A cost-effectiveness analysis of amniocentesis and chorionic villus sampling for prenatal genetic testing.

abstract：:The measurement of inpatient complications his received substantial attention in recent years because mortality rates and other outcome measures often appear unable to discriminate superior from inferior hospital care. Complication measurement holds out the promise of being more sensitive to variations in patient care...

journal_title：Medical care

authors： Brailer DJ,Kroch E,Pauly MV,Huang J

更新日期：1996-05-01 00:00:00

abstract：BACKGROUND:The medical record serves as an important source of information regarding the care process, but few studies have examined whether thoroughness of documentation is associated with outcomes. OBJECTIVE:The objectives of this study were to analyze the initial visit note for 513 patients presenting with acute mu...

journal_title：Medical care

authors： Solomon DH,Schaffer JL,Katz JN,Horsky J,Burdick E,Nadler E,Bates DW

更新日期：2000-04-01 00:00:00

abstract：BACKGROUND:Physician and patient gender both influence medical communication. Nonverbal behavior is generally under-researched in the medical encounter but plays an important role for patient outcomes such as satisfaction. OBJECTIVE:This article aims at identifying how specific physician nonverbal behaviors predict an...

journal_title：Medical care

authors： Mast MS,Hall JA,Köckner C,Choi E

更新日期：2008-12-01 00:00:00

abstract：BACKGROUND:Copayments (copays) for prescription drugs are a common policy among state Medicaid programs. Research exploring the effects of copays on pharmacy and health care utilization in Medicaid patients is limited, especially among patients with chronic disease. OBJECTIVES:The goal of this research was to quantify...

journal_title：Medical care

authors： Hartung DM,Carlson MJ,Kraemer DF,Haxby DG,Ketchum KL,Greenlick MR

更新日期：2008-06-01 00:00:00

abstract：BACKGROUND:Versus whites, blacks with diabetes have poorer control of hemoglobin A1c (HbA1c), higher systolic blood pressure (SBP), and higher low-density lipoprotein (LDL) cholesterol as well as higher rates of morbidity and microvascular complications. OBJECTIVE:To examine whether several mutable risk factors were m...

journal_title：Medical care

authors： Duru OK,Gerzoff RB,Selby JV,Brown AF,Ackermann RT,Karter AJ,Ross S,Steers N,Herman WH,Waitzfelder B,Mangione CM

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:Medication error occurring during the care of HIV-infected patients may lead to treatment failure, drug toxicity, or even death. OBJECTIVE:The objective of this study was to ascertain and confirm 5 categories of medication error in the care of HIV-infected patients. RESEARCH DESIGN:This study was a retrosp...

journal_title：Medical care

authors： DeLorenze GN,Follansbee SF,Nguyen DP,Klein DB,Horberg M,Quesenberry CP Jr,Blick NT,Tsai AL

更新日期：2005-09-01 00:00:00

abstract：OBJECTIVES:To estimate cost and outcomes of the Arthritis Foundation aquatic exercise classes from the societal perspective. DESIGN:Randomized trial of 20-week aquatic classes. Cost per quality-adjusted life year (QALY) gained was estimated using trial data. Sample size was based on 80% power to reject the null hypoth...

journal_title：Medical care

authors： Patrick DL,Ramsey SD,Spencer AC,Kinne S,Belza B,Topolski TD

更新日期：2001-05-01 00:00:00

abstract：BACKGROUND:A need exists for adapting existing perioperative risk stratification methods such as the Charlson Comorbidity Index (CCI) for application with hospital administrative data in noncardiac surgery populations. OBJECTIVE:Develop and validate outcome-specific CCIs for predicting inpatient mortality, and cardiac...

journal_title：Medical care

authors： Moodley Y

更新日期：2016-12-01 00:00:00

abstract：:Breast cancer is the most common neoplasm in North American women. The psychosocial impact of breast cancer has been extensively studied, and a number of investigators have attempted to characterize women who are at high risk for increased psychosocial morbidity. Although a detailed interview performed by a profession...

journal_title：Medical care

authors： Ganz PA,Hirji K,Sim MS,Schag CA,Fred C,Polinsky ML

更新日期：1993-05-01 00:00:00

abstract：:Acceptance by target populations of new programs funded by government is a phenomenon which one should be able to explain with existing innovation theory. In a study of a newly formed group health practice, funded in part by OEO, it is found that a commonly used set of predictors has little utility in explaining indi...

journal_title：Medical care

authors： Koontz VL

更新日期：1979-04-01 00:00:00

abstract：BACKGROUND:Acute health care utilization often occurs among persons experiencing homelessness. However, knowing which individuals will be persistent super-utilizers of acute care is less well understood. OBJECTIVE:The objective of the study was to identify those more likely to be persistent super-utilizers of acute ca...

journal_title：Medical care

authors： Szymkowiak D,Montgomery AE,Johnson EE,Manning T,O'Toole TP

更新日期：2017-10-01 00:00:00

abstract：BACKGROUND:Medicaid preferred drug lists (PDLs) might reduce costs for Medicaid programs while creating costs to physicians. OBJECTIVES:To measure the costs from complying with Medicaid PDLs for primary care physicians and cardiologists, and to quantify the costs of a hypothetical PDL for Medicare Part D. RESEARCH DE...

journal_title：Medical care

authors： Ketcham JD,Epstein AJ

更新日期：2008-01-01 00:00:00

abstract：:In recent years, employers, insurers, and government purchasers have paid increased attention to the measurement of patient outcomes and health status. Such interest is stimulated less by policy or quality concerns than by the need to reduce health care expenditures. Any expected benefits which might accrue from healt...

