Does utilization review reduce unnecessary hospital care and contain costs?

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：OBJECTIVES:Family members and other "carepartners" often play an important role in the care and support of patients during and after hospitalization, yet little is known about how they assess their hospital experience or the factors that may influence their perceptions. METHODS:A nationwide telephone survey of 1,800 r...

journal_title：Medical care

authors： vom Eigen KA,Walker JD,Edgman-Levitan S,Cleary PD,Delbanco TL

更新日期：1999-01-01 00:00:00

abstract：:This report describes efforts to develop and test scales for measuring attitudes toward the medical care of chronically and terminally ill patients and their families. The following satisfaction scales were developed: General Satisfaction, Availability of Care, Continuity of Care, Physician Availability, Physician Com...

journal_title：Medical care

authors： McCusker J

更新日期：1984-05-01 00:00:00

abstract：:In the past decade physicians have identified the need to expand patient assessment to include global function and quality of life. During the same period, the busy clinic has evolved into the location where this assessment seems most appropriate. Integrating functional health assessment into a busy clinical practice ...

journal_title：Medical care

authors： Wasson J,Keller A,Rubenstein L,Hays R,Nelson E,Johnson D

更新日期：1992-05-01 00:00:00

abstract：BACKGROUND:Given strict residency controls and geographic imbalances in health care resources, China may experience serious urban-rural health disparities. OBJECTIVES:To investigate urban-rural disparities in the patterns of health status and health care utilization in China and to examine the evolution of these dispa...

journal_title：Medical care

authors： Fang H,Chen J,Rizzo JA

更新日期：2009-12-01 00:00:00

abstract：BACKGROUND:Black prostate cancer patients are less likely to receive aggressive therapy (AT) than Whites: reported rates for patients ≥ 65 years old are about 55% versus 65%. Little is known about treatment rates in socioeconomically deprived states with large Black populations like Alabama. STUDY DESIGN:Medicare clai...

journal_title：Medical care

authors： Pisu M,Oliver JS,Kim YI,Elder K,Martin M,Richardson LC

更新日期：2010-10-01 00:00:00

abstract：OBJECTIVES:To contrast the interpretations of treatment effect estimates using risk adjustment and instrumental variable (IV) estimation methods using observational data when the effects of treatment are heterogeneous across patients. We demonstrate these contrasts by examining the effect of breast conserving surgery p...

journal_title：Medical care

authors： Brooks JM,Chrischilles EA

更新日期：2007-10-01 00:00:00

abstract：BACKGROUND:Planned health insurance reform promises and has started to cut reimbursement to Medicare managed care (MMC) plans. If such plans provide better care, adjusting for possible better health of their enrollees, then such reimbursement changes may have unforeseen quality consequences. OBJECTIVES:To examine whet...

journal_title：Medical care

authors： Huesch MD

更新日期：2012-01-01 00:00:00

abstract：OBJECTIVE:To investigate patterns of complementary and alternative medicine (CAM) use disclosure across medical and sociobehavioral factors and to provide a model that takes into account factors in explaining those patterns. SUBJECTS:A total of 21,849 CAM use episodes from 7347 respondents in the 2007 US National Heal...

journal_title：Medical care

authors： Shim JM,Schneider J,Curlin FA

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Changes in the demographic, specialty, and employment sector composition of medicine have altered physicians' jobs, limiting autonomy and reducing morale. Because physician job satisfaction has been linked to clinical variables, better measurement might help to ameliorate conditions linked to medical disaffe...

journal_title：Medical care

authors： Konrad TR,Williams ES,Linzer M,McMurray J,Pathman DE,Gerrity M,Schwartz MD,Scheckler WE,Van Kirk J,Rhodes E,Douglas J

更新日期：1999-11-01 00:00:00

abstract：OBJECTIVE:Prior meta-analysis indicates that collaborative chronic care models (CCMs) improve mental and physical health outcomes for individuals with mental disorders. This study aimed to investigate the stability of evidence over time and identify patient and intervention factors associated with CCM effects to facili...

journal_title：Medical care

authors： Miller CJ,Grogan-Kaylor A,Perron BE,Kilbourne AM,Woltmann E,Bauer MS

更新日期：2013-10-01 00:00:00

abstract：:This article reports on a study of the labor efficiency of 461 nursing homes located in Pennsylvania. Data envelopment analysis was used to estimate efficiency scores. Tobit equations were estimated for the entire sample and for subsamples consisting of for-profit (FP) and not-for-profit (NFP) nursing homes. The autho...

journal_title：Medical care

authors： Rosko MD,Chilingerian JA,Zinn JS,Aaronson WE

更新日期：1995-10-01 00:00:00

abstract：INTRODUCTION/OBJECTIVES:The engagement of patients and other stakeholders is a critical element in the design of patient-centered outcomes research studies. However, methodology for scalable engagement in research management particularly activities such as operationalization of principles and setting of priorities is n...

journal_title：Medical care

authors： Kim KK,Khodyakov D,Marie K,Taras H,Meeker D,Campos HO,Ohno-Machado L

更新日期：2018-10-01 00:00:00

abstract：:The published preferences for scale steps in a health-related quality-of-life scale have been noted to be contrary to some prior assumptions about their rank ordering. The differences noted are actually statistically nonsignificant, and the observed ordering has a clear intuitive explanation. Several alternative expla...

journal_title：Medical care

authors： Bush JW,Anderson JP,Kaplan RM,Blischke WR

更新日期：1982-05-01 00:00:00

abstract：BACKGROUND:The appropriate use of medications can influence quality performance measures and costs. Drug-related morbidity and mortality represents a public health challenge due to the ineffective and unsafe consequences of medication use. This article addresses the impact of team-based care that incorporates comprehen...

