Measuring adequacy of physician performance. A preliminary comparison of four methods in ambulatory care of chronic obstructive pulmonary disease.

abstract：OBJECTIVE:Analysts performing cost-effectiveness analyses often do not have the resources to gather original quality-of-life (QOL) weights. Furthermore, variability in QOL for the same health state hampers the comparability of cost-effectiveness analyses. For these reasons, opinion leaders such as the Panel on Cost-Eff...

journal_title：Medical care

authors： Tengs TO,Wallace A

更新日期：2000-06-01 00:00:00

abstract：OBJECTIVES:Adverse outcome rates are increasingly used as yardsticks for the quality of hospital care. However, the validity of many outcome studies has been undermined by the application of one outcome to all patients in large, diagnostically diverse populations, many of which lack evidence of a link between anteceden...

journal_title：Medical care

authors： Wray NP,Peterson NJ,Souchek J,Ashton CM,Hollingsworth JC

更新日期：1997-08-01 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:The lack of quality-oriented organizational climates is partly responsible for deficiencies in patient-centered care and poor quality more broadly. To improve their quality-oriented climates, several organizations have joined quality improvement collaboratives. The effectiveness of this approach is unknown. ...

journal_title：Medical care

authors： Nembhard IM,Northrup V,Shaller D,Cleary PD

更新日期：2012-11-01 00:00:00

abstract：:Although much is known about who pays the annual aggregate nursing home bill, relatively little is known about payment-source patterns of individuals during their lifetimes. In this article, lifetime payment-source patterns are analyzed for elderly nursing home users, particularly the extent to which they spend down a...

journal_title：Medical care

authors： Spillman BC,Kemper P

更新日期：1995-03-01 00:00:00

abstract：INTRODUCTION:Screening hospital patients for falls risk is now a contentious component of geriatric care despite its widespread clinical use. The economic implications of using a falls risk screening approach to deliver an effective falls prevention intervention have not previously been examined. METHODS:This was a mu...

journal_title：Medical care

authors： Haines T,Kuys SS,Morrison G,Clarke J,Bew P

更新日期：2009-04-01 00:00:00

abstract：:Studies evaluating relationships between physician background characteristics (e.g. years of practice and medical training) and quality of care have found few consistent associations. Site of practice variables have been better predictors of quality than have characteristics of individual physicians. This study explor...

journal_title：Medical care

authors： Salem-Schatz SR,Avorn J,Soumerai SB

更新日期：1993-10-01 00:00:00

abstract：:Foreign-born physicians graduated from foreign medical schools who were unlicensed in California are described by nationality, age, sex, location, visa status, employment, English fluency, and specialty. Over 1,210 unlicensed foreign medical graduates (FMGs) were located in California and 736 were interviewed, approxi...

journal_title：Medical care

authors： Smith MW,Fowkes VK

更新日期：1983-12-01 00:00:00

abstract：BACKGROUND:Outcome measures, like hospital standardized mortality ratios (HSMRs), are increasingly used to assess quality of care. The validity of HSMRs and their accuracy to reflect quality of care is heavily contested. OBJECTIVE:We explored apparent and potential shortcomings and adverse effects of the HSMR in the a...

journal_title：Medical care

authors： van Gestel YR,Lemmens VE,Lingsma HF,de Hingh IH,Rutten HJ,Coebergh JW

更新日期：2012-08-01 00:00:00

abstract：:Patient care classification in Canada in the past has been largely dictated by insurance coverage and the fiscal policies of the individual provinces. In recent years, however, the Canadian Department of Health and Welfare has been promoting the development of a standard patient care classification based on assessment...

journal_title：Medical care

authors： MacDonell JA

更新日期：1976-05-01 00:00:00

abstract：:Seven general surgeons in a prepaid group practice previously shown to have a mean operative work load of 9.2 hernia equivalents (HE) per week were found to have a standardized mean daytime working week of 56.2 hours, exclusive of evening activities of which 50.7 hours were devoted to professional activities. The surg...

journal_title：Medical care

authors： Watkins RN,Hughes EF,Lewit EM

更新日期：1976-10-01 00:00:00

abstract：BACKGROUND:Medication error occurring during the care of HIV-infected patients may lead to treatment failure, drug toxicity, or even death. OBJECTIVE:The objective of this study was to ascertain and confirm 5 categories of medication error in the care of HIV-infected patients. RESEARCH DESIGN:This study was a retrosp...

journal_title：Medical care

authors： DeLorenze GN,Follansbee SF,Nguyen DP,Klein DB,Horberg M,Quesenberry CP Jr,Blick NT,Tsai AL

更新日期：2005-09-01 00:00:00

abstract：:This article assesses the extent to which formally provided comprehensive community care tends to substitute for informal care provided by family and friends to impaired elderly persons living in the community. Using simultaneous equations causal modeling techniques to control for selective targeting and other interve...

journal_title：Medical care

authors： Greene VL

更新日期：1983-06-01 00:00:00

abstract：BACKGROUND:Chinese Americans are one of the fastest growing ethnic groups in the United States; however, language and cultural obstacles have challenged health workers and policy makers seeking to understand the health status and needs of this population. OBJECTIVES:This study is the first to use a large-scale probabi...

