Statistical methods and strategies for working with large data bases.

abstract：:The evaluation of long-term care demonstrations has to deal with complex organizational entities, with large, heterogeneous client populations that, during the course of study, may have to change features of their organization or operation. The implications of such "real-time" changes are discussed for analyses of the...

journal_title：Medical care

authors： Manton KG,Newcomer R,Lowrimore GR,Vertrees JC,Harrington C

更新日期：1995-12-01 00:00:00

abstract：BACKGROUND:Information is limited regarding the effects of processes of care on cardiac surgical outcomes. Correspondingly, many recommended cardiac surgical processes of care are derived from animal experiments or clinical judgment. This report from the VA Cooperative Study in Health Services, "Processes, Structures, ...

journal_title：Medical care

authors： O'Brien MM,Shroyer AL,Moritz TE,London MJ,Grunwald GK,Villanueva CB,Thottapurathu LG,MaWhinney S,Marshall G,McCarthy M Jr,Henderson WG,Sethi GK,Grover FL,Hammermeister KE,VA Cooperative Study Group on Processes, Structures, a

更新日期：2004-01-01 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

authors： Darnell JC,Hiner SL,Neill PJ,Mamlin JJ,McDonald CJ,Hui SL,Tierney WM

更新日期：1985-01-01 00:00:00

abstract：BACKGROUND:Adherence to medication treatment plans is important for chronic disease (CD) management. Cost-related nonadherence (CRN) puts patients at risk for complications. Native Hawaiians and Pacific Islanders (NHPI) suffer from high rates of CD and socioeconomic disparities that could increase CRN behaviors. OBJEC...

journal_title：Medical care

authors： McElfish PA,Long CR,Payakachat N,Felix H,Bursac Z,Rowland B,Hudson JS,Narcisse MR

更新日期：2018-04-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to examine how pre-Affordable Care Act (ACA) state-level Medicaid expansions affect dual enrollment and utilization of Veterans Health Administration (VA) and Medicaid-funded care. RESEARCH DESIGN:We employed difference-in-difference analysis to determine the association betwe...

journal_title：Medical care

authors： O'Mahen PN,Petersen LA

更新日期：2020-06-01 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：BACKGROUND:Previous research has indicated that the needs of persons infected with human immunodeficiency virus (HIV) for supportive services often go unmet. Although case management has been advocated as a method of decreasing unmet needs for supportive services, its effectiveness is poorly understood. OBJECTIVES:To ...

journal_title：Medical care

authors： Katz MH,Cunningham WE,Mor V,Andersen RM,Kellogg T,Zierler S,Crystal SC,Stein MD,Cylar K,Bozzette SA,Shapiro MF

更新日期：2000-01-01 00:00:00

abstract：CONTEXT:Black patients and Hispanic patients receive carotid endarterectomy (CEA) at lower rates than white patients. It is unclear whether worse surgical outcomes are influencing clinical decision-making regarding use of the operation among minority group patients. OBJECTIVE:To determine if there are racial differenc...

journal_title：Medical care

authors： Horner RD,Oddone EZ,Stechuchak KM,Grambow SC,Gray J,Khuri SF,Henderson WG,Daley J

更新日期：2002-01-01 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

abstract：BACKGROUND AND OBJECTIVES:Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of ...

journal_title：Medical care

authors： Gold R,DeVoe J,Shah A,Chauvie S

更新日期：2009-04-01 00:00:00

abstract：BACKGROUND/OBJECTIVES:The importance of teams for improving quality of care has received increased attention. We examine both the correlates of self-assessed or perceived team effectiveness and its consequences for actually making changes to improve care for people with chronic illness. STUDY SETTING AND METHODS: Data ...

journal_title：Medical care

authors： Shortell SM,Marsteller JA,Lin M,Pearson ML,Wu SY,Mendel P,Cretin S,Rosen M

更新日期：2004-11-01 00:00:00

abstract：BACKGROUND:Reference drug pricing (RP) is a cost-sharing strategy commonly used to control drug expenditures. Under RP, a benefit plan fully reimburses medications that are equally or less expensive than the reference price, and requires patients to pay the extra cost of therapeutically equivalent but higher priced dru...

journal_title：Medical care

authors： Schneeweiss S,Dormuth C,Grootendorst P,Soumerai SB,Maclure M

更新日期：2004-07-01 00:00:00

abstract：OBJECTIVES:We examine the relationship between health insurance coverage and children's access to and utilization of medical care. Access measures we study are having a usual source of care (USC) and lacking a USC for financial or insurance reasons. We also examine indicators for ambulatory visits, well-child visits, d...

journal_title：Medical care

authors： Selden TM,Hudson JL

更新日期：2006-05-01 00:00:00

abstract：:A process was developed to encourage individuals to take more responsibility for their health by using a client-held health record. The motivation for the record, called a Personal Life Health Plan (PLHP), stems from the fact that the majority of ills which afflict an individual can be abated by behavior changes. The ...

journal_title：Medical care

authors： Giglio R,Spears B,Rumpf D,Eddy N

更新日期：1978-09-01 00:00:00

abstract：OBJECTIVES:The primary objective of this study was to examine veterans' reliance on health care services provided by the Veterans Health Administration (VHA) within Minnesota and estimate the potential effect on uninsurance rates if all eligible veterans relied on VHA coverage. Secondary objectives were to compare vete...