journal_title：Medical care

authors： Isetts BJ,Brummel AR,de Oliveira DR,Moen DW

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:Process measures have been developed and implemented to evaluate the quality of care patients receive in the hospital. This study examines whether there is an association between the quality of in-hospital cardiac care and a hospital's proportion of low-income patients. METHODS AND RESULTS:A retrospective a...

journal_title：Medical care

authors： Culler SD,Schieb L,Casper M,Nwaise I,Yoon PW

更新日期：2010-03-01 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：:A valid and reliable vignette-based measure of DSM-III psychiatric diagnostic knowledge was administered to practicing primary care physicians (PCPs; generally, internal and family practice medicine) and mental health professionals (MHPs, in psychiatry and psychology). Recognition, diagnosis, and treatment recommendat...

journal_title：Medical care

authors： Andersen SM,Harthorn BH

更新日期：1989-09-01 00:00:00

abstract：IMPORTANCE:Hospitals that serve poorer populations have higher readmission rates. It is unknown whether these hospitals effectively lowered readmission rates in response to the Hospital Readmissions Reduction Program (HRRP). OBJECTIVE:To compare pre-post differences in readmission rates among hospitals with different ...

journal_title：Medical care

authors： Wasfy JH,Bhambhani V,Healy EW,Choirat C,Dominici F,Wadhera RK,Shen C,Wang Y,Yeh RW

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:Once just a small part of the Medicare program, private managed care plans now cover over one-third of all Medicare beneficiaries and cost the Federal government ~$210 billion each year. Importantly, the evolution of Medicare managed care policy has been far from linear; for several decades there have been d...

journal_title：Medical care

authors： Adrion ER

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVES:We examine the relationship between health insurance coverage and children's access to and utilization of medical care. Access measures we study are having a usual source of care (USC) and lacking a USC for financial or insurance reasons. We also examine indicators for ambulatory visits, well-child visits, d...

journal_title：Medical care

authors： Selden TM,Hudson JL

更新日期：2006-05-01 00:00:00

abstract：:This study, like two earlier studies by the author, examines the effects of changing medical technologies on medical care costs by comparing the costs of treatment of a number of common illnesses at two points in time, 1971 and 1981. While the earlier studies, covering the periods 1951-1964 and 1964-1971, showed that ...

journal_title：Medical care

authors： Scitovsky AA

更新日期：1985-12-01 00:00:00

abstract：:It is well-documented that ratings of medical care received personally (personal referent) yield more favorable responses than ratings of care received by people in general (general referent). Hence general items are useful in achieving greater variation in responses to satisfaction surveys. However, the validity of g...

journal_title：Medical care

authors： Hays RD,Ware JE Jr

更新日期：1986-06-01 00:00:00

abstract：:Substantial differences in the use of pediatric medical resources reinforce the need for identifying and understanding factors that influence the use of medical services for children. This research assesses the simultaneous impact of sociodemographic characteristics, health attitudes and beliefs, psychologic distress,...

journal_title：Medical care

authors： Horwitz SM,Morgenstern H,Berkman LF

更新日期：1985-08-01 00:00:00

abstract：BACKGROUND:Collaborative Chronic Care Models represent an evidence-based way to structure care for chronic conditions, including mental health conditions. Few studies, however, have examined the cost implications of collaborative care for mental health. OBJECTIVE:We aimed to conduct an economic analysis of implementin...

journal_title：Medical care

authors： Miller CJ,Griffith KN,Stolzmann K,Kim B,Connolly SL,Bauer MS

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:There is limited information on patients' knowledge about their cost-sharing requirements and how that influenced their care-seeking behavior. OBJECTIVE:To examine patients' knowledge of their office visit copayments, their self-reported responses to perceived and actual copayments, and discussions with phy...

journal_title：Medical care

authors： Benedetti NJ,Fung V,Reed M,Price M,Brand R,Newhouse JP,Hsu J

更新日期：2008-04-01 00:00:00

abstract：:This paper describes an instrument design effort aimed at measuring patient-satisfaction among older (65 years and over) subscribers of HMOs. The study was conducted in a multi-satellite prepaid group practice in Buffalo, New York. In order to be able to construct a satisfaction measure that would reflect the interest...

journal_title：Medical care

authors： Cryns AG,Nichols RC,Katz LA,Calkins E

更新日期：1989-08-01 00:00:00

abstract：:Mental health services were included in comprehensive benefits available with no out-of-pocket expenses to enrollees in the Seattle Prepaid Health Care Project. This study was designed to examine the characteristics of users as compared to nonusers of mental health services and to examine the possibility of lower use ...

journal_title：Medical care

authors： Diehr P,Williams SJ,Shortell SM,Richardson WC,Drucker WL

更新日期：1979-09-01 00:00:00

abstract：OBJECTIVES:To reapportion Veterans Health Administration (VA) annual expenditures into benefit categories for comparison with estimated payments by private sector providers. METHODS:Total expenditures for six VA medical centers for federal fiscal year 1999 were reapportioned by benefit category using the cost distribu...

journal_title：Medical care

authors： Nugent G,Grippen G,Parris YC,Mitchell M

更新日期：2003-06-01 00:00:00

abstract：OBJECTIVE:We sought to quantify Veterans Health Administration (VA) patients' utilization of coronary revascularization in the private sector and to assess the potential impact of directing this care to high-performance hospitals. METHODS:Using VA and New York State administrative and clinical databases, we conducted ...

journal_title：Medical care

authors： Weeks WB,Bott DM,Bazos DA,Campbell SL,Lombardo R,Racz MJ,Hannan EL,Wright SM,Fisher ES

更新日期：2006-06-01 00:00:00