The role of new health practitioners in a prepaid group practice: provider differences in process and outcomes of medical care.

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：BACKGROUND:Increasing surgical access to previously underserved populations in the United States may require a major expansion of the use of operating rooms on weekends to take advantage of unused capacity. Although the so-called weekend effect for surgery has been described in other countries, it is unknown whether US...

journal_title：Medical care

authors： Glance LG,Osler T,Li Y,Lustik SJ,Eaton MP,Dutton RP,Dick AW

更新日期：2016-06-01 00:00:00

abstract：:In a longitudinal, prospective study of patient's decisions about influenza vaccination, the stability of attitudes about the flu and flu shots, the stability of flu shot decisions, and the relationship of attitude shifts to compliance were studied. In both 1981 and 1982 for 216 patients at high risk for complications...

journal_title：Medical care

authors： Buchner DM,Carter WB,Inui TS

更新日期：1985-06-01 00:00:00

abstract：BACKGROUND:Clinical practice guidelines quickly become outdated. One reason they might not be updated as often as needed is the expense of collecting expert judgment regarding the evidence. The RAND-UCLA Appropriateness Method is one commonly used method for collecting expert opinion. We tested whether a less expensive...

journal_title：Medical care

authors： Washington DL,Bernstein SJ,Kahan JP,Leape LL,Kamberg CJ,Shekelle PG

更新日期：2003-12-01 00:00:00

abstract：:The acceptability of satisfaction as a quality indicator is qualified by several well known measurement problems. This study examines the variability in satisfaction evaluations related to different measurement methods and the effect of response biases on reported satisfaction. Satisfaction evaluations using seven dif...

journal_title：Medical care

authors： Ross CK,Steward CA,Sinacore JM

更新日期：1995-04-01 00:00:00

abstract：:A population-based approach was used to analyze the utilization patterns of hospital care by Manitoba residents during the fiscal year 1991/1992. Patterns were analyzed for eight administrative regions, with use assigned to the patient's region of residence, regardless of the location of the hospitalization. Regional ...

journal_title：Medical care

authors： Black CD,Roos NP,Burchill CA

更新日期：1995-12-01 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：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：:Previous research has estimated the effect of children's health care needs on women's market and nonmarket roles. This article reports the results of a study on the impact of health care for disabled children on women's nonmarket work. (Effects on women's market work are reported elsewhere.) Data from 369 families of ...

journal_title：Medical care

authors： Breslau N

更新日期：1983-06-01 00:00:00

abstract：:Utilizing national data on patient care provided by family practitioners, general internists, and subspecialists in internal medicine, this study examines the complexity of care provided by generalist physicians versus subspecialty physicians on a disease-specific basis. Limiting the analysis to "principal care" provi...

journal_title：Medical care

authors： Mendenhall RC,Moynihan CJ,Radecki SE

更新日期：1984-11-01 00:00:00

abstract：:Informal caregiving by women, and to a lesser extent by men, is a major source of assistance for the chronically disabled and most dependent older persons living in the community. However, because women's commitment to career employment may diminish, this source of help at the time when (according to demographic trend...

journal_title：Medical care

authors： Boaz RF,Muller CF

更新日期：1992-02-01 00:00:00

abstract：BACKGROUND:Recent combat operations have involved large numbers of personnel. Long-term health effects of military deployment remain largely unknown. OBJECTIVES:To examine patterns and trends in long-term disability among combat veterans and to relate disability to aspects of wartime experience. PARTICIPANTS:A total ...

journal_title：Medical care

authors： Clarke PM,Gregory R,Salomon JA

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:The negative impact of pain on health-related quality of life has been documented for persons with human immunodeficiency virus (HIV). Furthermore, pain could be an important factor in seeking medical care. However, the relationship between pain and health service utilization is poorly understood. OBJECTIVE...

journal_title：Medical care

authors： Dobalian A,Tsao JC,Duncan RP

更新日期：2004-02-01 00:00:00

abstract：:The authors compared the continuity of care that family physicians, general internists, and medical subspecialists provided to their adult primary care patients. The 40 study physicians came from large, private multispecialty practices in the San Francisco Bay Area. The three physician types did not differ significant...

journal_title：Medical care

authors： Goldberg HI,Dietrich AJ

更新日期：1985-01-01 00:00:00

abstract：BACKGROUND:Millions of traumatized refugees worldwide have resettled in the United States. For one of the largest, the Cambodian community, having their mental health needs met has been a continuing challenge. A multicomponent health information technology screening tool was designed to aid provider recognition and tre...

journal_title：Medical care

authors： Sorkin DH,Rizzo S,Biegler K,Sim SE,Nicholas E,Chandler M,Ngo-Metzger Q,Paigne K,Nguyen DV,Mollica R

更新日期：2019-06-01 00:00:00

abstract：BACKGROUND:In Ontario, Canada, the 70/90 regulations were instituted in May 1993 to establish provincial government procurement prices for generic drugs. Accordingly, the first generic entrant's price could not exceed 70% of the incumbent's branded price. Subsequent entrants' prices could not exceed 90% of the first en...

