The continuity of care provided to primary care patients. A comparison of family physicians, general internists, and medical subspecialists.

abstract：:Physicians who participate in preferred provider organizations (PPOs) usually agree to various types of utilization review and sometimes discount their charges or agree to accept lower fees. This study was performed to determine whether they provided more or fewer services to their PPO patients than to their indemnity...

journal_title：Medical care

authors： Garnick DW,Luft HS,Gardner LB,Morrison EM,Barrett M,O'Neil A,Harvey B

更新日期：1990-10-01 00:00:00

abstract：OBJECTIVES:To help resolve the current controversy over the validity of early readmission as an indicator of the quality of care, the authors critically reviewed the literature using meta-analysis to derive summary estimates of effect and evaluate inter-study heterogeneity. METHODS:The authors selected reports meeting...

journal_title：Medical care

authors： Ashton CM,Del Junco DJ,Souchek J,Wray NP,Mansyur CL

更新日期：1997-10-01 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：:Although there are large-scale forces that influence the economic behavior of the health care delivery system, it is the physician who has primary authority to make decisions about the use of resources. Consequently, when considering alternative options for controlling rising health care expenditures, it is useful to ...

journal_title：Medical care

authors： Grossman RM

更新日期：1983-08-01 00:00:00

abstract：:Health insurance plans are evaluated here in terms of ability to guarantee financial access to a set of basic fertility-related health services. Extent of coverage is determined by whether a service is a contract benefit, its market cost, and how often it is used in a given population in one year. Comprehensive covera...

journal_title：Medical care

authors： Muller C,Krasner M,Jaffe FS

更新日期：1975-01-01 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：:Every year since 1984, Congress has expanded Medicaid to cover an increasing proportion of low-income children. In this study, a multivariate analysis of data from the 1987 National Medical Expenditure Survey was used to determine whether expanded Medicaid eligibility is likely to be effective in encouraging recommend...

journal_title：Medical care

authors： Short PF,Lefkowitz DC

更新日期：1992-09-01 00:00:00

abstract：:Sequential analysis can be used as an early warning system about potential unintended consequences of health policy decisions, generating follow-up investigations, but it should not be used as causal evidence. ...

journal_title：Medical care

authors： Lu CY,Simon G,Soumerai SB,Kulldorff M

更新日期：2018-05-01 00:00:00

abstract：:Since the costs of nursing home care are a major component of the rapidly rising costs of health care, it is appropriate to base public policy discussions about cost containment on the determinants of nursing home costs. This article investigates the determinants of nursing home operating costs and reviews the results...

journal_title：Medical care

authors： Birnbaum H,Bishop C,Lee AJ,Jensen G

更新日期：1981-11-01 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

authors： Hanchate AD,Lasser KE,Kapoor A,Rosen J,McCormick D,D'Amore MM,Kressin NR

更新日期：2012-07-01 00:00:00

abstract：OBJECTIVES:This paper presents a profile of the use of antipsychotic medications in the treatment of schizophrenia in a national health system. METHODS:Prescription drug records written for antipsychotic medications between June 1999 and September 1999 were collected for patients diagnosed with schizophrenia in the De...

journal_title：Medical care

authors： Leslie DL,Rosenheck RA

更新日期：2001-09-01 00:00:00

abstract：:The desired form and style of written drug information for patients were assessed in a national survey of oral contraceptive (OC) users. These women were queried about two forms of OC information: a short insert included with dispensed drugs and a longer brochure delivered by the physician upon patient request. Longer...

journal_title：Medical care

authors： Mazis M,Morris LA,Gordon E

更新日期：1978-12-01 00:00:00

abstract：OBJECTIVE:The Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) 10, "Postoperative Physiologic and Metabolic Derangement" (PPMD), uses administrative data to detect postoperative acute kidney injury (AKI) requiring dialysis and diabetes-related complications. We sought to evaluate the indicator'...

journal_title：Medical care

authors： Zrelak PA,Romano PS,Tancredi DJ,Geppert JJ,Utter GH

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:Eliminating barriers to care is important for improving health service use. However, the barriers to mental health care have not been well investigated. OBJECTIVES:This study was designed to provide information about the barriers to mental health service use and to identify clinical factors associated with ...

journal_title：Medical care

authors： Wang J

更新日期：2006-02-01 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

authors： Panagiotoglou D,Law MR,McGrail K

更新日期：2017-01-01 00:00:00

abstract：OBJECTIVE:A number of health care initiatives seek to improve health outcomes by increasing access to outpatient services while reducing preventable acute events. We evaluated disparities between American Indian and Alaska Native (AI/AN) and non-Hispanic white (white) Medicare enrollees in access to outpatient preventi...

