Abstract:
:The pivotal role of women as wife, mother or adult daughter in performing health-related activities for family members has received little attention from health researchers or policymakers. Yet the majority of health problems do not reach the medical care system, but are dealt with informally or through other social systems. This article discusses the impact of family health care responsibilities on women's market and nonmarket roles in two areas: home nursing care for children's illnesses and escorting children to sources of formal medical care. National data on the incidence of children's illnesses provide the basis for an analysis of the contribution to absenteeism among employed women represented by care of an ill child. Similarly, data from the National Ambulatory Care Survey form the basis for estimates of the economic value of escort time involved in children's medical care. The analysis suggests that policies directed to assuring adequate health care for children take account of the informal, nonmarket health services in which women now play the major role. It must also be recognized that women's changing labor market roles are affecting the availability of these services and increasing their costs to the women who provide them.
journal_name
Med Carejournal_title
Medical careauthors
Carpenter ESdoi
10.1097/00005650-198012000-00006subject
Has Abstractpub_date
1980-12-01 00:00:00pages
1208-18issue
12eissn
0025-7079issn
1537-1948journal_volume
18pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract:BACKGROUND:Medicaid Disproportionate Share Hospital (DSH) payments are one of the major sources of financial support for hospitals providing care to low-income patients. However, Medicaid DSH payments will be redirected from hospitals to subsidize individual health insurance purchase through US national health reform. ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000114
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) o...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181589b92
更新日期:2008-02-01 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
pub_type: 杂志文章
doi:10.1097/00005650-198306000-00004
更新日期:1983-06-01 00:00:00
abstract:OBJECTIVE:To demonstrate a rigorous methodology that optimally balanced internal validity with generalizability to evaluate a statewide collaborative that implemented an evidence-based, collaborative care model for depression management in primary care. STUDY DESIGN AND SETTING:Several operational features of the DIAM...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318249d8a4
更新日期:2013-09-01 00:00:00
abstract::Teaching hospitals have higher charges than nonteaching hospitals, and teaching patients within a single institution incur higher charges than do private patients. Teaching hospitals claim that these higher charges are due to caring for patients with more complex illnesses. Critics claim that the increased charges are...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVES:To estimate cost and outcomes of the Arthritis Foundation aquatic exercise classes from the societal perspective. DESIGN:Randomized trial of 20-week aquatic classes. Cost per quality-adjusted life year (QALY) gained was estimated using trial data. Sample size was based on 80% power to reject the null hypoth...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-200105000-00002
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVES:Family members and other "carepartners" often play an important role in the care and support of patients during and after hospitalization, yet little is known about how they assess their hospital experience or the factors that may influence their perceptions. METHODS:A nationwide telephone survey of 1,800 r...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199901000-00006
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Relative to traditional fee-for-service Medicare, managed care plans caring for Medicare beneficiaries may be better positioned to promote recommended services and discourage burdensome procedures with little clinical value at the end of life. OBJECTIVE:To compare end-of-life service use for enrollees in Me...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182a50278
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Though demand for mental health services (MHS) among US veterans is increasing, MHS utilization per veteran is decreasing. With health and social service needs competing for limited resources, it is important to understand the association between patient factors, MHS utilization, and clinical outcomes. OBJE...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/mlr.0b013e3181cafbe3
更新日期:2010-04-01 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
pub_type: 杂志文章,评审
doi:10.1097/00005650-199808000-00016
更新日期:1998-08-01 00:00:00
abstract::We conducted an 18-month longitudinal evaluation of a model-managed medical care program for severely disabled, independently living adults. Regression analyses using an additive model (no interaction effects) suggest that persons in the study group did not have statistically significantly different utilization experi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198711000-00004
更新日期:1987-11-01 00:00:00
abstract::Earlier studies have established substantial gender differences in the likelihood of obtaining a psychotropic drug prescription, and a correlation, especially among women, with such family characteristics as family responsibilities, marital separation, divorce or widowhood, and the presence of family stressors such as...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199004000-00001