journal_title：Medical care

authors： Anis AH,Guh DP,Woolcott J

更新日期：2003-01-01 00:00:00

abstract：BACKGROUND:Various forms of differential item functioning (DIF) in the Mini-Mental State Examination (MMSE) have been identified. Items have been found to perform differently for individuals of different educational levels, racial/ethnic groups, and/or of groups whose first language is not English. The articles in this...

journal_title：Medical care

authors： Ramirez M,Teresi JA,Holmes D,Gurland B,Lantigua R

更新日期：2006-11-01 00:00:00

abstract：BACKGROUND:If shape of a person's utility function is associated with his health status, as is predicted by Prospect Theory, the use of utilities from the healthy could result in 'de facto' discrimination against the sick. OBJECTIVES:To determine if patients' utilities for hypothetical states and for their current hea...

journal_title：Medical care

authors： Lenert LA,Treadwell JR,Schwartz CE

更新日期：1999-05-01 00:00:00

abstract：:Data from the 1980 to 1981 National Health Interview Survey on morbidity, principally bed-disability days, was age standardized and indexed by region of the United States and metropolitan and nonmetropolitan residence within region. There were substantial differences in both age-specific and age-adjusted morbidity by ...

journal_title：Medical care

authors： Blumberg MS

更新日期：1987-04-01 00:00:00

abstract：:It is generally agreed that patients have a right to be adequately informed. However, little is known about the extent to which doctors and patients agree about information that should be disclosed. We studied what patients want to know, as contrasted with what physicians report actually disclosing, in a population of...

journal_title：Medical care

authors： Faden RR,Becker C,Lewis C,Freeman J,Faden AI

更新日期：1981-07-01 00:00:00

abstract：:Earlier studies have established substantial gender differences in the likelihood of obtaining a psychotropic drug prescription, and a correlation, especially among women, with such family characteristics as family responsibilities, marital separation, divorce or widowhood, and the presence of family stressors such as...

journal_title：Medical care

authors： Cafferata GL,Meyers SM

更新日期：1990-04-01 00:00:00

abstract：BACKGROUND:Although individuals' health insurance coverage changes frequently, previous analyses have not accounted for changes in insurance coverage over time. OBJECTIVE:We sought to determine the independent association between lack of insurance and the risk of a decline in self-reported overall health and death fro...

journal_title：Medical care

authors： Baker DW,Sudano JJ,Durazo-Arvizu R,Feinglass J,Witt WP,Thompson J

更新日期：2006-03-01 00:00:00

abstract：:In the 2 months immediately after a premium rate increase, the Genesee Valley Group Health Association (Group Health) lost over 600 subscriber contracts. A survey was conducted to determine the reasons for disenrollment and compare the demographic and utilization characteristics of disenrollees with those of all membe...

journal_title：Medical care

authors： Wersinger RP,Sorensen AA

更新日期：1982-12-01 00:00:00

abstract：OBJECTIVES:The Manitoba Centre for Health Policy and Evaluation (MCHPE) collaborated with a provincially-appointed Physician Resource Committee in an assessment of provincial physician resources. RESEARCH DESIGN:Beginning with map-based analyses of physician supply and contacts across the province, compared with the h...

journal_title：Medical care

authors： Roos NP,Fransoo R,Bogdanovic B,Carriere KC,Frohlich N,Friesen D,Patton D,Wall R

更新日期：1999-06-01 00:00:00

abstract：BACKGROUND:Administrative databases are increasingly being used to study the incident dialysis population and have important advantages. However, traditional methods of risk adjustment have limitations in this patient population. OBJECTIVE:Our objective was to develop a prognostic index for 1-year mortality in inciden...

journal_title：Medical care

authors： Quinn RR,Laupacis A,Hux JE,Oliver MJ,Austin PC

更新日期：2011-03-01 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:Labor unions have been a weak force in the medical marketplace. OBJECTIVES:To briefly review the history of physicians' and nurses' labor unions, explore the ethics of unions in medicine, and offer a solution that simultaneously serves patients and professionals. RESEARCH DESIGN:A selective review of the l...

journal_title：Medical care

authors： Manthous CA

更新日期：2014-05-01 00:00:00

abstract：BACKGROUND:Although there are several studies of the human and system factors that influence the outcomes of cardiac surgery, it remains difficult to draw conclusions because many do not simultaneously adjust for the characteristics of patients, physicians, and institutions. The current study explores the associations ...

journal_title：Medical care

authors： Norcini JJ,Boulet JR,Opalek A,Dauphinee WD

更新日期：2013-12-01 00:00:00

abstract：OBJECTIVE:To establish a baseline for the incidence of sepsis by severity and presence on admission in acute care hospital settings before implementation of a broad sepsis screening and response initiative. METHODS:A retrospective cohort study using hospital discharge abstracts of 5672 patients, aged 18 years and abov...

journal_title：Medical care

authors： Jones SL,Ashton CM,Kiehne LB,Nicolas JC,Rose AL,Shirkey BA,Masud F,Wray NP

更新日期：2016-03-01 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