Hospital efficiency measurement and evaluation. Empirical test of a new technique.

abstract：BACKGROUND:Indwelling urinary catheters are used postoperatively in hip fracture care. Their use beyond the immediate postoperative period may result in excess nosocomial infections. OBJECTIVES:The objectives of this study were to explore the relationship between extended indwelling urinary catheterization and outcome...

journal_title：Medical care

authors： Wald H,Epstein A,Kramer A

更新日期：2005-10-01 00:00:00

abstract：BACKGROUND:The 2016 President's Cancer Panel Connected Health report calls for thoroughly characterizing the team structures and processes involved in coordinating care for people with chronic conditions. We developed a multilevel care coordination framework by integrating existing frameworks from the teams and care co...

journal_title：Medical care

authors： Weaver SJ,Che XX,Petersen LA,Hysong SJ

更新日期：2018-03-01 00:00:00

abstract：BACKGROUND:Patient-centered communication (PCC) is associated with more appropriate treatment of depression in primary care. Aside from patient presentation, little is known about other influences on PCC. We investigated whether PCC is influenced by personality dispositions of primary care providers, independent of pat...

journal_title：Medical care

authors： Chapman BP,Duberstein PR,Epstein RM,Fiscella K,Kravitz RL

更新日期：2008-08-01 00:00:00

abstract：BACKGROUND:Many health plans have outreach programs aimed at appropriately screening, evaluating, and treating women experiencing fragility fractures; however, few programs exist for men. OBJECTIVE:The objective of this study was to develop, implement, and evaluate an osteoporosis outreach program for men with a recen...

journal_title：Medical care

authors： Pasquale MK,Sheer RL,Yehoshua A,McFadden A,Chines A,Caloyeras J

更新日期：2021-02-01 00:00:00

abstract：BACKGROUND:Cost-utility analyses using formulas to convert depression-free days (DFDs) to utility-weighted scores are increasingly common. These formulas are based on linear extrapolation of data documenting the correlation between depression symptom severity and generic health-related quality of life. OBJECTIVE:We so...

journal_title：Medical care

authors： Pyne JM,Tripathi S,Williams DK,Fortney J

更新日期：2007-04-01 00:00:00

abstract：OBJECTIVES:The authors examined organizational characteristics of 16 primary care group practices to determine their influence on quality or quality improvement. METHODS:The authors used a data base compiled during a randomized, controlled trial of quality assurance interventions consisting of measures of guideline-re...

journal_title：Medical care

authors： Hargraves JL,Palmer RH,Orav EJ,Wright EA

更新日期：1996-09-01 00:00:00

abstract：BACKGROUND:Adherence is a factor in the outcome of medical treatment, but the strength and moderators of the adherence-outcome association have not been systematically assessed. OBJECTIVES:A quantitative review using meta-analysis of three decades of empirical research correlating adherence with objective measures of ...

journal_title：Medical care

authors： DiMatteo MR,Giordani PJ,Lepper HS,Croghan TW

更新日期：2002-09-01 00:00:00

abstract：BACKGROUND:Administrative database research can provide insight into the real-world effectiveness of invasive electrophysiology procedures. However, no validated algorithm to identify these procedures within administrative data currently exists. OBJECTIVE:To develop and validate algorithms to identify atrial fibrillat...

journal_title：Medical care

authors： Singh SM,Webster L,Calzavara A,Wijeysundera HC

更新日期：2017-06-01 00:00:00

abstract：OBJECTIVES:We examine the relationship between health insurance coverage and children's access to and utilization of medical care. Access measures we study are having a usual source of care (USC) and lacking a USC for financial or insurance reasons. We also examine indicators for ambulatory visits, well-child visits, d...

journal_title：Medical care

authors： Selden TM,Hudson JL

更新日期：2006-05-01 00:00:00

abstract：:The authors examined the effect of after-hours telephone access to physicians and physician access to computerized medical records on hospitalizations and emergency room (ER) visits in an inner-city, adult, general medicine clinic. Patients were randomly assigned to a control (C) and two study groups (S1 and S2). Pati...

