Abstract:
:The present research was designed to identify psychosocial correlates of adherence among patients receiving hemodialysis at two outpatient clinics. The 116 participants were interviewed concerning their knowledge of treatment, health beliefs, treatment history, social support, personal characteristics, and adherence to the medication, diet and fluid-intake aspects of the regimen. In addition, medical record data were obtained on serum phosphorus and serum potassium levels, and on between-dialysis weight gains. The magnitude of relationships between predictors and adherence measures varied, depending on the method used to measure adherence. For the self-report measures, beliefs concerning the efficacy of the behavior and barriers to the behavior, along with reported family problems, proved to be consistent predictors. Other beliefs and characteristics did not contribute significantly. For the medical chart information, however, the predictive factors were less consistent. In general, situational factors seem to be the major contributors to patient adherence, and adherence itself is seen as a complex and multidimensional phenomenon.
journal_name
Med Carejournal_title
Medical careauthors
Cummings KM,Becker MH,Kirscht JP,Levin NWdoi
10.1097/00005650-198206000-00003subject
Has Abstractpub_date
1982-06-01 00:00:00pages
567-80issue
6eissn
0025-7079issn
1537-1948journal_volume
20pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract:BACKGROUND:Evidence that medical error is a systemic problem requiring systemic solutions continues to expand. Developing a "safety culture" is one potential strategy toward improving patient safety. A reliable and valid self-report measure of safety culture is needed that is both grounded in concrete behaviors and is ...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/01.mlr.0000244635.61178.7a
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:The quality of nursing home (NH) care for residents with advanced dementia has been described as suboptimal. One relatively understudied factor in the provision of NH care is the role of private oversight and monitoring by family members and friends. OBJECTIVE:To examine the association between private over...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318195fce7
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Linking process and outcomes is critical to accurately estimating healthcare quality and quantifying its benefits. OBJECTIVES:The objective of this study was to explore the relationship of guideline-based depression process measures with subsequent overall and psychiatric hospitalizations. RESEARCH DESIGN:...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000127999.89246.a6
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:To examine healthcare coverage and access disparities for American Indian/Alaska Native (AIAN) veterans compared with non-Hispanic white veterans. METHODS:We examined national survey data for honorably discharged veterans in the United States using National Health Interview Survey (NHIS) data between 1997 an...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181d5f9e1
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Once just a small part of the Medicare program, private managed care plans now cover over one-third of all Medicare beneficiaries and cost the Federal government ~$210 billion each year. Importantly, the evolution of Medicare managed care policy has been far from linear; for several decades there have been d...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001256
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:Compare healthcare utilization and total payments for community-acquired pneumonia (CAP) episodes-of-care among 5 health plan designs spanning the continuum of managed care. RESEARCH DESIGN:Medical and prescription claims analysis of CAP episodes among enrollees of employer-sponsored health plans. Episode ch...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181a8116d
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Little is known about how Medicare Part D affects the medication refill adherence for cardiovascular and diabetes medications, particularly among beneficiaries without prior drug coverage. OBJECTIVES:To evaluate Medicare Part D's effect on medication adherence among beneficiaries with hyperlipidemia, hypert...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181d68978
更新日期:2010-05-01 00:00:00
abstract::Since the costs of nursing home care are a major component of the rapidly rising costs of health care, it is appropriate to base public policy discussions about cost containment on the determinants of nursing home costs. This article investigates the determinants of nursing home operating costs and reviews the results...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198111000-00004
更新日期:1981-11-01 00:00:00
abstract:OBJECTIVE:Test whether physicians' counseling patients for smoking cessation with an autonomy supportive rather than controlling style would increase patients' active involvement in the counseling session and increase maintained abstinence. DESIGN:Randomized trial of 27 community-based physicians using two interview s...
