Practice setting and physician influences on judgments of colon cancer treatment by community physicians.


OBJECTIVE:This article compares judgments about the treatment of Dukes' B2 and C colon cancer made by general surgeons to those of internists and family practitioners. Physician and practice variables were specialty, affiliation with a Community Clinical Oncology Program (CCOP) hospital, time in practice, professional centrality (level of participation in cancer information networks), solo practice, and number of colon cancer patients. DATA COLLECTION METHODS:Data are combined from national probability samples of CCOP- and non-CCOP-affiliated physicians. This study focused on 1,138 internists, family physicians, and general surgeons who participated in decision making for patients diagnosed with Dukes' B2 or C stage colon cancer. Judgments were elicited using brief vignettes. METHODS OF ANALYSIS:Judgments of adjuvant therapy are classified as (a) consistent with the National Institutes of Health Consensus Conference recommendations (experimental for Dukes' B2, accepted for Dukes' C); (b) accepted treatment for both stages; or (c) experimental for both stages. Multinomial logit analyses were used to examine the association of practice setting and physician characteristics to judgments of treatment. RESULTS:Surgeons and CCOP-affiliated physicians were more likely to endorse the NIH consensus conference position. Surgeons, younger physicians, and those in group practice were more likely to approve of chemotherapy for both cancer stages. The most common position (chemotherapy experimental) was more likely from nonsurgeons, solo practitioners, and non-CCOP physicians. CONCLUSION:Physician and practice setting characteristics, including organized structures such as the CCOP, are possible mediating structures that can facilitate dissemination of standards of treatment.


Health Serv Res


Health services research


McFall SL,Warnecke RB,Kaluzny AD,Ford L


Has Abstract


1996-04-01 00:00:00












  • The relationship between patients' perception of care and measures of hospital quality and safety.

    abstract:BACKGROUND:The extent to which patient experiences with hospital care are related to other measures of hospital quality and safety is unknown. METHODS; We examined the relationship between Hospital Consumer Assessment of Healthcare Providers and Systems scores and technical measures of quality and safety using service-...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Isaac T,Zaslavsky AM,Cleary PD,Landon BE

    更新日期:2010-08-01 00:00:00

  • The costs of decedents in the Medicare program: implications for payments to Medicare + Choice plans.

    abstract:OBJECTIVE:To discuss and quantify the incentives that Medicare managed care plans have to avoid (through selective enrollment or disenrollment) people who are at risk for very high costs, focusing on Medicare beneficiaries in the last year of life-a group that accounts for more than one-quarter of Medicare's annual exp...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Buntin MB,Garber AM,McClellan M,Newhouse JP

    更新日期:2004-02-01 00:00:00

  • Do physicians attend to base rates? Prevalence data and statistical discrimination in the diagnosis of coronary heart disease.

    abstract:OBJECTIVE:To examine whether physicians attend to gender prevalence data in diagnostic decision making for coronary heart disease (CHD) and to test the hypothesis that previously reported gender differences in CHD diagnostic certainty are due to discrimination arising from reliance on prevalence data ("statistical disc...

    journal_title:Health services research

    pub_type: 评论,杂志文章


    authors: Maserejian NN,Lutfey KE,McKinlay JB

    更新日期:2009-12-01 00:00:00

  • Racial and ethnic differences in parents' assessments of pediatric care in Medicaid managed care.

    abstract:OBJECTIVE:This study examines whether parents' reports and ratings of pediatric health care vary by race/ethnicity and language in Medicaid managed care. DATA SOURCES:The data analyzed are from the National Consumer Assessment of Health Plans (CAHPS) Benchmarking Database 1.0 and consist of 9,540 children enrolled in ...

    journal_title:Health services research

    pub_type: 杂志文章,多中心研究


    authors: Weech-Maldonado R,Morales LS,Spritzer K,Elliott M,Hays RD

    更新日期:2001-07-01 00:00:00

  • Tax subsidies for employer-sponsored health insurance: updated microsimulation estimates and sensitivity to alternative incidence assumptions.

