Hospital expenses in a sector model.

Abstract:

:This review summarizes the capabilities and contributions of quantitative sector models for understanding trends in hospital expenses and the effects thereon of various public policies. After some brief historical notes on the use of analogous models in other policy areas, the general classes of national, partial, and narrow health sector models are introduced with special attention to method of validation and behavioral structure. Fourteen published models, described and critically reviewed with regard to these criteria, are assessed for their individual application to important policy and behavioral issues. Suggestions are offered for improvements and new initiatives in the use of sector models both in forecasting and in the study of procompetitive policies and reimbursement rule changes.

journal_name

Health Serv Res

journal_title

Health services research

authors

Friedman B,Pliska SR

subject

Has Abstract

pub_date

1985-02-01 00:00:00

pages

717-51

issue

6 Pt 1

eissn

0017-9124

issn

1475-6773

journal_volume

19

pub_type

杂志文章
  • The impact of diabetes on workforce participation: results from a national household sample.

    abstract:OBJECTIVE:Diabetes is a highly prevalent condition that results in substantial morbidity and premature mortality. We investigated how diabetes-associated mortality, disability, early retirement, and work absenteeism impacts workforce participation. DATA SOURCE:We used the Health and Retirement Study (HRS), a national ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2004.00311.x

    authors: Vijan S,Hayward RA,Langa KM

    更新日期:2004-12-01 00:00:00

  • How effective are short message service reminders at increasing clinic attendance? A meta-analysis and systematic review.

    abstract:BACKGROUND AND OBJECTIVES:In the last few years there has been a steady uptake of mobile phone short message service (SMS) reminders to increase medical attendance rates. We undertook a review of studies that assessed the effectiveness of SMS reminders at increasing the uptake of appointments in health care settings. ...

    journal_title:Health services research

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/j.1475-6773.2011.01342.x

    authors: Guy R,Hocking J,Wand H,Stott S,Ali H,Kaldor J

    更新日期:2012-04-01 00:00:00

  • Comparing aggregate estimates of derived thresholds for clinical decisions.

    abstract::Thresholds for medical decision making are the probabilities of disease at which clinicians choose to initiate testing or therapy. A descriptive analysis of clinicians' decision making can derive their test and test-treatment thresholds and has the potential to explain variations in test utilization. A previously desc...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Young MJ,Eisenberg JM,Williams SV,Hershey JC

    更新日期:1986-02-01 00:00:00

  • Increasing health insurance costs and the decline in insurance coverage.

    abstract:OBJECTIVE:To determine the impact of rising health insurance premiums on coverage rates. DATA SOURCES & STUDY SETTING:Our analysis is based on two cohorts of nonelderly Americans residing in 64 large metropolitan statistical areas (MSAs) surveyed in the Current Population Survey in 1989-1991 and 1998-2000. Measures of...

    journal_title:Health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1475-6773.2005.00409.x

    authors: Chernew M,Cutler DM,Keenan PS

    更新日期:2005-08-01 00:00:00

  • Effect of Medicaid Expansions on Health Insurance Coverage and Access to Care among Low-Income Adults with Behavioral Health Conditions.

    abstract:OBJECTIVE:To examine the effect of Medicaid expansions on health insurance coverage and access to care among low-income adults with behavioral health conditions. DATA SOURCES/STUDY SETTING:Nine years (2004-2012) of individual-level cross-sectional data from a restricted-access version of National Survey on Drug Use an...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12411

    authors: Wen H,Druss BG,Cummings JR

    更新日期:2015-12-01 00:00:00

  • Hospital Readmission and Social Risk Factors Identified from Physician Notes.

    abstract:OBJECTIVE:To evaluate the prevalence of seven social factors using physician notes as compared to claims and structured electronic health records (EHRs) data and the resulting association with 30-day readmissions. STUDY SETTING:A multihospital academic health system in southeastern Massachusetts. STUDY DESIGN:An obse...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12670

    authors: Navathe AS,Zhong F,Lei VJ,Chang FY,Sordo M,Topaz M,Navathe SB,Rocha RA,Zhou L

    更新日期:2018-04-01 00:00:00

  • Tailored interventions by community pharmacists and general practitioners improve adherence to statins in a Spanish randomized controlled trial.