journal_title:Medical care
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1097/00005650-200108000-00007
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Earlier studies estimated annual income differences across specialties, but lifetime income may be more relevant given physicians' long-term commitments to specialties. METHODS:Annual income and work hours data were collected from 6381 physicians in the nationally representative 2004-2005 Community Tracking...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318268ac0c
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:A need exists for adapting existing perioperative risk stratification methods such as the Charlson Comorbidity Index (CCI) for application with hospital administrative data in noncardiac surgery populations. OBJECTIVE:Develop and validate outcome-specific CCIs for predicting inpatient mortality, and cardiac...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000592
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:With the growth of managed care, there are increasing concerns but inconclusive evidence regarding deterioration in the quality of medical care. OBJECTIVES:To assess physicians' perceptions of their ability to provide high-quality care and explore what factors, including managed care, affect these perceptio...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200103000-00006
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:Although cardiac procedures are commonly used to treat cardiovascular disease, they are costly. Administrative data sources could be used to track cardiac procedures, but sources of such data have not been validated against clinical registries. OBJECTIVES:To examine accuracy of cardiac procedure coding in a...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182329778
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVES:Many patients have limited English proficiency and require an interpreter. The authors evaluated the effect of current interpreting practices on Spanish-speaking patients' satisfaction with the patient-provider relationship. METHODS:A cross-sectional survey was conducted of 457 patients seen in a public hos...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199810000-00004
更新日期:1998-10-01 00:00:00
abstract:BACKGROUND:Policymakers and researchers are concerned that changes in the healthcare market have stressed and weakened the safety net nationwide. OBJECTIVES:The objectives of this study were to investigate variations in the safety net across communities and over time and to explore the effect of market changes on the ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000124243.59446.5e
更新日期:2004-05-01 00:00:00
abstract::Of the key federal programs that finance in-home services to the elderly, the Medicare program represents the largest and fastest growing. Although Medicare is a federal program, utilization and expenditures for home care vary widely across the states. Building on the work of Feldstein, Scanlon, and others, theory and...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198606000-00008
更新日期:1986-06-01 00:00:00
abstract:BACKGROUND:The number of older patients enrolling in health maintenance organizations (HMOs) is increasing. Concerns have been raised that older patients may be targeted by HMOs for more stringent cost-containment mechanisms, including reduced access to expensive specialty care. OBJECTIVES:We investigated the relation...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199912000-00002
更新日期:1999-12-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001372
更新日期:2020-10-01 00:00:00
abstract::Patterns of primary health care utilization for a random sample of urban elementary school children in three ethnic groups are described. Visit type, reasons for visit, and frequency of visits remained stable from year to year. More than 50 per cent of the children were non-visitors each year; 72 per cent of those not...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198106000-00003
更新日期:1981-06-01 00:00:00
abstract:OBJECTIVES:The economic impact of trauma in older persons is a matter of increasing concern to public health practitioners and planners, yet it is an issue that has not been widely studied. Available evidence does suggest, however, that falls are the costliest category of injury among older persons. METHODS:This study...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199808000-00006
更新日期:1998-08-01 00:00:00
abstract:BACKGROUND:Difference-in-differences (DID) estimation has become increasingly popular as an approach to evaluate the effect of a group-level policy on individual-level outcomes. Several statistical methodologies have been proposed to correct for the within-group correlation of model errors resulting from the clustering...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/MLR.0000000000000830
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The Program of All-Inclusive Care for the Elderly (PACE) is an acute/long-term managed care plan designed to care for the most frail and vulnerable Medicare beneficiaries. To our knowledge, this is a first study to examine patterns and predictors of disenrollment from PACE. OBJECTIVE:PACE, with its comprehe...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000188920.19129.89
更新日期:2006-01-01 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
pub_type: 杂志文章
doi:10.1097/00005650-199310000-00002
更新日期:1993-10-01 00:00:00
abstract:BACKGROUND:The medical record serves as an important source of information regarding the care process, but few studies have examined whether thoroughness of documentation is associated with outcomes. OBJECTIVE:The objectives of this study were to analyze the initial visit note for 513 patients presenting with acute mu...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200004000-00005
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVES:In February 2002, the Department of Veterans Affairs (VA) raised medication copayments from $2 to $7 per 30-day supply of medication for certain veteran groups. We examined the impact of the copayment increase on medication acquisition from VA. METHODS:This was a retrospective cohort study using data from n...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3180ca95be
更新日期:2007-11-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000336
更新日期:2015-05-01 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
pub_type: 杂志文章
doi:10.1097/00005650-198910000-00001
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:We evaluated the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese breast and nasopharyngeal cancer patients. METHODS:A sample of Chinese breast (n = 250) and nasopharyngeal (n = 242) cancer patients were assessed during their first outpatient visit (b...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181a393cf
更新日期:2009-08-01 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
pub_type: 杂志文章
doi:10.1097/00005650-199603000-00001
更新日期:1996-03-01 00:00:00
abstract:BACKGROUND:Research on frequent emergency department (ED) use shows that a subgroup of patients visits multiple EDs. This study characterizes these individuals. OBJECTIVE:The objective of this study was to determine how many frequent ED users seek care at multiple EDs and to identify sociodemographic, clinical, and co...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001228
更新日期:2020-02-01 00:00:00