The impact of social stressors and social networks on pediatric medical care use.

abstract：BACKGROUND:Incorporating patients' preferences into colorectal cancer (CRC) screening recommendations has been identified as a potential mechanism for increasing adherence. This study used conjoint analysis to describe variation in CRC screening preferences among racially/ethnically diverse primary care patients. METH...

journal_title：Medical care

authors： Hawley ST,Volk RJ,Krishnamurthy P,Jibaja-Weiss M,Vernon SW,Kneuper S

更新日期：2008-09-01 00:00:00

abstract：:The association of underutilization of drugs prescribed for the treatment of hypertension and acute-care hospital readmissions was evaluated. The data base consisted of computerized hospitalization records and computerized out-patient pharmacy records, checked by chart audit for validity. The number of days' supply of...

journal_title：Medical care

authors： Maronde RF,Chan LS,Larsen FJ,Strandberg LR,Laventurier MF,Sullivan SR

更新日期：1989-12-01 00:00:00

abstract：:In this article, we compared hospital efficiency using a multiple input-output approach in two ways: one way used a straightforward count of inpatient days and outpatient services as outputs; and the second used a case mix-adjusted count of inpatient services and outpatient care as outputs. Our results show that there...

journal_title：Medical care

authors： Grosskopf S,Valdmanis V

更新日期：1993-06-01 00:00:00

abstract：:The management information system (FP/MIS) used by the Howard University Center for Family Planning Services, which operates community family planning clinics in Washington, D.C. is described. The system was developed to satisfy program objectives in patient management, program planning and evaluation, resource manage...

journal_title：Medical care

authors： Herson J,Crocker CL,Butts E,Phong LT,Haynes JA

更新日期：1977-05-01 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:Readmission and length of stay (LOS) are increasingly accepted as quality measures for surgical care. Centers for Medicare & Medicaid Services will soon assess penalties for excessive readmissions after coronary artery bypass graft (CABG) surgery and hip and knee replacements. OBJECTIVE:To determine and com...

journal_title：Medical care

authors： Sedrakyan A,Kamel H,Mao J,Ting H,Paul S

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:Emergency Department (ED) boarding threatens patient safety. It is unclear whether boarding differentially affects patients admitted to intensive care units (ICUs) versus non-ICU settings. RESEARCH DESIGN AND SUBJECTS:We performed a 2-hospital, 18-month, cross-sectional, observational, descriptive study of ...

journal_title：Medical care

authors： Reznek MA,Upatising B,Kennedy SJ,Durham NT,Forster RM,Michael SS

更新日期：2018-05-01 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: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：OBJECTIVES:This article compares a linear risk-adjusted model of medical expenditures for Medicare patients with a model that explicitly account for skewness in distribution of expenditures. METHODS:A model of expenditures and a model of the square root of expenditures, each expressed as linear combinations of risk ad...

journal_title：Medical care

authors： Veazie PJ,Manning WG,Kane RL

更新日期：2003-06-01 00:00:00

abstract：:This article emphasizes the advantages and disadvantages of the National Center for Health Statistics Health Interview Surveys (HIS) when applied to the needs of ethnic minorities at the local level. While HIS gives information on health status of minorities and their use of services at the national level, this inform...

journal_title：Medical care

authors： Salber EJ,Beza AG

更新日期：1980-03-01 00:00:00

abstract：:The Seattle Prepaid Health Care Evaluation Project is a comparative study designed to assess the care received by persons enrolled in either a large prepaid group practice (PGP) or in a prepaid, independent practice setting in which physicians are reimbursed on a fee-for-service basis (IPP). As part of the study we as...

journal_title：Medical care

authors： LoGerfo JP,Efird RA,Diehr PK,Richardson WC

更新日期：1979-01-01 00:00:00

abstract：OBJECTIVES:To investigate the temporal association between symptoms of psychiatric disorder and physical aspects of health-related quality of life (HRQOL) in a sample of HIV-positive adults. METHODS:Sample included 2431 participants at baseline and the first follow-up (FU1; approximately 8 months later). Measures incl...

journal_title：Medical care

authors： Orlando M,Tucker JS,Sherbourne CD,Burnam MA

更新日期：2005-01-01 00:00:00

abstract：:Of the key federal programs that finance in-home services to the elderly, the Medicare program represents the largest and fastest growing. Although Medicare is a federal program, utilization and expenditures for home care vary widely across the states. Building on the work of Feldstein, Scanlon, and others, theory and...

journal_title：Medical care

authors： Benjamin AE

更新日期：1986-06-01 00:00:00

abstract：:This study uses Medicare physician-claims data to examine patient and physician contributions to variations in cataract surgery rates across U.S. metropolitan areas. Utilization is modelled as having two phases: the decision to seek an ophthalmologist's care, which is made by patients, and the decision to perform surg...

