Abstract:
:A prospective study was undertaken to characterize 2,000 patients attending a chiropractic teaching clinic and the effectiveness of the care they received. Fifty-two percent of the patients were between 21 and 34 years old; 41% categorized their occupation as professional and 14% as skilled blue collar; 79% presented with musculoskeletal complaints; 44% had low back pain; 41% had complaints less than 1 month; 83% had no work time loss. Eighty-one percent of musculoskeletal diagnoses were reported as strain, with less than 1% intervertebral disc syndrome. The primary treatment approach was manipulation in 90% of cases. As a group, both patients and interns had similar expectations about the likelihood of improvement following treatment and similar assessments of the degree of improvement actually attained. Eighty-two percent of patients improved during their course of treatment. An average 4.4 patient visits were encountered per episode of care, with an average total charge of $66.00.
journal_name
Med Carejournal_title
Medical careauthors
Nyiendo J,Haldeman Sdoi
10.1097/00005650-198706000-00006subject
Has Abstractpub_date
1987-06-01 00:00:00pages
516-27issue
6eissn
0025-7079issn
1537-1948journal_volume
25pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract:BACKGROUND:Medical error reporting is an essential component of patient safety enhancement. However, increasingly, the literature points to a problem of underreporting of treatment errors, mainly as a result of the fear of malpractice lawsuits and limited formal data collection systems. Few studies, if any, have examin...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000197035.12311.88
更新日期:2006-02-01 00:00:00
abstract::A factorial design randomized controlled trial to test several clinically feasible strategies primary-care practitioners may use in routine practice to increase patient participation in occult blood testing for colorectal cancer is reported. Three compliance-enhancing intervention strategies (physician/nurse talk, and...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-198610000-00004
更新日期:1986-10-01 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
pub_type: 杂志文章
doi:10.1097/00005650-197507000-00007
更新日期:1975-07-01 00:00:00
abstract:BACKGROUND:Federally Qualified Health Centers (FQHCs) serve as regular sources of preventive and primary care for low-income families within their communities and are key parts of the health care safety net. OBJECTIVES:Compare admissions and emergency room visits for ambulatory care sensitive conditions (ACSCs) among ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200106000-00004
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVES:The economic impact of trauma in older persons is a matter of increasing concern to public health practitioners and planners, yet it is an issue that has not been widely studied. Available evidence does suggest, however, that falls are the costliest category of injury among older persons. METHODS:This study...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199808000-00006
更新日期:1998-08-01 00:00:00
abstract:BACKGROUND:: Previous research suggests, but does not definitively establish, that a high level of uninsurance in a community may negatively affect access to and quality of health care for insured persons. OBJECTIVE:: To assess the effect of the level of uninsurance in a community on access to and satisfaction with ca...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0b013e31822dc7f4
更新日期:2011-09-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181adcc32
更新日期:2009-12-01 00:00:00
abstract::The published preferences for scale steps in a health-related quality-of-life scale have been noted to be contrary to some prior assumptions about their rank ordering. The differences noted are actually statistically nonsignificant, and the observed ordering has a clear intuitive explanation. Several alternative expla...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198205000-00008
更新日期:1982-05-01 00:00:00
abstract:BACKGROUND:Approximately 2.5 million Americans are admitted to the hospital after traumatic physical injury each year. Few investigations have elicited patients' perspectives regarding posttraumatic outcomes. OBJECTIVE:To identify and categorize physically injured trauma survivors' posttraumatic concerns. RESEARCH DE...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200104000-00004
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:Little is known about the medical care resources devoted to diagnosing and treating cancer-related symptoms before a definitive cancer diagnosis. Previous research using SEER-Medicare data to measure incremental costs and utilization associated with cancer started with the date of diagnosis. We hypothesized ...