    abstract:OBJECTIVE:To evaluate the impact of health professionals' intervention on adherence to statins, the influence on total cholesterol levels, and lifestyle patterns in patients with hypercholesterolemia and analyze the differences according to the center of recruitment. STUDY SETTING:Forty-six community pharmacies and 50...

    journal_title:Health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/1475-6773.13152

    authors: Oñatibia-Astibia A,Malet-Larrea A,Larrañaga B,Gastelurrutia MÁ,Calvo B,Ramírez D,Cantero I,Garay Á,Goyenechea E

    更新日期:2019-06-01 00:00:00

  • Factors influencing utilization of postdischarge cognitive rehabilitation programs.

    abstract::A decision to add a new treatment program has widespread and long-lasting implications for both the patient and the organization. Information about the interactions among the institution, the patient, and the treatment modality are seldom available. Cognitive rehabilitation is a relatively new treatment modality that ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Gummow LJ,Gregory VR,Macnamara SE

    更新日期:1990-04-01 00:00:00

  • Enhancing Clinical Content and Race/Ethnicity Data in Statewide Hospital Administrative Databases: Obstacles Encountered, Strategies Adopted, and Lessons Learned.

    abstract:OBJECTIVES:Eight grant teams used Agency for Healthcare Research and Quality infrastructure development research grants to enhance the clinical content of and improve race/ethnicity identifiers in statewide all-payer hospital administrative databases. PRINCIPAL FINDINGS:Grantees faced common challenges, including recr...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12330

    authors: Pine M,Kowlessar NM,Salemi JL,Miyamura J,Zingmond DS,Katz NE,Schindler J

    更新日期:2015-08-01 00:00:00

  • Independent freestanding emergency departments and implications for the rural emergency physician workforce in Texas.

    abstract:OBJECTIVE:Independent freestanding emergency departments (IFEDs) have proliferated over the last decade, largely in Texas. We examined the IFED physician workforce composition and changes in emergency physician workforce supply across states and in rural Texas over the period of IFED proliferation following a 2009 legi...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.13587

    authors: Luo Q,Chong N,Chen C

    更新日期:2020-12-01 00:00:00

  • The impact of unit-based self-management by nurses on patient outcomes.

    abstract:OBJECTIVE:Patients discharged from a self-managed nursing unit are compared with patients from traditionally managed units on postdischarge outcomes. DATA SOURCES AND STUDY SETTING:Primary data were collected on patients discharged from eight nursing units in three clinical areas in one hospital from August through No...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Cassard SD,Weisman CS,Gordon DL,Wong R

    更新日期:1994-10-01 00:00:00

  • Impact of public reporting on quality of postacute care.

    abstract:OBJECTIVE:Evidence supporting the use of public reporting of quality information to improve health care quality is mixed. While public reporting may improve reported quality, its effect on quality of care more broadly is uncertain. This study tests whether public reporting in the setting of nursing homes resulted in im...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2009.00967.x

    authors: Werner RM,Konetzka RT,Stuart EA,Norton EC,Polsky D,Park J

    更新日期:2009-08-01 00:00:00

  • Obstetricians' receptiveness to teen prenatal patients who are Medicaid recipients.

    abstract:OBJECTIVE:To test the accuracy of various physicians' participation in Medicaid models. DATA SOURCES/STUDY SETTING:Primary data on 221 obstetricians and gynecologists in the Chicago area by telephone interviews over a four-month period. These data were combined with secondary data from the American Medical Association...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Gifford B

    更新日期:1997-08-01 00:00:00

  • Hospital Readmission Rates in U.S. States: Are Readmissions Higher Where More Patients with Multiple Chronic Conditions Cluster?

    abstract:RESEARCH OBJECTIVE:This study examines small area variations in readmission rates to assess whether higher readmission rate in an area is associated with higher clusters of patients with multiple chronic conditions. STUDY DESIGN:The study uses hospital discharge data of adult (18+) patients in 6 U.S. states for 2009 f...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12401

    authors: Basu J,Avila R,Ricciardi R

    更新日期:2016-06-01 00:00:00

  • Screening Mammography for Free: Impact of Eliminating Cost Sharing on Cancer Screening Rates.

