A study of central-city hospital changes.

abstract：:To test the hypothesis that the ability of physicians to speak the same language as asthmatic patients promotes patient compliance and the use of scheduled office appointments in preference to emergency services, the charts of 96 Spanish-speaking patients with asthma were reviewed. Of these patients, 65 were cared for...

journal_title：Medical care

authors： Manson A

更新日期：1988-12-01 00:00:00

abstract：BACKGROUND:Millions of traumatized refugees worldwide have resettled in the United States. For one of the largest, the Cambodian community, having their mental health needs met has been a continuing challenge. A multicomponent health information technology screening tool was designed to aid provider recognition and tre...

journal_title：Medical care

authors： Sorkin DH,Rizzo S,Biegler K,Sim SE,Nicholas E,Chandler M,Ngo-Metzger Q,Paigne K,Nguyen DV,Mollica R

更新日期：2019-06-01 00:00:00

abstract：:This prospective study was conducted to determine the influence of primary care patients' health perceptions on their utilization of health care services. Patients' health perceptions were measured using the RAND Corporation's General Health Perceptions Questionnaire. Physicians provided scores of how they thought the...

journal_title：Medical care

authors： Connelly JE,Philbrick JT,Smith GR Jr,Kaiser DL,Wymer A

更新日期：1989-03-01 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

authors： Adrion ER

更新日期：2020-03-01 00:00:00

abstract：:The authors compared the personal characteristics, measures of functional status/case mix, and discharge outcomes of nursing home patients admitted to skilled nursing facilities (SNFs) in 1984 for the first time (first admissions) to those of patients with a prior history of nursing home care (readmissions). Compared ...

journal_title：Medical care

authors： Lewis MA,Leake B,Clark V,Leal-Sotelo M

更新日期：1989-04-01 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

authors： Landsman PB,Smith DG,Fendrick AM

更新日期：2009-10-01 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

authors： Marquis MS,Rogowski JA,Escarce JJ

更新日期：2004-05-01 00:00:00

abstract：BACKGROUND:Drug provision within the German statutory health insurance system has undergone several reforms, including the introduction of drug macrobudgets in 1993. OBJECTIVE:The objective of this study was to investigate the extent to which statutorily (SHI) and fully privately (PHI) health-insured patients were pro...

journal_title：Medical care

authors： Krobot KJ,Miller WC,Kaufman JS,Christensen DB,Preisser JS,Ibrahim MA

更新日期：2004-05-01 00:00:00

abstract：:The study determined the intrarelationships and interrelationships of two sets of physician performance measures: technical quality and utilization of medical resources. The performance measures were based on 2,431 episodes in 15 diagnostic categories involving 454 physicians. A series of correlations were used to det...

journal_title：Medical care

authors： Rhee SO,Lyons T,Payne B

更新日期：1978-06-01 00:00:00

abstract：RATIONALE:Moving patients from low-performing hospitals to high-performing hospitals may improve patient outcomes. These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival. OBJECTIVE:To characterize the existing critical care n...

journal_title：Medical care

authors： Iwashyna TJ,Christie JD,Moody J,Kahn JM,Asch DA

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Current health care reform efforts are focused on reorganizing health care systems to reduce waste in the US health care system. OBJECTIVE:To compare rates of overuse in different health care systems and examine whether certain systems of care or insurers have lower rates of overuse of health care services....

journal_title：Medical care

authors： Keyhani S,Falk R,Howell EA,Bishop T,Korenstein D

更新日期：2013-06-01 00:00:00

abstract：:Cataract surgery is the most frequently performed surgical procedure on Medicare beneficiaries, with an annual cost to the Medicare program of more than $3.4 billion. In this study, the relationship between demographic, environmental, and provider-related factors, and the likelihood that cataract surgery will be perfo...

journal_title：Medical care

authors： Javitt JC,Kendix M,Tielsch JM,Steinwachs DM,Schein OD,Kolb MM,Steinberg EP

更新日期：1995-01-01 00:00:00

abstract：BACKGROUND:Continuity of nursing care in hospitals remains poor and not prioritized, and we do not know whether discontinuous nursing care is negatively impacting patient outcomes. OBJECTIVES:This study aims to examine nursing care discontinuity and its effect on patient clinical condition over the course of acute hos...

journal_title：Medical care

authors： Yakusheva O,Costa DK,Weiss M

更新日期：2017-04-01 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：:Hospital cost-containment programs should themselves be cost-effective, targeting high-cost physicians (which requires adjusting for case mix) and patients (which requires early identification). In this study, clinical data available within 24 hours of admission from an electronic medical record system were used to de...

