Abstract:
:Legal factors related to the malpractice liability insurance purchased by general dentists in the United States were investigated using a comprehensive multivariate model that assessed the contribution of legal provisions affecting the probability of a malpractice claim, the probability of a payment, and the average size of the payment. General practice dentists in the United States were selected randomly, and 3,048 dentists were studied by mail survey. A number of legal statutes (periodic payment allowed, percentage fault liability informed consent limits, limits on res ipsa loquitor, attorney fee control, some statute of limitations provisions) had the intended effect of reducing the malpractice insurance sought by dentists. Other provisions, such as binding arbitration, may have unintended cost-raising effects. Previous malpractice claims were associated with purchasing greater amounts of insurance. These findings have implications for future changes in the legal system as part of health care reform.
journal_name
Med Carejournal_title
Medical careauthors
Milgrom P,Whitney C,Conrad D,Fiset L,O'Hara Ddoi
10.1097/00005650-199508000-00001subject
Has Abstractpub_date
1995-08-01 00:00:00pages
755-64issue
8eissn
0025-7079issn
1537-1948journal_volume
33pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract::A common objective of health services is to provide high quality care at the least cost, yet some services achieve these objectives better than others. Moreover, there are questions about relationships between cost and quality: do higher expenditures usually result in higher quality, or, conversely, is it possible to ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198309000-00007
更新日期:1983-09-01 00:00:00
abstract::Health-related quality-of-life (HRQOL) measures are becoming increasingly important for evaluating the effectiveness of medical interventions and assessing the health of populations. Preference-based instruments, a subset of HRQOL measures, allow comparisons of overall health status in populations and in clinical sett...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199602000-00008
更新日期:1996-02-01 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:Primary care teams face daily time pressures both during patient encounters and outside of appointments. OBJECTIVES:We theorize 2 types of time pressure, and test hypotheses about organizational determinants and patient consequences of time pressure. RESEARCH DESIGN:Cross-sectional, observational analysis ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000974
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:With the increasing use of colonoscopy there is growing concern about the quality of these procedures. OBJECTIVE:To evaluate the rates of complete colonic evaluation after an incomplete colonoscopy and their associated factors. METHODS:Men and women > or =50 years old living in Ontario on January 1, 1997 w...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817d92bc
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:There is an increasing demand for electronic health record (EHR)-based risk stratification and predictive modeling tools at the population level. This trend is partly due to increased value-based payment policies and the increasing availability of EHRs at the provider level. Risk stratification models, howev...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000754
更新日期:2017-08-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001075
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Hospitalizations are costly for health insurers and society. OBJECTIVES:To develop and validate a predictive model for acute care hospitalization from administrative claims for a population including all age groups. RESEARCH DESIGN:We constructed a retrospective cohort study using a US health plan claims d...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182353ceb
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:We sought to project the lifetime cost of medical care for human immunodefiency virus (HIV)-infected adults using current antiretroviral therapy (ART) standards. METHODS:Medical visits and hospitalizations for any reason were from the HIV Research Network, a consortium of high-volume HIV primary care sites. ...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/01.mlr.0000228021.89490.2a
更新日期:2006-11-01 00:00:00
abstract::Patients often receive medical care from many different providers. Consequently, the various episodes of care may not be integrated into a meaningful whole, and the quality of care may suffer. Before this possibility can be evaluated, it is necessary to develop a measure of the integrating process. The authors studied...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198405000-00004
更新日期:1984-05-01 00:00:00
abstract:BACKGROUND:Most health insurance plans monitor ambulatory care quality using the Healthcare Effectiveness Data and Information Set (HEDIS), publicly reporting results at the plan level. Plan-level comparisons obscure the influence of patients served or settings where care is delivered. Mental illness, substance abuse, ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318190db45
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Studies have documented that patients of female physicians receive higher levels of preventive services. However, most studies include patients of only one gender, examine mainly gender-specific screening services, and do not examine patient education and counseling. OBJECTIVES:This study tests both physici...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200112000-00004
更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:Methods to select physicians most likely to benefit from educational interventions to improve the outcome of depression have not been adequately developed. OBJECTIVE:The purpose of this study was to identify a combination of primary care provider (PCP) self-report questions to improve the precision of PCP e...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200007000-00009