journal_title：Medical care

authors： Darnell JC,Hiner SL,Neill PJ,Mamlin JJ,McDonald CJ,Hui SL,Tierney WM

更新日期：1985-01-01 00:00:00

abstract：:The desired form and style of written drug information for patients were assessed in a national survey of oral contraceptive (OC) users. These women were queried about two forms of OC information: a short insert included with dispensed drugs and a longer brochure delivered by the physician upon patient request. Longer...

journal_title：Medical care

authors： Mazis M,Morris LA,Gordon E

更新日期：1978-12-01 00:00:00

abstract：BACKGROUND:Hospital occupancy, nurse staffing levels, weekend admission, and seasonal influenza have all been shown to be associated with in-hospital mortality. Yet, no study has simultaneously compared the strength of associations of these 4 factors with in-hospital mortality. OBJECTIVE:To compare the risk of in-hosp...

journal_title：Medical care

authors： Schilling PL,Campbell DA Jr,Englesbe MJ,Davis MM

更新日期：2010-03-01 00:00:00

abstract：:During the past five years, contract management of nonprofit hospitals by for-profit corporations has increased markedly. However, while a number of studies have been conducted on investor-owned hospitals and proprietary hospital systems, contract-managed hospitals have not been evaluated systematically. This paper re...

journal_title：Medical care

authors： Biggs EL,Kralewski JE,Brown GD

更新日期：1980-06-01 00:00:00

abstract：BACKGROUND:Hospitalization is a difficult experience, especially for patients with dementia. Understanding whether better continuity of care (COC) reduces hospitalizations can indicate interventions that might help curb hospitalizations. OBJECTIVE:To estimate the causal impact of COC on hospitalizations and different ...

journal_title：Medical care

authors： Lei L,Cai S,Conwell Y,Fortinsky RH,Intrator O

更新日期：2020-11-01 00:00:00

abstract：:This is a report on the extension of the concept of the appropriateness of a procedure to the necessity, or crucial importance, of that procedure. To state that a procedure is crucial means that withholding the procedure would be deleterious to the patient's health. Appropriateness and necessity ratings for six proced...

journal_title：Medical care

authors： Kahan JP,Bernstein SJ,Leape LL,Hilborne LH,Park RE,Parker L,Kamberg CJ,Brook RH

更新日期：1994-04-01 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：:This article reports on a study of the labor efficiency of 461 nursing homes located in Pennsylvania. Data envelopment analysis was used to estimate efficiency scores. Tobit equations were estimated for the entire sample and for subsamples consisting of for-profit (FP) and not-for-profit (NFP) nursing homes. The autho...

journal_title：Medical care

authors： Rosko MD,Chilingerian JA,Zinn JS,Aaronson WE

更新日期：1995-10-01 00:00:00

abstract：BACKGROUND:For patients recovering from severe acute illness, admission to a long-term acute care hospital (LTAC) is an increasingly common alternative to continued management in an intensive care unit (ICU). OBJECTIVE:To examine the effectiveness of LTAC transfer in patients with chronic critical illness. RESEARCH D...

journal_title：Medical care

authors： Kahn JM,Werner RM,David G,Ten Have TR,Benson NM,Asch DA

更新日期：2013-01-01 00:00:00

abstract：:This study compares health insurance payments and patient utilization patterns for episodes of care for common lumbar and low back conditions treated by chiropractic and medical providers. Using 2 years of insurance claims data, this study examines 6,183 patients who had episodes with medical or chiropractic first-con...

journal_title：Medical care

authors： Stano M,Smith M

更新日期：1996-03-01 00:00:00

abstract：OBJECTIVES:This study compared the performance of generic measures of Medical Outcome Study Short Form 36-Item Health Survey physical functioning and role limitations with disease-specific measures of physical functioning and role limitations using specific disease attributions for chronic lung disease, chronic low bac...