    abstract:OBJECTIVE:To estimate 2012 tax expenditures for employer-sponsored insurance (ESI) in the United States and to explore the sensitivity of estimates to assumptions regarding the incidence of employer premium contributions. DATA SOURCES:Nationally representative Medical Expenditure Panel Survey data from the 2005-2007 H...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Miller GE,Selden TM

    更新日期:2013-04-01 00:00:00

  • Independent freestanding emergency departments and implications for the rural emergency physician workforce in Texas.

    abstract:OBJECTIVE:Independent freestanding emergency departments (IFEDs) have proliferated over the last decade, largely in Texas. We examined the IFED physician workforce composition and changes in emergency physician workforce supply across states and in rural Texas over the period of IFED proliferation following a 2009 legi...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Luo Q,Chong N,Chen C

    更新日期:2020-12-01 00:00:00

  • Understanding the New Current Population Survey Health Insurance Questions.

    abstract:OBJECTIVE:To compare estimates of health coverage from the pre- and post- redesign of the Current Population Survey (CPS) Annual Social and Economic Supplement. DATA SOURCES/STUDY SETTING:The CPS 2013 Content Test. STUDY DESIGN:A test of the old and new CPS in which the control panel was a subset of the CPS productio...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Pascale J,Boudreaux M,King R

    更新日期:2016-02-01 00:00:00

  • Impact of administrative technology on acute care bed need.

    abstract::This article reports an evaluation of the impact of three administrative technologies--Admission Scheduling (AS) Systems, Outpatient Surgery (OPS) Programs, and Preadmission Testing (PAT) Programs--on the number of acute care beds required by a hospital. The evaluation mechanism reported here is called the ADTECH Comp...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Martin JB,Dahlstrom GA,Johnston CM

    更新日期:1985-04-01 00:00:00

  • Sustained User Engagement in Health Information Technology: The Long Road from Implementation to System Optimization of Computerized Physician Order Entry and Clinical Decision Support Systems for Prescribing in Hospitals in England.

    abstract:OBJECTIVE:To explore and understand approaches to user engagement through investigating the range of ways in which health care workers and organizations accommodated the introduction of computerized physician order entry (CPOE) and computerized decision support (CDS) for hospital prescribing. STUDY SETTING:Six hospita...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Cresswell KM,Lee L,Mozaffar H,Williams R,Sheikh A,NIHR ePrescribing Programme Team.

    更新日期:2017-10-01 00:00:00

  • Effects of post-hospital Medicare home health and informal care on patient functional status.

    abstract:OBJECTIVE:To examine the effect of post-hospital Medicare home health and informal care on the functional status of 755 Medicare beneficiaries six weeks after hospital discharge for treatment of stroke, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), hip procedures, and hip fractures. STU...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Penrod JD,Kane RL,Finch MD,Kane RA

    更新日期:1998-08-01 00:00:00

  • A conceptual model of the case-based payment scheme for New Jersey hospitals.

    abstract::In this paper I propose a methodology for paying short-term general hospitals on the basis of prospective cost-based case-mix revenue budgets. A hospital's budget is divided into patient care--related components and other components. The patient care--related budget is based on the case mix of patients treated by the ...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Reiss JB

    更新日期:1980-07-01 00:00:00

  • Health status: types of validity and the index of well-being.

    abstract::The concept of validity as it applies to measures of health and health status is examined in the context of a set of standard, widely accepted definitions of validity. Criterion validity is shown to be irrelevant to health status measures because of the lack of a single specific, directly observable measure of health ...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Kaplan RM,Bush JW,Berry CC

    更新日期:1976-01-01 00:00:00

  • Health-Related Quality of Life among Chronic Opioid Users, Nonchronic Opioid Users, and Nonopioid Users with Chronic Noncancer Pain.

    abstract:OBJECTIVE:Evaluate the association between opioid therapy and health-related quality of life (HRQoL) in participants with chronic, noncancer pain (CNCP). DATA SOURCES:Medical Expenditure Panel Survey Longitudinal, Medical Conditions, and Prescription Files. STUDY DESIGN:Using a retrospective cohort study design, the ...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Hayes CJ,Li X,Li C,Shah A,Kathe N,Bhandari NR,Payakachat N

    更新日期:2018-10-01 00:00:00

  • Process of care and outcome after acute myocardial infarction for patients with mental illness in the VA health care system: are there disparities?

