Health care utilization: the effect of extending insurance to adults on Medicaid or uninsured.

abstract：BACKGROUND:The decision to perform orthopedic surgery requires substantial discretion and judgment. Similar conditions have been associated with health care disparities in other fields, but the extent of racial and ethnic disparities in orthopedics is unknown. OBJECTIVE:To evaluate the quality of extant orthopedic lit...

journal_title：Medical care

authors： Schoenfeld AJ,Tipirneni R,Nelson JH,Carpenter JE,Iwashyna TJ

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:The integration of complementary and alternative medicine (CAM) therapies into a large organization such as the Veterans Health Administration (VHA) requires cultural change and deliberate planning to ensure feasibility and buy-in from staff and patients. At present, there is limited knowledge of VHA patient...

journal_title：Medical care

authors： Fletcher CE,Mitchinson AR,Trumble EL,Hinshaw DB,Dusek JA

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Approximately 2.5 million Americans are admitted to the hospital after traumatic physical injury each year. Few investigations have elicited patients' perspectives regarding posttraumatic outcomes. OBJECTIVE:To identify and categorize physically injured trauma survivors' posttraumatic concerns. RESEARCH DE...

journal_title：Medical care

authors： Zatzick DF,Kang SM,Hinton WL,Kelly RH,Hilty DM,Franz CE,Le L,Kravitz RL

更新日期：2001-04-01 00:00:00

abstract：:The cost of obstetric care delivered in a cooperative care unit was compared with the cost for similar patients treated in a traditional inpatient maternity unit. The study sample contained 1,683 consecutive patients representing 23 diagnosis categories. The analysis indicates that cooperative care patients had signif...

journal_title：Medical care

authors： Woods JR,Saywell RM Jr,Benson JT

更新日期：1988-06-01 00:00:00

abstract：BACKGROUND:The Program of All-Inclusive Care for the Elderly (PACE) is an acute/long-term managed care plan designed to care for the most frail and vulnerable Medicare beneficiaries. To our knowledge, this is a first study to examine patterns and predictors of disenrollment from PACE. OBJECTIVE:PACE, with its comprehe...

journal_title：Medical care

authors： Temkin-Greener H,Bajorska A,Mukamel DB

更新日期：2006-01-01 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：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：:Substantial differences in the use of pediatric medical resources reinforce the need for identifying and understanding factors that influence the use of medical services for children. This research assesses the simultaneous impact of sociodemographic characteristics, health attitudes and beliefs, psychologic distress,...

journal_title：Medical care

authors： Horwitz SM,Morgenstern H,Berkman LF

更新日期：1985-08-01 00:00:00

abstract：BACKGROUND:Changes in the demographic, specialty, and employment sector composition of medicine have altered physicians' jobs, limiting autonomy and reducing morale. Because physician job satisfaction has been linked to clinical variables, better measurement might help to ameliorate conditions linked to medical disaffe...

journal_title：Medical care

authors： Konrad TR,Williams ES,Linzer M,McMurray J,Pathman DE,Gerrity M,Schwartz MD,Scheckler WE,Van Kirk J,Rhodes E,Douglas J

更新日期：1999-11-01 00:00:00

abstract：BACKGROUND:Among patients with type 2 diabetes, it is not known whether risk factor control is better or worse for those who also have heart disease, depression, multiple other comorbidities, and associated management challenges. OBJECTIVE:To examine the relationship between this complex constellation of multimorbidit...

journal_title：Medical care

authors： Malik S,Billimek J,Greenfield S,Sorkin DH,Ngo-Metzger Q,Kaplan SH

更新日期：2013-02-01 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：:The Seattle Prepaid Health Care Evaluation Project is a comparative study designed to assess the care received by persons enrolled in either a large prepaid group practice (PGP) or in a prepaid, independent practice setting in which physicians are reimbursed on a fee-for-service basis (IPP). As part of the study we as...

journal_title：Medical care

authors： LoGerfo JP,Efird RA,Diehr PK,Richardson WC

更新日期：1979-01-01 00:00:00

abstract：BACKGROUND:Numerous studies have examined the impacts of pay-for-performance programs, yet little is known about their long-term effects on health care expenses. OBJECTIVES:This study aimed to examine the long-term effects of a pay-for-performance program for diabetes care on health care utilization and expenses. MET...

journal_title：Medical care

authors： Cheng SH,Lee TT,Chen CC

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVES:This article compares a linear risk-adjusted model of medical expenditures for Medicare patients with a model that explicitly account for skewness in distribution of expenditures. METHODS:A model of expenditures and a model of the square root of expenditures, each expressed as linear combinations of risk ad...

