High Out-of-Pocket Medical Spending among the Poor and Elderly in Nine Developed Countries.

abstract：STUDY QUESTION:Continuous quality improvement (CQI) has been implemented at least to some degree in many health care settings, yet randomized controlled trials (RCTs) of CQI are rare. We ask whether, when, and how RCTs of CQI might be designed. STUDY DESIGN:We consider two applications of CQI: as a general philosophy ...

journal_title：Health services research

authors： Samsa G,Matchar D

更新日期：2000-08-01 00:00:00

abstract：INTRODUCTION:America's community health centers (HCs) are uniquely poised to implement the patient-centered medical home (PCMH) model, as they are effective in providing comprehensive, accessible, and continuous primary care. This study aims to evaluate the relationship between PCMH recognition in HCs and clinical perf...

journal_title：Health services research

authors： Shi L,Lee DC,Chung M,Liang H,Lock D,Sripipatana A

更新日期：2017-06-01 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

authors： Stryjewski TP,Zhang F,Eliott D,Wharam JF

更新日期：2014-12-01 00:00:00

abstract：OBJECTIVE:We study the association between the timing of the Great Recession (GR) and health spending among uninsured adults distinguishing by citizenship/nativity status and time of U.S. residence. DATA SOURCE:Uninsured U.S. citizens and noncitizens from the 2005-2006 and 2008-2009 Medical Expenditure Panel Survey. ...

journal_title：Health services research

authors： Vargas Bustamante A,Chen J

更新日期：2014-12-01 00:00:00

abstract：OBJECTIVE:To demonstrate how expanding services covered by a "bundled payment" can also expand variation in the costs of treating patients under the bundle, using the Medicare dialysis program as an example. DATA SOURCES/STUDY SETTING:Observational claims-based study of 197,332 Medicare hemodialysis beneficiaries enro...

journal_title：Health services research

authors： Gupta C,Chertow GM,Linthicum MT,Van Nuys K,Belozeroff V,Quarles D,Lakdawalla DN

更新日期：2014-12-01 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:Through a review of the literature, to identify and describe (1) empirical studies of inpatient nursing care quality that evaluate links between nursing care processes and health-related patient outcomes, (2) nursing care processes for which process-outcome links have been established, and (3) important nursi...

journal_title：Health services research

authors： Lee JL,Chang BL,Pearson ML,Kahn KL,Rubenstein LV

更新日期：1999-12-01 00:00:00

abstract：OBJECTIVE:This paper analyzes whether the rise in managed care during the 1990s caused the increase in hospital concentration. DATA SOURCES:We assemble data from the American Hospital Association, InterStudy and government censuses from 1990 to 2000. STUDY DESIGN:We employ linear regression analyses on long differenc...

journal_title：Health services research

authors： Town RJ,Wholey D,Feldman R,Burns LR

更新日期：2007-02-01 00:00:00

abstract：PURPOSE:We report the validation of an instrument to measure mistrust of health care organizations and examine the relationship between mistrust and health care service underutilization. METHODS:We conducted a telephone survey of a random sample of households in Baltimore City, MD. We surveyed 401 persons and followed...

journal_title：Health services research

authors： LaVeist TA,Isaac LA,Williams KP

更新日期：2009-12-01 00:00:00

abstract：OBJECTIVE:This article tests whether or not the factors that affect hospital choice differ for selected subgroups of the population. DATA SOURCES:1985 California Office of Statewide Health Planning and Development (OSHPD) discharge abstracts and hospital financial data were used. STUDY DESIGN:Models for hospital choi...

journal_title：Health services research

authors： Phibbs CS,Mark DH,Luft HS,Peltzman-Rennie DJ,Garnick DW,Lichtenberg E,McPhee SJ

更新日期：1993-06-01 00:00:00

abstract：OBJECTIVE:To investigate whether a performance-based contracting (PBC) system provides incentives for nonprofit providers of substance abuse treatment to select less severe clients into treatment. DATA SOURCES:The Maine Addiction Treatment System (MATS) standardized admission and discharge data provided by the Maine O...

