A Novel Stakeholder Engagement Approach for Patient-centered Outcomes Research.

abstract：:In 1977, the American Heart Association recommended that patients with mitral valve prolapse (MVP) and mitral insufficiency receive antibiotic prophylaxis prior to procedures that place them at risk for bacterial endocarditis. To study how clinicians conformed to this recommendation, the authors selected 126 patients ...

journal_title：Medical care

authors： Retchin SM,Fletcher RH,Buescher PC,Waugh RA,Battaglini SW

更新日期：1985-10-01 00:00:00

abstract：BACKGROUND:Spinal mobilization and manipulation are 2 therapies found to be generally safe and effective for chronic low back pain (CLBP). However, the question remains whether they are appropriate for all CLBP patients. RESEARCH DESIGN:An expert panel used a well-validated approach, including an evidence synthesis an...

journal_title：Medical care

authors： Herman PM,Hurwitz EL,Shekelle PG,Whitley MD,Coulter ID

更新日期：2019-05-01 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：BACKGROUND:Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. OBJECTIVES:To link Meals on Wheels (MOW) program data to Med...

journal_title：Medical care

authors： Shan M,Gutman R,Dosa D,Gozalo PL,Ogarek JA,Kler S,Thomas KS

更新日期：2019-03-01 00:00:00

abstract：:This prospective study was conducted to determine the influence of primary care patients' health perceptions on their utilization of health care services. Patients' health perceptions were measured using the RAND Corporation's General Health Perceptions Questionnaire. Physicians provided scores of how they thought the...

journal_title：Medical care

authors： Connelly JE,Philbrick JT,Smith GR Jr,Kaiser DL,Wymer A

更新日期：1989-03-01 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:Evidence is building that primary care is associated with quality of care and cost effectiveness. Still, little is known of the contribution of specific attributes of primary care to important health outcomes, such as the delivery of preventive services. This study tests the association of specific attribute...

journal_title：Medical care

authors： Flocke SA,Stange KC,Zyzanski SJ

更新日期：1998-08-01 00:00:00

abstract：:In recent years, employers, insurers, and government purchasers have paid increased attention to the measurement of patient outcomes and health status. Such interest is stimulated less by policy or quality concerns than by the need to reduce health care expenditures. Any expected benefits which might accrue from healt...

journal_title：Medical care

authors： Lansky D,Butler JB,Waller FT

更新日期：1992-05-01 00:00:00

abstract：BACKGROUND:More than 70 million Americans are enrolled in a high-deductible health plan (HDHP), with high upfront cost-sharing to encourage strategies such as price shopping to mitigate out-of-pocket spending. Recent research suggests HDHP enrollees are reluctant to engage in these consumer strategies, but there is lit...

journal_title：Medical care

authors： Cliff BQ,Krenz C,West BT,Levy H,Fendrick AM,Winkelman TNA,So J,Fagerlin A,Kullgren JT

更新日期：2019-03-01 00:00:00

abstract：:Clinical Engineers are currently employed in hospitals to see that the more complex instrumentation is electrically safe and well maintained. Such an objective fails to capitalize on the economic advantages which can be derived from specialist management. This paper proposes that the objective be broadened to cover th...

journal_title：Medical care

authors： Shaffer MJ

更新日期：1977-07-01 00:00:00

abstract：OBJECTIVES:Various individual characteristics increase a nursing home resident's likelihood of being mechanically restrained. However, there is not good information on the role played by facility characteristics and geographic area in determining the likelihood of physical restraint use. This study investigates the imp...

journal_title：Medical care

authors： Phillips CD,Hawes C,Mor V,Fries BE,Morris JN,Nennstiel ME

更新日期：1996-11-01 00:00:00

abstract：:This article assesses the extent to which formally provided comprehensive community care tends to substitute for informal care provided by family and friends to impaired elderly persons living in the community. Using simultaneous equations causal modeling techniques to control for selective targeting and other interve...

journal_title：Medical care

authors： Greene VL

更新日期：1983-06-01 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:Failure to rescue (FTR), the rate of death in patients suffering 1 of 6 in-hospital complications, is an Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator calculated from administrative data. OBJECTIVE:: We sought to assess the accuracy of the AHRQ FTR algorithm. METHODS:We underto...

