Abstract:
:Patient care classification in Canada in the past has been largely dictated by insurance coverage and the fiscal policies of the individual provinces. In recent years, however, the Canadian Department of Health and Welfare has been promoting the development of a standard patient care classification based on assessment of client or patient needs in regard to the category, type, and level of care. Experimentation with the proposed classification system in several provinces confirms the need in long-term care to include assessment of nursing requirements, physical functioning, and psychosocial assets and liabilities, and points to the importance of using such a classification for planning and evaluating patient care as well as for administrative purposes.
journal_name
Med Carejournal_title
Medical careauthors
MacDonell JAdoi
10.1097/00005650-197605001-00021subject
Has Abstractpub_date
1976-05-01 00:00:00pages
134-7issue
5 Suppleissn
0025-7079issn
1537-1948journal_volume
14pub_type
杂志文章相关文献
MEDICAL CARE文献大全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
pub_type: 杂志文章
doi:10.1097/01.mlr.0000220692.39762.bf
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Researchers need valid methods to assess whether patients are taking their antidepressant medications. Two important sources of data on drug exposure are patients' self-reports and pharmacy claims. OBJECTIVE:To compare self-report and claims data for antidepressant exposure. RESEARCH DESIGN:Cross-sectional...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000053019.79054.B6
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVES:The present study evaluated alternative patient classification systems for skilled nursing facility and rehabilitation facility patients. METHODS:Medicare patients were selected from a random sample of 27 rehabilitation facilities and 65 skilled nursing facilities participating in a national longitudinal st...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199805000-00009
更新日期:1998-05-01 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
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-198501000-00003
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVE:We sought to quantify Veterans Health Administration (VA) patients' utilization of coronary revascularization in the private sector and to assess the potential impact of directing this care to high-performance hospitals. METHODS:Using VA and New York State administrative and clinical databases, we conducted ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000215888.20004.5e
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:Use of antepartum tests of fetal well-being is widespread even though effectiveness in preventing fetal damage or stillbirth has not been established. The study objective was to examine whether aggressive use of these tests might contribute to increased rates of other birth outcomes, including low birth weig...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199701000-00002
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Multiple claims-based proxy measures of poor function have been developed to address confounding in observational studies of drug effects in older adults. We evaluated agreement between these measures and their associations with treatment receipt and mortality in a cohort of older colon cancer patients. MET...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001073
更新日期:2019-04-01 00:00:00
abstract::Previous research has estimated the effect of children's health care needs on women's market and nonmarket roles. This article reports the results of a study on the impact of health care for disabled children on women's nonmarket work. (Effects on women's market work are reported elsewhere.) Data from 369 families of ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198306000-00004
更新日期:1983-06-01 00:00:00
abstract:BACKGROUND:A prerequisite for using administrative data to study the care of critically ill patients in intensive care units (ICUs) is that it accurately identifies such care. Only limited data exist on this subject. OBJECTIVE:To assess the accuracy of administrative data in the Canadian province of Manitoba for ident...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318245a754
更新日期:2012-03-01 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
pub_type: 杂志文章
doi:10.1097/01.MLR.0000065127.88685.7D
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND:Although the life expectancy for the US population has increased, a high proportion of this population has lived with ≥1 chronic conditions. We have quantified the burden of disease associated with 15 chronic conditions and combinations of conditions by estimating quality-adjusted life years (QALYs) for olde...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000943
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Emergency Department (ED) boarding threatens patient safety. It is unclear whether boarding differentially affects patients admitted to intensive care units (ICUs) versus non-ICU settings. RESEARCH DESIGN AND SUBJECTS:We performed a 2-hospital, 18-month, cross-sectional, observational, descriptive study of ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000902
更新日期:2018-05-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000670
更新日期:2017-04-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817d69c2
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To assess the effects on overall self-rated health of the broad range of symptoms and impairments that are routinely asked about in national surveys. DATA:We use data from adults in the nationally representative Medical Expenditure Panel Survey (MEPS) 2002 with validation in an independent sample from MEPS 2...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318179199f
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Black prostate cancer patients are less likely to receive aggressive therapy (AT) than Whites: reported rates for patients ≥ 65 years old are about 55% versus 65%. Little is known about treatment rates in socioeconomically deprived states with large Black populations like Alabama. STUDY DESIGN:Medicare clai...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181eb31a8
