicare claims data. STUDY DESIGN:We examined Kaplan-Meier estimated survival curves for four diseases within strata of a comorbidity summary measure, the Charlson Comorbidity Index. DATA COLLECTION:We identified individuals with early-stage kidney cancer diagnosed from 1995 to 2009. We recorded comorbidities present in the year before diagnosis. PRINCIPAL FINDINGS:The use of many comorbidity summary measures is valid under appropriate conditions. One condition is that the relationships of the comorbidities with the outcome of interest in a researcher's own population are comparable to the relationships in a published algorithm's population. The original comorbidity weights from the Charlson Comorbidity Index seemed adequate for three of the diseases in our sample. We found evidence that the Charlson Comorbidity Index might underestimate the impact of one disease in our sample. CONCLUSION:Examination of survival curves within strata defined by a comorbidity summary measure can be a useful tool for determining whether a published method appropriately accounts for comorbidities. A comorbidity score is only as good as those variables included.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Egleston BL,Uzzo RG,Beck JR,Wong YNdoi
10.1111/1475-6773.12276subject
Has Abstractpub_date
2015-08-01 00:00:00pages
1179-94issue
4eissn
0017-9124issn
1475-6773journal_volume
50pub_type
杂志文章abstract：OBJECTIVE:To demonstrate the value of shrinkage estimators when calculating a composite quality measure as the weighted average of a set of individual quality indicators. DATA SOURCES:Rates of 28 quality indicators (QIs) calculated from the minimum dataset from residents of 112 Veterans Health Administration nursing h...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2012.01437.x
更新日期：2013-02-01 00:00:00
abstract：OBJECTIVE:To determine whether Medicare enrollment at age 65 has an effect on the health trajectory of the near-elderly uninsured. DATA SOURCES:Eight biennial waves (1992-2006) of the Health and Retirement Study, a nationally representative panel survey of noninstitutionalized 51-61 year olds and their spouses. STUDY...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2009.00964.x
更新日期：2009-06-01 00:00:00
abstract：OBJECTIVE:The study used administrative data to identify the social determinants that have the greatest impact on Medicaid expenditures in adolescence. DATA SOURCES:Data were compiled using the Washington State Department of Social and Health Services Integrated Client Databases, which link data from state systems inc...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.13052
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:Examine the impact of the 2011 shortage of the drug cytarabine on patient receipt and timeliness of induction treatment for Acute Myeloid Leukemia (AML). STUDY DESIGN:A retrospective cohort was utilized to examine odds of receipt of inpatient induction chemotherapy and time to first dose across major (N = 10...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.13028
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:This study examines the degree to which a married individual's health habits and use of preventive medical care are influenced by his or her spouse's behaviors. STUDY DESIGN:Using longitudinal data on individuals and their spouses, we examine changes over time in the health habits of each person as a functio...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2007.00754.x
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:To test the accuracy of various physicians' participation in Medicaid models. DATA SOURCES/STUDY SETTING:Primary data on 221 obstetricians and gynecologists in the Chicago area by telephone interviews over a four-month period. These data were combined with secondary data from the American Medical Association...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1997-08-01 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
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1475-6773.2007.00706.x
更新日期：2007-10-01 00:00:00
abstract：:The relationship between income and health is well established: the higher an individual's income, the better his or her health. However, recent research suggests that health may also be affected by the distribution of income within society. We outline the potential mechanisms underlying the so-called relative income ...
journal_title：Health services research
pub_type： 杂志文章,评审
doi：
更新日期：1999-04-01 00:00:00
abstract：OBJECTIVES:To synthesize lessons learned from the experiences of Agency for Healthcare Research and Quality-funded patient safety projects in implementing safe practices. DATA SOURCES:Self-reported data from individual and group interviews with Original, Challenge, and Partnerships in Implementing Patient Safety (PIPS...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2008.00929.x
更新日期：2009-04-01 00:00:00
abstract：OBJECTIVE:To compare utilization and preventive care receipt among patients of federal Section 330 health centers (HCs) versus patients of other settings. DATA SOURCES:A nationally representative sample of adults from the Medical Expenditure Panel Survey (2004-2008). STUDY DESIGN:HC patients were defined as those wit...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12178
更新日期：2014-10-01 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
pub_type： 杂志文章
doi：10.1111/1475-6773.12994
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:To examine facility variation in data quality of the level of pain documented in the minimum data set (MDS) as a function of level of hospice enrollment in nursing homes (NHs). DATA SOURCE:Clinical assessments on 3,469 nonhospice residents from 178 NHs were merged with On-line Survey Certification and Report...
journal_title：Health services research
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1475-6773.2005.00400.x
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVE:To examine how case managers in a state-funded home care program allocate home care services in response to information about a client's Medicare home health care status, with particular attention to the influence of work environment. DATA SOURCES/STUDY SETTING:Primary data collected on 355 case managers and...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.00176
更新日期：2003-10-01 00:00:00
abstract：OBJECTIVE:To assess the influence of relational climate on quality of diabetes care. DATA SOURCES/STUDY SETTING:The study was conducted at the Department of Veterans Affairs (VA). The VA All Employee Survey (AES) was used to measure relational climate. Patient and facility characteristics were gathered from VA adminis...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12675
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:To explore state patterns in the racial life expectancy gap. DATA SOURCES:The 1997-2004 Multiple Cause of Death PUF, 2000 U.S. Census. STUDY DESIGN:We calculated life expectancy at birth for black and white men and women. DATA EXTRACTION METHODS:Data were obtained by the NCHS and U.S. Census Bureau. PRINC...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2011.01345.x
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:To examine whether physicians attend to gender prevalence data in diagnostic decision making for coronary heart disease (CHD) and to test the hypothesis that previously reported gender differences in CHD diagnostic certainty are due to discrimination arising from reliance on prevalence data ("statistical disc...
