Quality-adjusted Life Years (QALY) for 15 Chronic Conditions and Combinations of Conditions Among US Adults Aged 65 and Older.

abstract：OBJECTIVES:Cutpoints are specific numeric values used to create discrete categories for patient-reported outcome (PRO) items or scales. Cutpoints are widely used in both clinical research and practice. This article offers a definition for cutpoints, describes strategies for determining actionable cutpoints, and discuss...

journal_title：Medical care

authors： Shi Q,Mendoza TR,Cleeland CS

更新日期：2019-05-01 00:00:00

abstract：OBJECTIVE:To test whether an intervention to improve primary care depression management significantly improves productivity at work and absenteeism over 2 years. SETTING AND SUBJECTS:Twelve community primary care practices recruiting depressed primary care patients identified in a previsit screening. RESEARCH DESIGN:...

journal_title：Medical care

authors： Rost K,Smith JL,Dickinson M

更新日期：2004-12-01 00:00:00

abstract：:Breast cancer is the most common neoplasm in North American women. The psychosocial impact of breast cancer has been extensively studied, and a number of investigators have attempted to characterize women who are at high risk for increased psychosocial morbidity. Although a detailed interview performed by a profession...

journal_title：Medical care

authors： Ganz PA,Hirji K,Sim MS,Schag CA,Fred C,Polinsky ML

更新日期：1993-05-01 00:00:00

abstract：:Although much is known about who pays the annual aggregate nursing home bill, relatively little is known about payment-source patterns of individuals during their lifetimes. In this article, lifetime payment-source patterns are analyzed for elderly nursing home users, particularly the extent to which they spend down a...

journal_title：Medical care

authors： Spillman BC,Kemper P

更新日期：1995-03-01 00:00:00

abstract：:Queues arise in medical care and serve as allocators in the absence of an effective market and when resources become perceptibly constrained. This is essentially the case in all countries where money is not the means for gaining access to medical services. A study estimated that the total wait in England was 96 days f...

journal_title：Medical care

authors： Bloom BS,Fendrick AM

更新日期：1987-02-01 00:00:00

abstract：OBJECTIVES:This study compared the performance of generic measures of Medical Outcome Study Short Form 36-Item Health Survey physical functioning and role limitations with disease-specific measures of physical functioning and role limitations using specific disease attributions for chronic lung disease, chronic low bac...

journal_title：Medical care

authors： Ren XS,Kazis L,Lee A,Miller DR,Clark JA,Skinner K,Rogers W

更新日期：1998-02-01 00:00:00

abstract：BACKGROUND:Federal, state, and local governments provide substantial subsidies to so-called "safety-net" hospitals, in part, to offset the loss in revenue associated with providing a disproportionate share (DSH) of care to low-income and uninsured patients, with the goal to improve access to care for uninsured and ensu...

journal_title：Medical care

authors： Fonkych K,Melnick G

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:While standard methods for conducting economic evaluations have evolved, little attention has been paid to the conduct of these studies in special populations such as children. OBJECTIVES:To build a database of pediatric economic evaluations and to examine trends in publication characteristics over a 20-yea...

journal_title：Medical care

authors： Ungar WJ,Santos MT

更新日期：2003-10-01 00:00:00

abstract：OBJECTIVE:To evaluate the effectiveness of standardized, patient-centered label (PCL) instructions to improve comprehension of prescription drug use compared with typical instructions. METHODS:A total of 500 adult patients recruited from 2 academic and 2 community primary care clinics in Chicago, IL and Shreveport, LA...

journal_title：Medical care

authors： Wolf MS,Davis TC,Curtis LM,Webb JA,Bailey SC,Shrank WH,Lindquist L,Ruo B,Bocchini MV,Parker RM,Wood AJ

更新日期：2011-01-01 00:00:00

abstract：OBJECTIVES:The author highlights changes in hospital utilization that have occurred in association with restructuring of Ontario hospitals. The basic features of the epidemiology of hospital utilization described link the analysis of the organizational and structural components of hospitals with a more comprehensive ev...

journal_title：Medical care

authors： Anderson GM

更新日期：1997-10-01 00:00:00

abstract：OBJECTIVES:To study the reported medical practice of euthanasia in Belgium since implementation of the euthanasia law. RESEARCH DESIGN:Analysis of the anonymous database of all euthanasia cases reported to the Federal Control and Evaluation Committee Euthanasia. SUBJECTS:All euthanasia cases reported by physicians fo...

journal_title：Medical care

authors： Smets T,Bilsen J,Cohen J,Rurup ML,Deliens L

更新日期：2010-02-01 00:00:00

abstract：:Four separate human services programs and their West Philadelphia service consumers were studied by the 1971 Health Network Project: a hospital receiving ward, a community mental health satellite center, a public assistance district office, and a public child welfare agency. The basic hypotheses were that 1) the four ...

journal_title：Medical care

authors： Leopold EA,Schein L

更新日期：1975-07-01 00:00:00

abstract：BACKGROUND:Several quality assessment systems use administrative data to identify postoperative complications, with uncertain validity. OBJECTIVES:To determine how accurately postoperative complications are reported in administrative data, whether accuracy varies systematically across hospitals, and whether serious co...

journal_title：Medical care

authors： Romano PS,Chan BK,Schembri ME,Rainwater JA

更新日期：2002-10-01 00:00:00

abstract：:This article summarizes tests of the appropriateness of aggregating specific categories of physical capacities and limitations into aggregate functional status indexes. Self-administered questionnaires were used to gather data from 4,603 people between 14 and 66 years of age. Cumulative indexes defining ranked levels ...