更新日期:2000-07-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318266519e
更新日期:2012-09-01 00:00:00
abstract::The effect of a greater volume of patients with similar conditions being treated at a hospital on the outcomes achieved is studied using a variety of categories of patients, 15 surgical and 2 medical, and involving 550,000 patients treated in over 1,200 nonfederal United States acute care hospitals. After demonstratin...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:1984-02-01 00:00:00
abstract:INTRODUCTION:Screening hospital patients for falls risk is now a contentious component of geriatric care despite its widespread clinical use. The economic implications of using a falls risk screening approach to deliver an effective falls prevention intervention have not previously been examined. METHODS:This was a mu...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0b013e318190ccc0
更新日期:2009-04-01 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::This study was designed to determine the extent to which the medical record contained evidence of coordination of care. Coordination of care was defined as the recognition of information (problems, therapies, intervening visits and tests) about patients from one visit to a follow-up visit. Overall, there was concordan...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197907000-00006
更新日期:1979-07-01 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
pub_type: 杂志文章
doi:10.1097/00005650-198401000-00005
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:Increasing recognition of the failure to translate research findings into practice has led to greater awareness of the importance of using active dissemination and implementation strategies. Although there is a growing body of research evidence about the effectiveness of different strategies, this is not eas...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. OBJECTIVES:To link Meals on Wheels (MOW) program data to Med...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000951
更新日期:2019-03-01 00:00:00
abstract::Ninety-two general medical outpatients were surveyed with an interview, questionnaires, and a medical record review to investigate the relationships among psychiatric disorder (depression and hypochondriasis), somatic symptoms, medical morbidity, and the utilization of ambulatory medical services. Medical utilization ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198606000-00009
更新日期:1986-06-01 00:00:00
abstract::In comparison to the living conditions that existed before 1949, the People's Republic of China (PRC) represents a remarkable story of achievement. Western knowledge about the PRC has recently increased by leaps and bounds as detente with the United States has allowed many Americans to witness the "awakening of the dr...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:1978-07-01 00:00:00
abstract:BACKGROUND:Quality improvement organizations (QIOs) are contracted to improve the quality of care delivered to Medicare beneficiaries. The purpose of this study was to determine whether provider participation in New York State QIO activities resulted in significant improvements in the quality of diabetes care during th...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000237420.30406.ea
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:Clinical practice guidelines quickly become outdated. One reason they might not be updated as often as needed is the expense of collecting expert judgment regarding the evidence. The RAND-UCLA Appropriateness Method is one commonly used method for collecting expert opinion. We tested whether a less expensive...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000100583.76137.3E
更新日期:2003-12-01 00:00:00
abstract::Medical record review is increasing in importance as the need to identify and monitor utilization and quality of care problems grow. To conserve resources, reviews are usually performed on a subset of cases. If judgment is used to identify subgroups for review, this raises the following questions: How should subgroups...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND:In 1998, the Province of Ontario in Canada adopted price-cap "70/90" regulations whereby the first generic entrant was required to be priced at ≤70% of the associated brand-name product and subsequent generics were priced at ≤90% of the first generic price. The price-caps were further lowered to 50% in 2006 ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000577
更新日期:2016-09-01 00:00:00
abstract::This paper investigates the difficulties that people encounter in their attempt to obtain needed health services, other than their third-party coverage or lack of it. These problems can be temporal, geographic, attitudinal, or financial (even with insurance). A state-wide sample survey conducted in 1989 revealed that ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199405000-00001
更新日期:1994-05-01 00:00:00
abstract::Geriatric rehabilitation is a multidisciplinary set of evaluative, diagnostic, and therapeutic interventions whose purpose is to restore functional ability or enhance residual functional capability in elderly people with disabling impairments. The Boston Working Group on Improving Health Care Outcomes Through Geriatri...
journal_title:Medical care
pub_type:
doi:10.1097/00005650-199706001-00003
更新日期:1997-06-01 00:00:00
abstract:BACKGROUND:Prescription of new drugs contributes to substantial increases in annual drug expenditures. A small proportion of physicians appear to be early users of new prescription drugs and little is known about their characteristics. OBJECTIVE:To estimate the initial utilization rate of new prescription drugs among ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200308000-00004
更新日期:2003-08-01 00:00:00