journal_title：Health services research

authors： Shen Y

更新日期：2003-04-01 00:00:00

abstract：OBJECTIVE:To examine the predictors of unit and item nonresponse, the magnitude of nonresponse bias, and the need for nonresponse weights in the Consumer Assessment of Health Care Providers and Systems (CAHPS) Hospital Survey. METHODS:A common set of 11 administrative variables (41 degrees of freedom) was used to pred...

journal_title：Health services research

authors： Elliott MN,Edwards C,Angeles J,Hambarsoomians K,Hays RD

更新日期：2005-12-01 00:00:00

abstract：OBJECTIVE:To determine if the incidence of psychiatric emergencies involving drugs or alcohol supports the argument that mentally ill persons contribute to elevated mortality during the days following disbursement of private earnings and public income transfers. STUDY DESIGN:Interrupted time-series using Box-Jenkins m...

journal_title：Health services research

authors： Catalano R,McConnell W,Forster P,McFarland B,Shumway M,Thornton D

更新日期：2000-10-01 00:00:00

abstract：OBJECTIVE:This study examines whether parents' reports and ratings of pediatric health care vary by race/ethnicity and language in Medicaid managed care. DATA SOURCES:The data analyzed are from the National Consumer Assessment of Health Plans (CAHPS) Benchmarking Database 1.0 and consist of 9,540 children enrolled in ...

journal_title：Health services research

authors： Weech-Maldonado R,Morales LS,Spritzer K,Elliott M,Hays RD

更新日期：2001-07-01 00:00:00

abstract：OBJECTIVES:To examine which components of medical homes affect time families spend arranging/coordinating health care for their children with special health care needs (CSHCNs) and providing health care at home. DATA SOURCES:2009-2010 National Survey of Children with Special Health Care Needs (NS-CSHCN), a population-...

journal_title：Health services research

authors： Miller JE,Nugent CN,Russell LB

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVES:To quantify racial and socioeconomic status (SES) disparities in oral health, as measured by tooth loss, and to determine the role of dental care use and other factors in explaining disparities. DATA SOURCES/STUDY SETTING:The Florida Dental Care Study, comprising African Americans (AAs) and non-Hispanic whi...

journal_title：Health services research

authors： Gilbert GH,Duncan RP,Shelton BJ

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:Patients are treated using observation services (OS) when their care needs exceed standard outpatient care (i.e., clinic or emergency department) but do not qualify for admission. Medicare and other private payers seek to limit this care setting to 48 hours. DATA SOURCE/STUDY SETTING:Healthcare Cost and Uti...

journal_title：Health services research

authors： Hockenberry JM,Mutter R,Barrett M,Parlato J,Ross MA

更新日期：2014-06-01 00:00:00

abstract：OBJECTIVE:To examine the source of observed lower risk-adjusted mortality for blacks than whites within the Veterans Affairs (VA) system by accounting for hospital site where treated, potential under-reporting of black deaths, discretion on hospital admission, quality improvement efforts, and interactions by age group....

journal_title：Health services research

authors： Volpp KG,Stone R,Lave JR,Jha AK,Pauly M,Klusaritz H,Chen H,Cen L,Brucker N,Polsky D

更新日期：2007-08-01 00:00:00

abstract：OBJECTIVE:To test for differences in patient outcomes when hospital and post-acute care (PAC) providers participate in accountable care organizations (ACOs). DATA/SETTING:Using Medicare claims, we examined changes in readmission, Medicare spending, and length of stay among patients admitted to ACO-participating hospit...

journal_title：Health services research

authors： Agarwal D,Werner RM

更新日期：2018-12-01 00:00:00

abstract：OBJECTIVES:To investigate whether tax-exempt hospitals' investments in community health are associated with patterns of governmental public health spending focusing specifically on the relationship between hospitals' community benefit expenditures and the spending patterns of local health departments (LHDs). STUDY DES...

journal_title：Health services research

authors： Singh SR,Young GJ

更新日期：2017-12-01 00:00:00

abstract：OBJECTIVE:To determine whether Medicaid managed care is associated with lower hospitalization rates for ambulatory care sensitive conditions than Medicaid fee-for-service. We also explored whether there was a differential effect of Medicaid managed care by patient's race or ethnicity on the hospitalization rates for am...

