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 boundaries consistent with those used for presentation of data on health status and socioeconomic risk permitted integration of findings across the Population Health Information System. Marked differences in acute hospital use were found. Residents of the urban Winnipeg ("good health") region had the lowest rates of use of acute care overall, and northern rural ("poor health") regions had significantly higher rates of use. However, almost one half of hospital days by Winnipeg residents were used in long-stay care (60+ days), while rural residents were more likely to use short-stay hospital care. Despite a concentration of surgical specialists in Winnipeg, there were only small regional differences in overall rates of surgery.
journal_name
Med Carejournal_title
Medical careauthors
Black CD,Roos NP,Burchill CAdoi
10.1097/00005650-199512001-00008subject
Has Abstractpub_date
1995-12-01 00:00:00pages
DS55-72issue
12 Suppleissn
0025-7079issn
1537-1948journal_volume
33pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract:BACKGROUND:Conceptual equivalence of measures is essential in research that compares health across diverse racial/ethnic groups. Cognitive interviews are pretest methods to explore the conceptual equivalence of survey items. Systematic approaches for using these methods are emerging. OBJECTIVE:We describe an interacti...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000245425.65905.1d
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Acute health shocks can reduce the ability to work and earn among working-age survivors. The full economic impact includes labor market effects on spouses/partners, but there is a knowledge gap in this area. OBJECTIVES:The objective of this study was to assess how 3 common health shocks, acute myocardial in...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001249
更新日期:2020-02-01 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:BACKGROUND:More than 70 million Americans are enrolled in a high-deductible health plan (HDHP), with high upfront cost-sharing to encourage strategies such as price shopping to mitigate out-of-pocket spending. Recent research suggests HDHP enrollees are reluctant to engage in these consumer strategies, but there is lit...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001056
更新日期:2019-03-01 00:00:00
abstract::As interest in the problem-oriented medical record (POMR) develops, and more medical settings begin to implement the system, many observers are expressing a desire to know how well the system is being used and accepted. Moreover, settings currently using the POMR system have a need to document the effectiveness of the...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197610000-00006
更新日期:1976-10-01 00:00:00
abstract:BACKGROUND:Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE:To introduce and demonstrate two methods that can be us...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199906000-00007
更新日期:1999-06-01 00:00:00
abstract:BACKGROUND:Since COVID-19 has caused dramatic changes in everyday life, a major concern is whether patients have adequate access to mental health care despite shelter-in-place ordinances, school closures, and social distancing practices. OBJECTIVES:The aim was to examine the availability of telehealth services at outp...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001512
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND:For patients recovering from severe acute illness, admission to a long-term acute care hospital (LTAC) is an increasingly common alternative to continued management in an intensive care unit (ICU). OBJECTIVE:To examine the effectiveness of LTAC transfer in patients with chronic critical illness. RESEARCH D...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31826528a7
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:To examine healthcare coverage and access disparities for American Indian/Alaska Native (AIAN) veterans compared with non-Hispanic white veterans. METHODS:We examined national survey data for honorably discharged veterans in the United States using National Health Interview Survey (NHIS) data between 1997 an...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181d5f9e1
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Researchers need valid methods to assess whether patients are taking their antidepressant medications. Two important sources of data on drug exposure are patients' self-reports and pharmacy claims. OBJECTIVE:To compare self-report and claims data for antidepressant exposure. RESEARCH DESIGN:Cross-sectional...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000053019.79054.B6
更新日期:2003-03-01 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:BACKGROUND:Although studies have shown that a high rate of uninsurance in a community reduces access to and satisfaction with health care among the insured population, little is known about whether the community uninsurance rate also affects quality of care and clinical outcomes among the insured. OBJECTIVE:To assess ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000145
更新日期:2014-07-01 00:00:00
abstract::Data from the 1980 to 1981 National Health Interview Survey on morbidity, principally bed-disability days, was age standardized and indexed by region of the United States and metropolitan and nonmetropolitan residence within region. There were substantial differences in both age-specific and age-adjusted morbidity by ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198704000-00007
更新日期:1987-04-01 00:00:00
abstract:BACKGROUND:The quality of nursing home (NH) care for residents with advanced dementia has been described as suboptimal. One relatively understudied factor in the provision of NH care is the role of private oversight and monitoring by family members and friends. OBJECTIVE:To examine the association between private over...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318195fce7
更新日期:2009-05-01 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:BACKGROUND:For limited English-proficient (LEP) patients, the digital divide has narrowed, creating a new population of Internet users. However, language-appropriate health information is difficult to find. Community health center (CHC) websites are health information resources and their homepages are critical access p...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001027
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Patients have longer lengths of hospital stay (LOS) in VA medical centers than in the general health care system. OBJECTIVE:The objective of this study was to determine whether resource use and outcome differences between VA and non-VA inpatient rehabilitation facilities remain after controlling for patient...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200102000-00003
更新日期:2001-02-01 00:00:00
abstract::Patterns of primary health care utilization for a random sample of urban elementary school children in three ethnic groups are described. Visit type, reasons for visit, and frequency of visits remained stable from year to year. More than 50 per cent of the children were non-visitors each year; 72 per cent of those not...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198106000-00003
更新日期:1981-06-01 00:00:00
abstract:BACKGROUND:Breast cancer missed on diagnostic mammography may contribute to delayed diagnoses, whereas false-positive results may lead to unnecessary invasive procedures. Whether accuracy of diagnostic mammography at facilities serving vulnerable women differs from other facilities is unknown. OBJECTIVE:To compare the...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181f380e0
更新日期:2011-01-01 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
abstract:BACKGROUND:Limited literacy has repeatedly been linked to problems comprehending health information, although the majority of studies to date have focused on reading various print health materials. We sought to investigate patients' ability to recall spoken medical instructions in the context of a hypothetical clinical...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318241e8e1
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to compare poisoning mortality rates of states served by a poison control center certified by the American Association of Poison Control Centers (AAPCC) to those that are not served by a certified center because health policy has been based on certification status. METHODS:Poiso...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/00005650-200107000-00002
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Federally Qualified Health Centers (FQHCs) serve as regular sources of preventive and primary care for low-income families within their communities and are key parts of the health care safety net. OBJECTIVES:Compare admissions and emergency room visits for ambulatory care sensitive conditions (ACSCs) among ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200106000-00004
更新日期:2001-06-01 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:OBJECTIVES:Use of antepartum tests of fetal well-being is widespread even though effectiveness in preventing fetal damage or stillbirth has not been established. The study objective was to examine whether aggressive use of these tests might contribute to increased rates of other birth outcomes, including low birth weig...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199701000-00002
更新日期:1997-01-01 00:00:00
abstract::Adherence to the medical regimen continues to rank as a major clinical problem in the management of patients with essential hypertension, as in other conditions treated with drugs and life-style modification. This article reviews the psychometric properties and tests the concurrent and predictive validity of a structu...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198601000-00007
更新日期:1986-01-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000670
更新日期:2017-04-01 00:00:00
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
pub_type: 杂志文章
doi:10.1097/00005650-198812000-00003
更新日期:1988-12-01 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
pub_type: 杂志文章
doi:10.1097/00005650-199505000-00001
更新日期:1995-05-01 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