The effect of case-mix adjustment on admission-based reimbursement.

abstract：STUDY QUESTION:Continuous quality improvement (CQI) has been implemented at least to some degree in many health care settings, yet randomized controlled trials (RCTs) of CQI are rare. We ask whether, when, and how RCTs of CQI might be designed. STUDY DESIGN:We consider two applications of CQI: as a general philosophy ...

journal_title：Health services research

authors： Samsa G,Matchar D

更新日期：2000-08-01 00:00:00

abstract：OBJECTIVES:To examine which components of medical homes affect time families spend arranging/coordinating health care for their children with special health care needs (CSHCNs) and providing health care at home. DATA SOURCES:2009-2010 National Survey of Children with Special Health Care Needs (NS-CSHCN), a population-...

journal_title：Health services research

authors： Miller JE,Nugent CN,Russell LB

更新日期：2015-04-01 00:00:00

abstract：OBJECTIVE:To test a conceptual model of relationships, reflection, sensemaking, and learning in primary care practices transitioning to patient-centered medical homes (PCMH). DATA SOURCES/STUDY SETTING:Primary data were collected as part of the American Academy of Family Physicians' National Demonstration Project of t...

journal_title：Health services research

authors： Lanham HJ,Palmer RF,Leykum LK,McDaniel RR Jr,Nutting PA,Stange KC,Crabtree BF,Miller WL,Jaén CR

更新日期：2016-08-01 00:00:00

abstract：OBJECTIVE:To compare the costs of physician-owned cardiac, orthopedic, and surgical single specialty hospitals with those of full-service hospital competitors. DATA SOURCES:The primary data sources are the Medicare Cost Reports for 1998-2004 and hospital inpatient discharge data for three of the states where single sp...

journal_title：Health services research

authors： Carey K,Burgess JF Jr,Young GJ

更新日期：2008-10-01 00:00:00

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

authors： Wen H,Druss BG,Cummings JR

更新日期：2015-12-01 00:00:00

abstract：OBJECTIVE:Assess proxy respondent effects on health care evaluations by Medicare beneficiaries. DATA SOURCE:110,215 respondents from the nationally representative 2001 CAHPS((R)) Medicare Fee-for-Service Survey. STUDY DESIGN/DATA COLLECTION/EXTRACTION METHODS:We compare the effects of both proxy respondents and proxy...

journal_title：Health services research

authors： Elliott MN,Beckett MK,Chong K,Hambarsoomians K,Hays RD

更新日期：2008-06-01 00:00:00

abstract：OBJECTIVE:To determine whether Medicaid managed care is associated with lower hospitalization rates for ambulatory care sensitive conditions than Medicaid fee-for-service. We also explored whether there was a differential effect of Medicaid managed care by patient's race or ethnicity on the hospitalization rates for am...

journal_title：Health services research

authors： Bindman AB,Chattopadhyay A,Osmond DH,Huen W,Bacchetti P

更新日期：2005-02-01 00:00:00

abstract：OBJECTIVE:To measure the effects of race/ethnicity, area measures of socioeconomic status (SES) and geographic residency status, and health care supply (HCS) characteristics on breast cancer (BC)-related outcomes. DATA SOURCES/STUDY SETTING:Female patients in Georgia diagnosed with BC in the years 2000-2009. STUDY DE...

journal_title：Health services research

authors： Markossian TW,Hines RB,Bayakly R

更新日期：2014-04-01 00:00:00

abstract：:The National Long Term Care Demonstration (channeling) was designed to provide coordinated community-based long-term care services to those older persons at high risk of nursing home placement. A key component of the program was the process established to accomplish this targeting effort. In this article, the outreach...

journal_title：Health services research

authors： Applebaum RA

更新日期：1988-04-01 00:00:00

abstract：OBJECTIVE:Microsimulation was used to assess the financial impact on hospitals of a surge in influenza admissions in advance of the H1N1 pandemic in the fall of 2009. The goal was to estimate net income and losses (nationally, and by hospital type) of a response of filling unused hospital bed capacity proportionately a...

journal_title：Health services research

authors： Braithwaite S,Friedman B,Mutter R,Handrigan M

更新日期：2013-04-01 00:00:00

abstract：OBJECTIVE:To test how Certificate of Need laws affect all-cause mortality in the United States. DATA SOURCES:The data of 1992-2011 all-cause mortality are from the Center for Disease Control's Compressed Mortality File; control variables are from the Current Population Survey, Behavioral Risk Factor Surveillance Syste...

journal_title：Health services research

authors： Bailey J

更新日期：2018-02-01 00:00:00

abstract：OBJECTIVE:To determine factors associated with ruptured appendicitis among children, using administrative databases. Insurance-related differences in the risk of ruptured appendix among adults in California have previously been described (Braveman, Schaaf, Egerter, et al. 1994). DATA SOURCES/STUDY SETTING:State of Mar...

journal_title：Health services research

authors： Gadomski A,Jenkins P

更新日期：2001-04-01 00:00:00

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

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

更新日期：2016-08-01 00:00:00

abstract：OBJECTIVE:To assess the effectiveness and cost-effectiveness of four treatment modalities for substance abuse. DATA SOURCES:The study used data from the Services Research Outcomes Study (SROS), a survey of 3,047 clients in a random sample of 99 drug treatment facilities across the United States. Detailed sociodemograp...

journal_title：Health services research

authors： Mojtabai R,Zivin JG

更新日期：2003-02-01 00:00:00

abstract：:This article examines factors related to hospital closures, using a longitudinal sample of surviving and closed hospitals. The hospitals are drawn from three states with different regulatory programs. Size of hospital and occupancy rate are shown to be related to likelihood of closure, while ownership, length of stay,...

