Main trends in hospital use in different cities in Japan.

abstract：BACKGROUND:Hospitalization is a difficult experience, especially for patients with dementia. Understanding whether better continuity of care (COC) reduces hospitalizations can indicate interventions that might help curb hospitalizations. OBJECTIVE:To estimate the causal impact of COC on hospitalizations and different ...

journal_title：Medical care

authors： Lei L,Cai S,Conwell Y,Fortinsky RH,Intrator O

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Insurance expansions and service delivery system expansions are alternative policy instruments used to try to improve birth outcomes for low-income women. OBJECTIVES:The objective of this research is to investigate the effect of expansions of public insurance on access and birth outcomes for pregnant women ...

journal_title：Medical care

authors： Susan Marquis M,Long SH

更新日期：2002-11-01 00:00:00

abstract：CONTEXT:Small studies suggest that the quality of healthcare provided to older patients needs improvement. However, measuring the quality of care for larger groups of older adults is difficult. OBJECTIVE:To measure the quality of care in a community-dwelling vulnerable geriatric population using administrative data to...

journal_title：Medical care

authors： Zingmond DS,Wilber KH,Maclean CH,Wenger NS

更新日期：2007-10-01 00:00:00

abstract：OBJECTIVE:The intensive and varied services required by high-need patients have inspired a number of new care delivery models; however, evidence of their effectiveness is mixed. This study evaluated whether augmenting a patient-centered medical home (PCMH) with intensive outpatient management enhances high-need patient...

journal_title：Medical care

authors： Wu FM,Slightam CA,Wong AC,Asch SM,Zulman DM

更新日期：2018-01-01 00:00:00

abstract：BACKGROUND:Cost-utility analyses using formulas to convert depression-free days (DFDs) to utility-weighted scores are increasingly common. These formulas are based on linear extrapolation of data documenting the correlation between depression symptom severity and generic health-related quality of life. OBJECTIVE:We so...

journal_title：Medical care

authors： Pyne JM,Tripathi S,Williams DK,Fortney J

更新日期：2007-04-01 00:00:00

abstract：BACKGROUND:In the setting of declining U.S. literacy, new policies include use of clear communication and low-literacy accessibility practices with all patients. Reliable methods for adapting health information to meet such criteria remain a pressing need. OBJECTIVES:To report method validation (study 1) and method re...

journal_title：Medical care

authors： Hill-Briggs F,Schumann KP,Dike O

更新日期：2012-04-01 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

authors： Eilertsen TB,Kramer AM,Schlenker RE,Hrincevich CA

更新日期：1998-05-01 00:00:00

abstract：:Lack of consensus about the treatment of low back pain is reflected by wide regional variations in lumbar spine surgery rates. Neck pain may be as common as low back pain, but there has been no similar evaluation of regional variation for the surgical treatment of neck pain. This report examines the geographic variati...

journal_title：Medical care

authors： Einstadter D,Kent DL,Fihn SD,Deyo RA

更新日期：1993-08-01 00:00:00

abstract：OBJECTIVE:Compare healthcare utilization and total payments for community-acquired pneumonia (CAP) episodes-of-care among 5 health plan designs spanning the continuum of managed care. RESEARCH DESIGN:Medical and prescription claims analysis of CAP episodes among enrollees of employer-sponsored health plans. Episode ch...

journal_title：Medical care

authors： Landsman PB,Smith DG,Fendrick AM

更新日期：2009-10-01 00:00:00

abstract：BACKGROUND:There is limited information on patients' knowledge about their cost-sharing requirements and how that influenced their care-seeking behavior. OBJECTIVE:To examine patients' knowledge of their office visit copayments, their self-reported responses to perceived and actual copayments, and discussions with phy...

journal_title：Medical care

authors： Benedetti NJ,Fung V,Reed M,Price M,Brand R,Newhouse JP,Hsu J

更新日期：2008-04-01 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

authors： Whittle J,Steinberg EP,Anderson GF,Herbert R

更新日期：1991-12-01 00:00:00

abstract：BACKGROUND:Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) o...

journal_title：Medical care

authors： Leibson CL,Needleman J,Buerhaus P,Heit JA,Melton LJ 3rd,Naessens JM,Bailey KR,Petterson TM,Ransom JE,Harris MR

更新日期：2008-02-01 00:00:00

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...

journal_title：Medical care

authors： MacDonell JA

更新日期：1976-05-01 00:00:00

abstract：OBJECTIVES:The economic impact of trauma in older persons is a matter of increasing concern to public health practitioners and planners, yet it is an issue that has not been widely studied. Available evidence does suggest, however, that falls are the costliest category of injury among older persons. METHODS:This study...

