Comparative costs of a cooperative care program versus inpatient hospital care for obstetric patients.

abstract：:This study uses a new database containing clinical risk factors for cardiac surgery to investigate the relationship between surgical volume (hospital and surgeon) and inhospital mortality rate for all patients receiving coronary artery bypass surgery in New York State in 1989. Also, hospitals with significantly higher...

journal_title：Medical care

authors： Hannan EL,Kilburn H Jr,Bernard H,O'Donnell JF,Lukacik G,Shields EP

更新日期：1991-11-01 00:00:00

abstract：:A population-based, retrospective analysis of Medicare Part A and Blue Cross hospital insurance claims data was used to determine whether hospice home care cost savings to third-party insurers are substantial and result from the substitution of less expensive home care visits for more costly hospital inpatient days. T...

journal_title：Medical care

authors： Brooks CH,Smyth-Staruch K

更新日期：1984-08-01 00:00:00

abstract：:The evaluation of long-term care demonstrations has to deal with complex organizational entities, with large, heterogeneous client populations that, during the course of study, may have to change features of their organization or operation. The implications of such "real-time" changes are discussed for analyses of the...

journal_title：Medical care

authors： Manton KG,Newcomer R,Lowrimore GR,Vertrees JC,Harrington C

更新日期：1995-12-01 00:00:00

abstract：INTRODUCTION:Screening hospital patients for falls risk is now a contentious component of geriatric care despite its widespread clinical use. The economic implications of using a falls risk screening approach to deliver an effective falls prevention intervention have not previously been examined. METHODS:This was a mu...

journal_title：Medical care

authors： Haines T,Kuys SS,Morrison G,Clarke J,Bew P

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND:The major fault with existing reimbursement systems lies in their failure to discriminate for the effectiveness of stay, both when paying per day and when paying per episode of treatment. OBJECTIVES:We sought to define an average length of effective stay and recovery trends by impairment category, to design...

journal_title：Medical care

authors： Saitto C,Marino C,Fusco D,Arcà M,Perucci CA,Prospective Payment in Rehabilitation Collaborative Group.

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:The decision to perform orthopedic surgery requires substantial discretion and judgment. Similar conditions have been associated with health care disparities in other fields, but the extent of racial and ethnic disparities in orthopedics is unknown. OBJECTIVE:To evaluate the quality of extant orthopedic lit...

journal_title：Medical care

authors： Schoenfeld AJ,Tipirneni R,Nelson JH,Carpenter JE,Iwashyna TJ

更新日期：2014-09-01 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：BACKGROUND:Previous studies relating the incidence of negligent medical care to malpractice lawsuits in the United States may not be generalizable. These studies are based on data from 2 of the most populous states (California and New York), collected more than a decade ago, during volatile periods in the history of ma...

journal_title：Medical care

authors： Studdert DM,Thomas EJ,Burstin HR,Zbar BI,Orav EJ,Brennan TA

更新日期：2000-03-01 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：: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：OBJECTIVES:Patient perceptions are increasingly used to measure quality of care in a diversity of health-care delivery settings. The goals of this article are to review the current use of patient perceptions and to review what is known about the sensitivity of patient perceptions for discerning variations in care acros...

journal_title：Medical care

authors： Rosenthal GE,Shannon SE

更新日期：1997-11-01 00:00:00

abstract：OBJECTIVE:To compare primary care and traditional Internal Medicine residents in their adherence to preventive medicine guidelines, performance in the management of chronic diseases, and utilization of resources. DESIGN:Prospective cohort study. SETTING:Urban Internal Medicine residency program. PARTICIPANTS:Sixteen...

journal_title：Medical care

authors： Wong MD,Hollenberg JP,Charlson ME

更新日期：1999-08-01 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：:Data abstracted from transportation company records showed that nursing home patients made an average of 3.6 trips per year for care out of the nursing home. The bulk of this care (55 per cent) was provided at University Hospital with over a quarter provided at private physicians' offices and community health centers....

journal_title：Medical care

authors： Kane RL,Hammer D,Byrnes N

更新日期：1977-02-01 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：:In summary, readers are encouraged to read carefully the IRT articles in this special issue. They provide theoretical as well as practical arguments in favor of using IRT models in the health outcomes measurement field. At the same time, readers should be aware that the IRT field is complex and software is limited and...

