Beyond the uninsured: problems in access to care.

abstract：BACKGROUND:In Ontario, Canada, the 70/90 regulations were instituted in May 1993 to establish provincial government procurement prices for generic drugs. Accordingly, the first generic entrant's price could not exceed 70% of the incumbent's branded price. Subsequent entrants' prices could not exceed 90% of the first en...

journal_title：Medical care

authors： Anis AH,Guh DP,Woolcott J

更新日期：2003-01-01 00:00:00

abstract：:The primary aim of this paper is to examine the impact of mergers on the performance of hospitals. The study tests the null hypothesis that no significant differences exist in efficiency and effectiveness between hospitals that merge and those which remain independent entities. The performance evaluation model follows...

journal_title：Medical care

authors： Treat TF

更新日期：1976-03-01 00:00:00

abstract：:This study, based on household interviews of employed individuals and their families, examines the effects of type of health insurance program and various sociodemographic factors on patterns of use of preventive medical services. A major concern of the paper is to explore the issue of whether participants in prepaid ...

journal_title：Medical care

authors： Slesinger DP,Tessler RC,Mechanic D

更新日期：1976-05-01 00:00:00

abstract：:Earlier studies have established substantial gender differences in the likelihood of obtaining a psychotropic drug prescription, and a correlation, especially among women, with such family characteristics as family responsibilities, marital separation, divorce or widowhood, and the presence of family stressors such as...

journal_title：Medical care

authors： Cafferata GL,Meyers SM

更新日期：1990-04-01 00:00:00

abstract：:The health care left-a traditional source of critique and reform-has become intellectually less competent and politically less effective in carrying out its historic role in the continuing great debate over health policies and programs. Its credibility has diminished in recent years as it has come to operate on a seri...

journal_title：Medical care

authors： Bellin LE

更新日期：1980-09-01 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

authors： Rodriguez JA,Davis RB,Percac-Lima S

更新日期：2019-06-01 00:00:00

abstract：BACKGROUND:Health plans commonly face the conflicting demands of trying to provide access to novel technologies, including new classes of medications, while trying to contain costs. These demands are particularly acute for California's Medicaid program, known as Medi-Cal, which is responsible for delivery of medical ca...

journal_title：Medical care

authors： Croghan TW,Johnstone BM,Buesching DP,Kessler RC

更新日期：1999-04-01 00:00:00

abstract：:This study developed an index of physician hospitalization practice style distinguishing physicians more prone to hospitalize patients from physicians less prone to hospitalize. The patients of physicians with markedly differing hospitalization styles are shown to be similar in such important characteristics as age, a...

journal_title：Medical care

authors： Roos NP

更新日期：1989-10-01 00:00:00

abstract：BACKGROUND:In response to the growing concern about healthcare-associated infections (HAIs), US Department of Health and Human Services (HHS) developed the National Action Plan to Prevent Healthcare-associated Infections. A key focus of the Action Plan is the setting of HAI metrics and targets and the enhancement and d...

journal_title：Medical care

authors： Weinberg DA,Kahn KL

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Rural health care workforce forecasting has not included adjustments for predictable changes in practice patterns, such as the introduction of practice guidelines. PURPOSE:To estimate the impact of a practice guideline for a single health condition on the needs of a rural health professional workforce. MET...

journal_title：Medical care

authors： Yawn BP,Casey M,Hebert P

更新日期：1999-03-01 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：:The second phase of the ADHC Evaluation Study was designed to assess ADHC provided under contract by community ADHC programs. Outcomes for the 163 patients enrolled in this prospective cohort evaluation were compared with those of patients assigned to ADHC provided directly by VA (VA-ADHC) and customary care in the ra...

journal_title：Medical care

authors： Rothman ML,Diehr P,Hedrick SC,Erdly WW,Nickinovich DG

更新日期：1993-09-01 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

authors：

更新日期：1997-06-01 00:00:00

abstract：BACKGROUND:Although mental disorders constitute a significant public health problem in military populations, little is known about whether military members seek mental health treatment in a timely manner. OBJECTIVE:The objective of this study was to examine delays in making the initial treatment contact for various me...

