Counter-Point: Early Warning Systems Are Imperfect, but Essential.

abstract：OBJECTIVE:To establish a baseline for the incidence of sepsis by severity and presence on admission in acute care hospital settings before implementation of a broad sepsis screening and response initiative. METHODS:A retrospective cohort study using hospital discharge abstracts of 5672 patients, aged 18 years and abov...

journal_title：Medical care

authors： Jones SL,Ashton CM,Kiehne LB,Nicolas JC,Rose AL,Shirkey BA,Masud F,Wray NP

更新日期：2016-03-01 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：: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：OBJECTIVE:To examine the association of drug users' outpatient patterns of care with subsequent intensity of antiretroviral therapy (ART). MATERIALS AND METHODS:Annual types of ART in 8897 New York State Medicaid drug users who were prescribed ART for > or =6 months in 1996 or 1997 were determined. From pharmacy claim...

journal_title：Medical care

authors： Laine C,Hauck WW,Turner BJ

更新日期：2002-10-01 00:00:00

abstract：:Ninety-two general medical outpatients were surveyed with an interview, questionnaires, and a medical record review to investigate the relationships among psychiatric disorder (depression and hypochondriasis), somatic symptoms, medical morbidity, and the utilization of ambulatory medical services. Medical utilization ...

journal_title：Medical care

authors： Barsky AJ,Wyshak G,Klerman GL

更新日期：1986-06-01 00:00:00

abstract：:In the Seattle Prepaid Health Care Project, we studied medical records and claims information for all 97 children undergoing tonsillectomy and/or adenoidectomy in an independent practice plan from February 1971, through January 1975. Overall only 32 per cent of the procedures met commonly promulgated indications of su...

journal_title：Medical care

authors： LoGerfo JP,Dynes IM,Frost F,Diehr PK,Richardson WC

更新日期：1978-11-01 00:00:00

abstract：BACKGROUND:Teamwork in health care settings is widely recognized as an important factor in providing high-quality patient care. However, the behaviors that comprise effective teamwork, the organizational factors that support teamwork, and the relationship between teamwork and patient outcomes remain empirical questions...

journal_title：Medical care

authors： Valentine MA,Nembhard IM,Edmondson AC

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:Electronic health record (EHR) databases contain vast amounts of information about patients. Machine learning techniques such as Boosting and support vector machine (SVM) can potentially identify patients at high risk for serious conditions, such as heart disease, from EHR data. However, these techniques hav...

journal_title：Medical care

authors： Wu J,Roy J,Stewart WF

更新日期：2010-06-01 00:00:00

abstract：:The Resource-Based Relative Value Scale (RBRVS) was developed by surveying panels of physicians from single specialties, then merging the specialty-specific results into a common work scale. The merging process involved two steps: 1) specification of links or equivalent services across specialties: and 2) use of links...

journal_title：Medical care

authors： Morton SC,Kominski GF,Kahan JP

更新日期：1994-01-01 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：:This study developed an index of physician hospitalization practice style distinguishing physicians more prone to hospitalize patients from physicians less prone to hospitalize. The patients of physicians with markedly differing hospitalization styles are shown to be similar in such important characteristics as age, a...

journal_title：Medical care

authors： Roos NP

更新日期：1989-10-01 00:00:00

abstract：BACKGROUND:For limited English-proficient (LEP) patients, the digital divide has narrowed, creating a new population of Internet users. However, language-appropriate health information is difficult to find. Community health center (CHC) websites are health information resources and their homepages are critical access p...

journal_title：Medical care

authors： Rodriguez JA,Davis RB,Percac-Lima S

更新日期：2019-06-01 00:00:00

abstract：BACKGROUND:There is an increasing demand for electronic health record (EHR)-based risk stratification and predictive modeling tools at the population level. This trend is partly due to increased value-based payment policies and the increasing availability of EHRs at the provider level. Risk stratification models, howev...

journal_title：Medical care

authors： Kharrazi H,Chi W,Chang HY,Richards TM,Gallagher JM,Knudson SM,Weiner JP

更新日期：2017-08-01 00:00:00

abstract：:A retention study was implemented in Marshfield, Massachusetts in May 1974 in order to ascertain if cardiopulmonary resuscitation (CPR) skills could be retained by secondary school students who had 15 months previously received training in mouth to mouth resuscitation and cardiac compression. The retention study also ...

journal_title：Medical care

authors： Vanderschmidt H,Burnap TK,Thwaites JK

更新日期：1976-02-01 00:00:00

abstract：OBJECTIVE:To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS:We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,...

journal_title：Medical care

authors： Liu CF,Manning WG,Burgess JF Jr,Hebert PL,Bryson CL,Fortney J,Perkins M,Sharp ND,Maciejewski ML