journal_title：Health services research

authors： Kennedy L,Dumas MB

更新日期：1983-01-01 00:00:00

abstract：BACKGROUND:Patients are treated using observation services (OS) when their care needs exceed standard outpatient care (i.e., clinic or emergency department) but do not qualify for admission. Medicare and other private payers seek to limit this care setting to 48 hours. DATA SOURCE/STUDY SETTING:Healthcare Cost and Uti...

journal_title：Health services research

authors： Hockenberry JM,Mutter R,Barrett M,Parlato J,Ross MA

更新日期：2014-06-01 00:00:00

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

authors： Florence CS,Atherly A,Thorpe KE

更新日期：2006-10-01 00:00:00

abstract：STUDY QUESTIONS:To determine factors that distinguish effective rural hospital consortia from ineffective ones in terms of their ability to improve members' financial performance. Two questions in particular were addressed: (1) Do large consortia have a greater collective impact on their members? (2) Does a consortium'...

journal_title：Health services research

authors： Chan B,Feldman R,Manning WG

更新日期：1999-04-01 00:00:00

abstract：OBJECTIVE:To develop a taxonomy of governing board roles in U.S. hospitals. DATA SOURCES:2005 AHA Hospital Governance Survey, 2004 AHA Annual Survey of Hospitals, and Area Resource File. STUDY DESIGN:A governing board taxonomy was developed using cluster analysis. Results were validated and reviewed by industry exper...

journal_title：Health services research

authors： Lee SY,Alexander JA,Wang V,Margolin FS,Combes JR

更新日期：2008-08-01 00:00:00

abstract：OBJECTIVE:To assess the impact of out-migration of nurses on the health systems in sub-Saharan Africa (SSA). SETTING:The countries of SSA. DESIGN AND METHODS:Review of secondary sources: existing publications and country documents on the health workforce; documents prepared for the Joint Learning Initiative Global Hu...

journal_title：Health services research

authors： Dovlo D

更新日期：2007-06-01 00:00:00

abstract：OBJECTIVE:To measure the association between clinician specialization in nursing home (NH) practice and outcomes of patients who received postacute care in skilled nursing facilities (SNFs). DATA SOURCES:Medicare claims and NH assessments for 2 118 941 hospital discharges to 14 526 SNFs in January 2012-October 2014 an...

journal_title：Health services research

authors： Ryskina KL,Yuan Y,Werner RM

更新日期：2019-06-01 00:00:00

abstract：:Properties of the inverse gaussian distribution are presented with comments on fitting the distribution to lentgh-of-stay data. A conceptual framework for the hospitalization process is described; it suggests that the inverse gaussian distribution has considerable potential as both a descriptive and prescriptive model...

journal_title：Health services research

authors： Whitmore GA

更新日期：1975-10-01 00:00:00

abstract：OBJECTIVE:To examine concordance between member self-reports and the organization's administrative claims data for two key health factors: number of chronic conditions, and number of prescription drugs. DATA:Medicare Advantage plan claims data and member survey data from 2011 to 2012. DESIGN:Mailed surveys to 15,000 ...

journal_title：Health services research

authors： Guerard B,Omachonu V,Harvey RA,Hernandez SR,Sen B

更新日期：2016-06-01 00:00:00

abstract：:A location model is used to determine the most efficient (i.e., least-cost) number and location of ambulance facilities in a rural area. The model incorporates response time and service time standards into the analysis and indicates the trade-off between costs and various time standards. The financial feasibility of i...

journal_title：Health services research

authors： Daberkow SG

更新日期：1977-10-01 00:00:00

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

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

更新日期：2009-08-01 00:00:00

abstract：:The cost of capital for hospitals is a topic of continuing interest as Medicare's new capital payment policy is implemented. This study examines the determinants of tax-exempt revenue bond yields, the primary source of long-term capital for hospitals. Two important methodological issues are addressed. A probit analysi...

journal_title：Health services research

authors： Carpenter CE

更新日期：1992-12-01 00:00:00

abstract：OBJECTIVE:To examine whether disparities in health care experiences of Medicare beneficiaries differ between managed care (Medicare Advantage [MA]) and traditional fee-for-service (FFS) Medicare. DATA SOURCES:132,937 MA and 201,444 FFS respondents to the 2007 Medicare Consumer Assessment of Health Care Providers and S...

journal_title：Health services research

authors： Elliott MN,Haviland AM,Orr N,Hambarsoomian K,Cleary PD

更新日期：2011-08-01 00:00:00

abstract：OBJECTIVE:To examine the effect of post-hospital Medicare home health and informal care on the functional status of 755 Medicare beneficiaries six weeks after hospital discharge for treatment of stroke, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), hip procedures, and hip fractures. STU...

journal_title：Health services research

authors： Penrod JD,Kane RL,Finch MD,Kane RA

更新日期：1998-08-01 00:00:00

abstract：OBJECTIVE:To examine the ways in which the costs of nonresidential mental health care depend on (1) the type of provider who initiates the treatment episode and (2) the level of cost sharing imposed on the patient. STUDY SETTING:The 1987 National Medical Expenditure Survey, a national probability sample of the U.S. ci...

journal_title：Health services research

authors： Holmes AM,Deb P

更新日期：1998-12-01 00:00:00

abstract：OBJECTIVE:To examine changes in children's albuterol use and out-of-pocket (OOP) costs in response to increased copayments after the Food and Drug Administration banned inhalers with chlorofluorocarbon (CFC) propellants. SETTING:Four health maintenance organizations (HMOs), two that increased copayments for albuterol ...

journal_title：Health services research

authors： Galbraith AA,Fung V,Li L,Butler MG,Nordin JD,Hsu J,Smith D,Vollmer WM,Lieu TA,Soumerai SB,Wu AC

更新日期：2018-02-01 00:00:00