Getting care to nursing-home patients: a problem and a proposal.

abstract：:This study was undertaken to determine if a measure of severity of illness for psychiatric patients, the Psychiatric Severity of Illness Index, could produce psychiatric case mix groups that are more homogeneous with respect to resource use than the diagnosis-related groups (DRGs). Psychiatric Severity of Illness data...

journal_title：Medical care

authors： Horn SD,Chambers AF,Sharkey PD,Horn RA

更新日期：1989-01-01 00:00:00

abstract：OBJECTIVES:To study the reported medical practice of euthanasia in Belgium since implementation of the euthanasia law. RESEARCH DESIGN:Analysis of the anonymous database of all euthanasia cases reported to the Federal Control and Evaluation Committee Euthanasia. SUBJECTS:All euthanasia cases reported by physicians fo...

journal_title：Medical care

authors： Smets T,Bilsen J,Cohen J,Rurup ML,Deliens L

更新日期：2010-02-01 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

authors： Wang J

更新日期：2006-02-01 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：BACKGROUND:The linkage of SEER registry data with Medicare claims allows the longitudinal tracking of health care and outcomes for patients after a cancer diagnosis. One category of outcomes amenable to research using Medicare claims is complications of cancer treatments: the unintentional, adverse side effects or sequ...

journal_title：Medical care

authors： Potosky AL,Warren JL,Riedel ER,Klabunde CN,Earle CC,Begg CB

更新日期：2002-08-01 00:00:00

abstract：BACKGROUND:Adherence with medications to prevent fractures is suboptimal. Patients' perceived need for medication is an important predictor of medication-use behavior. OBJECTIVE:Estimate the associations of patients' perceived need of medication for fracture prevention with objective indicators of fracture risk, patie...

journal_title：Medical care

authors： Schousboe JT,Davison ML,Dowd B,Thiede Call K,Johnson P,Kane RL

更新日期：2011-03-01 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

authors： Nyman JA,Barleen NA,Dowd BE,Russell DW,Coons SJ,Sullivan PW

更新日期：2007-07-01 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

authors： Patrick DL,Ramsey SD,Spencer AC,Kinne S,Belza B,Topolski TD

更新日期：2001-05-01 00:00:00

abstract：BACKGROUND:The association between volume of patients treated and quality of care has important implications for patient referral policies and approaches to quality improvement. Most studies have focused on hospital volume alone and health outcomes. OBJECTIVES:The objective of this work was to examine the association ...

journal_title：Medical care

authors： Willison DJ,Soumerai SB,Palmer RH

更新日期：2000-11-01 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

authors： Breslau N

更新日期：1983-06-01 00:00:00

abstract：BACKGROUND:This study was the first of its kind to evaluate and compare the quality of private and public community health centers (CHCs) in urban China. METHODS:A total of 2501 CHCs in 35 cities were chosen in 2011 using a multistage sampling method, and data on human resources, medical equipment and drug inventory w...

journal_title：Medical care

authors： Yin X,Gong Y,Yang C,Tu X,Liu W,Cao S,Yang H,Lu Z

更新日期：2015-10-01 00:00:00

abstract：:A new technique for identifying inefficient hospitals, Data Envelopment Analysis (DEA), is field tested by application to a group of teaching hospitals. DEA is found to provide meaningful insights into the location and nature of hospital inefficiencies as judged by the opinion of a panel of hospital experts. DEA provi...

journal_title：Medical care

authors： Sherman HD

更新日期：1984-10-01 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

authors： Jerant A,Arellanes R,Franks P

更新日期：2008-07-01 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：:The authors provide brief information about the Department of Veterans Affairs (VA) and the Veterans Health Administration, to establish an understanding of this large, multifaceted organization. They then offer an overview of the VA's Office of Research and Development, with particular emphasis on recent and ongoing ...

journal_title：Medical care

authors： Feussner JR,Burris JF,McGlynn G,Lavori PW

更新日期：2002-09-01 00:00:00

abstract：OBJECTIVE:Understanding provider perceptions of and experiences with order entry and order checks (drug alerts) in an electronic prescribing system may help improve medication safety technology. DESIGN:Cross-sectional, national survey of Veterans Administration physicians practicing in various specialties. MEASUREMEN...