更新日期：2011-10-01 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：BACKGROUND:The cesarean rate has served an integral role in the monitoring of obstetrical care, and in 2002, the national rate reached 26.1%, the highest ever reported. OBJECTIVE:We sought to describe the effect of clinical complications on hospital cesarean rates. RESEARCH DESIGN:This was a population-based cohort s...

journal_title：Medical care

authors： Korst LM,Gornbein JA,Gregory KD

更新日期：2005-03-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to compare poisoning mortality rates of states served by a poison control center certified by the American Association of Poison Control Centers (AAPCC) to those that are not served by a certified center because health policy has been based on certification status. METHODS:Poiso...

journal_title：Medical care

authors： Chyka PA,Somes GW

更新日期：2001-07-01 00:00:00

abstract：:Patient care classification in Canada in the past has been largely dictated by insurance coverage and the fiscal policies of the individual provinces. In recent years, however, the Canadian Department of Health and Welfare has been promoting the development of a standard patient care classification based on assessment...

journal_title：Medical care

authors： MacDonell JA

更新日期：1976-05-01 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：OBJECTIVE:To examine the effect of survey mode (mail vs. telephone) on the likelihood of reporting health care-related discrimination based on race, ethnicity, or nationality. METHODS:We use data from a mixed-mode, mail and telephone survey of public health care program enrollees (N=2807), including Somali, Hmong, Afr...

journal_title：Medical care

authors： Kemmick Pintor JB,McAlpine D,Beebe TJ,Johnson PJ

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:The Program of All-Inclusive Care for the Elderly (PACE) is an acute/long-term managed care plan designed to care for the most frail and vulnerable Medicare beneficiaries. To our knowledge, this is a first study to examine patterns and predictors of disenrollment from PACE. OBJECTIVE:PACE, with its comprehe...

journal_title：Medical care

authors： Temkin-Greener H,Bajorska A,Mukamel DB

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Valid, comprehensive instruments to describe, monitor, and evaluate health from childhood through adolescence are almost nonexistent, but are critical for health resource planning, evaluation of policy, preventive, and clinical interventions, and understanding trajectories of health during this important per...

journal_title：Medical care

authors： Riley AW,Forrest CB,Starfield B,Rebok GW,Robertson JA,Green BF

更新日期：2004-03-01 00:00:00

abstract：BACKGROUND:Hospitalizations are costly for health insurers and society. OBJECTIVES:To develop and validate a predictive model for acute care hospitalization from administrative claims for a population including all age groups. RESEARCH DESIGN:We constructed a retrospective cohort study using a US health plan claims d...

journal_title：Medical care

authors： Lemke KW,Weiner JP,Clark JM

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVE:To assess the effects on overall self-rated health of the broad range of symptoms and impairments that are routinely asked about in national surveys. DATA:We use data from adults in the nationally representative Medical Expenditure Panel Survey (MEPS) 2002 with validation in an independent sample from MEPS 2...

journal_title：Medical care

authors： Stewart ST,Woodward RM,Rosen AB,Cutler DM

更新日期：2008-09-01 00:00:00

abstract：:This study uses Medicare physician-claims data to examine patient and physician contributions to variations in cataract surgery rates across U.S. metropolitan areas. Utilization is modelled as having two phases: the decision to seek an ophthalmologist's care, which is made by patients, and the decision to perform surg...

journal_title：Medical care

authors： Escarce JJ

更新日期：1993-12-01 00:00:00

abstract：OBJECTIVES:Assess the validity of Medicare claims for identifying myocardial infarction (MI). METHODS:We used data from 9951 Medicare beneficiaries 65 years and above in the Reasons for Geographic And Racial Differences in Stroke study. Between 2003 and 2012, 669 participants had an MI identified and adjudicated throu...

journal_title：Medical care

authors： Colantonio LD,Levitan EB,Yun H,Kilgore ML,Rhodes JD,Howard G,Safford MM,Muntner P

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:Patients with depression use more health services than patients without depression. However, when depression symptoms respond to treatment, use of health services declines. Most depression quality improvement studies increase total cost in the short run, which if unevenly distributed across stakeholders, cou...

journal_title：Medical care

authors： Fortney JC,Maciejewski ML,Tripathi SP,Deen TL,Pyne JM

更新日期：2011-09-01 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：CONTEXT:Small studies suggest that the quality of healthcare provided to older patients needs improvement. However, measuring the quality of care for larger groups of older adults is difficult. OBJECTIVE:To measure the quality of care in a community-dwelling vulnerable geriatric population using administrative data to...

journal_title：Medical care

authors： Zingmond DS,Wilber KH,Maclean CH,Wenger NS

更新日期：2007-10-01 00:00:00