Use of illness-related ambulatory physician services in Finland.

abstract：:Recent federal legislation has contained the stipulation that participating health maintenance organizations (HMOs) include a quality assurance program which stresses health outcomes. This provision was ostensibly directed at correcting alleged abuses in HMOs serving the urban poor. One version of the outcome method w...

journal_title：Medical care

authors： Schroeder SA,Donaldson MS

更新日期：1976-01-01 00:00:00

abstract：BACKGROUND:Depression is associated with poor chronic illness outcomes, but it is unknown whether depression influences the quality of communication during the clinical encounter. We investigated whether diabetes patients with depressive symptoms, compared with those without depressive symptoms, report worse clinician-...

journal_title：Medical care

authors： Swenson SL,Rose M,Vittinghoff E,Stewart A,Schillinger D

更新日期：2008-03-01 00:00:00

abstract：:In a Veterans Administration ambulatory care facility staffed by experienced nurse practitioners, we observed the length of visits, time utilization for various activities, and the use of diagnostic tests before and after introducing algorithms for 12 common chief complaints. Charges for diagnostic tests decreased as ...

journal_title：Medical care

authors： Orient JM,Kettel LJ,Sox HC Jr,Sox CH,Berggren HJ,Woods AH,Brown BW,Lebowitz M

更新日期：1983-02-01 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：BACKGROUND:Quality improvement organizations (QIOs) are contracted to improve the quality of care delivered to Medicare beneficiaries. The purpose of this study was to determine whether provider participation in New York State QIO activities resulted in significant improvements in the quality of diabetes care during th...

journal_title：Medical care

authors： Wu WY,Chen JJ,Shih A

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:The "Unborn Child" (UC) option provides state Medicaid/Children's Health Insurance Program (CHIP) programs with a new strategy to extend prenatal coverage to low-income women who would otherwise have difficulty enrolling in or would be ineligible for Medicaid. OBJECTIVES:To examine the association of the UC...

journal_title：Medical care

authors： Jarlenski MP,Bennett WL,Barry CL,Bleich SN

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:Federal regulation requires hospitals to present patients with a Notice of Privacy Practices (NPP) that contains all stipulated content items, is readable by patients, and posted on institutional web sites. OBJECTIVE:The objective of this study was to determine whether the NPP texts contain the required con...

journal_title：Medical care

authors： Paasche-Orlow MK,Jacob DM,Powell JN

更新日期：2005-06-01 00:00:00

abstract：:In this study, changes in the number, site, and source of follow-up visits and allowed charges were examined for follow-up visits provided to Medicare surgical patients between 1984 and 1986. Among the 21 surgical procedures studied, follow-up visits decreased by 5.2%, after adjusting for case mix. Despite the physici...

journal_title：Medical care

authors： Kominski GF,Biddle AK

更新日期：1993-03-01 00:00:00

abstract：BACKGROUND:Social determinants of health (SDH) data collected in health care settings could have important applications for clinical decision-making, population health strategies, and the design of performance-based incentives and penalties. One source for cataloging SDH data is the International Statistical Classifica...

journal_title：Medical care

authors： Torres JM,Lawlor J,Colvin JD,Sills MR,Bettenhausen JL,Davidson A,Cutler GJ,Hall M,Gottlieb LM

更新日期：2017-09-01 00:00:00

abstract：:A population-based approach was used to analyze the utilization patterns of hospital care by Manitoba residents during the fiscal year 1991/1992. Patterns were analyzed for eight administrative regions, with use assigned to the patient's region of residence, regardless of the location of the hospitalization. Regional ...

journal_title：Medical care

authors： Black CD,Roos NP,Burchill CA

更新日期：1995-12-01 00:00:00

abstract：:Dummy variables frequently are used in regression analysis but often in an incorrect fashion. A brief review of examples in the medical care literature showed that the interpretation of dummy variable regression coefficients and their significance was often incorrect or unclear. This article shows how dummy variables ...

journal_title：Medical care

authors： Polissar L,Diehr P

更新日期：1982-09-01 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:Health care providers and health care training institutions need more specific, relevant, and useful information for providing culturally sensitive health care. OBJECTIVE:We sought to determine what patients considered to be culturally sensitive health care. RESEARCH DESIGN AND PARTICIPANTS:We conducted 20...

journal_title：Medical care

authors： Tucker CM,Herman KC,Pedersen TR,Higley B,Montrichard M,Ivery P

更新日期：2003-07-01 00:00:00

abstract：BACKGROUND:Estimates of the costs of medical care vary across patient populations, data sources, and methods. The objective of this study was to compare 3 approaches for estimating the incidence costs of colorectal cancer (CRC) care using similar patient populations, but different data sources and methods. METHODS:We ...

journal_title：Medical care

authors： Yabroff KR,Warren JL,Schrag D,Mariotto A,Meekins A,Topor M,Brown ML

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Various forms of differential item functioning (DIF) in the Mini-Mental State Examination (MMSE) have been identified. Items have been found to perform differently for individuals of different educational levels, racial/ethnic groups, and/or of groups whose first language is not English. The articles in this...

