The recognition, diagnosis, and treatment of mental disorders by primary care physicians.

abstract：BACKGROUND:Similarities and differences in physician work intensity among specialties are poorly understood but have implications for quality of care, patient safety, practice organization and management, and payment. OBJECTIVE:To determine the magnitude and important dimensions of physician work intensity for 4 speci...

journal_title：Medical care

authors： Horner RD,Szaflarski JP,Ying J,Meganathan K,Matthews G,Schroer B,Weber D,Raphaelson M

更新日期：2011-11-01 00:00:00

abstract：BACKGROUND:It is unclear if volume-outcome relationships exist in inpatient rehabilitation. OBJECTIVES:Assess associations between facility volumes and 2 patient-centered outcomes in the 3 most common diagnostic groups in inpatient rehabilitation. RESEARCH DESIGN:We used hierarchical linear and generalized linear mod...

journal_title：Medical care

authors： Graham JE,Deutsch A,O'Connell AA,Karmarkar AM,Granger CV,Ottenbacher KJ

更新日期：2013-05-01 00:00:00

abstract：:Each physician's ability to treat disease is limited by his/her ability to discriminate among patients on the basis of risk. The relationship of physician expectation of outcome (prognosis) to actual outcome and to cost were determined for 1,757 patients seeking primary care. Outcome was measured by a seven-level func...

journal_title：Medical care

authors： Wright DD,Kane RL

更新日期：1982-02-01 00:00:00

abstract：:Earlier efforts of the Commission on Professional and Hospital Activities (CPHA) to develop a patient care data system for long-term care facilities were discontinued for lack of user interest and shortage of funds; however, the facilities were encouraged to participate in the hospital data system (PAS) and to use opt...

journal_title：Medical care

authors： Slee VN

更新日期：1976-05-01 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：BACKGROUND:The quality of care for Medicare beneficiaries with diabetes remains suboptimal. The contributing factors at the physician level are not well characterized, especially the relationship of patient volume and physician performance. OBJECTIVE:We sought to determine associations between the number of Medicare d...

journal_title：Medical care

authors： Holmboe ES,Wang Y,Tate JP,Meehan TP

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:Estimates of health care cost are needed to conduct cost-effectiveness research at the facilities operated by the US Department of Veterans Affairs. METHODS:The medical literature was searched for VA studies to characterize different cost methods and identify their advantages and disadvantages. RESULTS:Dif...

journal_title：Medical care

authors： Barnett PG

更新日期：1999-04-01 00:00:00

abstract：BACKGROUND:Epidemiologic studies of prescription medications increasingly rely on large administrative health care databases. These data do not capture patients' use of medication samples. This could potentially bias studies of short-term effects where date of initiation may be inaccurate. OBJECTIVES:To assess the ext...

journal_title：Medical care

authors： Li X,Stürmer T,Brookhart MA

更新日期：2014-09-01 00:00:00

abstract：OBJECTIVES:Utility scores can be assessed indirectly using preference-based instruments and used as weightings for quality-adjusted life years in economic analyses. It is not clear whether available instruments yield similar results or what domains of health are contributing to the overall score in a sample of patients...

journal_title：Medical care

authors： Marra CA,Esdaile JM,Guh D,Kopec JA,Brazier JE,Koehler BE,Chalmers A,Anis AH

更新日期：2004-11-01 00:00:00

abstract：:In 1979, MEDICAL CARE published a supplement that summarized and evaluated existing research on changes in health care patterns associated with mental health, alcoholism, and drug abuse treatment. This paper, limited to alcoholism treatment, reviews research that has been completed since the 1979 supplement. Considera...

journal_title：Medical care

authors： Holder HD

更新日期：1987-01-01 00:00:00

abstract：BACKGROUND:Although cardiac procedures are commonly used to treat cardiovascular disease, they are costly. Administrative data sources could be used to track cardiac procedures, but sources of such data have not been validated against clinical registries. OBJECTIVES:To examine accuracy of cardiac procedure coding in a...

journal_title：Medical care

authors： Lee DS,Stitt A,Wang X,Yu JS,Gurevich Y,Kingsbury KJ,Austin PC,Tu JV

更新日期：2013-04-01 00:00:00

abstract：:Geriatric rehabilitation is a multidisciplinary set of evaluative, diagnostic, and therapeutic interventions whose purpose is to restore functional ability or enhance residual functional capability in elderly people with disabling impairments. The Boston Working Group on Improving Health Care Outcomes Through Geriatri...

journal_title：Medical care

authors：

更新日期：1997-06-01 00:00:00

abstract：:In a large randomized trial involving over 2,000 women with abnormal cervical cytology (pap smear), three clinic-based interventions were tested as strategies to increase return rates for screening follow-up: 1) a personalized follow-up letter and pamphlet; 2) a slide-tape program on pap smears; and 3) transportation ...

journal_title：Medical care

authors： Marcus AC,Crane LA,Kaplan CP,Reading AE,Savage E,Gunning J,Bernstein G,Berek JS

更新日期：1992-03-01 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：OBJECTIVE:The purpose of this study was to identify hospital organizational characteristics consistently associated with adherence to multiple clinical practice guidelines (CPGs). We examined the relationship between organizational and patient population characteristics and adherence to three screening CPGs implemented...

journal_title：Medical care

authors： Vaughn TE,McCoy KD,BootsMiller BJ,Woolson RF,Sorofman B,Tripp-Reimer T,Perlin J,Doebbeling BN

更新日期：2002-12-01 00:00:00

abstract：:A randomized clinical trial was performed to assess whether the results of a depression screening instrument, when provided to physicians, could influence their recognition and treatment of depression in a primary care setting. The intervention consisted of randomly informing or not informing physicians of the depress...