journal_title：Medical care

authors： Hambleton RK

更新日期：2000-09-01 00:00:00

abstract：:Recent federal legislation has contained the stipulation that participating health maintenance organizations (HMOs) include a quality assurance program which stresses health outcomes. This provision was ostensibly directed at correcting alleged abuses in HMOs serving the urban poor. One version of the outcome method w...

journal_title：Medical care

authors： Schroeder SA,Donaldson MS

更新日期：1976-01-01 00:00:00

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:Linking process and outcomes is critical to accurately estimating healthcare quality and quantifying its benefits. OBJECTIVES:The objective of this study was to explore the relationship of guideline-based depression process measures with subsequent overall and psychiatric hospitalizations. RESEARCH DESIGN:...

journal_title：Medical care

authors： Charbonneau A,Rosen AK,Owen RR,Spiro A 3rd,Ash AS,Miller DR,Kazis L,Kader B,Cunningham F,Berlowitz DR

更新日期：2004-06-01 00:00:00

abstract：:The authors tested the "uncertainty hypothesis," which holds that variations in rates of hospitalization or surgeries across small geographic areas reflect differences in physicians' decision making when confronting uncertainty. A small-areas variation analysis of suspected acute cardiac ischemia (ACI) admissions in n...

journal_title：Medical care

authors： Green LA,Becker MP

更新日期：1994-11-01 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:We investigated relationships at the health-plan level among member ratings of and reports on plans in the Consumer Assessment of Health Plans Survey (CAHPS). We sought a more parsimonious description of the reports that can be used in analyses of the distribution and correlates of consumer-assessed quality....

journal_title：Medical care

authors： Zaslavsky AM,Beaulieu ND,Landon BE,Cleary PD

更新日期：2000-02-01 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

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：:A clustering method for the analysis of ambulatory morbidity data is presented. This approach reduces spurious variations resulting from idiosyncratic diagnosis labeling and coding habits of physicians and facilitates the analysis of the content of ambulatory medical care through the use of aggregate morbidity data. T...

journal_title：Medical care

authors： Schneeweiss R,Rosenblatt RA,Cherkin DC,Kirkwood CR,Hart G

更新日期：1983-01-01 00:00:00

abstract：BACKGROUND:In Ontario, Canada, the 70/90 regulations were instituted in May 1993 to establish provincial government procurement prices for generic drugs. Accordingly, the first generic entrant's price could not exceed 70% of the incumbent's branded price. Subsequent entrants' prices could not exceed 90% of the first en...

journal_title：Medical care

authors： Anis AH,Guh DP,Woolcott J

更新日期：2003-01-01 00:00:00

abstract：STUDY OBJECTIVES:To assess the feasibility of using the SF-36v2 mental health (MH) and mental component summary (MCS) scores for classification of risk for major depressive disorder (MDD), and to determine cut-off scores based on the sensitivity and specificity in a general US representative sample, and a chronic pain ...

journal_title：Medical care

authors： Bell JA,daCosta DiBonaventura M,Witt EA,Ben-Joseph R,Reeve BB

更新日期：2017-02-01 00:00:00

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:Despite little available evidence to determine whether recently introduced selective α-1 blockers and 5-α reductase inhibitors (5-ARIs) are superior to the existing agents in treating benign prostatic hyperplasia (BPH), they are being increasingly prescribed. OBJECTIVE:To describe the prescribing patterns o...

journal_title：Medical care

authors： Han LC,Kim SP,Gross CP,Ross JS,Van Houten HK,Smaldone MC,Krambeck AE,Shah ND

更新日期：2014-02-01 00:00:00

abstract：:Effective physician involvement in quality assurance in hospitals is necessary both to identify problems in patient care and to bring about problem resolution. This report describes a controlled, longitudinal study designed to measure effects on physician performance of involving physicians in setting medical audit cr...

journal_title：Medical care

authors： Sommers LS,Sholtz R,Shepherd RM,Starkweather DB

更新日期：1984-12-01 00:00:00