journal_title：Medical care

authors： Ramirez M,Teresi JA,Holmes D,Gurland B,Lantigua R

更新日期：2006-11-01 00:00:00

abstract：BACKGROUND:Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES:To assess the impact of a state policy implemented in June 2010 that required prospect...

journal_title：Medical care

authors： Graves JM,Fulton-Kehoe D,Jarvik JG,Franklin GM

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:The Agency for Healthcare Research and Quality's prevention quality indicators (PQIs) are used as a metric of area-level access to quality care. Recently, interest has expanded to using the measures at the level of payer or large physician groups, including public reporting or pay-for-performance programs. H...

journal_title：Medical care

authors： Davies S,McDonald KM,Schmidt E,Schultz E,Geppert J,Romano PS

更新日期：2011-08-01 00:00:00

abstract：:Utilization review has heretofore emphasized "length of stay" as the criterion for deciding when the patient is ready to leave the hospital. We suggest that "level of care" (the type, number, and/or intensity of a combination of physician, skilled nursing, and ancillary services) received by the patient should replace...

journal_title：Medical care

authors： Goldberg GA,Holloway DC

更新日期：1975-06-01 00:00:00

abstract：:The application of analytical and interactive decision models to decisions, in EMS councils, with various levels of uncertainty is described. Uncertainty is defined as having temporal, procedural, quantifiability, and environmental attributes. Highly uncertain decisions are unique, with unknown decision procedures. De...

journal_title：Medical care

authors： Nutt PC

更新日期：1979-02-01 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：BACKGROUND:Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement. OBJECTIVE:To examine whether various nursing hours measures yield different mo...

journal_title：Medical care

authors： Park SH,Blegen MA,Spetz J,Chapman SA,De Groot HA

更新日期：2015-01-01 00:00:00

abstract：OBJECTIVES:The authors developed an "off-the-shelf" source of health-related quality of life (HRQL) scores for cost-effectiveness analysts unable to collect primary data. METHODS:The authors derived and conducted preliminary validation on a set of health-related quality of life scores for chronic conditions using nati...

journal_title：Medical care

authors： Gold MR,Franks P,McCoy KI,Fryback DG

更新日期：1998-06-01 00:00:00

abstract：:In this study, trends in hospital use were identified in Japanese cities. Data for all inpatient care in May 1985 (9,555 patients) and in May 1988 (11,205 patients) paid for by National Health Insurance in 12 cities in Osaka Prefecture were analyzed. The main factor affecting differences in inpatient days per insured ...

journal_title：Medical care

authors： Tatara K,Shinsho F,Nishigaki C,Takatorige T,Okamoto E,Kuroda K

更新日期：1993-04-01 00:00:00

abstract：:This study was designed to determine the extent to which the medical record contained evidence of coordination of care. Coordination of care was defined as the recognition of information (problems, therapies, intervening visits and tests) about patients from one visit to a follow-up visit. Overall, there was concordan...

journal_title：Medical care

authors： Starfield B,Steinwachs D,Morris I,Bause G,Siebert S,Westin C

更新日期：1979-07-01 00:00:00

abstract：BACKGROUND:Geographic rates of preventable hospitalization are used internationally as an indicator of accessibility and quality of primary care. Much research has correlated the indicator with the supply of primary care services, yet multiple other factors may influence these admissions. OBJECTIVE:To quantify the rel...

journal_title：Medical care

authors： Falster MO,Jorm LR,Douglas KA,Blyth FM,Elliott RF,Leyland AH

更新日期：2015-05-01 00:00:00

abstract：OBJECTIVE:This paper describes the history of the Department of Veterans Affairs (VA) Community-Based Outpatient Clinics (CBOCs), CBOC Performance Evaluation Project, and characteristics of CBOCs within the VA, and summarizes the findings and implications of the CBOC Performance Evaluation Project. SUBJECTS:There were...

journal_title：Medical care

authors： Chapko MK,Borowsky SJ,Fortney JC,Hedeen AN,Hoegle M,Maciejewski ML,VanDeusen Lukas C

更新日期：2002-07-01 00:00:00

abstract：BACKGROUND:There is an increasing demand for electronic health record (EHR)-based risk stratification and predictive modeling tools at the population level. This trend is partly due to increased value-based payment policies and the increasing availability of EHRs at the provider level. Risk stratification models, howev...

journal_title：Medical care

authors： Kharrazi H,Chi W,Chang HY,Richards TM,Gallagher JM,Knudson SM,Weiner JP

更新日期：2017-08-01 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：:Amniocentesis and chorionic villus sampling are tests for the prenatal diagnosis of cytogenetic abnormalities. We calculated the incremental costs per abnormal birth averted, and the incremental costs per quality-adjusted outcome, of amniocentesis and chorionic villus sampling performed for the indication of maternal ...

journal_title：Medical care

authors： Heckerling PS,Verp MS

更新日期：1994-08-01 00:00:00

abstract：:In 1979, MEDICAL CARE published a supplement that summarized and evaluated existing research on changes in health care patterns associated with mental health, alcoholism, and drug abuse treatment. This paper, limited to alcoholism treatment, reviews research that has been completed since the 1979 supplement. Considera...

journal_title：Medical care

authors： Holder HD

更新日期：1987-01-01 00:00:00