journal_title：Medical care

authors： O'Connell J,Rockell J,Ouellet JC,LeBeau M

更新日期：2017-06-01 00:00:00

abstract：:This article reports the results of an analysis to determine the relationships between the quality of restorative dental care for 1,466 patients and 9 categories of dentist characteristics for 102 volunteer Washington practitioners. In this study, patients were recalled and restorations were examined clinically. Quest...

journal_title：Medical care

authors： Milgrom P,Ratener P,Conrad D,Weinstein P

更新日期：1980-04-01 00:00:00

abstract：BACKGROUND:Information is limited regarding the effects of processes of care on cardiac surgical outcomes. Correspondingly, many recommended cardiac surgical processes of care are derived from animal experiments or clinical judgment. This report from the VA Cooperative Study in Health Services, "Processes, Structures, ...

journal_title：Medical care

authors： O'Brien MM,Shroyer AL,Moritz TE,London MJ,Grunwald GK,Villanueva CB,Thottapurathu LG,MaWhinney S,Marshall G,McCarthy M Jr,Henderson WG,Sethi GK,Grover FL,Hammermeister KE,VA Cooperative Study Group on Processes, Structures, a

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND:Researchers need valid methods to assess whether patients are taking their antidepressant medications. Two important sources of data on drug exposure are patients' self-reports and pharmacy claims. OBJECTIVE:To compare self-report and claims data for antidepressant exposure. RESEARCH DESIGN:Cross-sectional...

journal_title：Medical care

authors： Kwon A,Bungay KM,Pei Y,Rogers WH,Wilson IB,Zhou Q,Adler DA

更新日期：2003-03-01 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：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：BACKGROUND:In the setting of declining U.S. literacy, new policies include use of clear communication and low-literacy accessibility practices with all patients. Reliable methods for adapting health information to meet such criteria remain a pressing need. OBJECTIVES:To report method validation (study 1) and method re...

journal_title：Medical care

authors： Hill-Briggs F,Schumann KP,Dike O

更新日期：2012-04-01 00:00:00

abstract：:To study associations between payer and provision of services for patients hospitalized for coronary atherosclerosis, the authors analyzed abstracts of 24,424 discharges from California acute care hospitals during 1989. Services examined included receipt of coronary artery bypass surgery, percutaneous transluminal cor...

journal_title：Medical care

authors： Kuykendall DH,Johnson ML,Geraci JM

更新日期：1995-07-01 00:00:00

abstract：BACKGROUND:Decades-long efforts to require parity between behavioral and physical health insurance coverage culminated in the comprehensive federal Mental Health Parity and Addiction Equity Act. OBJECTIVES:To determine the association between federal parity and changes in mental health care utilization and spending, p...

journal_title：Medical care

authors： Haffajee RL,Mello MM,Zhang F,Busch AB,Zaslavsky AM,Wharam JF

更新日期：2019-04-01 00:00:00

abstract：:Two opposing theories have been suggested to describe the relationships among member dissatisfaction with a prepaid group practice (PGP), the choice to go outside for care normally covered by the plan, and disenrollment from the PGP: 1) out-of-plan use--a consequence of dissatisfaction, precedes disenrollment and 2) d...

journal_title：Medical care

authors： Hennelly VD,Boxerman SB

更新日期：1983-03-01 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：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：:Cost-benefit (CBA) and cost-effectiveness analyses (CEA) are methods that enumerate the costs and consequences associated with health-related technologies, services, and programs. This article examines the trends in published CBA and CEA of personal health services from 1979 through 1990. It is based on a bibliography...

journal_title：Medical care

authors： Elixhauser A,Luce BR,Taylor WR,Reblando J

更新日期：1993-07-01 00:00:00

abstract：BACKGROUND:Data suggest that differences in patient preferences may account for racial disparities in the use of medical interventions. Racial disparities have also been noted in outcomes and the delivery of healthcare services in chronic disease. Whether treatment preferences in chronic disease differ by race is not k...

journal_title：Medical care

authors： Constantinescu F,Goucher S,Weinstein A,Fraenkel L

更新日期：2009-03-01 00:00:00

abstract：:Data from the Longitudinal Survey of Income and Program Participation were used to examine the dynamics of health insurance among persons 55 to 64 years of age. Persons in this age range are especially vulnerable to incurring high health care costs. Between the summer of 1983 and early 1986, 21% of persons 55 to 64 ye...

journal_title：Medical care

authors： Jensen GA

更新日期：1992-07-01 00:00:00