journal_title：Medical care

authors： Ren XS,Kazis L,Lee A,Miller DR,Clark JA,Skinner K,Rogers W

更新日期：1998-02-01 00:00:00

abstract：BACKGROUND:Complex health care interventions involve multiple distinct elements that contribute to their functioning. Conducting systematic reviews of complex interventions has substantial challenges. Although methodological guidance exists, less is known about the practical strategies and approaches undertaken by syst...

journal_title：Medical care

authors： Wilt TJ,Greer N,Duan-Porter W

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:Collaborative Chronic Care Models represent an evidence-based way to structure care for chronic conditions, including mental health conditions. Few studies, however, have examined the cost implications of collaborative care for mental health. OBJECTIVE:We aimed to conduct an economic analysis of implementin...

journal_title：Medical care

authors： Miller CJ,Griffith KN,Stolzmann K,Kim B,Connolly SL,Bauer MS

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:By shifting a greater share of out-of-pocket medical costs to consumers, high-deductible health plans (HDHP) might discourage use of essential outpatient services. OBJECTIVE:The objective of the study was to examine the impact of an HDHP on outpatient visits and associated laboratory and radiology tests. R...

journal_title：Medical care

authors： Reddy SR,Ross-Degnan D,Zaslavsky AM,Soumerai SB,Wharam JF

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:The major fault with existing reimbursement systems lies in their failure to discriminate for the effectiveness of stay, both when paying per day and when paying per episode of treatment. OBJECTIVES:We sought to define an average length of effective stay and recovery trends by impairment category, to design...

journal_title：Medical care

authors： Saitto C,Marino C,Fusco D,Arcà M,Perucci CA,Prospective Payment in Rehabilitation Collaborative Group.

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:Patient experience data can be collected by sampling patients periodically (eg, patients with any visits over a 1-year period) or sampling visits continuously (eg, sampling any visit in a monthly interval). Continuous sampling likely yields a sample with more frequent and more recent visits, possibly affecti...

journal_title：Medical care

authors： Setodji CM,Burkhart Q,Hays RD,Quigley DD,Skootsky SA,Elliott MN

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) o...

journal_title：Medical care

authors： Leibson CL,Needleman J,Buerhaus P,Heit JA,Melton LJ 3rd,Naessens JM,Bailey KR,Petterson TM,Ransom JE,Harris MR

更新日期：2008-02-01 00:00:00

abstract：:The accurate measurement of physician job satisfaction in organized practice settings is important for both policy and administrative purposes. Previous efforts to measure physician job satisfaction have been unsatisfactory because of either conceptual or methodologic weaknesses. New measures of physician job satisfac...

journal_title：Medical care

authors： Lichtenstein R

更新日期：1984-01-01 00:00:00

abstract：:In the Seattle Prepaid Health Care Project, we studied medical records and claims information for all 97 children undergoing tonsillectomy and/or adenoidectomy in an independent practice plan from February 1971, through January 1975. Overall only 32 per cent of the procedures met commonly promulgated indications of su...

journal_title：Medical care

authors： LoGerfo JP,Dynes IM,Frost F,Diehr PK,Richardson WC

更新日期：1978-11-01 00:00:00

abstract：:The application of health status measures in policy research relies considerably on patterns of mortality, life expectancy, and health status indicators, such as hospital readmission and institutionalization rates. In recent years the state of the art in health status measurement has advanced substantially with the de...

journal_title：Medical care

authors： Steinwachs DM

更新日期：1989-03-01 00:00:00

abstract：BACKGROUND:A prerequisite for using administrative data to study the care of critically ill patients in intensive care units (ICUs) is that it accurately identifies such care. Only limited data exist on this subject. OBJECTIVE:To assess the accuracy of administrative data in the Canadian province of Manitoba for ident...

journal_title：Medical care

authors： Garland A,Yogendran M,Olafson K,Scales DC,McGowan KL,Fransoo R

更新日期：2012-03-01 00:00:00