journal_title：Medical care

authors： Magruder-Habib K,Zung WW,Feussner JR

更新日期：1990-03-01 00:00:00

abstract：OBJECTIVE:To examine the relationship between estimated travel time to admitting hospital and mortality for veterans with acute ischemic stroke, controlling for patient demographic, clinical, facility-level variables, as well as select in-hospital treatments and procedures. METHODS:A longitudinal observational populat...

journal_title：Medical care

authors： Ripley DC,Kwong PL,Vogel WB,Kurichi JE,Bates BE,Davenport C

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:The "Unborn Child" (UC) option provides state Medicaid/Children's Health Insurance Program (CHIP) programs with a new strategy to extend prenatal coverage to low-income women who would otherwise have difficulty enrolling in or would be ineligible for Medicaid. OBJECTIVES:To examine the association of the UC...

journal_title：Medical care

authors： Jarlenski MP,Bennett WL,Barry CL,Bleich SN

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Decades-long efforts to require parity between behavioral and physical health insurance coverage culminated in the comprehensive federal Mental Health Parity and Addiction Equity Act. OBJECTIVES:To determine the association between federal parity and changes in mental health care utilization and spending, p...

journal_title：Medical care

authors： Haffajee RL,Mello MM,Zhang F,Busch AB,Zaslavsky AM,Wharam JF

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:Millions of Americans are burdened by out-of-pocket prescription costs. Although many survey measures have been developed to assess this burden, the construct validity and the factor structure of these instruments have not been rigorously assessed. OBJECTIVES:To characterize the factor structure and the con...

journal_title：Medical care

authors： Burcu M,Alexander GC,Ng X,Harrington D

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Accurate estimation of medical care costs raises a host of issues, both practical and methodological. OBJECTIVES:This article reviews methods for estimating the long-term medical care costs associated with a cancer diagnosis. METHODS:The authors consider data from administrative claims databases and descri...

journal_title：Medical care

authors： Etzioni R,Riley GF,Ramsey SD,Brown M

更新日期：2002-06-01 00:00:00

abstract：:To explore the reliability of Medicare Part A claims data for clinical and health services research related to the care of patients with cancer, the authors compared estimates of the incidence of and resection rates for cancer of the breast, colon, and lung derived from analysis of Medicare Part A data versus data fro...

journal_title：Medical care

authors： Whittle J,Steinberg EP,Anderson GF,Herbert R

更新日期：1991-12-01 00:00:00

abstract：:Since the costs of nursing home care are a major component of the rapidly rising costs of health care, it is appropriate to base public policy discussions about cost containment on the determinants of nursing home costs. This article investigates the determinants of nursing home operating costs and reviews the results...

journal_title：Medical care

authors： Birnbaum H,Bishop C,Lee AJ,Jensen G

更新日期：1981-11-01 00:00:00

abstract：OBJECTIVES:This study sought to compare the performance of the old and new versions of the Simplified Acute Physiology Score, SAPS and SAPS II, in classifying patients according to the risk of hospital mortality. METHODS:To compare the performance of the two systems, measures of association between the scores and obse...

journal_title：Medical care

authors： Bertolini G,D'Amico R,Apolone G,Cattaneo A,Ravizza A,Iapichino G,Brazzi L,Melotti RM

更新日期：1998-09-01 00:00:00

abstract：OBJECTIVES:Medicare hospitalizations involve both facility and physician services. Although several studies analyze hospital-level variations in Medicare inpatient facility and inpatient physician services per admission, few studies directly explore the relationship between these services. Theoretically, inpatient faci...

journal_title：Medical care

authors： Miller ME,Welch WP,Wong HS

更新日期：1997-02-01 00:00:00

abstract：:Federal interest in prepaid group practices as a means to control rising health care costs in reviving. This article is an empirical study of price and membership at a prepaid group practice among employees of Yale University. This article is the first to estimate the effect of price on the decision for membership in ...

journal_title：Medical care

authors： McGuire TG

更新日期：1981-02-01 00:00:00

abstract：:This study was initiated to determine the extent of hospital capacity reduction in large U.S. cities. In addition, hospital bed and service additions were analyzed. Study data indicate that between 1976 and 1978 more than 5,000 beds were closed in the 36 cities surveyed. This constitutes 2.7% of total hospital beds in...

journal_title：Medical care

authors： Ermann D,Aronoff R

更新日期：1980-07-01 00:00:00

abstract：BACKGROUND:Copayments (copays) for prescription drugs are a common policy among state Medicaid programs. Research exploring the effects of copays on pharmacy and health care utilization in Medicaid patients is limited, especially among patients with chronic disease. OBJECTIVES:The goal of this research was to quantify...

journal_title：Medical care

authors： Hartung DM,Carlson MJ,Kraemer DF,Haxby DG,Ketchum KL,Greenlick MR

更新日期：2008-06-01 00:00:00

abstract：:Data from the Cancer Control Supplement of the 1987 Health Interview Survey (NHIS), a nationally representative sample of the United States population, was used to examine rates of six screening tests for cancer. The rates of screening were compared for people who receive their usual source of medical care in an HMO o...

journal_title：Medical care

authors： Bernstein AB,Thompson GB,Harlan LC

更新日期：1991-03-01 00:00:00

abstract：BACKGROUND:Outcome measures, like hospital standardized mortality ratios (HSMRs), are increasingly used to assess quality of care. The validity of HSMRs and their accuracy to reflect quality of care is heavily contested. OBJECTIVE:We explored apparent and potential shortcomings and adverse effects of the HSMR in the a...

journal_title：Medical care

authors： van Gestel YR,Lemmens VE,Lingsma HF,de Hingh IH,Rutten HJ,Coebergh JW

更新日期：2012-08-01 00:00:00