journal_title：Health services research
pub_type： 评论,杂志文章
doi：10.1111/j.1475-6773.2009.01022.x
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:To assess whether participation in a state publicly financed health insurance program, Massachusetts Children's Medical Security Plan (CMSP) , which is open to children regardless of income, was associated with disenrollment from private insurance. DATA SOURCES/STUDY DESIGN:A survey of participants in CMSP w...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：OBJECTIVE:To estimate county-level associations between in utero exposure to threatened evictions and preterm birth in the United States. DATA SOURCES:Complete birth records were obtained from the National Center for Health Statistics (2009-2016). Threatened evictions were measured at the county level using eviction c...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.13551
更新日期：2020-10-01 00:00:00
abstract：OBJECTIVE:To develop a taxonomy of governing board roles in U.S. hospitals. DATA SOURCES:2005 AHA Hospital Governance Survey, 2004 AHA Annual Survey of Hospitals, and Area Resource File. STUDY DESIGN:A governing board taxonomy was developed using cluster analysis. Results were validated and reviewed by industry exper...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2008.00835.x
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:To examine measures of need for health care and their relationship to utilization of health services in different racial and ethnic groups in California. DATA SOURCE:Telephone interviews obtained by random-digit dialing and conducted between April 1993 and July 1993 in California, with 7,264 adults (ages 18-...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1996-12-01 00:00:00
abstract：RESEARCH OBJECTIVE:To assess the impact of recent Medicare prospective payment system (PPS) changes on efficiency in skilled nursing homes. DATA SOURCE/STUDY SETTING:Medicare Cost Reports (MCR), On-line Survey Certification and Reporting System (OSCAR), Area Resource Files (ARF), a Centers for Medicare and Medicaid Se...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2007.00798.x
更新日期：2008-06-01 00:00:00
abstract：OBJECTIVES:To compare the ability of two diagnosis-based risk adjustment systems and health self-report to predict short- and long-term mortality. DATA SOURCES/STUDY SETTING:Data were obtained from the Department of Veterans Affairs (VA) administrative databases. The study population was 78,164 VA beneficiaries at eig...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2006.00622.x
更新日期：2007-04-01 00:00:00
abstract：OBJECTIVE:Building on the original taxonomy of hospital-based health systems from 20 years ago, we develop a new taxonomy to inform emerging public policy and practice developments. DATA SOURCES:The 2016 American Hospital Association's (AHA) Annual Survey; the 2016 IQVIA Healthcare Organizations and Systems (HCOS) dat...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.13621
更新日期：2021-01-11 00:00:00
abstract：:Two indexes are described, based on measures of administrative effectiveness and patient care effectiveness. The measures used were selected and ranked by a Delphi panel from a list of 30 measures drawn from the literature. Weights were assigned by the panel to 19 selected measures. The resulting indexes did well in a...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1976-10-01 00:00:00
abstract：OBJECTIVE:To assess optimal activity size/mix of Connecticut local public health jurisdictions, through estimating economies of scale/scope/specialization for environmental inspections/services. DATA SOURCES/STUDY SETTING:Connecticut's 74 local health jurisdictions (LHJs) must provide environmental health services, bu...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12740
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVE:To describe differences in patient experiences of hospital care by preferred language within racial/ethnic groups. DATA SOURCE:2014-2015 HCAHPS survey data. STUDY DESIGN:We compared six composite measures for seven languages (English, Spanish, Russian, Portuguese, Chinese, Vietnamese, and Other) within appl...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.13105
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:To examine the association between bodyweight status and provision of population-based prevention services. DATA SOURCES:The National Association of City and County Health Officials 2005 Profile survey data, linked with two cross-sections of the Behavioral Risk Factor Surveillance System (BRFSS) survey in 20...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/j.1475-6773.2012.01447.x
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVES:(1) To examine the association of socioeconomic characteristics (SES) with hospitalization by age group, and when using measures of SES at the community as opposed to the individual level. (2) Thus, to support the inference that socioeconomic factors are important in the analysis of small area utilization da...
journal_title：Health services research
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：OBJECTIVE:Using a socio-ecological model, this study examines the influence of facility characteristics on the transition of nursing home residents to the community after a short stay (within 90 days of admission) or long stay (365 days of admission) across states with different long-term services and supports systems....
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12340
更新日期：2016-04-01 00:00:00
abstract：OBJECTIVE:To determine whether Massachusetts Health Reform improved health outcomes in uninsured patients with hyperlipidemia, diabetes, or hypertension. DATA SOURCE:Partners HealthCare Research Patient Data Registry (RPDR). STUDY DESIGN:We examined 1,463 patients with hyperlipidemia, diabetes, or hypertension who we...
journal_title：Health services research
pub_type： 杂志文章
doi：10.1111/1475-6773.12196
更新日期：2014-12-01 00:00:00
