Inter-area variations in age-adjusted health status.

abstract：BACKGROUND:The need for evidence about the effectiveness of therapeutics and other medical practices has triggered new interest in methods for comparative effectiveness research. OBJECTIVE:Describe an approach to comparative effectiveness research involving cluster randomized trials in networks of hospitals, health pl...

journal_title：Medical care

authors： Platt R,Takvorian SU,Septimus E,Hickok J,Moody J,Perlin J,Jernigan JA,Kleinman K,Huang SS

更新日期：2010-06-01 00:00:00

abstract：OBJECTIVES:To assess the likely effects of the 1996 Health Insurance Portability and Accessibility Act (HIPAA), based on small firms' experiences under state small group insurance reforms that were similar in design to HIPAA. METHODS:Data on 17,818 small businesses (range, 2-50 employees) nationwide from the 1994 Nati...

journal_title：Medical care

authors： Hing E,Jensen GA

更新日期：1999-07-01 00:00:00

abstract：:This study examines practice mobility among young physicians, based on a large nationwide 1987 survey of physicians under age 40 years and in their second through fifth years of practice. Averaged across all physicians, there is a 10% to 12% chance of changing practices for each of the first 3 years, and about one in ...

journal_title：Medical care

authors： Willke RJ

更新日期：1991-10-01 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

abstract：INTRODUCTION:Validly interpreting scores based on patients' reports of their experiences using scales depends on a valid scoring system. The possibility exists that, although the creators of a scale intended to create a scale measuring a single construct, the questions may seem to measure more than one construct. Howev...

journal_title：Medical care

authors： Carle AC,Weech-Maldonado R

更新日期：2012-09-01 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:A need exists for adapting existing perioperative risk stratification methods such as the Charlson Comorbidity Index (CCI) for application with hospital administrative data in noncardiac surgery populations. OBJECTIVE:Develop and validate outcome-specific CCIs for predicting inpatient mortality, and cardiac...

journal_title：Medical care

authors： Moodley Y

更新日期：2016-12-01 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：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：BACKGROUND:Although the life expectancy for the US population has increased, a high proportion of this population has lived with ≥1 chronic conditions. We have quantified the burden of disease associated with 15 chronic conditions and combinations of conditions by estimating quality-adjusted life years (QALYs) for olde...

journal_title：Medical care

authors： Jia H,Lubetkin EI,Barile JP,Horner-Johnson W,DeMichele K,Stark DS,Zack MM,Thompson WW

更新日期：2018-08-01 00:00:00

abstract：PURPOSE:Healthcare organizations have undergone major change efforts in the past decade. Sustained change is related to continued alignment among organizational participants and may fail with incongruent perceptions of change. This study identifies factors contributing to the alignment in perceptions of organizational ...

journal_title：Medical care

authors： Walston SL,Chou AF

更新日期：2006-09-01 00:00:00

abstract：BACKGROUND:Healthcare accrediting organizations and insurers increasingly require reporting of clinical data, and cancer treatment is one area of enhanced scrutiny. OBJECTIVES:To compare rates of received versus reported adjuvant breast cancer treatments, and to assess barriers to measuring and reporting treatments to...

journal_title：Medical care

authors： Bickell NA,McAlearney AS,Wellner J,Fei K,Franco R

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Indwelling urinary catheters are used postoperatively in hip fracture care. Their use beyond the immediate postoperative period may result in excess nosocomial infections. OBJECTIVES:The objectives of this study were to explore the relationship between extended indwelling urinary catheterization and outcome...

journal_title：Medical care

authors： Wald H,Epstein A,Kramer A

更新日期：2005-10-01 00:00:00

abstract：BACKGROUND:Regret after one of the many decisions and interventions that health care professionals make every day can have an impact on their own health and quality of life, and on their patient care practices. OBJECTIVES:To validate a new care-related regret intensity scale (RIS) for health care professionals. RESEA...

journal_title：Medical care

authors： Courvoisier DS,Cullati S,Haller CS,Schmidt RE,Haller G,Agoritsas T,Perneger TV

更新日期：2013-03-01 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：OBJECTIVES:Individuals without health insurance in general receive fewer health services and are more likely than insured patients to experience poor outcomes. The main goal of this research was to study whether physicians' clinical recommendations vary for insured and uninsured patients, implying that physicians' choi...

