Lifetime patterns of payment for nursing home care.

abstract：OBJECTIVE:To examine longitudinal changes in Medicare-eligible veterans' reliance on the Department of Veterans Affairs (VA) healthcare system for primary and specialty care over 4 years. METHODS:We merged VA administrative and Medicare claims data to examine outpatient use during fiscal years (FY) 2001 to 2004 by 15,...

journal_title：Medical care

authors： Liu CF,Manning WG,Burgess JF Jr,Hebert PL,Bryson CL,Fortney J,Perkins M,Sharp ND,Maciejewski ML

更新日期：2011-10-01 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

authors： Flood AB,Scott WR,Ewy W

更新日期：1984-02-01 00:00:00

abstract：BACKGROUND:There is growing attention given to the spiritual needs of dying patients and long-term care (LTC) facilities are common settings in which patients receive care as they approach death. OBJECTIVES:To describe the sources of support, the structure and processes of spiritual care in LTC, and examine the relati...

journal_title：Medical care

authors： Daaleman TP,Williams CS,Hamilton VL,Zimmerman S

更新日期：2008-01-01 00:00:00

abstract：:Current efforts to contain health care costs include a variety of strategies aimed at the users of health services. These approaches attempt to encourage users to be more cost-conscious and to shop for lower-cost services and more efficient health care plans. The primary method for achieving this is by increasing the ...

journal_title：Medical care

authors： Hibbard JH,Weeks EC

更新日期：1987-11-01 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

authors： Crain AL,Solberg LI,Unützer J,Ohnsorg KA,Maciosek MV,Whitebird RR,Beck A,Molitor BA

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:Traumatic brain injury (TBI) is a serious public health problem in the United States. Each year, TBIs substantially contribute to health care costs, which vary by severity. This is important to consider given the variability in recovery time by severity. RESEARCH DESIGN:This study quantifies the annual incr...

journal_title：Medical care

authors： Miller GF,DePadilla L,Xu L

更新日期：2021-01-28 00:00:00

abstract：OBJECTIVE:In the United States, data on transplanted and waitlisted patients collected by the Organ Procurement and Transplantation Network (OPTN) have been widely used in transplantation research. Administrative claims data, collected by health plans for reimbursement purposes, are also commonly used in health-service...

journal_title：Medical care

authors： Gilmore AS,Helderman JH,Ricci JF,Ryskina KL,Feng S,Kang N,Legorreta AP

更新日期：2007-06-01 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：: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

authors： Page WF

更新日期：1982-03-01 00:00:00

abstract：BACKGROUND:A requirement of the Arkansas Medicaid Section 1115 demonstration waiver was to evaluate the level of care received for Medicaid expansion eligible beneficiaries enrolled in commercial Qualified Health Plans (QHPs) in the Health Care Independence "Private Option" Program. This allowed for a direct comparison...

journal_title：Medical care

authors： Goudie A,Martin B,Li C,Lewis K,Han X,Kathe N,Wilson JC,Thompson J

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES:To assess the impact of a state policy implemented in June 2010 that required prospect...

journal_title：Medical care

authors： Graves JM,Fulton-Kehoe D,Jarvik JG,Franklin GM

更新日期：2018-06-01 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

authors： Lemke KW,Weiner JP,Clark JM

更新日期：2012-02-01 00:00:00

abstract：:Current health care system reform proposals center on reducing the number of uninsured by extending private health insurance coverage. Discussion has also included enrolling Medicaid recipients in private programs. Much of the deliberation concerning extending coverage has centered on cost, but largely has not address...

journal_title：Medical care

authors： Hahn B

更新日期：1994-03-01 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：OBJECTIVES:The authors study the relationship between people's sense of community and problems they experience with the health-care system, specifically problems related to cost, access, provider choice, and satisfaction. METHODS:Data from a 1993 Florida poll (n = 1202) was used to conduct a multinomial logit analysis...

journal_title：Medical care

authors： Ahern MM,Hendryx MS,Siddharthan K

更新日期：1996-09-01 00:00:00

abstract：BACKGROUND:Demand for surgical treatment is rising while operating room (OR) resources are limited. Requests for more resources therefore can only be partly met by repartitioning the existing sparse resources. OBJECTIVE:Our goal is to define a method to allocate OR block times among surgical disciplines in such a way ...