journal_title：Medical care

authors： Rizzo JA,Friedkin R,Williams CS,Nabors J,Acampora D,Tinetti ME

更新日期：1998-08-01 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：BACKGROUND:The quality of care for Medicare beneficiaries with diabetes remains suboptimal. The contributing factors at the physician level are not well characterized, especially the relationship of patient volume and physician performance. OBJECTIVE:We sought to determine associations between the number of Medicare d...

journal_title：Medical care

authors： Holmboe ES,Wang Y,Tate JP,Meehan TP

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:The Medicare Part D benefit is complicated and may be costly, especially for vulnerable low-income populations where lack of resources and limited English proficiency may be barriers to optimal plan selection. OBJECTIVES:To identify vulnerable Medicare beneficiaries and lower their expected annual out-of-po...

journal_title：Medical care

authors： Cutler TW,Stebbins MR,Smith AR,Patel RA,Lipton HL

更新日期：2011-04-01 00:00:00

abstract：OBJECTIVE:To examine the effects of health plan enrollment [health maintenance organizations (HMO) or fee-for-service (FFS)], a change in Medicare reimbursement policy which allowed for annual rather than biennial mammograms, and Health Plan Employer Data Information Set (HEDIS) measures on stage at diagnosis among old...

journal_title：Medical care

authors： Habermann EB,Virnig BA,Riley GF,Baxter NN

更新日期：2007-08-01 00:00:00

abstract：BACKGROUND:The major fault with existing reimbursement systems lies in their failure to discriminate for the effectiveness of stay, both when paying per day and when paying per episode of treatment. OBJECTIVES:We sought to define an average length of effective stay and recovery trends by impairment category, to design...

journal_title：Medical care

authors： Saitto C,Marino C,Fusco D,Arcà M,Perucci CA,Prospective Payment in Rehabilitation Collaborative Group.

更新日期：2005-09-01 00:00:00

abstract：OBJECTIVE:The purpose of this study was to identify hospital organizational characteristics consistently associated with adherence to multiple clinical practice guidelines (CPGs). We examined the relationship between organizational and patient population characteristics and adherence to three screening CPGs implemented...

journal_title：Medical care

authors： Vaughn TE,McCoy KD,BootsMiller BJ,Woolson RF,Sorofman B,Tripp-Reimer T,Perlin J,Doebbeling BN

更新日期：2002-12-01 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

authors： Weeks WB,Bott DM,Bazos DA,Campbell SL,Lombardo R,Racz MJ,Hannan EL,Wright SM,Fisher ES

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:Cardiac risk assessment may not be routinely performed. Electronic health records (EHRs) offer the potential to automate risk estimation. We compared EHR-based assessment with manual chart review to determine the accuracy of automated cardiac risk estimation and determination of candidates for antiplatelet o...

journal_title：Medical care

authors： Persell SD,Dunne AP,Lloyd-Jones DM,Baker DW

更新日期：2009-04-01 00:00:00

abstract：:Breast cancer is the most common neoplasm in North American women. The psychosocial impact of breast cancer has been extensively studied, and a number of investigators have attempted to characterize women who are at high risk for increased psychosocial morbidity. Although a detailed interview performed by a profession...

journal_title：Medical care

authors： Ganz PA,Hirji K,Sim MS,Schag CA,Fred C,Polinsky ML

更新日期：1993-05-01 00:00:00

abstract：BACKGROUND:High opioid dosage has been associated with overdose, and clinical guidelines have cautioned against escalating dosages above 100 morphine-equivalent mg (MEM) based on the potential harm and the absence of evidence of benefit from high dosages. However, this 100 MEM threshold was chosen somewhat arbitrarily....

journal_title：Medical care

authors： Bohnert AS,Logan JE,Ganoczy D,Dowell D

更新日期：2016-05-01 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：BACKGROUND:The "Unborn Child" (UC) option provides state Medicaid/Children's Health Insurance Program (CHIP) programs with a new strategy to extend prenatal coverage to low-income women who would otherwise have difficulty enrolling in or would be ineligible for Medicaid. OBJECTIVES:To examine the association of the UC...

journal_title：Medical care

authors： Jarlenski MP,Bennett WL,Barry CL,Bleich SN

更新日期：2014-01-01 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：BACKGROUND:The need for evidence about the effectiveness of therapeutics and other medical practices has triggered new interest in methods for comparative effectiveness research. OBJECTIVE:Describe an approach to comparative effectiveness research involving cluster randomized trials in networks of hospitals, health pl...

journal_title：Medical care

authors： Platt R,Takvorian SU,Septimus E,Hickok J,Moody J,Perlin J,Jernigan JA,Kleinman K,Huang SS

更新日期：2010-06-01 00:00:00

abstract：OBJECTIVES:We examine the relationship between health insurance coverage and children's access to and utilization of medical care. Access measures we study are having a usual source of care (USC) and lacking a USC for financial or insurance reasons. We also examine indicators for ambulatory visits, well-child visits, d...

journal_title：Medical care

authors： Selden TM,Hudson JL

更新日期：2006-05-01 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