journal_title：Medical care

authors： Jonk YC,Call KT,Cutting AH,O'Connor H,Bansiya V,Harrison K

更新日期：2005-08-01 00:00:00

abstract：BACKGROUND:The negative impact of pain on health-related quality of life has been documented for persons with human immunodeficiency virus (HIV). Furthermore, pain could be an important factor in seeking medical care. However, the relationship between pain and health service utilization is poorly understood. OBJECTIVE...

journal_title：Medical care

authors： Dobalian A,Tsao JC,Duncan RP

更新日期：2004-02-01 00:00:00

abstract：:The accurate measurement of physician job satisfaction in organized practice settings is important for both policy and administrative purposes. Previous efforts to measure physician job satisfaction have been unsatisfactory because of either conceptual or methodologic weaknesses. New measures of physician job satisfac...

journal_title：Medical care

authors： Lichtenstein R

更新日期：1984-01-01 00:00:00

abstract：OBJECTIVES:The authors examined organizational characteristics of 16 primary care group practices to determine their influence on quality or quality improvement. METHODS:The authors used a data base compiled during a randomized, controlled trial of quality assurance interventions consisting of measures of guideline-re...

journal_title：Medical care

authors： Hargraves JL,Palmer RH,Orav EJ,Wright EA

更新日期：1996-09-01 00:00:00

abstract：BACKGROUND:Although most of the elderly are covered by Medicare, they potentially face large out-of-pocket costs for their health care because of excluded services. Aside from nursing home care, the exclusion of prescription drugs is one of the most significant. Several earlier policy initiatives have proposed adding p...

journal_title：Medical care

authors： Lillard LA,Rogowski J,Kington R

更新日期：1999-09-01 00:00:00

abstract：OBJECTIVE:To identify consistent provision of clinical preventive services, we sought to benchmark all acute care Veterans Affairs Medical Centers (VAMCs) against each other nationally on the basis of multiple evidence-based, performance measures to identify facilities performing consistently higher and lower than expe...

journal_title：Medical care

authors： Doebbeling BN,Vaughn TE,Woolson RF,Peloso PM,Ward MM,Letuchy E,BootsMiller BJ,Tripp-Reimer T,Branch LG

更新日期：2002-06-01 00:00:00

abstract：:Two opposing theories have been suggested to describe the relationships among member dissatisfaction with a prepaid group practice (PGP), the choice to go outside for care normally covered by the plan, and disenrollment from the PGP: 1) out-of-plan use--a consequence of dissatisfaction, precedes disenrollment and 2) d...

journal_title：Medical care

authors： Hennelly VD,Boxerman SB

更新日期：1983-03-01 00:00:00

abstract：:In 1977, the American Heart Association recommended that patients with mitral valve prolapse (MVP) and mitral insufficiency receive antibiotic prophylaxis prior to procedures that place them at risk for bacterial endocarditis. To study how clinicians conformed to this recommendation, the authors selected 126 patients ...

journal_title：Medical care

authors： Retchin SM,Fletcher RH,Buescher PC,Waugh RA,Battaglini SW

更新日期：1985-10-01 00:00:00

abstract：OBJECTIVES:This study sought to compare the performance of the old and new versions of the Simplified Acute Physiology Score, SAPS and SAPS II, in classifying patients according to the risk of hospital mortality. METHODS:To compare the performance of the two systems, measures of association between the scores and obse...

journal_title：Medical care

authors： Bertolini G,D'Amico R,Apolone G,Cattaneo A,Ravizza A,Iapichino G,Brazzi L,Melotti RM

更新日期：1998-09-01 00:00:00

abstract：OBJECTIVES:The authors evaluate a measure of the validity of utility elicitations and study the potential effects of invalid elicitations on population utility values. METHODS:The authors used a computerized survey to describe and measure preferences for three common side-effects of anti-psychotic drugs (tardive dyski...

journal_title：Medical care

authors： Lenert LA,Morss S,Goldstein MK,Bergen MR,Faustman WO,Garber AM

更新日期：1997-09-01 00:00:00

abstract：OBJECTIVE:The Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) 10, "Postoperative Physiologic and Metabolic Derangement" (PPMD), uses administrative data to detect postoperative acute kidney injury (AKI) requiring dialysis and diabetes-related complications. We sought to evaluate the indicator'...

journal_title：Medical care

authors： Zrelak PA,Romano PS,Tancredi DJ,Geppert JJ,Utter GH

更新日期：2013-09-01 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

abstract：INTRODUCTION:Validly interpreting scores based on patients' reports of their experiences using scales depends on a valid scoring system. The possibility exists that, although the creators of a scale intended to create a scale measuring a single construct, the questions may seem to measure more than one construct. Howev...

journal_title：Medical care

authors： Carle AC,Weech-Maldonado R

更新日期：2012-09-01 00:00:00

abstract：:Health insurance plans are evaluated here in terms of ability to guarantee financial access to a set of basic fertility-related health services. Extent of coverage is determined by whether a service is a contract benefit, its market cost, and how often it is used in a given population in one year. Comprehensive covera...

journal_title：Medical care

authors： Muller C,Krasner M,Jaffe FS

更新日期：1975-01-01 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：: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 t...

journal_title：Medical care

authors： Cummings KM,Becker MH,Kirscht JP,Levin NW

更新日期：1982-06-01 00:00:00