journal_title：Medical care

authors： Vansteenkiste N,Lamote C,Vandersmissen J,Luysmans P,Monnens P,De Voldere G,Kips J,Rademakers FE

更新日期：2012-09-01 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

authors： Haines T,Kuys SS,Morrison G,Clarke J,Bew P

更新日期：2009-04-01 00:00:00

abstract：:A factorial design randomized controlled trial to test several clinically feasible strategies primary-care practitioners may use in routine practice to increase patient participation in occult blood testing for colorectal cancer is reported. Three compliance-enhancing intervention strategies (physician/nurse talk, and...

journal_title：Medical care

authors： Thompson RS,Michnich ME,Gray J,Friedlander L,Gilson B

更新日期：1986-10-01 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：:The authors tested the "uncertainty hypothesis," which holds that variations in rates of hospitalization or surgeries across small geographic areas reflect differences in physicians' decision making when confronting uncertainty. A small-areas variation analysis of suspected acute cardiac ischemia (ACI) admissions in n...

journal_title：Medical care

authors： Green LA,Becker MP

更新日期：1994-11-01 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

authors： Morisky DE,Green LW,Levine DM

更新日期：1986-01-01 00:00:00

abstract：BACKGROUND:As Medicaid clients have come to be enrolled in managed care, concerns have arisen about the ability of private sector systems to meet the needs of enrollees with substance abuse problems. OBJECTIVES:This project describes treatment initiation and duration for Medicaid and commercial substance abuse treatme...

journal_title：Medical care

authors： McFarland BH,Lynch FL,Freeborn DK,Green CA,Polen MR,Deck DD,Dickinson DM

更新日期：2006-06-01 00:00:00

abstract：:The association of underutilization of drugs prescribed for the treatment of hypertension and acute-care hospital readmissions was evaluated. The data base consisted of computerized hospitalization records and computerized out-patient pharmacy records, checked by chart audit for validity. The number of days' supply of...

journal_title：Medical care

authors： Maronde RF,Chan LS,Larsen FJ,Strandberg LR,Laventurier MF,Sullivan SR

更新日期：1989-12-01 00:00:00

abstract：BACKGROUND:Eliminating barriers to care is important for improving health service use. However, the barriers to mental health care have not been well investigated. OBJECTIVES:This study was designed to provide information about the barriers to mental health service use and to identify clinical factors associated with ...

journal_title：Medical care

authors： Wang J

更新日期：2006-02-01 00:00:00

abstract：OBJECTIVES:Various individual characteristics increase a nursing home resident's likelihood of being mechanically restrained. However, there is not good information on the role played by facility characteristics and geographic area in determining the likelihood of physical restraint use. This study investigates the imp...

journal_title：Medical care

authors： Phillips CD,Hawes C,Mor V,Fries BE,Morris JN,Nennstiel ME

更新日期：1996-11-01 00:00:00

abstract：OBJECTIVE:Emergency departments (ED) were on the front lines for possible cases of transmission during the severe acute respiratory syndrome (SARS) epidemic. The purpose of this study was to investigate the impact of the SARS catastrophe on an urban ED. METHODS:The patients' characteristics in an urban ED were collect...

journal_title：Medical care

authors： Chen WK,Cheng YC,Chung YT,Lin CC

更新日期：2005-02-01 00:00:00

abstract：BACKGROUND/OBJECTIVE:Patients with multiple chronic conditions (MCCs) are a critical but undefined group for quality measurement. We present a generally applicable systematic approach to defining an MCC cohort of Medicare fee-for-service beneficiaries that we developed for a national quality measure, risk-standardized ...

journal_title：Medical care

authors： Drye EE,Altaf FK,Lipska KJ,Spatz ES,Montague JA,Bao H,Parzynski CS,Ross JS,Bernheim SM,Krumholz HM,Lin Z

更新日期：2018-02-01 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：: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: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

authors： Wu WY,Chen JJ,Shih A

更新日期：2006-12-01 00:00:00