journal_title：Medical care

authors： Stewart AL,Ware JE Jr,Brook RH

更新日期：1981-05-01 00:00:00

abstract：:The increasing prominence of drug therapies in health care and their rapidly rising costs have led to a dramatic escalation of interest in the use of outcomes data for therapeutics and formulary decisions. The expanded use of formulary submission dossiers, effectiveness data, health outcomes analysis, and pharmacoecon...

journal_title：Medical care

authors： Fullerton DS,Atherly DS

更新日期：2004-04-01 00:00:00

abstract：:Current efforts to contain health care costs include a variety of strategies aimed at the users of health services. These approaches attempt to encourage users to be more cost-conscious and to shop for lower-cost services and more efficient health care plans. The primary method for achieving this is by increasing the ...

journal_title：Medical care

authors： Hibbard JH,Weeks EC

更新日期：1987-11-01 00:00:00

abstract：BACKGROUND:Federal regulation requires hospitals to present patients with a Notice of Privacy Practices (NPP) that contains all stipulated content items, is readable by patients, and posted on institutional web sites. OBJECTIVE:The objective of this study was to determine whether the NPP texts contain the required con...

journal_title：Medical care

authors： Paasche-Orlow MK,Jacob DM,Powell JN

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:An important part of examining the adequacy of measures for use in ethnically diverse populations is the evaluation of differential item functioning (DIF) among subpopulations such as those administered the measure in different languages. A number of methods exist for this purpose. OBJECTIVE:The objective o...

journal_title：Medical care

authors： Orlando Edelen MO,Thissen D,Teresi JA,Kleinman M,Ocepek-Welikson K

更新日期：2006-11-01 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：:There has been controversy about whether confounding by indication for treatment--that is, owing to physicians' conscious efforts to base treatment decisions on patients' pretreatment prognoses--makes nonrandomized, observational comparisons of treatments invalid. Some now believe evidence from studies of practice var...

journal_title：Medical care

authors： Poses RM,Smith WR,McClish DK,Anthony M

更新日期：1995-04-01 00:00:00

abstract：BACKGROUND:The United States has a culturally and demographically diverse populace, and the aim of this study was to examine differences in health preferences by sex, age, ethnicity, and race. METHODS:We assessed preferences for health outcomes defined by the PROMIS-29 survey in a sample of the US population. On the b...

journal_title：Medical care

authors： Craig BM,Reeve BB,Cella D,Hays RD,Pickard AS,Revicki DA

更新日期：2014-04-01 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:Physician and patient gender both influence medical communication. Nonverbal behavior is generally under-researched in the medical encounter but plays an important role for patient outcomes such as satisfaction. OBJECTIVE:This article aims at identifying how specific physician nonverbal behaviors predict an...

journal_title：Medical care

authors： Mast MS,Hall JA,Köckner C,Choi E

更新日期：2008-12-01 00:00:00

abstract：OBJECTIVE:This study uses empirical data to study changes in the structure and use of HMO hospital provider networks in California. STUDY DESIGN:Data from California HMOs are used to test whether there have been structural changes in HMO size, geographic coverage, hospital network design, and patient channeling for in...

journal_title：Medical care

authors： Melnick GA,Ketcham JD

更新日期：2008-03-01 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：:In response to health care reform, health care providers have begun to develop interorganizational networks. At present, however, relatively little is known about factors facilitating participation in networks. To this end, organizational characteristics and views were obtained from key informants from both "Lead" and...

journal_title：Medical care

authors： Guihan M,Manheim LM,Hughes SL

更新日期：1995-05-01 00:00:00

abstract：BACKGROUND:Variance reduction is sometimes considered as a goal of clinical quality improvement. Variance among physicians, hospitals, or health plans has been evaluated as the proportion of total variance (or intraclass correlation, ICC) in a quality measure; low ICCs have been interpreted to indicate low potential fo...

journal_title：Medical care

authors： Selby JV,Schmittdiel JA,Lee J,Fung V,Thomas S,Smider N,Crosson FJ,Hsu J,Fireman B

更新日期：2010-02-01 00:00:00

abstract：:In this article, we compared hospital efficiency using a multiple input-output approach in two ways: one way used a straightforward count of inpatient days and outpatient services as outputs; and the second used a case mix-adjusted count of inpatient services and outpatient care as outputs. Our results show that there...

journal_title：Medical care

authors： Grosskopf S,Valdmanis V

更新日期：1993-06-01 00:00:00

abstract：BACKGROUND:Prescription of new drugs contributes to substantial increases in annual drug expenditures. A small proportion of physicians appear to be early users of new prescription drugs and little is known about their characteristics. OBJECTIVE:To estimate the initial utilization rate of new prescription drugs among ...

journal_title：Medical care

authors： Tamblyn R,McLeod P,Hanley JA,Girard N,Hurley J

更新日期：2003-08-01 00:00:00

abstract：BACKGROUND:Medication error occurring during the care of HIV-infected patients may lead to treatment failure, drug toxicity, or even death. OBJECTIVE:The objective of this study was to ascertain and confirm 5 categories of medication error in the care of HIV-infected patients. RESEARCH DESIGN:This study was a retrosp...

journal_title：Medical care

authors： DeLorenze GN,Follansbee SF,Nguyen DP,Klein DB,Horberg M,Quesenberry CP Jr,Blick NT,Tsai AL

更新日期：2005-09-01 00:00:00