The measurement of expenditures for outpatient physician and dental services: methodological findings from the health insurance study.

abstract：BACKGROUND:Valid and comparable measures of health outcomes are needed for clinical trials, studies on quality of healthcare, and population health monitoring. OBJECTIVE:To examine comparability of patient-reported health status across populations. RESEARCH DESIGN:Logistic regression analysis of health status across ...

journal_title：Medical care

authors： Salomon JA,Patel A,Neal B,Glasziou P,Grobbee DE,Chalmers J,Clarke PM

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:To optimize the use of patient-reported outcomes (PROs) in clinical research, it is first necessary to review the current use of these outcomes in clinical trials to determine under what circumstances they are most useful, and to reveal current limitations. PURPOSE:To investigate current patterns of use of ...

journal_title：Medical care

authors： Dinan MA,Compton KL,Dhillon JK,Hammill BG,Dewitt EM,Weinfurt KP,Schulman KA

更新日期：2011-04-01 00:00:00

abstract：BACKGROUND:Federally Qualified Health Centers (FQHCs) serve as regular sources of preventive and primary care for low-income families within their communities and are key parts of the health care safety net. OBJECTIVES:Compare admissions and emergency room visits for ambulatory care sensitive conditions (ACSCs) among ...

journal_title：Medical care

authors： Falik M,Needleman J,Wells BL,Korb J

更新日期：2001-06-01 00:00:00

abstract：OBJECTIVES:The primary objective of this study was to examine veterans' reliance on health care services provided by the Veterans Health Administration (VHA) within Minnesota and estimate the potential effect on uninsurance rates if all eligible veterans relied on VHA coverage. Secondary objectives were to compare vete...

journal_title：Medical care

authors： Jonk YC,Call KT,Cutting AH,O'Connor H,Bansiya V,Harrison K

更新日期：2005-08-01 00:00:00

abstract：:Four separate human services programs and their West Philadelphia service consumers were studied by the 1971 Health Network Project: a hospital receiving ward, a community mental health satellite center, a public assistance district office, and a public child welfare agency. The basic hypotheses were that 1) the four ...

journal_title：Medical care

authors： Leopold EA,Schein L

更新日期：1975-07-01 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：BACKGROUND:We evaluated the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese breast and nasopharyngeal cancer patients. METHODS:A sample of Chinese breast (n = 250) and nasopharyngeal (n = 242) cancer patients were assessed during their first outpatient visit (b...

journal_title：Medical care

authors： Wong WS,Fielding R

更新日期：2009-08-01 00:00:00

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：:Data were obtained from the American Medical Association on Iranian physicians practicing in the U.S., and from the Iranian Medical Registry on U.S.-trained Iranian physicians who have returned to practice in Iran. There were 2,066 Iranian physicians practicing in the U.S. in 1972, 1,234 (60%) of whom were not undergo...

journal_title：Medical care

authors： Ronaghy HA,Zeighami E,Zeighami B

更新日期：1976-06-01 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：OBJECTIVES:Studies of cancer recurrences and second primary tumors require information on outcome dates. Little is known about how well electronic health record-based algorithms can identify dates or how errors in dates can bias analyses. RESEARCH DESIGN:We assessed rule-based and model-fitting approaches to assign ev...

journal_title：Medical care

authors： Chubak J,Onega T,Zhu W,Buist DSM,Hubbard RA

更新日期：2017-12-01 00:00:00

abstract：BACKGROUND:Most studies have found that black men are less likely to receive aggressive therapy for nonmetastatic prostate cancer, even after controlling for covariates. However, previous studies have not accounted for the clustering of outcomes by facility. OBJECTIVE:We sought to compare the proportions of black and ...

journal_title：Medical care

authors： Rose AJ,Backus BM,Gershman ST,Santos P,Ash AS,Battaglia TA

更新日期：2007-05-01 00:00:00

abstract：BACKGROUND:Case-mix adjustment is widely used in health services research to ensure that groups being compared are equivalent on variables predicting outcome. There has been considerable development and testing of comorbidity indices derived from diagnostic codes recorded in administrative databases, but increasingly, ...

journal_title：Medical care

authors： Mayo NE,Nadeau L,Levesque L,Miller S,Poissant L,Tamblyn R

更新日期：2005-12-01 00:00:00

abstract：OBJECTIVES:Adverse outcome rates are increasingly used as yardsticks for the quality of hospital care. However, the validity of many outcome studies has been undermined by the application of one outcome to all patients in large, diagnostically diverse populations, many of which lack evidence of a link between anteceden...

journal_title：Medical care

authors： Wray NP,Peterson NJ,Souchek J,Ashton CM,Hollingsworth JC

更新日期：1997-08-01 00:00:00

abstract：:We evaluated the quality of care of physician's extenders (PEs: 23 physician's assistants, 7 primary care nurse practitioners) in Air Force primary medicine clinics, as part of an evaluation of PEs' assuming a considerable portion of the care, formerly provided by physicians in the military medical system. Physician's...

journal_title：Medical care

authors： Goldberg GA,Jolly DM,Hosek S,Chu DS

更新日期：1981-09-01 00:00:00

abstract：:The authors tested the "uncertainty hypothesis," which holds that variations in rates of hospitalization or surgeries across small geographic areas reflect differences in physicians' decision making when confronting uncertainty. A small-areas variation analysis of suspected acute cardiac ischemia (ACI) admissions in n...