journal_title：Medical care

authors： Fikretoglu D,Liu A,Pedlar D,Brunet A

更新日期：2010-01-01 00:00:00

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：BACKGROUND:Although individuals' health insurance coverage changes frequently, previous analyses have not accounted for changes in insurance coverage over time. OBJECTIVE:We sought to determine the independent association between lack of insurance and the risk of a decline in self-reported overall health and death fro...

journal_title：Medical care

authors： Baker DW,Sudano JJ,Durazo-Arvizu R,Feinglass J,Witt WP,Thompson J

更新日期：2006-03-01 00:00:00

abstract：:Issues that arise in the development of methods for measuring adequacy of physician performance (MAPP) are discussed. The comparative content validity, scorability, cost, and acceptability of four MAPP strategies are assessed using a sample of clinic-based physicians treating 30 patients with chronic obstructive pulmo...

journal_title：Medical care

authors： Kemeny ME,Hargreaves WA,Gerbert B,Stone GC,Gullion DS

更新日期：1984-07-01 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：BACKGROUND:Assessing accuracy and completeness of data is an important component of conducting research. VA Healthcare System benefits from a highly developed electronic medical information system. The Immunology Case Registry was designed to monitor costs and quality of HIV care. The Decision Support System was develo...

journal_title：Medical care

authors： McGinnis KA,Skanderson M,Levin FL,Brandt C,Erdos J,Justice AC

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:Data suggest that differences in patient preferences may account for racial disparities in the use of medical interventions. Racial disparities have also been noted in outcomes and the delivery of healthcare services in chronic disease. Whether treatment preferences in chronic disease differ by race is not k...

journal_title：Medical care

authors： Constantinescu F,Goucher S,Weinstein A,Fraenkel L

更新日期：2009-03-01 00:00:00

abstract：:The federal Omnibus Budget Reconciliation Act of 1981 (OBRA) produced substantial changes in the Aid to Families With Dependent Children (AFDC) program. The main effect of the changes has been the denial of assistance and hence Medicaid coverage to many AFDC recipients with jobs. Our analysis of the health care and in...

journal_title：Medical care

authors： Moscovice I,Davidson G

更新日期：1987-05-01 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:Econometric modeling of healthcare costs and expenditures has become an important component of decision-making across a wide array of real-world settings. OBJECTIVES:The objective of this article is to provide a brief summary of important conceptual and analytical issues involved in econometric healthcare c...

journal_title：Medical care

authors： Mullahy J

更新日期：2009-07-01 00:00:00

abstract：:It is well-documented that ratings of medical care received personally (personal referent) yield more favorable responses than ratings of care received by people in general (general referent). Hence general items are useful in achieving greater variation in responses to satisfaction surveys. However, the validity of g...

journal_title：Medical care

authors： Hays RD,Ware JE Jr

更新日期：1986-06-01 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：:An interest in using nosocomial infection rates as an outcome measure to reflect quality of care in hospitals prompted us to consider factors in addition to quality that influence these rates. Approximately one third of nosocomial infections are potentially preventable, and changes in this "preventable" stratum of inf...

journal_title：Medical care

authors： Larson E,Oram LF,Hedrick E

更新日期：1988-07-01 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：BACKGROUND:Several quality assessment systems use administrative data to identify postoperative complications, with uncertain validity. OBJECTIVES:To determine how accurately postoperative complications are reported in administrative data, whether accuracy varies systematically across hospitals, and whether serious co...

journal_title：Medical care

authors： Romano PS,Chan BK,Schembri ME,Rainwater JA

更新日期：2002-10-01 00:00:00

abstract：BACKGROUND:Conceptual equivalence of measures is essential in research that compares health across diverse racial/ethnic groups. Cognitive interviews are pretest methods to explore the conceptual equivalence of survey items. Systematic approaches for using these methods are emerging. OBJECTIVE:We describe an interacti...

journal_title：Medical care

authors： Nápoles-Springer AM,Santoyo-Olsson J,O'Brien H,Stewart AL

更新日期：2006-11-01 00:00:00

abstract：OBJECTIVE:This study uses empirical data to study changes in the structure and use of HMO hospital provider networks in California. STUDY DESIGN:Data from California HMOs are used to test whether there have been structural changes in HMO size, geographic coverage, hospital network design, and patient channeling for in...

journal_title：Medical care

authors： Melnick GA,Ketcham JD

更新日期：2008-03-01 00:00:00