journal_title：Medical care

authors： Mort EA,Edwards JN,Emmons DW,Convery K,Blumenthal D

更新日期：1996-08-01 00:00:00

abstract：BACKGROUND:Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) o...

journal_title：Medical care

authors： Leibson CL,Needleman J,Buerhaus P,Heit JA,Melton LJ 3rd,Naessens JM,Bailey KR,Petterson TM,Ransom JE,Harris MR

更新日期：2008-02-01 00:00:00

abstract：BACKGROUND:Physical functioning is an important health domain for adults. OBJECTIVE:Evaluate physical functioning items in Medicare beneficiaries. RESEARCH DESIGN:Survey data from the 2010 Consumer Assessment of Healthcare Providers and Systems Medicare survey. SUBJECTS:The 366,701 respondents were 58% female; 38% w...

journal_title：Medical care

authors： Hays RD,Mallett JS,Gaillot S,Elliott MN

更新日期：2016-02-01 00:00:00

abstract：BACKGROUND:Nearly half of US births are financed by Medicaid, and one-third of births occur by cesarean delivery, at double the cost of vaginal delivery. With the goal of reducing unnecessary cesarean use and improving value, in 2009 Minnesota's Medicaid program introduced a blended payment rate for uncomplicated birth...

journal_title：Medical care

authors： Kozhimannil KB,Graves AJ,Ecklund AM,Shah N,Aggarwal R,Snowden JM

更新日期：2018-08-01 00:00:00

abstract：INTRODUCTION:Growing adoption of electronic health records and increased emphasis on the reuse and integration of clinical care and administration data require a robust informatics infrastructure to inform health care effectiveness in real-world settings. The Scalable Architecture for Federated Translational Inquiries ...

journal_title：Medical care

authors： Kahn MG,Batson D,Schilling LM

更新日期：2012-07-01 00:00:00

abstract：BACKGROUND:Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement. OBJECTIVE:To examine whether various nursing hours measures yield different mo...

journal_title：Medical care

authors： Park SH,Blegen MA,Spetz J,Chapman SA,De Groot HA

更新日期：2015-01-01 00:00:00

abstract：:Although Alzheimer's-type dementia (ATD) is characterized by global intellectual deterioration, few systematic efforts have been made to characterize overall dysfunction of ATD patients. The Sickness Impact Profile (SIP) was administered to ATD patients and family members to determine the concurrent validity of family...

journal_title：Medical care

authors： Krenz C,Larson EB,Buchner DM,Canfield CG

更新日期：1988-05-01 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：:Although self-care is emerging as a growing movement wherein lay persons are assuming more responsibility for prvention, detection and treatment of health problems, we have almost no basic descriptive studies of attitudes toward self-care of professionals and consumers. The present study explored the reliability and v...

journal_title：Medical care

authors： Green KE,Moore SH

更新日期：1980-08-01 00:00:00

abstract：:A national sample of both hospital administrators and hospital review chair-persons (the two adversarial providers in the hospital regulatory milieu) were surveyed and asked to estimate the degree and kind of unnecessary hospital utilization taking place both in the U.S. and at their own institution. Both groups indic...

journal_title：Medical care

authors： Rothberg DL,Gertman PM

更新日期：1981-01-01 00:00:00

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：BACKGROUND:Incomplete participation is of particular concern for surveys of patient perceptions of care because patients who have negative opinions may be least likely to participate. OBJECTIVE:We sought to examine indirect evidence of nonresponse bias. DESIGN:We re-analyzed data from a cross-sectional patient survey...

journal_title：Medical care

authors： Perneger TV,Chamot E,Bovier PA

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:Estimating influenza vaccine effectiveness using an unvaccinated comparison group may result in biased effect estimates. OBJECTIVES:To explore the reduction of confounding bias in an active comparison of high-dose versus standard-dose influenza vaccines, as compared with vaccinated versus unvaccinated compa...

journal_title：Medical care

authors： Butler AM,Layton JB,Krueger WS,Kshirsagar AV,McGrath LJ

更新日期：2019-01-01 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：OBJECTIVES:Although information technology (IT) may improve efficiency and quality of patient care, the adoption of clinical IT by physicians has been limited. This study investigates the relationships between physician practice revenue and use of clinical IT. RESEARCH DESIGN:We undertook a cross-sectional analysis of...

journal_title：Medical care

authors： Furukawa MF,Ketcham JD,Rimsza ME

更新日期：2007-02-01 00:00:00