journal_title：Medical care

authors： Green LA,Becker MP

更新日期：1994-11-01 00:00:00

abstract：:One widely discussed response to the severe problems faced by many rural hospitals is to convert them into organizations that provide health services other than general, acute inpatient care. This study identifies conversions that occurred nationally from 1984 to 1991. The study also empirically examines the determina...

journal_title：Medical care

authors： Alexander JA,D'Aunno TA,Succi MJ

更新日期：1996-01-01 00:00:00

abstract：BACKGROUND:Services targeting social determinants of health-such as income support, housing, and nutrition-have been shown to improve health outcomes and reduce health care costs for older adults. Nevertheless, evidence on the properties of effective collaborative networks across health care and social services sectors...

journal_title：Medical care

authors： Brewster AL,Yuan CT,Tan AX,Tangoren CG,Curry LA

更新日期：2019-05-01 00:00:00

abstract：:Prospective payment for inpatient hospital care is based on the ideal that hospitals that produce similar outputs, as measured by the types of cases the hospital treats, should be paid similar prices. However, similar output is a multidimensional concept. Thus operationalization of this ideal will ultimately require a...

journal_title：Medical care

authors： Vertrees JC,Manton KG

更新日期：1986-04-01 00:00:00

abstract：BACKGROUND:Federal regulation requires hospitals to present patients with a Notice of Privacy Practices (NPP) that contains all stipulated content items, is readable by patients, and posted on institutional web sites. OBJECTIVE:The objective of this study was to determine whether the NPP texts contain the required con...

journal_title：Medical care

authors： Paasche-Orlow MK,Jacob DM,Powell JN

更新日期：2005-06-01 00:00:00

abstract：BACKGROUND:Performance measures often fail to account for legitimate reasons why patients do not achieve recommended treatment targets. METHODS:We tested a novel performance measurement system for blood pressure (BP) control that was designed to mimic clinical reasoning. This clinically guided approach focuses on (1) ...

journal_title：Medical care

authors： Steinman MA,Lee SJ,Peterson CA,Fung KZ,Goldstein MK

更新日期：2012-05-01 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

authors： Bell JA,daCosta DiBonaventura M,Witt EA,Ben-Joseph R,Reeve BB

更新日期：2017-02-01 00:00:00

abstract：OBJECTIVES:The authors compare the extent and nature of triazolam use before and after its deletion from a health maintenance organization's (HMO) open and advisory-type drug formulary. METHODS:Benzodiazepine dispensings of HMO members were collected for the 3 years before (1989-1991) and for the 2 years after (1992-1...

journal_title：Medical care

authors： Johnson RE,McFarland B,Woodson GT

更新日期：1997-04-01 00:00:00

abstract：BACKGROUND:Loving-kindness meditation (LKM) is a practice intended to enhance feelings of kindness and compassion for self and others. OBJECTIVES:To assess whether participation in a 12-week course of LKM for veterans with posttraumatic stress disorder (PTSD) is associated with improved positive emotions, decentering,...

journal_title：Medical care

authors： Kearney DJ,McManus C,Malte CA,Martinez ME,Felleman B,Simpson TL

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Latinos make up the largest group of minority children in the United States. Despite great diversity among Latino children, studies have traditionally treated them as a monolithic group. Few studies have examined patterns and determinants of access to and use of health care for different subgroups of Latino ...

journal_title：Medical care

authors： Perez VH,Fang H,Inkelas M,Kuo AA,Ortega AN

更新日期：2009-06-01 00:00:00

abstract：BACKGROUND:Adherence to medication treatment plans is important for chronic disease (CD) management. Cost-related nonadherence (CRN) puts patients at risk for complications. Native Hawaiians and Pacific Islanders (NHPI) suffer from high rates of CD and socioeconomic disparities that could increase CRN behaviors. OBJEC...

journal_title：Medical care

authors： McElfish PA,Long CR,Payakachat N,Felix H,Bursac Z,Rowland B,Hudson JS,Narcisse MR

更新日期：2018-04-01 00:00:00

abstract：:To test the hypothesis that the ability of physicians to speak the same language as asthmatic patients promotes patient compliance and the use of scheduled office appointments in preference to emergency services, the charts of 96 Spanish-speaking patients with asthma were reviewed. Of these patients, 65 were cared for...

journal_title：Medical care

authors： Manson A

更新日期：1988-12-01 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:There has been considerable debate in recent years about whether, and how, to risk-adjust quality measures for sociodemographic characteristics. However, geographic location, especially rurality, has been largely absent from the discussion. OBJECTIVE:To examine differences by rurality in quality outcomes, a...

journal_title：Medical care

authors： Henning-Smith C,Kozhimannil K,Casey M,Prasad S,Moscovice I

更新日期：2017-09-01 00:00:00

abstract：:With no additional effort to revise adult day health care (ADHC) services or the types of patients who receive them, it would appear that adding an ADHC program to a VA Medical Center would not achieve the desired objectives. The authors discuss here the advantages, disadvantages, and feasibility of 2 options for prog...

journal_title：Medical care

authors： Hedrick SC,Chapko M,Ehreth J,Rothman ML,Kelly JR,Inui TS

更新日期：1993-09-01 00:00:00