journal_title：Medical care

authors： Lansky D,Butler JB,Waller FT

更新日期：1992-05-01 00:00:00

abstract：OBJECTIVES:This paper presents a profile of the use of antipsychotic medications in the treatment of schizophrenia in a national health system. METHODS:Prescription drug records written for antipsychotic medications between June 1999 and September 1999 were collected for patients diagnosed with schizophrenia in the De...

journal_title：Medical care

authors： Leslie DL,Rosenheck RA

更新日期：2001-09-01 00:00:00

abstract：BACKGROUND:The Affordable Care Act allowed an optional Medicaid State Plan benefit for states to establish Health Homes coordinating care for people who have chronic conditions. Differences in medical home program incentives and implementation styles are important to understand in evaluating effects on key outcomes suc...

journal_title：Medical care

authors： Shane DM,Nguyen-Hoang P,Bentler SE,Damiano PC,Momany ET

更新日期：2016-08-01 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：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：BACKGROUND:Community-acquired pneumonia (CAP) is the most common infectious cause of death in the United States. To understand the effect of efforts to improve quality and efficiency of care in CAP, we examined the trends in mortality and costs among hospitalized CAP patients. METHODS:Using the National Inpatient Samp...

journal_title：Medical care

authors： Ruhnke GW,Coca-Perraillon M,Kitch BT,Cutler DM

更新日期：2010-12-01 00:00:00

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 s...

journal_title：Medical care

authors： Milgrom P,Whitney C,Conrad D,Fiset L,O'Hara D

更新日期：1995-08-01 00:00:00

abstract：:Lack of consensus about the treatment of low back pain is reflected by wide regional variations in lumbar spine surgery rates. Neck pain may be as common as low back pain, but there has been no similar evaluation of regional variation for the surgical treatment of neck pain. This report examines the geographic variati...

journal_title：Medical care

authors： Einstadter D,Kent DL,Fihn SD,Deyo RA

更新日期：1993-08-01 00:00:00

abstract：OBJECTIVES:The author highlights changes in hospital utilization that have occurred in association with restructuring of Ontario hospitals. The basic features of the epidemiology of hospital utilization described link the analysis of the organizational and structural components of hospitals with a more comprehensive ev...

journal_title：Medical care

authors： Anderson GM

更新日期：1997-10-01 00:00:00

abstract：:Data abstracted from transportation company records showed that nursing home patients made an average of 3.6 trips per year for care out of the nursing home. The bulk of this care (55 per cent) was provided at University Hospital with over a quarter provided at private physicians' offices and community health centers....

journal_title：Medical care

authors： Kane RL,Hammer D,Byrnes N

更新日期：1977-02-01 00:00:00

abstract：:Effective physician involvement in quality assurance in hospitals is necessary both to identify problems in patient care and to bring about problem resolution. This report describes a controlled, longitudinal study designed to measure effects on physician performance of involving physicians in setting medical audit cr...

journal_title：Medical care

authors： Sommers LS,Sholtz R,Shepherd RM,Starkweather DB

更新日期：1984-12-01 00:00:00

abstract：OBJECTIVES:Veterans Health Administration encourages auricular acupuncture (Battlefield Acupuncture/BFA) as a nonpharmacologic approach to pain management. Qualitative reports highlighted a "gateway hypothesis": providing BFA can lead to additional nonpharmacologic treatments. This analysis examines subsequent use of t...

journal_title：Medical care

authors： Thomas ER,Zeliadt SB,Coggeshall S,Gelman H,Resnick A,Giannitrapani K,Olson J,Kligler B,Taylor SL

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:Readmission and length of stay (LOS) are increasingly accepted as quality measures for surgical care. Centers for Medicare & Medicaid Services will soon assess penalties for excessive readmissions after coronary artery bypass graft (CABG) surgery and hip and knee replacements. OBJECTIVE:To determine and com...

journal_title：Medical care

authors： Sedrakyan A,Kamel H,Mao J,Ting H,Paul S

更新日期：2016-06-01 00:00:00

abstract：BACKGROUND:Little is known about how Medicare Part D affects the medication refill adherence for cardiovascular and diabetes medications, particularly among beneficiaries without prior drug coverage. OBJECTIVES:To evaluate Medicare Part D's effect on medication adherence among beneficiaries with hyperlipidemia, hypert...

journal_title：Medical care

authors： Zhang Y,Lave JR,Donohue JM,Fischer MA,Chernew ME,Newhouse JP

更新日期：2010-05-01 00:00:00

abstract：PURPOSE:Healthcare organizations have undergone major change efforts in the past decade. Sustained change is related to continued alignment among organizational participants and may fail with incongruent perceptions of change. This study identifies factors contributing to the alignment in perceptions of organizational ...

journal_title：Medical care

authors： Walston SL,Chou AF

更新日期：2006-09-01 00:00:00

abstract：:A prospective study was undertaken to characterize 2,000 patients attending a chiropractic teaching clinic and the effectiveness of the care they received. Fifty-two percent of the patients were between 21 and 34 years old; 41% categorized their occupation as professional and 14% as skilled blue collar; 79% presented ...

journal_title：Medical care

authors： Nyiendo J,Haldeman S

更新日期：1987-06-01 00:00:00

abstract：:Past research in continuity of medical care has generally examined its determinants or its consequences. A model is proposed which combines these lines of research and incorporates a continuity measure as a process and specifying variable. The validity of this model is tested with a set of data consisting of 1,410 per...

journal_title：Medical care

authors： Hennelly VD,Boxerman SB

更新日期：1979-10-01 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