journal_title：Health services research

authors： Bindman AB,Chattopadhyay A,Osmond DH,Huen W,Bacchetti P

更新日期：2005-02-01 00:00:00

abstract：:Cost-benefit analyses are routinely included in evaluations of acute care programs. In the case of long-term care, it is frequently alleged that cost-benefit analysis cannot be fruitfully applied. This article demonstrates the utility of applying cost-benefit analysis to evaluations of long-term care programs. A case ...

journal_title：Health services research

authors： Ruchlin HS,Morris JN

更新日期：1981-04-01 00:00:00

abstract：OBJECTIVE:To provide guidance on improving the quality of case studies in health services research. DATA SOURCES:Secondary data, drawing from previous case study research. RESEARCH DESIGN:Guidance is provided to two audiences: potential case study investigators (eight items) and reviewers of case study proposals (fou...

journal_title：Health services research

authors： Yin RK

更新日期：1999-12-01 00:00:00

abstract：OBJECTIVE:To examine the effect of rural hospital closures on the local economy. DATA SOURCES:U.S. Census Bureau, OSCAR, Medicare Cost Reports, and surveys of individuals knowledgeable about local hospital closures. STUDY DESIGN:Economic data at the county level for 1990-2000 were combined with information on hospita...

journal_title：Health services research

authors： Holmes GM,Slifkin RT,Randolph RK,Poley S

更新日期：2006-04-01 00:00:00

abstract：OBJECTIVE:To examine whether parental beliefs about routine checkups are associated with children's receipt of timely preventive care. DATA SOURCES:The 2001 United Way Outcomes and Community Impact Program telephone survey of San Diego County, including 918 households with children between 3 and 19 years of age, where...

journal_title：Health services research

authors： Hughes SC,Wingard DL

更新日期：2008-02-01 00:00:00

abstract：:Mr. Zamberlan is one of seven major executives in the Department of Veterans Affairs (VA) Veterans Health Services and Research Administration (VHS&RA), directing health care in a five-state region that includes 21 medical centers, 7 outpatient clinics, and 19 veterans outreach centers. As a medical center director in...

journal_title：Health services research

authors： Zamberlan A

更新日期：1990-04-01 00:00:00

abstract：OBJECTIVE:To quantify the effects of informal caregiver availability and public funding on formal long-term care (LTC) expenditures in developed countries. DATA SOURCE/STUDY SETTING:Secondary data were acquired for 15 Organization for Economic Cooperation and Development (OECD) countries from 1970 to 2000. STUDY DESI...

journal_title：Health services research

authors： Yoo BK,Bhattacharya J,McDonald KM,Garber AM

更新日期：2004-12-01 00:00:00

abstract：:Increasing numbers of Americans are living with multiple chronic conditions (MCCs) and disabilities. Addressing health care needs of persons with MCCs or disabilities presents challenges on many levels. For health services researchers, priorities include (1) considering MCCs and disabilities in comparative effectivene...

journal_title：Health services research

authors： Iezzoni LI

更新日期：2010-10-01 00:00:00

abstract：OBJECTIVE:To investigate new metrics to improve the reporting of patient race and ethnicity (R/E) by hospitals. DATA SOURCES:California Patient Discharge Database (PDD) and birth registry, 2008-2009, Healthcare and Cost Utilization Project's State Inpatient Database, 2008-2011, cancer registry 2000-2008, and 2010 US C...

journal_title：Health services research

authors： Zingmond DS,Parikh P,Louie R,Lichtensztajn DY,Ponce N,Hasnain-Wynia R,Gomez SL

更新日期：2015-08-01 00:00:00

abstract：OBJECTIVE:To describe how the organization and dynamics of health systems changed between 1999 and 2001, in the context of expectations from the mid-1990s when managed care was in ascendance, and assess the implications for consumers and policymakers. DATA SOURCES/STUDY SETTING:Data are from the Community Tracking Stu...

journal_title：Health services research

authors： Lesser CS,Ginsburg PB,Devers KJ

更新日期：2003-02-01 00:00:00