Continuity of medical care: its impact on physician utilization.

abstract：BACKGROUND:Disabled Americans who qualify for Medicare coverage typically have multiple chronic conditions, are highly dependent on effective drug therapy, and have limited financial resources, putting them at risk for cost-related medication nonadherence (CRN). Since 2006, the Part D benefit has helped Medicare benefi...

journal_title：Medical care

authors： Naci H,Soumerai SB,Ross-Degnan D,Zhang F,Briesacher BA,Gurwitz JH,Madden JM

更新日期：2014-11-01 00:00:00

abstract：OBJECTIVES:To assess the likely effects of the 1996 Health Insurance Portability and Accessibility Act (HIPAA), based on small firms' experiences under state small group insurance reforms that were similar in design to HIPAA. METHODS:Data on 17,818 small businesses (range, 2-50 employees) nationwide from the 1994 Nati...

journal_title：Medical care

authors： Hing E,Jensen GA

更新日期：1999-07-01 00:00:00

abstract：BACKGROUND:Performance assessments help to quantify the level of adherence with practice standards and are often used to measure and compare the quality of care. However, most performance assessments are based on a cross-sectional analysis of patient information, whereas patient care is inherently longitudinal. This di...

journal_title：Medical care

authors： Weiner M,Long J

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:Cardiac risk assessment may not be routinely performed. Electronic health records (EHRs) offer the potential to automate risk estimation. We compared EHR-based assessment with manual chart review to determine the accuracy of automated cardiac risk estimation and determination of candidates for antiplatelet o...

journal_title：Medical care

authors： Persell SD,Dunne AP,Lloyd-Jones DM,Baker DW

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND:Little is known about the health care experiences of American Indians and Alaska Natives (AIANs) due to limited data. OBJECTIVE:The objective of this study was to investigate the health care experiences of AIAN Medicare beneficiaries relative to non-Hispanic Whites using national survey data pooled over 5 y...

journal_title：Medical care

authors： Martino SC,Elliott MN,Hambarsoomian K,Garcia AN,Wilson-Frederick S,Gaillot S,Weech-Maldonado R,Haviland AM

更新日期：2020-11-01 00:00:00

abstract：:Geriatric rehabilitation is a multidisciplinary set of evaluative, diagnostic, and therapeutic interventions whose purpose is to restore functional ability or enhance residual functional capability in elderly people with disabling impairments. The Boston Working Group on Improving Health Care Outcomes Through Geriatri...

journal_title：Medical care

authors：

更新日期：1997-06-01 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

authors： Walston SL,Chou AF

更新日期：2006-09-01 00:00:00

abstract：BACKGROUND:Insurance expansions and service delivery system expansions are alternative policy instruments used to try to improve birth outcomes for low-income women. OBJECTIVES:The objective of this research is to investigate the effect of expansions of public insurance on access and birth outcomes for pregnant women ...

journal_title：Medical care

authors： Susan Marquis M,Long SH

更新日期：2002-11-01 00:00:00

abstract：OBJECTIVE:To examine the association between registered nurse (RN) staffing and patient outcomes in acute care hospitals. STUDY SELECTION:Twenty-eight studies reported adjusted odds ratios of patient outcomes in categories of RN-to-patient ratio, and met inclusion criteria. Information was abstracted using a standardi...

journal_title：Medical care

authors： Kane RL,Shamliyan TA,Mueller C,Duval S,Wilt TJ

更新日期：2007-12-01 00:00:00

abstract：:Satisfaction with health services is an aspect of quality of care that is of special importance for captive clients like low-income clinic users. Several methodologies have been reported, but validation has been difficult. This study compares two older scaling techniques with a new, nonmetric method to detect underlyi...

journal_title：Medical care

authors： Hengst A,Roghmann K

更新日期：1978-03-01 00:00:00

abstract：:A valid and reliable vignette-based measure of DSM-III psychiatric diagnostic knowledge was administered to practicing primary care physicians (PCPs; generally, internal and family practice medicine) and mental health professionals (MHPs, in psychiatry and psychology). Recognition, diagnosis, and treatment recommendat...

journal_title：Medical care

authors： Andersen SM,Harthorn BH

更新日期：1989-09-01 00:00:00

abstract：:Each physician's ability to treat disease is limited by his/her ability to discriminate among patients on the basis of risk. The relationship of physician expectation of outcome (prognosis) to actual outcome and to cost were determined for 1,757 patients seeking primary care. Outcome was measured by a seven-level func...

journal_title：Medical care

authors： Wright DD,Kane RL

更新日期：1982-02-01 00:00:00

abstract：BACKGROUND:With the goal of improving clinical efficiency and effectiveness, programs to enhance care coordination are a major focus of health care reform. OBJECTIVE:To examine whether "care density"--a claims-based measure of patient sharing by office-based physicians--is associated with measures of quality. Care den...

journal_title：Medical care

authors： Pollack CE,Lemke KW,Roberts E,Weiner JP

更新日期：2015-04-01 00:00:00

abstract：:In this paper the individual is employed as the unit of analysis to examine the extent to which the use of physician care by beneficiaries insured under the Canadian Medicare program is determined by medical needs and sociodemographic characteristics as opposed to economic considerations. The data were derived from th...

journal_title：Medical care

authors： Broyles RW,Manga P,Binder DA,Angus DE,Charette A

更新日期：1983-11-01 00:00:00

abstract：BACKGROUND:Teamwork in health care settings is widely recognized as an important factor in providing high-quality patient care. However, the behaviors that comprise effective teamwork, the organizational factors that support teamwork, and the relationship between teamwork and patient outcomes remain empirical questions...