journal_title：Medical care

authors： Spina JR,Glassman PA,Simon B,Lanto A,Lee M,Cunningham F,Good CB

更新日期：2011-10-01 00:00:00

abstract：BACKGROUND:Given strict residency controls and geographic imbalances in health care resources, China may experience serious urban-rural health disparities. OBJECTIVES:To investigate urban-rural disparities in the patterns of health status and health care utilization in China and to examine the evolution of these dispa...

journal_title：Medical care

authors： Fang H,Chen J,Rizzo JA

更新日期：2009-12-01 00:00:00

abstract：OBJECTIVE:Analysts performing cost-effectiveness analyses often do not have the resources to gather original quality-of-life (QOL) weights. Furthermore, variability in QOL for the same health state hampers the comparability of cost-effectiveness analyses. For these reasons, opinion leaders such as the Panel on Cost-Eff...

journal_title：Medical care

authors： Tengs TO,Wallace A

更新日期：2000-06-01 00:00:00

abstract：:One of the techniques adopted recently by certain hospitals to meet the competitive pressure for reducing costs is physician profiling. Profiling produces periodic reports that compare a physician's resource consumption to a benchmark figure. This study analyzes the effectiveness and implications of one hospital's int...

journal_title：Medical care

authors： Evans JH 3rd,Hwang Y,Nagarajan N

更新日期：1995-11-01 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

authors： Flocke SA,Stange KC,Zyzanski SJ

更新日期：1998-08-01 00:00:00

abstract：BACKGROUND:The Affordable Care Act allowed an optional Medicaid State Plan benefit for states to establish Health Homes coordinating care for people who have chronic conditions. Differences in medical home program incentives and implementation styles are important to understand in evaluating effects on key outcomes suc...

journal_title：Medical care

authors： Shane DM,Nguyen-Hoang P,Bentler SE,Damiano PC,Momany ET

更新日期：2016-08-01 00:00:00

abstract：BACKGROUND:The profile-based SF-12 has a low respondent burden and is used widely in clinical settings to monitor health and evaluate programs. Deriving preference scores for the SF-12 health profile would permit its use in cost-effectiveness analyses. Previous mapping studies of SF family instruments to preference-bas...

journal_title：Medical care

authors： Franks P,Lubetkin EI,Gold MR,Tancredi DJ

更新日期：2003-11-01 00:00:00

abstract：OBJECTIVES:We sought to assess the responses of providers to recommendations generated by a computer-management system for chronic heart failure (CHF). METHODS:This study is an analysis of primary care providers' responses to evidence-based computer-generated suggestions regarding patients with CHF at one center of a ...

journal_title：Medical care

authors： Keeffe B,Subramanian U,Tierney WM,Udris E,Willems J,McDonell M,Fihn SD

更新日期：2005-05-01 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：:Hospital cost-containment programs should themselves be cost-effective, targeting high-cost physicians (which requires adjusting for case mix) and patients (which requires early identification). In this study, clinical data available within 24 hours of admission from an electronic medical record system were used to de...

journal_title：Medical care

authors： Tierney WM,Fitzgerald JF,Miller ME,James MK,McDonald CJ

更新日期：1995-01-01 00:00:00

abstract：OBJECTIVES:This paper presents a profile of the use of antipsychotic medications in the treatment of schizophrenia in a national health system. METHODS:Prescription drug records written for antipsychotic medications between June 1999 and September 1999 were collected for patients diagnosed with schizophrenia in the De...

journal_title：Medical care

authors： Leslie DL,Rosenheck RA

更新日期：2001-09-01 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

authors： Garland A,Yogendran M,Olafson K,Scales DC,McGowan KL,Fransoo R

更新日期：2012-03-01 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

authors： Goldberg HI,Dietrich AJ

更新日期：1985-01-01 00:00:00

abstract：OBJECTIVES:Patient perceptions are increasingly used to measure quality of care in a diversity of health-care delivery settings. The goals of this article are to review the current use of patient perceptions and to review what is known about the sensitivity of patient perceptions for discerning variations in care acros...

journal_title：Medical care

authors： Rosenthal GE,Shannon SE

更新日期：1997-11-01 00:00:00

abstract：BACKGROUND:Patient experience data can be collected by sampling patients periodically (eg, patients with any visits over a 1-year period) or sampling visits continuously (eg, sampling any visit in a monthly interval). Continuous sampling likely yields a sample with more frequent and more recent visits, possibly affecti...

journal_title：Medical care

authors： Setodji CM,Burkhart Q,Hays RD,Quigley DD,Skootsky SA,Elliott MN

更新日期：2019-12-01 00:00:00