journal_title：Medical care

authors： Tierney WM,Fitzgerald JF,Miller ME,James MK,McDonald CJ

更新日期：1995-01-01 00:00:00

abstract：OBJECTIVES:The authors compare the extent and nature of triazolam use before and after its deletion from a health maintenance organization's (HMO) open and advisory-type drug formulary. METHODS:Benzodiazepine dispensings of HMO members were collected for the 3 years before (1989-1991) and for the 2 years after (1992-1...

journal_title：Medical care

authors： Johnson RE,McFarland B,Woodson GT

更新日期：1997-04-01 00:00:00

abstract：BACKGROUND:Millions of Americans are burdened by out-of-pocket prescription costs. Although many survey measures have been developed to assess this burden, the construct validity and the factor structure of these instruments have not been rigorously assessed. OBJECTIVES:To characterize the factor structure and the con...

journal_title：Medical care

authors： Burcu M,Alexander GC,Ng X,Harrington D

更新日期：2015-02-01 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：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

authors： Charbonneau A,Rosen AK,Owen RR,Spiro A 3rd,Ash AS,Miller DR,Kazis L,Kader B,Cunningham F,Berlowitz DR

更新日期：2004-06-01 00:00:00

abstract：:Previous research has estimated the effect of children's health care needs on women's market and nonmarket roles. This article reports the results of a study on the impact of health care for disabled children on women's nonmarket work. (Effects on women's market work are reported elsewhere.) Data from 369 families of ...

journal_title：Medical care

authors： Breslau N

更新日期：1983-06-01 00:00:00

abstract：BACKGROUND:Valid and comparable measures of health outcomes are needed for clinical trials, studies on quality of healthcare, and population health monitoring. OBJECTIVE:To examine comparability of patient-reported health status across populations. RESEARCH DESIGN:Logistic regression analysis of health status across ...

journal_title：Medical care

authors： Salomon JA,Patel A,Neal B,Glasziou P,Grobbee DE,Chalmers J,Clarke PM

更新日期：2011-10-01 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：BACKGROUND:The decision to perform orthopedic surgery requires substantial discretion and judgment. Similar conditions have been associated with health care disparities in other fields, but the extent of racial and ethnic disparities in orthopedics is unknown. OBJECTIVE:To evaluate the quality of extant orthopedic lit...

journal_title：Medical care

authors： Schoenfeld AJ,Tipirneni R,Nelson JH,Carpenter JE,Iwashyna TJ

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Care for patients with chronic conditions often requires coordination between multiple physicians and delivery sites. Electronic Health Record (EHR) use could improve care quality and efficiency in part by facilitating care coordination. OBJECTIVE:We examined the association between EHR use and clinician pe...

journal_title：Medical care

authors： Graetz I,Reed M,Shortell SM,Rundall TG,Bellows J,Hsu J

更新日期：2014-12-01 00:00:00

abstract：:In response to health care reform, health care providers have begun to develop interorganizational networks. At present, however, relatively little is known about factors facilitating participation in networks. To this end, organizational characteristics and views were obtained from key informants from both "Lead" and...

journal_title：Medical care

authors： Guihan M,Manheim LM,Hughes SL

更新日期：1995-05-01 00:00:00

abstract：OBJECTIVES:Cutpoints are specific numeric values used to create discrete categories for patient-reported outcome (PRO) items or scales. Cutpoints are widely used in both clinical research and practice. This article offers a definition for cutpoints, describes strategies for determining actionable cutpoints, and discuss...

journal_title：Medical care

authors： Shi Q,Mendoza TR,Cleeland CS

更新日期：2019-05-01 00:00:00

abstract：:This research explored whether differentiating patients whose severity of illness worsened, improved, or remained the same over the hospital stay is a good screen for quality of care. The hypothesis was that substandard care is more likely to occur among patients who have worsened. Severity was measured using the Comp...

journal_title：Medical care

authors： Iezzoni LI,Restuccia JD,Shwartz M,Schaumburg D,Coffman GA,Kreger BE,Butterly JR,Selker HP

更新日期：1992-05-01 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

authors： Rizzo JA,Friedkin R,Williams CS,Nabors J,Acampora D,Tinetti ME

更新日期：1998-08-01 00:00:00

abstract：:This article describes the statistical methods and strategies to be used in establishing the linkages between processes and structures of care with risk-adjusted outcomes in a large multicenter Veterans Affairs cooperative study in health services of patients undergoing cardiac surgery. The statistical analyses consis...

journal_title：Medical care

authors： Marshall G,Henderson WG,Moritz TE,Shroyer AL,Grover FL,Hammermeister KE

更新日期：1995-10-01 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