The effect of algorithms on the cost and quality of patient care.

abstract：:The association of underutilization of drugs prescribed for the treatment of hypertension and acute-care hospital readmissions was evaluated. The data base consisted of computerized hospitalization records and computerized out-patient pharmacy records, checked by chart audit for validity. The number of days' supply of...

journal_title：Medical care

authors： Maronde RF,Chan LS,Larsen FJ,Strandberg LR,Laventurier MF,Sullivan SR

更新日期：1989-12-01 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：BACKGROUND:Federally Qualified Health Centers (FQHCs) serve as regular sources of preventive and primary care for low-income families within their communities and are key parts of the health care safety net. OBJECTIVES:Compare admissions and emergency room visits for ambulatory care sensitive conditions (ACSCs) among ...

journal_title：Medical care

authors： Falik M,Needleman J,Wells BL,Korb J

更新日期：2001-06-01 00:00:00

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：:The authors tested the "uncertainty hypothesis," which holds that variations in rates of hospitalization or surgeries across small geographic areas reflect differences in physicians' decision making when confronting uncertainty. A small-areas variation analysis of suspected acute cardiac ischemia (ACI) admissions in n...

journal_title：Medical care

authors： Green LA,Becker MP

更新日期：1994-11-01 00:00:00

abstract：:This study uses a new database containing clinical risk factors for cardiac surgery to investigate the relationship between surgical volume (hospital and surgeon) and inhospital mortality rate for all patients receiving coronary artery bypass surgery in New York State in 1989. Also, hospitals with significantly higher...

journal_title：Medical care

authors： Hannan EL,Kilburn H Jr,Bernard H,O'Donnell JF,Lukacik G,Shields EP

更新日期：1991-11-01 00:00:00

abstract：:The human immunodeficiency virus (HIV) epidemic and the prevalence of HIV-positive persons in the population has provoked marked anxiety among hospital staffs of acquiring nosocomially transmitted HIV infections. A national telephone survey of key staff in a sample of 561 acute-care hospitals was undertaken to describ...

journal_title：Medical care

authors： Freeman HE

更新日期：1991-02-01 00:00:00

abstract：BACKGROUND:Fried and colleagues described a frailty phenotype measured in the Cardiovascular Health Study (CHS). This phenotype is manifest when ≥3 of the following are present: low grip strength, low energy, slowed waking speed, low physical activity, or unintentional weight loss. We sought to approximate frailty phen...

journal_title：Medical care

authors： Segal JB,Chang H-Y,Du Y,Walston JD,Carlson MC,Varadhan R

更新日期：2017-07-01 00:00:00

abstract：BACKGROUND:With the increasing use of colonoscopy there is growing concern about the quality of these procedures. OBJECTIVE:To evaluate the rates of complete colonic evaluation after an incomplete colonoscopy and their associated factors. METHODS:Men and women > or =50 years old living in Ontario on January 1, 1997 w...

journal_title：Medical care

authors： Rizek R,Paszat LF,Stukel TA,Saskin R,Li C,Rabeneck L

更新日期：2009-01-01 00:00:00

abstract：RESEARCH OBJECTIVE:Pharmacists are an expensive and limited resource in the hospital and outpatient setting. A pharmacist can spend up to 25% of their day planning. Time spent planning is time not spent delivering an intervention. A readmission risk adjustment model has potential to be used as a universal outcome-based...

journal_title：Medical care

authors： Kabue S,Greene J,Kipnis P,Lawson B,Rinetti-Vargas G,Liu V,Escobar G

更新日期：2019-04-01 00:00:00

abstract：BACKGROUND:Acute health care utilization often occurs among persons experiencing homelessness. However, knowing which individuals will be persistent super-utilizers of acute care is less well understood. OBJECTIVE:The objective of the study was to identify those more likely to be persistent super-utilizers of acute ca...

journal_title：Medical care

authors： Szymkowiak D,Montgomery AE,Johnson EE,Manning T,O'Toole TP

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:The Centers for Medicare & Medicaid Services (CMS) State Innovation Models (SIM) Initiative funds states to accelerate delivery system and payment reforms. All SIM states focus on improving diabetes care, but SIM's effect on 30-day readmissions among adults with diabetes remains unclear. METHODS:A quasi-exp...

journal_title：Medical care

authors： Rodríguez HP,Fulton BD,Phillips AZ

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of ...

journal_title：Medical care

authors： Gold R,DeVoe J,Shah A,Chauvie S

更新日期：2009-04-01 00:00:00

abstract：OBJECTIVES:The authors examined how the courts have responded to public and private insurers' use of medical appropriateness criteria to establish coverage and payment policies. METHODS:A structured review of all federal and state court health insurance cases decided between 1960 and June 1994 that involved a dispute ...

