Hospital Characteristics Associated With Risk-standardized Readmission Rates.

abstract：:The effectiveness of sharing medical records in improving physician-older patient communication was evaluated in 203 ambulatory chronically ill older patients (mean age, 70.1 years) by a randomized controlled trial. Ninety-five experimental group patients received copies of their physicians' progress notes 1 week afte...

journal_title：Medical care

authors： Bronson DL,Costanza MC,Tufo HM

更新日期：1986-04-01 00:00:00

abstract：:While Preferred Provider Organizations (PPOs) are designed to contain the costs of health care, they may not be able to do so if sicker individuals opt not to use PPO providers. This study examined how level of mental health status and prior use of mental health services affected the decision to use or not use PPO pro...

journal_title：Medical care

authors： Wells KB,Marquis MS,Hosek SD

更新日期：1991-09-01 00:00:00

abstract：BACKGROUND:Numerous studies have examined the impacts of pay-for-performance programs, yet little is known about their long-term effects on health care expenses. OBJECTIVES:This study aimed to examine the long-term effects of a pay-for-performance program for diabetes care on health care utilization and expenses. MET...

journal_title：Medical care

authors： Cheng SH,Lee TT,Chen CC

更新日期：2012-02-01 00:00:00

abstract：BACKGROUND:By shifting a greater share of out-of-pocket medical costs to consumers, high-deductible health plans (HDHP) might discourage use of essential outpatient services. OBJECTIVE:The objective of the study was to examine the impact of an HDHP on outpatient visits and associated laboratory and radiology tests. R...

journal_title：Medical care

authors： Reddy SR,Ross-Degnan D,Zaslavsky AM,Soumerai SB,Wharam JF

更新日期：2014-01-01 00:00:00

abstract：OBJECTIVES:The economic impact of trauma in older persons is a matter of increasing concern to public health practitioners and planners, yet it is an issue that has not been widely studied. Available evidence does suggest, however, that falls are the costliest category of injury among older persons. METHODS:This study...

journal_title：Medical care

authors： Rizzo JA,Friedkin R,Williams CS,Nabors J,Acampora D,Tinetti ME

更新日期：1998-08-01 00:00:00

abstract：OBJECTIVE:We sought to evaluate the extent of changes in usual source of care and associations with perceived health care access, quality, and use. RESEARCH DESIGN:We collected cross-sectional data on adults from the 1998 to 1999 Community Tracking Household Survey (n = 48,720). Linear and logistic regressions account...

journal_title：Medical care

authors： Smith MA,Bartell JM

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:Hospital discharge planning has been hampered by the lack of predictive models. OBJECTIVE:To develop predictive models for nonelective rehospitalization and postdischarge mortality suitable for use in commercially available electronic medical records (EMRs). DESIGN:Retrospective cohort study using split va...

journal_title：Medical care

authors： Escobar GJ,Ragins A,Scheirer P,Liu V,Robles J,Kipnis P

更新日期：2015-11-01 00:00:00

abstract：:During the past five years, contract management of nonprofit hospitals by for-profit corporations has increased markedly. However, while a number of studies have been conducted on investor-owned hospitals and proprietary hospital systems, contract-managed hospitals have not been evaluated systematically. This paper re...

journal_title：Medical care

authors： Biggs EL,Kralewski JE,Brown GD

更新日期：1980-06-01 00:00:00

abstract：OBJECTIVE:To examine healthcare coverage and access disparities for American Indian/Alaska Native (AIAN) veterans compared with non-Hispanic white veterans. METHODS:We examined national survey data for honorably discharged veterans in the United States using National Health Interview Survey (NHIS) data between 1997 an...

journal_title：Medical care

authors： Johnson PJ,Carlson KF,Hearst MO

更新日期：2010-06-01 00:00:00

abstract：OBJECTIVES:In February 2002, the Department of Veterans Affairs (VA) raised medication copayments from $2 to $7 per 30-day supply of medication for certain veteran groups. We examined the impact of the copayment increase on medication acquisition from VA. METHODS:This was a retrospective cohort study using data from n...

journal_title：Medical care

authors： Stroupe KT,Smith BM,Lee TA,Tarlov E,Durazo-Arvizu R,Huo Z,Barnett T,Cao L,Burk M,Cunningham F,Hynes DM,Weiss KB

更新日期：2007-11-01 00:00:00

abstract：OBJECTIVES:The primary objective of this study was to examine veterans' reliance on health care services provided by the Veterans Health Administration (VHA) within Minnesota and estimate the potential effect on uninsurance rates if all eligible veterans relied on VHA coverage. Secondary objectives were to compare vete...

journal_title：Medical care

authors： Jonk YC,Call KT,Cutting AH,O'Connor H,Bansiya V,Harrison K

更新日期：2005-08-01 00:00:00

abstract：:Although there are large-scale forces that influence the economic behavior of the health care delivery system, it is the physician who has primary authority to make decisions about the use of resources. Consequently, when considering alternative options for controlling rising health care expenditures, it is useful to ...

journal_title：Medical care

authors： Grossman RM

更新日期：1983-08-01 00:00:00

abstract：BACKGROUND:Although patients readmitted to intensive care units (ICUs) typically have poor outcomes, ICU readmission rates have not been studied as a measure of hospital performance. OBJECTIVES:To determine variation in ICU readmission rates across hospitals and associations of readmission rates with other ICU-based m...