journal_title:Medical care
pub_type: 杂志文章,随机对照试验
doi:10.1097/MLR.0b013e3182731277
更新日期:2013-04-01 00:00:00
abstract::One of the techniques adopted recently by certain hospitals to meet the competitive pressure for reducing costs is physician profiling. Profiling produces periodic reports that compare a physician's resource consumption to a benchmark figure. This study analyzes the effectiveness and implications of one hospital's int...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199511000-00004
更新日期:1995-11-01 00:00:00
abstract:BACKGROUND:The 2006 Massachusetts health reform substantially decreased uninsurance rates. Yet, little is known about the reform's impact on actual health care utilization among poor and minority populations, particularly for receipt of inpatient surgical procedures that are commonly initiated by outpatient physician r...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31824e319f
更新日期:2012-07-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000754
更新日期:2017-08-01 00:00:00
abstract::It has been suggested that the efficiency of claim-based utilization review systems could be improved by focusing on providers with very high utilization rates. This strategy assumes that 1) high utilizers are more likely to be overutilizers, 2) labeling claims (e.g., "high utilizer") do not bias the review, and 3) th...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198305000-00001
更新日期:1983-05-01 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
pub_type: 杂志文章
doi:10.1097/00005650-198102000-00005
更新日期:1981-02-01 00:00:00
abstract::The effect of large numbers of patients with a history of substance abuse upon a health care system is rarely considered, nor is the health care system's response to such a clientele ever assessed. In this preliminary study, the collective effect of large numbers of substance abuse patients upon a clinic serving the u...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199110000-00006
更新日期:1991-10-01 00:00:00
abstract::Nurse anesthetists (CRNAs) are a lower cost substitute for anesthesiologists in the delivery of anesthesia services. This article addresses the question of when anesthesiologists delegate in a team approach as opposed to using a solo arrangement. Logistic regression analysis was done using data from the 1986 Anesthesi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198905000-00002
更新日期:1989-05-01 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
pub_type: 杂志文章
doi:10.1097/01.mlr.0000188920.19129.89
更新日期:2006-01-01 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
pub_type: 杂志文章
doi:10.1097/00005650-198405000-00004
更新日期:1984-05-01 00:00:00
abstract::Hospital cost-containment programs should themselves be cost-effective, targeting high-cost physicians (which requires adjusting for case mix) and patients (which requires early identification). In this study, clinical data available within 24 hours of admission from an electronic medical record system were used to de...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199501000-00001
更新日期:1995-01-01 00:00:00
abstract::A common objective of health services is to provide high quality care at the least cost, yet some services achieve these objectives better than others. Moreover, there are questions about relationships between cost and quality: do higher expenditures usually result in higher quality, or, conversely, is it possible to ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198309000-00007
更新日期:1983-09-01 00:00:00
abstract:OBJECTIVE:To examine the effects of health plan enrollment [health maintenance organizations (HMO) or fee-for-service (FFS)], a change in Medicare reimbursement policy which allowed for annual rather than biennial mammograms, and Health Plan Employer Data Information Set (HEDIS) measures on stage at diagnosis among old...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3180616c51
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:The intensity of end-of-life care varies substantially both within and between areas. Differing practice patterns of individual physicians are likely influenced by their peers. OBJECTIVE:To assess whether intensity of end-of-life care previously provided by a physician's peers influences patterns of care at...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001124
更新日期:2019-06-01 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
pub_type: 杂志文章
doi:10.1097/01.mlr.0000220692.39762.bf
更新日期:2006-09-01 00:00:00
abstract::To enhance the efficient utilization of health providers, medical care researchers are increasingly concerned with the measurement of task performance. One job analysis methodology that is widely used is the task inventory technique, characterized by retrospective self-reporting. The purpose of this study was to valid...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197502000-00002
更新日期:1975-02-01 00:00:00
abstract::In this study, changes in the number, site, and source of follow-up visits and allowed charges were examined for follow-up visits provided to Medicare surgical patients between 1984 and 1986. Among the 21 surgical procedures studied, follow-up visits decreased by 5.2%, after adjusting for case mix. Despite the physici...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199303000-00005
更新日期:1993-03-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between estimated travel time to admitting hospital and mortality for veterans with acute ischemic stroke, controlling for patient demographic, clinical, facility-level variables, as well as select in-hospital treatments and procedures. METHODS:A longitudinal observational populat...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000366
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Without advanced preparation of legal documents, state law determines who may serve as a surrogate decision maker for patients in hospitals. OBJECTIVES:To examine the relationship characteristics associated with traditional versus nontraditional health care surrogates who are making medical decisions for pa...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000890
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:In 2002 British Columbia, Canada began redistributing its hospital services. OBJECTIVE AND DESIGN:We used administrative data and interrupted time series analyses to determine how recent hospital closures affected patient outcomes. SUBJECTS:All adult acute myocardial infarction (AMI), stroke, and trauma ev...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000619
更新日期:2017-01-01 00:00:00
abstract::In this study, trends in hospital use were identified in Japanese cities. Data for all inpatient care in May 1985 (9,555 patients) and in May 1988 (11,205 patients) paid for by National Health Insurance in 12 cities in Osaka Prefecture were analyzed. The main factor affecting differences in inpatient days per insured ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199304000-00005
更新日期:1993-04-01 00:00:00