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Previous studies relating the incidence of negligent medical care to malpractice lawsuits in the United States may not be generalizable. These studies are based on data from 2 of the most populous states (California and New York), collected more than a decade ago, during volatile periods in the history of ma...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200003000-00002
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVES:To examine the association between on-site gynecology and availability of sex-specific services and policies in Department of Veterans Affairs (VA) emergency departments (EDs). RESEARCH DESIGN:Cross-sectional analysis using data from a VA national inventory of emergency services for women and gynecologist s...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000311
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:The surgical strategy for neonates with tetralogy of Fallot (TOF) consists of complete or staged repair. Assessing the comparative effectiveness of these approaches is facilitated by a large multicenter cohort. We propose a novel process for cohort assembly using the Pediatric Health Information System (PHIS...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0000000000000846
更新日期:2018-11-01 00:00:00
abstract:STUDY OBJECTIVES:To assess the feasibility of using the SF-36v2 mental health (MH) and mental component summary (MCS) scores for classification of risk for major depressive disorder (MDD), and to determine cut-off scores based on the sensitivity and specificity in a general US representative sample, and a chronic pain ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000617
更新日期:2017-02-01 00:00:00
abstract::Two opposing theories have been suggested to describe the relationships among member dissatisfaction with a prepaid group practice (PGP), the choice to go outside for care normally covered by the plan, and disenrollment from the PGP: 1) out-of-plan use--a consequence of dissatisfaction, precedes disenrollment and 2) d...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198303000-00007
更新日期:1983-03-01 00:00:00
abstract:BACKGROUND:Drug provision within the German statutory health insurance system has undergone several reforms, including the introduction of drug macrobudgets in 1993. OBJECTIVE:The objective of this study was to investigate the extent to which statutorily (SHI) and fully privately (PHI) health-insured patients were pro...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000124265.13559.02
更新日期:2004-05-01 00:00:00
abstract::The accurate measurement of physician job satisfaction in organized practice settings is important for both policy and administrative purposes. Previous efforts to measure physician job satisfaction have been unsatisfactory because of either conceptual or methodologic weaknesses. New measures of physician job satisfac...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198401000-00005
更新日期:1984-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to examine the dimensions of physician work satisfaction across a variety of medical specialties and practice settings. METHODS:A modified version of the Scheckler et al survey instrument was mailed to all physicians in Marion County, Indiana. Forty-two percent (777) of the eli...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199804000-00016
更新日期:1998-04-01 00:00:00
abstract::To explore the reliability of Medicare Part A claims data for clinical and health services research related to the care of patients with cancer, the authors compared estimates of the incidence of and resection rates for cancer of the breast, colon, and lung derived from analysis of Medicare Part A data versus data fro...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199112000-00005
更新日期:1991-12-01 00:00:00
abstract:BACKGROUND:Estimates of health care cost are needed to conduct cost-effectiveness research at the facilities operated by the US Department of Veterans Affairs. METHODS:The medical literature was searched for VA studies to characterize different cost methods and identify their advantages and disadvantages. RESULTS:Dif...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/00005650-199904002-00003
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Many of the large ongoing national surveys of the US population contain a question that asks for the respondent's self-reported health status: "excellent," "very good," "good," "fair," or "poor." These surveys could be used to conduct cost-utility analyses of health care policies, treatments or other interve...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31803dce05
更新日期:2007-07-01 00:00:00
abstract::The authors compared the continuity of care that family physicians, general internists, and medical subspecialists provided to their adult primary care patients. The 40 study physicians came from large, private multispecialty practices in the San Francisco Bay Area. The three physician types did not differ significant...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198501000-00007
更新日期:1985-01-01 00:00:00
abstract::The techniques of cost-effectiveness are employed to simplify resource allocation decisions concerned with the use of land and air transport systems in the health services of a developing country. Outcome classifications are produced for patients seen by mobile and fixed primary care units. The mobile services examine...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197704000-00001
更新日期:1977-04-01 00:00:00
abstract:OBJECTIVES:The Manitoba Centre for Health Policy and Evaluation (MCHPE) collaborated with a provincially-appointed Physician Resource Committee in an assessment of provincial physician resources. RESEARCH DESIGN:Beginning with map-based analyses of physician supply and contacts across the province, compared with the h...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199906001-00017
更新日期:1999-06-01 00:00:00