Physician decision making and variation in hospital admission rates for suspected acute cardiac ischemia. A tale of two towns.

abstract：:This article analyzes reported data on length of stay of discharged patients from the 1977 National Nursing Home Survey. Assuming that patients admitted to nursing homes are one of two types, short-stayers and long-stayers, the statistically best-fitting proportions and expected lengths of stay for the two types are d...

journal_title：Medical care

authors： Keeler EB,Kane RL,Solomon DH

更新日期：1981-03-01 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：: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

authors： Slee VN

更新日期：1976-05-01 00:00:00

abstract：BACKGROUND:The Veterans Choice Program (VCP) was launched in 2014 to address the growing concerns about the timeliness and quality of Veterans Health Administration (VHA) care. Given that many sex-specific health services, such as mammography and maternity care, are not routinely provided in all VHA facilities, women V...

journal_title：Medical care

authors： Mattocks KM,Yano EM,Brown A,Casares J,Bastian L

更新日期：2018-07-01 00:00:00

abstract：CONTEXT:Small studies suggest that the quality of healthcare provided to older patients needs improvement. However, measuring the quality of care for larger groups of older adults is difficult. OBJECTIVE:To measure the quality of care in a community-dwelling vulnerable geriatric population using administrative data to...

journal_title：Medical care

authors： Zingmond DS,Wilber KH,Maclean CH,Wenger NS

更新日期：2007-10-01 00:00:00

abstract：:While Preferred Provider Organizations (PPOs) are designed to contain the costs of health care, they may not be able to do so if sicker individuals opt not to use PPO providers. This study examined how level of mental health status and prior use of mental health services affected the decision to use or not use PPO pro...

journal_title：Medical care

authors： Wells KB,Marquis MS,Hosek SD

更新日期：1991-09-01 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：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

authors： Mulhern BJ,Bansback N,Norman R,Brazier J,SF-6Dv2 International Project Group.

更新日期：2020-06-01 00:00:00

abstract：:In 1961, Group Health Association, a large, non-hospital based, prepaid group practice in Washington, D.C. established an after-hours walk-in clinic on its premises for the care of medical problems requiring prompt attention. Within a year, this clinic's operation was extended to daytime hours for the use of the consu...

journal_title：Medical care

authors： Turner RW

更新日期：1978-05-01 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：:This study examines evidence of market segmentation on the basis of patients' insurance status, demographic characteristics, and medical condition in selected local markets in California in the years 1983 and 1989. Substantial differences exist in the probability patients may be admitted to particular hospitals based ...

journal_title：Medical care

authors： Dranove D,White WD,Wu L

更新日期：1993-01-01 00:00:00

abstract：:The authors of this study examine temporal patterns of medical expenditures by Medicare beneficiaries. A random sample of 204,917 individuals who were alive and in the program from 1974 to 1977 was investigated. Individuals hospitalized in 1974 were found to have twice the rate of hospitalization in 1975, 1976, or 197...

journal_title：Medical care

authors： Anderson G,Knickman JR

更新日期：1984-02-01 00:00:00

abstract：OBJECTIVES:The authors identify demographic and clinical characteristics associated with noncompliance in patients beginning medical therapy for the treatment of glaucoma in a managed care setting. METHODS:The authors describe a retrospective cohort study in a group-model health maintenance organization in Massachuset...

journal_title：Medical care

authors： Gurwitz JH,Yeomans SM,Glynn RJ,Lewis BE,Levin R,Avorn J

更新日期：1998-03-01 00:00:00

abstract：BACKGROUND:The practice of ordering "Do-Not-Resuscitate" (DNR) varies across hospitals. No research has explored how the DNR variation would affect cross-institutional performance reporting when DNR status is used as a risk adjustor. OBJECTIVE:We sought to assess the impact of DNR variation on performance reporting. ...

journal_title：Medical care

authors： Tabak YP,Johannes RS,Silber JH,Kurtz SG

更新日期：2005-07-01 00:00:00

abstract：:Sixty-eight interviews of hospitalized patients by freshmen medical students were examined for common response patterns. Response profiles were constructed for each medical student and subjected to cluster analysis. Four common response patterns were identified: Questioning Facilitators, Declaring Facilitators, Elabor...

journal_title：Medical care

authors： Brent EE,Beckett DE

更新日期：1986-11-01 00:00:00

abstract：BACKGROUND:Functional limitations of persons living with HIV affect their care needs and ability to perform social roles such as employment. Earlier estimates are outdated, and nationally representative estimates of prevalence and distribution of these limitations have not previously been available. OBJECTIVES:The obj...

journal_title：Medical care

authors： Crystal S,Fleishman JA,Hays RD,Shapiro MF,Bozzette SA

更新日期：2000-12-01 00:00:00

abstract：RATIONALE:Moving patients from low-performing hospitals to high-performing hospitals may improve patient outcomes. These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival. OBJECTIVE:To characterize the existing critical care n...