更新日期:1990-04-01 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:BACKGROUND:Case-mix adjustment is widely used in health services research to ensure that groups being compared are equivalent on variables predicting outcome. There has been considerable development and testing of comorbidity indices derived from diagnostic codes recorded in administrative databases, but increasingly, ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000185749.04875.cb
更新日期:2005-12-01 00:00:00
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 ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198102000-00005
更新日期:1981-02-01 00:00:00
abstract::This article summarizes tests of the appropriateness of aggregating specific categories of physical capacities and limitations into aggregate functional status indexes. Self-administered questionnaires were used to gather data from 4,603 people between 14 and 66 years of age. Cumulative indexes defining ranked levels ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198105000-00001
更新日期:1981-05-01 00:00:00
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
pub_type: 杂志文章
doi:10.1097/00005650-197601000-00005
更新日期:1976-01-01 00:00:00
abstract:OBJECTIVES:Reliability and validity are as necessary for predrafted advance directive forms as they are for all clinical assessment instruments. Performance of predrafted advance directive forms with both lay persons and clinicians is relevant. Evidence relating to test- retest reliability, content validity, and criter...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199610000-00006
更新日期:1996-10-01 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:BACKGROUND:In 2002 British Columbia, Canada began redistributing its hospital services. OBJECTIVE AND DESIGN:We used administrative data and interrupted time series analyses to determine how recent hospital closures affected patient outcomes. SUBJECTS:All adult acute myocardial infarction (AMI), stroke, and trauma ev...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000619
更新日期:2017-01-01 00:00:00
abstract::Data from a national survey of veterans are analyzed to determine how age, income, health insurance and service-connected disability influence the veteran's choice of Veterans Administration (VA) hospitalization. Log-linear analysis is used to provide a model that expresses in numerically quantifiable terms (odds and ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198203000-00008
更新日期:1982-03-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000205
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Loving-kindness meditation (LKM) is a practice intended to enhance feelings of kindness and compassion for self and others. OBJECTIVES:To assess whether participation in a 12-week course of LKM for veterans with posttraumatic stress disorder (PTSD) is associated with improved positive emotions, decentering,...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000221
更新日期:2014-12-01 00:00:00
abstract::Earlier efforts of the Commission on Professional and Hospital Activities (CPHA) to develop a patient care data system for long-term care facilities were discontinued for lack of user interest and shortage of funds; however, the facilities were encouraged to participate in the hospital data system (PAS) and to use opt...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197605001-00033
更新日期:1976-05-01 00:00:00
abstract:OBJECTIVES:To assess the likely effects of the 1996 Health Insurance Portability and Accessibility Act (HIPAA), based on small firms' experiences under state small group insurance reforms that were similar in design to HIPAA. METHODS:Data on 17,818 small businesses (range, 2-50 employees) nationwide from the 1994 Nati...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199907000-00009
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:Minority breast cancer patients tend to have higher rates of adjuvant treatment underuse. We implemented a web-based intervention that closes referral loops between surgeons and oncologists at inner-city safety-net hospitals serving high volumes of minority breast cancer patients to assist these hospitals an...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0000000000000458
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:In response to the growing concern about healthcare-associated infections (HAIs), US Department of Health and Human Services (HHS) developed the National Action Plan to Prevent Healthcare-associated Infections. A key focus of the Action Plan is the setting of HAI metrics and targets and the enhancement and d...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000027
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Assessing accuracy and completeness of data is an important component of conducting research. VA Healthcare System benefits from a highly developed electronic medical information system. The Immunology Case Registry was designed to monitor costs and quality of HIV care. The Decision Support System was develo...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817d69c2
更新日期:2009-01-01 00:00:00
abstract::We evaluated the quality of care of physician's extenders (PEs: 23 physician's assistants, 7 primary care nurse practitioners) in Air Force primary medicine clinics, as part of an evaluation of PEs' assuming a considerable portion of the care, formerly provided by physicians in the military medical system. Physician's...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198109000-00007
更新日期:1981-09-01 00:00:00
abstract::Issues that arise in the development of methods for measuring adequacy of physician performance (MAPP) are discussed. The comparative content validity, scorability, cost, and acceptability of four MAPP strategies are assessed using a sample of clinic-based physicians treating 30 patients with chronic obstructive pulmo...
journal_title:Medical care
pub_type: 临床试验,杂志文章
doi:
更新日期:1984-07-01 00:00:00