journal_title：Medical care

authors： Cooper GS,Sirio CA,Rotondi AJ,Shepardson LB,Rosenthal GE

更新日期：1999-04-01 00:00:00

abstract：:Of the key federal programs that finance in-home services to the elderly, the Medicare program represents the largest and fastest growing. Although Medicare is a federal program, utilization and expenditures for home care vary widely across the states. Building on the work of Feldstein, Scanlon, and others, theory and...

journal_title：Medical care

authors： Benjamin AE

更新日期：1986-06-01 00:00:00

abstract：BACKGROUND:Applying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden. OBJECTIVES:To describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH DESIGN:Cross-sectional and longitudina...

journal_title：Medical care

authors： Boyd CM,Wolff JL,Giovannetti E,Reider L,Weiss C,Xue QL,Leff B,Boult C,Hughes T,Rand C

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE:To introduce and demonstrate two methods that can be us...

journal_title：Medical care

authors： Giesler RB,Ashton CM,Brody B,Byrne MM,Cook K,Geraci JM,Hanita M,Souchek J,Wray NP

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:Quality improvement organizations (QIOs) are contracted to improve the quality of care delivered to Medicare beneficiaries. The purpose of this study was to determine whether provider participation in New York State QIO activities resulted in significant improvements in the quality of diabetes care during th...

journal_title：Medical care

authors： Wu WY,Chen JJ,Shih A

更新日期：2006-12-01 00:00:00

abstract：:The purpose of this study was to develop a "time-insensitive" predictive instrument (TIPI) for acute hospital mortality due to congestive heart failure. In Phase 1, based on prospectively collected data on 401 congestive heart failure patients among 5,773 study patients who presented to six New England hospitals over ...

journal_title：Medical care

authors： Selker HP,Griffith JL,D'Agostino RB

更新日期：1994-10-01 00:00:00

abstract：:In this study, changes in the number, site, and source of follow-up visits and allowed charges were examined for follow-up visits provided to Medicare surgical patients between 1984 and 1986. Among the 21 surgical procedures studied, follow-up visits decreased by 5.2%, after adjusting for case mix. Despite the physici...

journal_title：Medical care

authors： Kominski GF,Biddle AK

更新日期：1993-03-01 00:00:00

abstract：BACKGROUND:Few studies examine the link between measured process of care and outcome. OBJECTIVE:To evaluate the relationship of claims-based assessment of process of care to subsequent function and survival. RESEARCH DESIGN:Retrospective cohort study using claims from 1999 to assess performance on 41 quality indicato...

journal_title：Medical care

authors： Zingmond DS,Ettner SL,Wilber KH,Wenger NS

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:For patients recovering from severe acute illness, admission to a long-term acute care hospital (LTAC) is an increasingly common alternative to continued management in an intensive care unit (ICU). OBJECTIVE:To examine the effectiveness of LTAC transfer in patients with chronic critical illness. RESEARCH D...

journal_title：Medical care

authors： Kahn JM,Werner RM,David G,Ten Have TR,Benson NM,Asch DA

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:Although most of the elderly are covered by Medicare, they potentially face large out-of-pocket costs for their health care because of excluded services. Aside from nursing home care, the exclusion of prescription drugs is one of the most significant. Several earlier policy initiatives have proposed adding p...

journal_title：Medical care

authors： Lillard LA,Rogowski J,Kington R

更新日期：1999-09-01 00:00:00

abstract：:This study examines evidence of market segmentation on the basis of patients' insurance status, demographic characteristics, and medical condition in selected local markets in California in the years 1983 and 1989. Substantial differences exist in the probability patients may be admitted to particular hospitals based ...

journal_title：Medical care

authors： Dranove D,White WD,Wu L

更新日期：1993-01-01 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：OBJECTIVES:Rebalancing the long-term care system between institutional care and home-based and community-based services (HCBS) has become an important policy goal of most state Medicaid programs and several provisions of the Affordable Care Act. This study estimated nursing home admission patterns by race and ethnicity...

journal_title：Medical care

authors： Cai X,Temkin-Greener H

更新日期：2015-07-01 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：PURPOSE:To explore whether there was a significant relationship between difficulty paying for ostomy supplies and overall quality of life among a sample of ostomates receiving care from the Veterans Health Administration (VHA). METHODS:The data were collected as part of the Veterans Affairs (VA) Ostomy Health-Related ...

journal_title：Medical care

authors： Coons SJ,Chongpison Y,Wendel CS,Grant M,Krouse RS

更新日期：2007-09-01 00:00:00

abstract：BACKGROUND:We evaluated the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese breast and nasopharyngeal cancer patients. METHODS:A sample of Chinese breast (n = 250) and nasopharyngeal (n = 242) cancer patients were assessed during their first outpatient visit (b...

journal_title：Medical care

authors： Wong WS,Fielding R

更新日期：2009-08-01 00:00:00

abstract：:The acceptability of satisfaction as a quality indicator is qualified by several well known measurement problems. This study examines the variability in satisfaction evaluations related to different measurement methods and the effect of response biases on reported satisfaction. Satisfaction evaluations using seven dif...

journal_title：Medical care

authors： Ross CK,Steward CA,Sinacore JM

更新日期：1995-04-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to measure the dissemination of comparative provider quality information (CPQI) and evaluate its impact on consumers' awareness and use of CPQI. DATA SOURCES:Two-period, random-digit-dial panel survey of chronically ill consumers residing in 14 regions of the United States; su...

journal_title：Medical care

authors： Bhandari N,Scanlon DP,Shi Y,Smith RA

更新日期：2020-04-01 00:00:00