Abstract:
:Cost-benefit (CBA) and cost-effectiveness analyses (CEA) are methods that enumerate the costs and consequences associated with health-related technologies, services, and programs. This article examines the trends in published CBA and CEA of personal health services from 1979 through 1990. It is based on a bibliography that was compiled to help address the immense need for information on the variation and effectiveness of medical practices, particularly as researchers expand their analysis to a study of the cost effectiveness of medical and surgical interventions, health care technologies, preventive practices, and other health programs. A systematic search was conducted for all articles under the heading "cost-benefit analysis" (which includes cost-effectiveness analysis) and "costs and cost analysis." Data sources included the MEDLARS (National Library of Medicine) database, other bibliographies in specialized areas, reference lists in key articles, and contacts with researchers in the field. All titles and abstracts were scanned to determine if the articles pertained to personal health services and if both costs and consequences were assessed. If both criteria were met, the article was included in the bibliography. This search resulted in 3,206 eligible CBA/CEA publications from 1979 through 1990. The publications were subdivided into two major categories: reports of studies and "other" publications, including reviews, descriptions of methodology, letters, and editorials. Reports of studies and "other" publications were classified into approximately 250 different topic areas. The studies were further classified by parameters, such as study type, publication vehicle, and medical function. This article describes the results of this classification and describes trends during 1979 to 1990 compared with 1966 to 1978. The classification of study reports and "other" publications into 250 topic areas is presented in Appendix A. The entire bibliography is reproduced in Appendix B. Detailed tables of findings are presented in Appendix C, and the results are illustrated graphically in Appendix D. Appendix E provides the coding scheme used in the bibliography's data base.
journal_name
Med Carejournal_title
Medical careauthors
Elixhauser A,Luce BR,Taylor WR,Reblando Jdoi
10.1097/00005650-199307001-00001subject
Has Abstractpub_date
1993-07-01 00:00:00pages
JS1-11, JS18-149issue
7 Suppleissn
0025-7079issn
1537-1948journal_volume
31pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract:BACKGROUND:Self-reported racial discrimination in healthcare has been associated with negative health outcomes, but little is known about its association with diabetes outcomes. METHODS:We used data from the Behavioral Risk Factor Surveillance System to investigate associations between self-reported healthcare discrim...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318215d925
更新日期:2011-07-01 00:00:00
abstract::Although self-care is emerging as a growing movement wherein lay persons are assuming more responsibility for prvention, detection and treatment of health problems, we have almost no basic descriptive studies of attitudes toward self-care of professionals and consumers. The present study explored the reliability and v...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-198008000-00009
更新日期:1980-08-01 00:00:00
abstract::When studying variation in medicine, traditional hypothesis-testing procedures are too limited to obtain useful inferences except in special situations. More generally, full probability modelling is necessary. Even a relatively simple example can illustrate this point rather dramatically. The development and applicati...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199305001-00017
更新日期:1993-05-01 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:BACKGROUND:The relationship between health status and Hispanic ethnicities, language, and nativity is poorly understood, due to the limitations and conflicting findings of previous studies. OBJECTIVES:To examine the effects of language and nativity on health status in Hispanic ethnic subgroups and non-Hispanic whites ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181789431
更新日期:2008-07-01 00:00:00
abstract::The purpose of this article is to examine children's use of ambulatory physician services in relation to three dimensions of family life: maternal employment, single-parent versus two-parent households, and the presence of a nuclear or extended family. Data from the National Medical Care Expenditure Survey show that m...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198504000-00007
更新日期:1985-04-01 00:00:00
abstract::Although Alzheimer's-type dementia (ATD) is characterized by global intellectual deterioration, few systematic efforts have been made to characterize overall dysfunction of ATD patients. The Sickness Impact Profile (SIP) was administered to ATD patients and family members to determine the concurrent validity of family...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198805000-00002
更新日期:1988-05-01 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
pub_type: 杂志文章
doi:10.1097/00005650-197605000-00002
更新日期:1976-05-01 00:00:00
abstract:BACKGROUND:By shifting a greater share of out-of-pocket medical costs to consumers, high-deductible health plans (HDHP) might discourage use of essential outpatient services. OBJECTIVE:The objective of the study was to examine the impact of an HDHP on outpatient visits and associated laboratory and radiology tests. R...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000008
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:Evidence is building that primary care is associated with quality of care and cost effectiveness. Still, little is known of the contribution of specific attributes of primary care to important health outcomes, such as the delivery of preventive services. This study tests the association of specific attribute...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199808001-00004
更新日期:1998-08-01 00:00:00
abstract:BACKGROUND:Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. OBJECTIVES:To link Meals on Wheels (MOW) program data to Med...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000951