journal_title：Medical care

authors： Valentine MA,Nembhard IM,Edmondson AC

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVE:To compare mental health service utilization and its associated factors between African Americans and whites in the 1980s and 1990s. DESIGN:Household-based longitudinal study with baseline interviews in 1981 and follow-up interviews from 1993 to 1996. SETTING:The Baltimore Epidemiologic Catchment Area (ECA)...

journal_title：Medical care

authors： Cooper-Patrick L,Gallo JJ,Powe NR,Steinwachs DM,Eaton WW,Ford DE

更新日期：1999-10-01 00:00:00

abstract：BACKGROUND:Planned health insurance reform promises and has started to cut reimbursement to Medicare managed care (MMC) plans. If such plans provide better care, adjusting for possible better health of their enrollees, then such reimbursement changes may have unforeseen quality consequences. OBJECTIVES:To examine whet...

journal_title：Medical care

authors： Huesch MD

更新日期：2012-01-01 00:00:00

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 ...

journal_title：Medical care

authors： Nyiendo J,Haldeman S

更新日期：1987-06-01 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:Providing collaborative mental health treatment within primary care settings improves depression outcomes and may improve detection of mental disorders. Few studies have assessed the effect of collaborative mental health treatment programs on diagnosis of mental disorders in primary care populations. In 2008...

journal_title：Medical care

authors： Zivin K,Pfeiffer PN,Szymanski BR,Valenstein M,Post EP,Miller EM,McCarthy JF

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:The profile-based SF-12 has a low respondent burden and is used widely in clinical settings to monitor health and evaluate programs. Deriving preference scores for the SF-12 health profile would permit its use in cost-effectiveness analyses. Previous mapping studies of SF family instruments to preference-bas...

journal_title：Medical care

authors： Franks P,Lubetkin EI,Gold MR,Tancredi DJ

更新日期：2003-11-01 00:00:00

abstract：:As interest in the problem-oriented medical record (POMR) develops, and more medical settings begin to implement the system, many observers are expressing a desire to know how well the system is being used and accepted. Moreover, settings currently using the POMR system have a need to document the effectiveness of the...

journal_title：Medical care

authors： Hammett WH,Sandlow LJ,Bashook PG

更新日期：1976-10-01 00:00:00

abstract：:The measurement of inpatient complications his received substantial attention in recent years because mortality rates and other outcome measures often appear unable to discriminate superior from inferior hospital care. Complication measurement holds out the promise of being more sensitive to variations in patient care...

journal_title：Medical care

authors： Brailer DJ,Kroch E,Pauly MV,Huang J

更新日期：1996-05-01 00:00:00

abstract：OBJECTIVES:Administrative data from Manitoba, Canada document variation in procedure utilization rates over a period of 15 years. With coronary angiography and cardiovascular surgery centralized in the capital, Winnipeg, previous analyses from 1977 to 1983 found angiography and coronary artery bypass surgery (CABS) rat...

journal_title：Medical care

authors： Hartford K,Ross LL,Walld R

更新日期：1998-07-01 00:00:00

abstract：BACKGROUND:Failure to rescue (FTR), the rate of death in patients suffering 1 of 6 in-hospital complications, is an Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator calculated from administrative data. OBJECTIVE:: We sought to assess the accuracy of the AHRQ FTR algorithm. METHODS:We underto...

journal_title：Medical care

authors： Horwitz LI,Cuny JF,Cerese J,Krumholz HM

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:Most studies have found that black men are less likely to receive aggressive therapy for nonmetastatic prostate cancer, even after controlling for covariates. However, previous studies have not accounted for the clustering of outcomes by facility. OBJECTIVE:We sought to compare the proportions of black and ...

journal_title：Medical care

authors： Rose AJ,Backus BM,Gershman ST,Santos P,Ash AS,Battaglia TA

更新日期：2007-05-01 00:00:00

abstract：:The authors compared the personal characteristics, measures of functional status/case mix, and discharge outcomes of nursing home patients admitted to skilled nursing facilities (SNFs) in 1984 for the first time (first admissions) to those of patients with a prior history of nursing home care (readmissions). Compared ...

journal_title：Medical care

authors： Lewis MA,Leake B,Clark V,Leal-Sotelo M

更新日期：1989-04-01 00:00:00

abstract：BACKGROUND:To optimize the use of patient-reported outcomes (PROs) in clinical research, it is first necessary to review the current use of these outcomes in clinical trials to determine under what circumstances they are most useful, and to reveal current limitations. PURPOSE:To investigate current patterns of use of ...

journal_title：Medical care

authors： Dinan MA,Compton KL,Dhillon JK,Hammill BG,Dewitt EM,Weinfurt KP,Schulman KA

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Rural health care workforce forecasting has not included adjustments for predictable changes in practice patterns, such as the introduction of practice guidelines. PURPOSE:To estimate the impact of a practice guideline for a single health condition on the needs of a rural health professional workforce. MET...

journal_title：Medical care

authors： Yawn BP,Casey M,Hebert P

更新日期：1999-03-01 00:00:00

abstract：:This study analyzes the relationship between medical student participation in rural training programs, including preceptorships, and the decision to locate medical practice in rural areas. Data consist primarily of responses to questionnaires mailed in 1972 to all graduates of United States medical schools in 1965. St...

journal_title：Medical care

authors： Steinwald B,Steinwald C

更新日期：1975-03-01 00:00:00