journal_title：Medical care

authors： Veazie PJ,Manning WG,Kane RL

更新日期：2003-06-01 00:00:00

abstract：:This study of patient and bystander responses to medical emergencies revealed serious shortcomings in the public's ability to respond appropriately to such situations. Decision delays at least as long as ambulance response delays were found to be the result of confusion regarding the seriousness of the emergency, conf...

journal_title：Medical care

authors： Mogielnicki RP,Stevenson KA,Willemain TR

更新日期：1975-09-01 00:00:00

abstract：:Nurse anesthetists (CRNAs) are a lower cost substitute for anesthesiologists in the delivery of anesthesia services. This article addresses the question of when anesthesiologists delegate in a team approach as opposed to using a solo arrangement. Logistic regression analysis was done using data from the 1986 Anesthesi...

journal_title：Medical care

authors： Rosenbach ML,Cromwell J

更新日期：1989-05-01 00:00:00

abstract：:In the Seattle Prepaid Health Care Project, we studied medical records and claims information for all 97 children undergoing tonsillectomy and/or adenoidectomy in an independent practice plan from February 1971, through January 1975. Overall only 32 per cent of the procedures met commonly promulgated indications of su...

journal_title：Medical care

authors： LoGerfo JP,Dynes IM,Frost F,Diehr PK,Richardson WC

更新日期：1978-11-01 00:00:00

abstract：BACKGROUND:Once just a small part of the Medicare program, private managed care plans now cover over one-third of all Medicare beneficiaries and cost the Federal government ~$210 billion each year. Importantly, the evolution of Medicare managed care policy has been far from linear; for several decades there have been d...

journal_title：Medical care

authors： Adrion ER

更新日期：2020-03-01 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

authors： Chyka PA,Somes GW

更新日期：2001-07-01 00:00:00

abstract：BACKGROUND:There are currently no Medicare claims-based algorithms to identify patients receiving nursing home care (NHC). This constitutes an important limitation in outcome studies using population-based data. OBJECTIVES:To assess the ability of claims data to identify patients receiving NHC, using the nursing home ...

journal_title：Medical care

authors： Koroukian SM,Xu F,Murray P

更新日期：2008-11-01 00:00:00

abstract：:The present research was designed to identify psychosocial correlates of adherence among patients receiving hemodialysis at two outpatient clinics. The 116 participants were interviewed concerning their knowledge of treatment, health beliefs, treatment history, social support, personal characteristics, and adherence t...

journal_title：Medical care

authors： Cummings KM,Becker MH,Kirscht JP,Levin NW

更新日期：1982-06-01 00:00:00

abstract：BACKGROUND:Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement. OBJECTIVE:To examine whether various nursing hours measures yield different mo...

journal_title：Medical care

authors： Park SH,Blegen MA,Spetz J,Chapman SA,De Groot HA

更新日期：2015-01-01 00:00:00

abstract：OBJECTIVES:This study examined factors that affect access to Veterans Administration mental health services. METHODS:Data from national Veterans Affairs databases and the 1990 Decennial Census were used to estimate rates of Veterans Affairs mental health service use in each US county (n = 3,156) among all US veterans ...

journal_title：Medical care

authors： Rosenheck R,Stolar M

更新日期：1998-04-01 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

authors： Oxman TE,Korsen N,Hartley D,Sengupta A,Bartels S,Forester B

更新日期：2000-07-01 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

authors： Yakusheva O,Costa DK,Weiss M

更新日期：2017-04-01 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: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:Fried and colleagues described a frailty phenotype measured in the Cardiovascular Health Study (CHS). This phenotype is manifest when ≥3 of the following are present: low grip strength, low energy, slowed waking speed, low physical activity, or unintentional weight loss. We sought to approximate frailty phen...

journal_title：Medical care

authors： Segal JB,Chang H-Y,Du Y,Walston JD,Carlson MC,Varadhan R

更新日期：2017-07-01 00:00:00

abstract：:Previous research has neglected to delineate pediatric nurse practitioner (PNP) roles in tertiary care settings (TCS). New PNP roles have developed as TCS seek cost-effective solutions to providing quality patient care and to meeting new demands for outpatient care. The authors evaluated the roles of 11 PNPs in eight ...

journal_title：Medical care

authors： Cruikshank BM,Clow TJ,Seals B

更新日期：1986-04-01 00:00:00

abstract：OBJECTIVE:To identify consistent provision of clinical preventive services, we sought to benchmark all acute care Veterans Affairs Medical Centers (VAMCs) against each other nationally on the basis of multiple evidence-based, performance measures to identify facilities performing consistently higher and lower than expe...

journal_title：Medical care

authors： Doebbeling BN,Vaughn TE,Woolson RF,Peloso PM,Ward MM,Letuchy E,BootsMiller BJ,Tripp-Reimer T,Branch LG

更新日期：2002-06-01 00:00:00