更新日期:2019-03-01 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
pub_type: 杂志文章
doi:10.1097/00005650-199710001-00012
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/mlr.0b013e318190ccac
更新日期:2009-04-01 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
pub_type: 杂志文章
doi:10.1097/00005650-199205001-00006
更新日期:1992-05-01 00:00:00
abstract::Adherence to the medical regimen continues to rank as a major clinical problem in the management of patients with essential hypertension, as in other conditions treated with drugs and life-style modification. This article reviews the psychometric properties and tests the concurrent and predictive validity of a structu...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198601000-00007
更新日期:1986-01-01 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
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-200105000-00002
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:Outcome measures, like hospital standardized mortality ratios (HSMRs), are increasingly used to assess quality of care. The validity of HSMRs and their accuracy to reflect quality of care is heavily contested. OBJECTIVE:We explored apparent and potential shortcomings and adverse effects of the HSMR in the a...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/MLR.0b013e31824ebd9f
更新日期:2012-08-01 00:00:00
abstract::Many health care system, including that of the Department of Veterans Affairs (VA), are facing dramatic changes as they adapt to state-level reform legislation and move into managed care environments. As new costing systems are designed and as researchers seek to conduct cost-effectiveness studies to guide health poli...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199603001-00008
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVES:The effectiveness of case-managed residential care (CMRC) in reducing substance abuse, increasing employment, decreasing homelessness, and improving health was examined. METHODS:A five-year prospective experiment included 358 homeless addicted male veterans 3, 6, and 9 months during their enrollment and at ...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-199801000-00006
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Seizures and epilepsy are common in older adults especially in some minorities. Despite the importance of medical care to maximize seizure control, little is known about its quality across racial groups. One indicator of quality care is the receipt of electroencephalograms (EEG), and magnetic resonance imagi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31824ebdc4
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:The effects of continuity of care (COC) on health care outcomes are well established. However, the mechanism of this association is not fully understood. OBJECTIVE:The objective of this study was to examine the relationship between COC and medication adherence, as well as to investigate the mediating effect...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31827da5b9
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine how pre-Affordable Care Act (ACA) state-level Medicaid expansions affect dual enrollment and utilization of Veterans Health Administration (VA) and Medicaid-funded care. RESEARCH DESIGN:We employed difference-in-difference analysis to determine the association betwe...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001327
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Population-based cancer registries represent a potentially valuable tool to evaluate treatment; however, information on the completeness of registry treatment data is sparse. OBJECTIVE:To evaluate the completeness of registry treatment data for patients with colorectal cancer and to identify predictors of c...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000083740.12949.88
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVES:Family members and other "carepartners" often play an important role in the care and support of patients during and after hospitalization, yet little is known about how they assess their hospital experience or the factors that may influence their perceptions. METHODS:A nationwide telephone survey of 1,800 r...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199901000-00006
更新日期:1999-01-01 00:00:00
abstract::Survey data measuring outpatient health expenditure are evaluated for item nonresponse, measurement error, and bias. Item nonresponse is high for persons whose health care is financed through the public sector, but is otherwise manageable. Estimates of mean total and out-of-pocket physician and dental expenditure from...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-197611000-00002
更新日期:1976-11-01 00:00:00
abstract:BACKGROUND:Travel time, an access barrier, may contribute to attrition of women veterans from Veterans Health Administration (VHA) care. OBJECTIVE:We examined whether travel time influences attrition: (a) among women veterans overall, (b) among new versus established patients, and (c) among rural versus urban patients...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000296
更新日期:2015-04-01 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
pub_type: 杂志文章
doi:10.1097/01.mlr.0000199696.41480.45
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:Increasing recognition of the failure to translate research findings into practice has led to greater awareness of the importance of using active dissemination and implementation strategies. Although there is a growing body of research evidence about the effectiveness of different strategies, this is not eas...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Eliminating barriers to care is important for improving health service use. However, the barriers to mental health care have not been well investigated. OBJECTIVES:This study was designed to provide information about the barriers to mental health service use and to identify clinical factors associated with ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000196954.67658.95
更新日期:2006-02-01 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