journal_title：Medical care

authors： Chang DF,Chun CA,Takeuchi DT,Shen H

更新日期：2000-05-01 00:00:00

abstract：BACKGROUND:Health plans commonly face the conflicting demands of trying to provide access to novel technologies, including new classes of medications, while trying to contain costs. These demands are particularly acute for California's Medicaid program, known as Medi-Cal, which is responsible for delivery of medical ca...

journal_title：Medical care

authors： Croghan TW,Johnstone BM,Buesching DP,Kessler RC

更新日期：1999-04-01 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：:The effect of a greater volume of patients with similar conditions being treated at a hospital on the outcomes achieved is studied using a variety of categories of patients, 15 surgical and 2 medical, and involving 550,000 patients treated in over 1,200 nonfederal United States acute care hospitals. After demonstratin...

journal_title：Medical care

authors： Flood AB,Scott WR,Ewy W

更新日期：1984-02-01 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：:Cost-benefit (CBA) and cost-effectiveness analyses (CEA) are methods that enumerate the costs and consequences associated with health-related technologies, services, and programs. This article examines the trends in published CBA and CEA of personal health services from 1979 through 1990. It is based on a bibliography...

journal_title：Medical care

authors： Elixhauser A,Luce BR,Taylor WR,Reblando J

更新日期：1993-07-01 00:00:00

abstract：OBJECTIVE:To examine the association of drug users' outpatient patterns of care with subsequent intensity of antiretroviral therapy (ART). MATERIALS AND METHODS:Annual types of ART in 8897 New York State Medicaid drug users who were prescribed ART for > or =6 months in 1996 or 1997 were determined. From pharmacy claim...

journal_title：Medical care

authors： Laine C,Hauck WW,Turner BJ

更新日期：2002-10-01 00:00:00

abstract：OBJECTIVES:Veterans Health Administration encourages auricular acupuncture (Battlefield Acupuncture/BFA) as a nonpharmacologic approach to pain management. Qualitative reports highlighted a "gateway hypothesis": providing BFA can lead to additional nonpharmacologic treatments. This analysis examines subsequent use of t...

journal_title：Medical care

authors： Thomas ER,Zeliadt SB,Coggeshall S,Gelman H,Resnick A,Giannitrapani K,Olson J,Kligler B,Taylor SL

更新日期：2020-09-01 00:00:00

abstract：IMPORTANCE:Hospitals that serve poorer populations have higher readmission rates. It is unknown whether these hospitals effectively lowered readmission rates in response to the Hospital Readmissions Reduction Program (HRRP). OBJECTIVE:To compare pre-post differences in readmission rates among hospitals with different ...

journal_title：Medical care

authors： Wasfy JH,Bhambhani V,Healy EW,Choirat C,Dominici F,Wadhera RK,Shen C,Wang Y,Yeh RW

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:There is growing attention given to the spiritual needs of dying patients and long-term care (LTC) facilities are common settings in which patients receive care as they approach death. OBJECTIVES:To describe the sources of support, the structure and processes of spiritual care in LTC, and examine the relati...

journal_title：Medical care

authors： Daaleman TP,Williams CS,Hamilton VL,Zimmerman S

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:Consumer concerns about the restrictions of managed care may lead to distrust. OBJECTIVES:To examine whether a community's level of gatekeeping activity is associated with an individual's trust in medical care. RESEARCH DESIGN:Cross-sectional cohort (N = 49,929). SUBJECTS:Participants in a nationally repr...

journal_title：Medical care

authors： Haas JS,Phillips KA,Baker LC,Sonneborn D,McCulloch CE

更新日期：2003-05-01 00:00:00

abstract：OBJECTIVES:This study examined factors that affect access to Veterans Administration mental health services. METHODS:Data from national Veterans Affairs databases and the 1990 Decennial Census were used to estimate rates of Veterans Affairs mental health service use in each US county (n = 3,156) among all US veterans ...

journal_title：Medical care

authors： Rosenheck R,Stolar M

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND:Most health insurance plans monitor ambulatory care quality using the Healthcare Effectiveness Data and Information Set (HEDIS), publicly reporting results at the plan level. Plan-level comparisons obscure the influence of patients served or settings where care is delivered. Mental illness, substance abuse, ...

journal_title：Medical care

authors： Clark RE,Weir S,Ouellette RA,Zhang J,Baxter JD

更新日期：2009-05-01 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：BACKGROUND:The 2006 Massachusetts health reform substantially decreased uninsurance rates. Yet, little is known about the reform's impact on actual health care utilization among poor and minority populations, particularly for receipt of inpatient surgical procedures that are commonly initiated by outpatient physician r...

journal_title：Medical care

authors： Hanchate AD,Lasser KE,Kapoor A,Rosen J,McCormick D,D'Amore MM,Kressin NR

更新日期：2012-07-01 00:00:00

abstract：:The authors describe a new model for classifying hospitalized patients with acquired immunodeficiency syndrome (AIDS) according to their severity of illness. In the first phase of the project, a clinical model indicating the relative severity of AIDS complications was formulated, based on the clinical literature and e...

journal_title：Medical care

authors： Turner BJ,Kelly JV,Ball JK

更新日期：1989-04-01 00:00:00

abstract：:A process was developed to encourage individuals to take more responsibility for their health by using a client-held health record. The motivation for the record, called a Personal Life Health Plan (PLHP), stems from the fact that the majority of ills which afflict an individual can be abated by behavior changes. The ...

journal_title：Medical care

authors： Giglio R,Spears B,Rumpf D,Eddy N

更新日期：1978-09-01 00:00:00