Abstract:
:Federal interest in prepaid group practices as a means to control rising health care costs in reviving. This article is an empirical study of price and membership at a prepaid group practice among employees of Yale University. This article is the first to estimate the effect of price on the decision for membership in a prepaid group. The probability of joining the prepaid group is estimated to be a function of the relative price of the prepaid group and a conventional third-party insurance plan, the distance of residence to the prepaid group, the perceived quality of services at the prepaid group and the demand for medical services. Our most important finding is that employees' choice is quite sensitive to the relative price of the two plans. This has important implications for federal policy toward prepaid group practices.
journal_name
Med Carejournal_title
Medical careauthors
McGuire TGdoi
10.1097/00005650-198102000-00005subject
Has Abstractpub_date
1981-02-01 00:00:00pages
172-83issue
2eissn
0025-7079issn
1537-1948journal_volume
19pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract::Disparities by economic status are observed in the health status and health outcomes of Medicare beneficiaries. For health services and health policy researchers, one barrier to addressing these disparities is the ability to use Medicare data to ascertain information about an individual's income level or poverty, beca...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000606
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Estimating influenza vaccine effectiveness using an unvaccinated comparison group may result in biased effect estimates. OBJECTIVES:To explore the reduction of confounding bias in an active comparison of high-dose versus standard-dose influenza vaccines, as compared with vaccinated versus unvaccinated compa...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001018
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Understanding barriers to health care access experienced by people with disabilities who are members of underserved racial/ethnic groups is key to developing interventions to improve access. OBJECTIVE:To conduct a scoping review of the literature to examine the published literature on barriers to health car...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/MLR.0000000000000195
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:The Veterans Choice Program (VCP) was launched in 2014 to address the growing concerns about the timeliness and quality of Veterans Health Administration (VHA) care. Given that many sex-specific health services, such as mammography and maternity care, are not routinely provided in all VHA facilities, women V...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000933
更新日期:2018-07-01 00:00:00
abstract::Although there have been a number of studies linking psychological distress to the demand for medical care, few studies have examined this relationship among the aged. The issue is important, however, partly because it has been suggested that distress might cause some individuals to seek unneeded medical care. The fin...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198911000-00007
更新日期:1989-11-01 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
pub_type: 杂志文章
doi:10.1097/00005650-198305000-00001
更新日期:1983-05-01 00:00:00
abstract::This study examines practice mobility among young physicians, based on a large nationwide 1987 survey of physicians under age 40 years and in their second through fifth years of practice. Averaged across all physicians, there is a 10% to 12% chance of changing practices for each of the first 3 years, and about one in ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199110000-00004
更新日期:1991-10-01 00:00:00
abstract::It is generally agreed that patients have a right to be adequately informed. However, little is known about the extent to which doctors and patients agree about information that should be disclosed. We studied what patients want to know, as contrasted with what physicians report actually disclosing, in a population of...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198107000-00003
更新日期:1981-07-01 00:00:00
abstract:BACKGROUND:There is limited information on patients' knowledge about their cost-sharing requirements and how that influenced their care-seeking behavior. OBJECTIVE:To examine patients' knowledge of their office visit copayments, their self-reported responses to perceived and actual copayments, and discussions with phy...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31815c3192
更新日期:2008-04-01 00:00:00
abstract::This study was undertaken to determine if a measure of severity of illness for psychiatric patients, the Psychiatric Severity of Illness Index, could produce psychiatric case mix groups that are more homogeneous with respect to resource use than the diagnosis-related groups (DRGs). Psychiatric Severity of Illness data...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198901000-00007
更新日期:1989-01-01 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
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-198501000-00003
更新日期:1985-01-01 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
pub_type: 杂志文章
doi:10.1097/00005650-199806000-00002
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS:We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31822396c5
更新日期:2011-10-01 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:Epidemiologic studies of prescription medications increasingly rely on large administrative health care databases. These data do not capture patients' use of medication samples. This could potentially bias studies of short-term effects where date of initiation may be inaccurate. OBJECTIVES:To assess the ext...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000174
更新日期:2014-09-01 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
pub_type: 杂志文章
doi:10.1097/00005650-197503000-00004
更新日期:1975-03-01 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::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: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::A combined optimization-simulation model is used to examine the extent of productivity and economic benefits to be gained from adding a physician's assistant to a one-physician ambulatory health care practice. It is shown that previous models (which have predicted productivity gains as large as 90 per cent) have overs...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197906000-00004
更新日期:1979-06-01 00:00:00
abstract::There has been controversy about whether confounding by indication for treatment--that is, owing to physicians' conscious efforts to base treatment decisions on patients' pretreatment prognoses--makes nonrandomized, observational comparisons of treatments invalid. Some now believe evidence from studies of practice var...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:1995-04-01 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:OBJECTIVE:Prior meta-analysis indicates that collaborative chronic care models (CCMs) improve mental and physical health outcomes for individuals with mental disorders. This study aimed to investigate the stability of evidence over time and identify patient and intervention factors associated with CCM effects to facili...
journal_title:Medical care
pub_type: 杂志文章,meta分析
doi:10.1097/MLR.0b013e3182a3e4c4
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:Understanding provider perceptions of and experiences with order entry and order checks (drug alerts) in an electronic prescribing system may help improve medication safety technology. DESIGN:Cross-sectional, national survey of Veterans Administration physicians practicing in various specialties. MEASUREMEN...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318222a6f5
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:The SF-12 is a multidimensional generic measure of health-related quality of life. It has become widely used in clinical trials and routine outcome assessment because of its brevity and psychometric performance, but it cannot be used in economic evaluation in its current form. OBJECTIVES:We sought to derive...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000135827.18610.0d
更新日期:2004-09-01 00:00:00
abstract::When studying variation in medicine, traditional hypothesis-testing procedures are too limited to obtain useful inferences except in special situations. More generally, full probability modelling is necessary. Even a relatively simple example can illustrate this point rather dramatically. The development and applicati...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199305001-00017
更新日期:1993-05-01 00:00:00
abstract::The techniques of cost-effectiveness are employed to simplify resource allocation decisions concerned with the use of land and air transport systems in the health services of a developing country. Outcome classifications are produced for patients seen by mobile and fixed primary care units. The mobile services examine...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197704000-00001
更新日期:1977-04-01 00:00:00
abstract:BACKGROUND:Numerous studies have examined the impacts of pay-for-performance programs, yet little is known about their long-term effects on health care expenses. OBJECTIVES:This study aimed to examine the long-term effects of a pay-for-performance program for diabetes care on health care utilization and expenses. MET...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31822d5d36
更新日期:2012-02-01 00:00:00
abstract::In the past decade physicians have identified the need to expand patient assessment to include global function and quality of life. During the same period, the busy clinic has evolved into the location where this assessment seems most appropriate. Integrating functional health assessment into a busy clinical practice ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199205001-00004
更新日期:1992-05-01 00:00:00
abstract:OBJECTIVE:An updated version of the SF-6D Classification System (SF-6Dv2) has been developed, and utility value sets are required. The aim of this study was to test the development of a United Kingdom SF-6Dv2 value set, and address limitations of the existing SF-6D value set (which results in a narrow range of utilitie...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001324
更新日期:2020-06-01 00:00:00