    abstract:OBJECTIVES:To study the impact of eliminating cost sharing for screening mammography on mammography rates in a large Medicare Advantage (MA) health plan which in 2010 eliminated cost sharing in anticipation of the Affordable Care Act mandate. STUDY SETTING:Large MA health maintenance organization offering individual-s...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12486

    authors: Jena AB,Huang J,Fireman B,Fung V,Gazelle S,Landrum MB,Chernew M,Newhouse JP,Hsu J

    更新日期:2017-02-01 00:00:00

  • Pay for Performance in Medicaid: Evidence from Three Natural Experiments.

    abstract:OBJECTIVE:To examine the impact of pay for performance in Medicaid on the quality and utilization of care. DATA SOURCES:Medicaid claims and encounter data in three intervention states (Pennsylvania, Minnesota, and Alabama) and three comparison states. STUDY DESIGN:Difference-in-difference analysis with propensity sco...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12426

    authors: Rosenthal MB,Landrum MB,Robbins JA,Schneider EC

    更新日期:2016-08-01 00:00:00

  • Hospital and geographic variability in thirty-day all-cause mortality following colorectal cancer surgery.

    abstract:OBJECTIVE:To assess hospital and geographic variability in 30-day mortality after surgery for CRC and examine the extent to which sociodemographic, area-level, clinical, tumor, treatment, and hospital characteristics were associated with increased likelihood of 30-day mortality in a population-based sample of older CRC...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12171a

    authors: Schootman M,Lian M,Pruitt SL,Deshpande AD,Hendren S,Mutch M,Jeffe DB,Davidson N

    更新日期:2014-08-01 00:00:00

  • Association between Nurse Staffing and In-Hospital Bone Fractures: A Retrospective Cohort Study.

    abstract:OBJECTIVE:To determine if sufficient nurse staffing reduced in-hospital fractures in acute care hospitals. DATA SOURCES/STUDY SETTING:The Japanese Diagnosis Procedure Combination inpatient (DPC) database from July 2010 to March 2014 linked with the Surveys for Medical Institutions. STUDY DESIGN:We conducted a retrosp...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12529

    authors: Morita K,Matsui H,Fushimi K,Yasunaga H

    更新日期:2017-06-01 00:00:00

  • Antitrust enforcement in the healthcare industry: the expanding scope of state activity.

    abstract:OBJECTIVE:To describe the landscape of state antitrust activity and review related research and policy issues. In particular, to examine state laws that attempt to immunize mergers among healthcare providers from state and federal antitrust prosecution and consent decrees issued by state attorneys general permitting he...

    journal_title:Health services research

    pub_type: 杂志文章,评审

    doi:

    authors: Hellinger FJ

    更新日期:1998-12-01 00:00:00

  • Translation of evidence-based clinical standards into a new prehospital resuscitation policy in Los Angeles County.

    abstract:OBJECTIVE:To translate a set of evidence-based clinical standards designed to allow paramedics to forego unnecessary and potentially harmful resuscitation attempts into a feasible new policy. DATA SOURCES/SETTING:Policy documents, meeting minutes, and personal communications between a large urban Emergency Medical Ser...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2011.01341.x

    authors: Grudzen CR,Richardson LD,Koenig WJ,Hoffman JR,Lorenz KA,Asch SM

    更新日期:2012-02-01 00:00:00

  • Forecasting demand for long-term care services.

    abstract::This article analyzes three methods used to forecast the transition of long-term care clients through a variety of possible home and facility placements and levels of care. The test population (N = 1,653) is derived from the larger population of clients admitted in 1978 to British Columbia's newly established Long-Ter...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Lane D,Uyeno D,Stark A,Kliewer E,Gutman G

    更新日期:1985-10-01 00:00:00

  • Declines in employer-sponsored insurance between 2000 and 2008: examining the components of coverage by firm size.

    abstract:OBJECTIVE:To examine trends in employer-sponsored health insurance coverage rates and its associated components between 2000 and 2008, to provide a baseline for later evaluations of the Affordable Care Act, and to provide information to policy makers as they design the implementation details of the law. DATA SOURCES:P...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2011.01368.x

    authors: Vistnes J,Zawacki A,Simon K,Taylor A

    更新日期:2012-06-01 00:00:00

  • Development of a scale to measure patients' trust in health insurers.