journal_title：Medical care

authors： Iwashyna TJ,Christie JD,Moody J,Kahn JM,Asch DA

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Patients with depression use more health services than patients without depression. However, when depression symptoms respond to treatment, use of health services declines. Most depression quality improvement studies increase total cost in the short run, which if unevenly distributed across stakeholders, cou...

journal_title：Medical care

authors： Fortney JC,Maciejewski ML,Tripathi SP,Deen TL,Pyne JM

更新日期：2011-09-01 00:00:00

abstract：:It is generally agreed that patients have a right to be adequately informed. However, little is known about the extent to which doctors and patients agree about information that should be disclosed. We studied what patients want to know, as contrasted with what physicians report actually disclosing, in a population of...

journal_title：Medical care

authors： Faden RR,Becker C,Lewis C,Freeman J,Faden AI

更新日期：1981-07-01 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：:The ability of a medical self-care program to have an impact on the utilization and cost of in-clinic and referral visits in a prepaid group practice was studied by following the medical encounter records of 900 HMO members in 217 families during a 12-month period. A control group selected by randomization after accep...

journal_title：Medical care

authors： Kemper DW

更新日期：1982-07-01 00:00:00

abstract：BACKGROUND:The relationship between psychiatric consultation and antipsychotic prescribing in nursing homes (NH) is unknown. OBJECTIVE:To identify the association between psychiatric consultant groups and NH-level antipsychotic prescribing after adjustment for resident case-mix and facility characteristics. RESEARCH ...

journal_title：Medical care

authors： Tjia J,Field T,Lemay C,Mazor K,Pandolfi M,Spenard A,Ho SY,Kanaan A,Donovan J,Gurwitz JH,Briesacher B

更新日期：2014-03-01 00:00:00

abstract：BACKGROUND:Continuity of the relationship between patients and primary care providers (PCPs) is an important component of care from the consumer perspective that may be affected by variation in cost containment strategies within managed care. OBJECTIVE:To evaluate the effects of cost containment strategies on the cont...

journal_title：Medical care

authors： Meredith LS,Sturm R,Camp P,Wells KB

更新日期：2001-10-01 00:00:00

abstract：BACKGROUND:Although patients readmitted to intensive care units (ICUs) typically have poor outcomes, ICU readmission rates have not been studied as a measure of hospital performance. OBJECTIVES:To determine variation in ICU readmission rates across hospitals and associations of readmission rates with other ICU-based m...

journal_title：Medical care

authors： Cooper GS,Sirio CA,Rotondi AJ,Shepardson LB,Rosenthal GE

更新日期：1999-04-01 00:00:00

abstract：:New drugs and other medical advances in organ transplantation are expected to increase the rate of retention of transplanted kidneys, or grafts, and therefore also raise patient survival rates. In particular, the immunosuppressive drug cyclosporine has been found to reduce the likelihood of rejection of a transplanted...

journal_title：Medical care

authors： Ruth RJ,Wyszewianski L,Campbell DA

更新日期：1987-03-01 00:00:00

abstract：BACKGROUND:Trend analyses of opioid-related inpatient stays depend on the availability of comparable data over time. In October 2015, the US transitioned diagnosis coding from International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) to ICD-10-CM, increasing from ∼14,000 to 68,000 codes...

journal_title：Medical care

authors： Heslin KC,Owens PL,Karaca Z,Barrett ML,Moore BJ,Elixhauser A

更新日期：2017-11-01 00:00:00

abstract：BACKGROUND:Decades-long efforts to require parity between behavioral and physical health insurance coverage culminated in the comprehensive federal Mental Health Parity and Addiction Equity Act. OBJECTIVES:To determine the association between federal parity and changes in mental health care utilization and spending, p...

journal_title：Medical care

authors： Haffajee RL,Mello MM,Zhang F,Busch AB,Zaslavsky AM,Wharam JF

更新日期：2019-04-01 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：BACKGROUND:Complex health care interventions involve multiple distinct elements that contribute to their functioning. Conducting systematic reviews of complex interventions has substantial challenges. Although methodological guidance exists, less is known about the practical strategies and approaches undertaken by syst...

journal_title：Medical care

authors： Wilt TJ,Greer N,Duan-Porter W

更新日期：2019-10-01 00:00:00

abstract：:The increased demand for health status measures in evaluating medical interventions has increased the importance of clarifying when to use generic versus disease-specific health status measures. The authors compared the performance of a well known generic health status measure, the Sickness Impact Profile (SIP), and a...

journal_title：Medical care

authors： Damiano AM,Steinberg EP,Cassard SD,Bass EB,Diener-West M,Legro MW,Tielsch J,Schein OD,Javitt J,Kolb M

更新日期：1995-04-01 00:00:00