journal_title：Medical care

authors： Anderson G,Hall MA,Smith TR

更新日期：1998-08-01 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:Applying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden. OBJECTIVES:To describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH DESIGN:Cross-sectional and longitudina...

journal_title：Medical care

authors： Boyd CM,Wolff JL,Giovannetti E,Reider L,Weiss C,Xue QL,Leff B,Boult C,Hughes T,Rand C

更新日期：2014-03-01 00:00:00

abstract：OBJECTIVES:The purpose of this review is to identify and analyze published studies that have evaluated disparities for opportunistic infection (OI) prophylaxis between blacks and whites with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) in the United States. METHODS:The authors conducted...

journal_title：Medical care

authors： Oramasionwu CU,Koeller JM,Lawson KA,Brown CM,Morse GD,Frei CR

更新日期：2012-11-01 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

abstract：BACKGROUND:The surgical strategy for neonates with tetralogy of Fallot (TOF) consists of complete or staged repair. Assessing the comparative effectiveness of these approaches is facilitated by a large multicenter cohort. We propose a novel process for cohort assembly using the Pediatric Health Information System (PHIS...

journal_title：Medical care

authors： Savla JJ,Fisher BT,Faerber JA,Huang YV,Mercer-Rosa L

更新日期：2018-11-01 00:00:00

abstract：:This paper describes an instrument design effort aimed at measuring patient-satisfaction among older (65 years and over) subscribers of HMOs. The study was conducted in a multi-satellite prepaid group practice in Buffalo, New York. In order to be able to construct a satisfaction measure that would reflect the interest...

journal_title：Medical care

authors： Cryns AG,Nichols RC,Katz LA,Calkins E

更新日期：1989-08-01 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 rising health spending, predicting costs is essential to identify patients for interventions. Many of the existing approaches have moderate predictive ability, which may result, in part, from not considering potentially meaningful changes in spending over time. Group-based trajectory modeling could be u...

journal_title：Medical care

authors： Lauffenburger JC,Franklin JM,Krumme AA,Shrank WH,Brennan TA,Matlin OS,Spettell CM,Brill G,Choudhry NK

更新日期：2017-01-01 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：:It has been suggested that the efficiency of claim-based utilization review systems could be improved by focusing on providers with very high utilization rates. This strategy assumes that 1) high utilizers are more likely to be overutilizers, 2) labeling claims (e.g., "high utilizer") do not bias the review, and 3) th...

journal_title：Medical care

authors： Bailit HL,Balzer JA,Clive J

更新日期：1983-05-01 00:00:00

abstract：:The management information system (FP/MIS) used by the Howard University Center for Family Planning Services, which operates community family planning clinics in Washington, D.C. is described. The system was developed to satisfy program objectives in patient management, program planning and evaluation, resource manage...

journal_title：Medical care

authors： Herson J,Crocker CL,Butts E,Phong LT,Haynes JA

更新日期：1977-05-01 00:00:00

abstract：BACKGROUND:The linkage of SEER registry data with Medicare claims allows the longitudinal tracking of health care and outcomes for patients after a cancer diagnosis. One category of outcomes amenable to research using Medicare claims is complications of cancer treatments: the unintentional, adverse side effects or sequ...

journal_title：Medical care

authors： Potosky AL,Warren JL,Riedel ER,Klabunde CN,Earle CC,Begg CB

更新日期：2002-08-01 00:00:00

abstract：OBJECTIVES:Rebalancing the long-term care system between institutional care and home-based and community-based services (HCBS) has become an important policy goal of most state Medicaid programs and several provisions of the Affordable Care Act. This study estimated nursing home admission patterns by race and ethnicity...

journal_title：Medical care

authors： Cai X,Temkin-Greener H

更新日期：2015-07-01 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

abstract：:This study developed an index of physician hospitalization practice style distinguishing physicians more prone to hospitalize patients from physicians less prone to hospitalize. The patients of physicians with markedly differing hospitalization styles are shown to be similar in such important characteristics as age, a...

journal_title：Medical care

authors： Roos NP

更新日期：1989-10-01 00:00:00

abstract：BACKGROUND:Barriers to colorectal cancer (CRC) screening are not well understood. OBJECTIVES:We sought to compare barriers to CRC screening reported by primary care physicians (PCPs) and by average-risk adults, and to examine characteristics of average-risk adults who identified lack of provider recommendation as a ma...

journal_title：Medical care

authors： Klabunde CN,Vernon SW,Nadel MR,Breen N,Seeff LC,Brown ML

更新日期：2005-09-01 00:00:00