    abstract:OBJECTIVE:To develop a scale to measure patients' trust in health insurers, including public and private insurers and both indemnity and managed care. A scale was developed based on our conceptual model of insurer trust. The scale was analyzed for its factor structure, internal consistency, construct validity, and othe...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: Zheng B,Hall MA,Dugan E,Kidd KE,Levine D

    更新日期:2002-02-01 00:00:00

  • How state-funded home care programs respond to changes in Medicare home health care: resource allocation decisions on the front line.

    abstract:OBJECTIVE:To examine how case managers in a state-funded home care program allocate home care services in response to information about a client's Medicare home health care status, with particular attention to the influence of work environment. DATA SOURCES/STUDY SETTING:Primary data collected on 355 case managers and...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.00176

    authors: Corazzini K

    更新日期:2003-10-01 00:00:00

  • Variations in Guideline-Concordant Breast Cancer Adjuvant Therapy in Rural Georgia.

    abstract:OBJECTIVE:To examine factors associated with guideline-concordant adjuvant therapy among breast cancer patients in a rural region of the United States and to present an advancement in quality-of-care assessment in the context of multiple treatments. DATA SOURCES:Chart abstraction on initial therapy received by 868 wom...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12269

    authors: Guy GP Jr,Lipscomb J,Gillespie TW,Goodman M,Richardson LC,Ward KC

    更新日期:2015-08-01 00:00:00

  • Practice setting and physician influences on judgments of colon cancer treatment by community physicians.

    abstract:OBJECTIVE:This article compares judgments about the treatment of Dukes' B2 and C colon cancer made by general surgeons to those of internists and family practitioners. Physician and practice variables were specialty, affiliation with a Community Clinical Oncology Program (CCOP) hospital, time in practice, professional ...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:

    authors: McFall SL,Warnecke RB,Kaluzny AD,Ford L

    更新日期:1996-04-01 00:00:00

  • Improving perinatal regionalization for preterm deliveries in a Medicaid covered population: initial impact of the Arkansas ANGELS intervention.

    abstract:OBJECTIVE:To examine the factors associated with delivery of preterm infants at neonatal intensive care unit (NICU) hospitals in Arkansas during the period 2001-2006, with a focus on the impact of a Medicaid supported intervention, Antenatal and Neonatal Guidelines, Education, and Learning System (ANGELS), that expande...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2011.01249.x

    authors: Bronstein JM,Ounpraseuth S,Jonkman J,Lowery CL,Fletcher D,Nugent RR,Hall RW

    更新日期:2011-08-01 00:00:00

  • Serious mental illness and nursing home quality of care.

    abstract:OBJECTIVE:To estimate the effect of a nursing home's share of residents with a serious mental illness (SMI) on the quality of care. DATA SOURCES:Secondary nursing home level data over the period 2000 through 2008 obtained from the Minimum Data Set, OSCAR, and Medicare claims. STUDY DESIGN:We employ an instrumental va...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/1475-6773.12023

    authors: Rahman M,Grabowski DC,Intrator O,Cai S,Mor V

    更新日期:2013-08-01 00:00:00

  • Will choice-based reform work for Medicare? Evidence from the Federal Employees Health Benefits Program.

    abstract:OBJECTIVE:. To examine the effect of premiums and benefits on the health plan choices of older enrollees who choose Federal Employees Health Benefits Program (FEHBP) health plans as their primary payer. DATA SOURCES:Administrative enrollment data from the Office of Personnel Management (OPM) and plan premiums and bene...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2006.00580.x

    authors: Florence CS,Atherly A,Thorpe KE

    更新日期:2006-10-01 00:00:00

  • Development and validation of a disease-specific risk adjustment system using automated clinical data.

    abstract:OBJECTIVE:To develop and validate a disease-specific automated inpatient mortality risk adjustment system primarily using computerized numerical laboratory data and supplementing them with administrative data. To assess the values of additional manually abstracted data. METHODS:Using 1,271,663 discharges in 2000-2001,...

    journal_title:Health services research

    pub_type: 杂志文章

    doi:10.1111/j.1475-6773.2010.01126.x

    authors: Tabak YP,Sun X,Derby KG,Kurtz SG,Johannes RS

    更新日期:2010-12-01 00:00:00