journal_title：Medical care

authors： Escarce JJ

更新日期：1993-12-01 00:00:00

abstract：OBJECTIVES:The authors identify demographic and clinical characteristics associated with noncompliance in patients beginning medical therapy for the treatment of glaucoma in a managed care setting. METHODS:The authors describe a retrospective cohort study in a group-model health maintenance organization in Massachuset...

journal_title：Medical care

authors： Gurwitz JH,Yeomans SM,Glynn RJ,Lewis BE,Levin R,Avorn J

更新日期：1998-03-01 00:00:00

abstract：:This article analyzes reported data on length of stay of discharged patients from the 1977 National Nursing Home Survey. Assuming that patients admitted to nursing homes are one of two types, short-stayers and long-stayers, the statistically best-fitting proportions and expected lengths of stay for the two types are d...

journal_title：Medical care

authors： Keeler EB,Kane RL,Solomon DH

更新日期：1981-03-01 00:00:00

abstract：:Current health care system reform proposals center on reducing the number of uninsured by extending private health insurance coverage. Discussion has also included enrolling Medicaid recipients in private programs. Much of the deliberation concerning extending coverage has centered on cost, but largely has not address...

journal_title：Medical care

authors： Hahn B

更新日期：1994-03-01 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：BACKGROUND:Depression is associated with poor chronic illness outcomes, but it is unknown whether depression influences the quality of communication during the clinical encounter. We investigated whether diabetes patients with depressive symptoms, compared with those without depressive symptoms, report worse clinician-...

journal_title：Medical care

authors： Swenson SL,Rose M,Vittinghoff E,Stewart A,Schillinger D

更新日期：2008-03-01 00:00:00

abstract：:This study was designed to determine the extent to which the medical record contained evidence of coordination of care. Coordination of care was defined as the recognition of information (problems, therapies, intervening visits and tests) about patients from one visit to a follow-up visit. Overall, there was concordan...

journal_title：Medical care

authors： Starfield B,Steinwachs D,Morris I,Bause G,Siebert S,Westin C

更新日期：1979-07-01 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：:Clinical Engineers are currently employed in hospitals to see that the more complex instrumentation is electrically safe and well maintained. Such an objective fails to capitalize on the economic advantages which can be derived from specialist management. This paper proposes that the objective be broadened to cover th...

journal_title：Medical care

authors： Shaffer MJ

更新日期：1977-07-01 00:00:00

abstract：BACKGROUND:Services targeting social determinants of health-such as income support, housing, and nutrition-have been shown to improve health outcomes and reduce health care costs for older adults. Nevertheless, evidence on the properties of effective collaborative networks across health care and social services sectors...

journal_title：Medical care

authors： Brewster AL,Yuan CT,Tan AX,Tangoren CG,Curry LA

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Continuity of nursing care in hospitals remains poor and not prioritized, and we do not know whether discontinuous nursing care is negatively impacting patient outcomes. OBJECTIVES:This study aims to examine nursing care discontinuity and its effect on patient clinical condition over the course of acute hos...

journal_title：Medical care

authors： Yakusheva O,Costa DK,Weiss M

更新日期：2017-04-01 00:00:00

abstract：:The purpose of this article is to examine children's use of ambulatory physician services in relation to three dimensions of family life: maternal employment, single-parent versus two-parent households, and the presence of a nuclear or extended family. Data from the National Medical Care Expenditure Survey show that m...

journal_title：Medical care

authors： Cafferata GL,Kasper JD

更新日期：1985-04-01 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

authors： Zatzick DF,Kang SM,Hinton WL,Kelly RH,Hilty DM,Franz CE,Le L,Kravitz RL

更新日期：2001-04-01 00:00:00

abstract：RATIONALE:Moving patients from low-performing hospitals to high-performing hospitals may improve patient outcomes. These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival. OBJECTIVE:To characterize the existing critical care n...

journal_title：Medical care

authors： Iwashyna TJ,Christie JD,Moody J,Kahn JM,Asch DA

更新日期：2009-07-01 00:00:00

abstract：OBJECTIVES:To examine the association between on-site gynecology and availability of sex-specific services and policies in Department of Veterans Affairs (VA) emergency departments (EDs). RESEARCH DESIGN:Cross-sectional analysis using data from a VA national inventory of emergency services for women and gynecologist s...

journal_title：Medical care

authors： Gray KE,Katon JG,Callegari LS,Cordasco KM,Zephyrin LC

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVE:This paper describes the history of the Department of Veterans Affairs (VA) Community-Based Outpatient Clinics (CBOCs), CBOC Performance Evaluation Project, and characteristics of CBOCs within the VA, and summarizes the findings and implications of the CBOC Performance Evaluation Project. SUBJECTS:There were...

journal_title：Medical care

authors： Chapko MK,Borowsky SJ,Fortney JC,Hedeen AN,Hoegle M,Maciejewski ML,VanDeusen Lukas C

更新日期：2002-07-01 00:00:00