journal_title：Medical care

authors： Horwitz LI,Cuny JF,Cerese J,Krumholz HM

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:Continuity of the relationship between patients and primary care providers (PCPs) is an important component of care from the consumer perspective that may be affected by variation in cost containment strategies within managed care. OBJECTIVE:To evaluate the effects of cost containment strategies on the cont...

journal_title：Medical care

authors： Meredith LS,Sturm R,Camp P,Wells KB

更新日期：2001-10-01 00:00:00

abstract：BACKGROUND:Although the Affordable Care Act has been successful in expanding Medicaid to >17 million people, insurance alone may not translate into access to health care. Even among the insured, substantial barriers to accessing services inhibit health care utilization. OBJECTIVES:We examined the effect of selected ba...

journal_title：Medical care

authors： Allen EM,Call KT,Beebe TJ,McAlpine DD,Johnson PJ

更新日期：2017-03-01 00:00:00

abstract：:Current health care system reform proposals center on reducing the number of uninsured by extending private health insurance coverage. Discussion has also included enrolling Medicaid recipients in private programs. Much of the deliberation concerning extending coverage has centered on cost, but largely has not address...

journal_title：Medical care

authors： Hahn B

更新日期：1994-03-01 00:00:00

abstract：BACKGROUND:Estimates of the costs of medical care vary across patient populations, data sources, and methods. The objective of this study was to compare 3 approaches for estimating the incidence costs of colorectal cancer (CRC) care using similar patient populations, but different data sources and methods. METHODS:We ...

journal_title：Medical care

authors： Yabroff KR,Warren JL,Schrag D,Mariotto A,Meekins A,Topor M,Brown ML

更新日期：2009-07-01 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：:This study was designed to determine the extent to which the medical record contained evidence of coordination of care. Coordination of care was defined as the recognition of information (problems, therapies, intervening visits and tests) about patients from one visit to a follow-up visit. Overall, there was concordan...

journal_title：Medical care

authors： Starfield B,Steinwachs D,Morris I,Bause G,Siebert S,Westin C

更新日期：1979-07-01 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 AND OBJECTIVES:Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of ...

journal_title：Medical care

authors： Gold R,DeVoe J,Shah A,Chauvie S

更新日期：2009-04-01 00:00:00

abstract：:A new technique for identifying inefficient hospitals, Data Envelopment Analysis (DEA), is field tested by application to a group of teaching hospitals. DEA is found to provide meaningful insights into the location and nature of hospital inefficiencies as judged by the opinion of a panel of hospital experts. DEA provi...

journal_title：Medical care

authors： Sherman HD

更新日期：1984-10-01 00:00:00

abstract：:The application of health status measures in policy research relies considerably on patterns of mortality, life expectancy, and health status indicators, such as hospital readmission and institutionalization rates. In recent years the state of the art in health status measurement has advanced substantially with the de...

journal_title：Medical care

authors： Steinwachs DM

更新日期：1989-03-01 00:00:00

abstract：BACKGROUND:Studies have documented that patients of female physicians receive higher levels of preventive services. However, most studies include patients of only one gender, examine mainly gender-specific screening services, and do not examine patient education and counseling. OBJECTIVES:This study tests both physici...

journal_title：Medical care

authors： Henderson JT,Weisman CS

更新日期：2001-12-01 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:Previous research has indicated that the needs of persons infected with human immunodeficiency virus (HIV) for supportive services often go unmet. Although case management has been advocated as a method of decreasing unmet needs for supportive services, its effectiveness is poorly understood. OBJECTIVES:To ...

journal_title：Medical care

authors： Katz MH,Cunningham WE,Mor V,Andersen RM,Kellogg T,Zierler S,Crystal SC,Stein MD,Cylar K,Bozzette SA,Shapiro MF

更新日期：2000-01-01 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：:Patients often receive medical care from many different providers. Consequently, the various episodes of care may not be integrated into a meaningful whole, and the quality of care may suffer. Before this possibility can be evaluated, it is necessary to develop a measure of the integrating process. The authors studied...

journal_title：Medical care

authors： Fletcher RH,O'Malley MS,Fletcher SW,Earp JA,Alexander JP

更新日期：1984-05-01 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