    abstract:OBJECTIVE:To compare process of care and outcome after acute myocardial infarction, for patients with and without mental illness, cared for in the Veterans Health Administration (VA) health care system. DATA SOURCES/SETTING:Primary clinical data from 81 VA hospitals. STUDY DESIGN:This was a retrospective cohort study...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Petersen LA,Normand SL,Druss BG,Rosenheck RA

    更新日期:2003-02-01 00:00:00

  • Geographic and racial disparities in breast cancer-related outcomes in Georgia.

    abstract:OBJECTIVE:To measure the effects of race/ethnicity, area measures of socioeconomic status (SES) and geographic residency status, and health care supply (HCS) characteristics on breast cancer (BC)-related outcomes. DATA SOURCES/STUDY SETTING:Female patients in Georgia diagnosed with BC in the years 2000-2009. STUDY DE...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Markossian TW,Hines RB,Bayakly R

    更新日期:2014-04-01 00:00:00

  • Measuring the need for medical care in an ethnically diverse population.

    abstract:OBJECTIVE:To examine measures of need for health care and their relationship to utilization of health services in different racial and ethnic groups in California. DATA SOURCE:Telephone interviews obtained by random-digit dialing and conducted between April 1993 and July 1993 in California, with 7,264 adults (ages 18-...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Osmond DH,Vranizan K,Schillinger D,Stewart AL,Bindman AB

    更新日期:1996-12-01 00:00:00

  • Determining VA physician requirements through empirically based models.

    abstract:OBJECTIVE:As part of a project to estimate physician requirements for the Department of Veterans Affairs, the Institute of Medicine (IOM) developed and tested empirically based models of physician staffing, by specialty, that could be applied to each VA facility. DATA SOURCE/STUDY SETTING:These analyses used selected ...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Lipscomb J,Kilpatrick KE,Lee KL,Pieper KS

    更新日期:1995-02-01 00:00:00

  • Does what nurses do affect clinical outcomes for hospitalized patients? A review of the literature.

    abstract:OBJECTIVE:Through a review of the literature, to identify and describe (1) empirical studies of inpatient nursing care quality that evaluate links between nursing care processes and health-related patient outcomes, (2) nursing care processes for which process-outcome links have been established, and (3) important nursi...

    journal_title:Health services research

    pub_type: 杂志文章,评审


    authors: Lee JL,Chang BL,Pearson ML,Kahn KL,Rubenstein LV

    更新日期:1999-12-01 00:00:00

  • Hospital uncompensated care and patient experience: An instrumental variable approach.

    abstract:OBJECTIVE:Examine the endogenous relationship between uncompensated care and hospital patient experience scores. DATA SOURCES/STUDY SETTING:The Hospital Consumer Assessment of Healthcare Providers and Systems Survey, CMS Healthcare Cost Report Information System, and the US Census Bureau. STUDY DESIGN:The exogenous c...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Camilleri S,Diebold J

    更新日期:2019-06-01 00:00:00

  • The quality of the quality indicator of pain derived from the minimum data set.

    abstract:OBJECTIVE:To examine facility variation in data quality of the level of pain documented in the minimum data set (MDS) as a function of level of hospice enrollment in nursing homes (NHs). DATA SOURCE:Clinical assessments on 3,469 nonhospice residents from 178 NHs were merged with On-line Survey Certification and Report...

    journal_title:Health services research

    pub_type: 杂志文章,多中心研究


    authors: Wu N,Miller SC,Lapane K,Roy J,Mor V

    更新日期:2005-08-01 00:00:00

  • Explaining direct care resource use of nursing home residents: findings from time studies in four states.

    abstract:OBJECTIVE:To explain variation in direct care resource use (RU) of nursing home residents based on the Resource Utilization Groups III (RUG-III) classification system and other resident- and unit-level explanatory variables. DATA SOURCES/STUDY SETTING:Primary data were collected on 5,314 nursing home residents in 156 ...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Arling G,Kane RL,Mueller C,Lewis T

    更新日期:2007-04-01 00:00:00

  • A comparison of in-house and regionalized computerized tomography scanning: clinical impact and cost.

    abstract::Over a two-year interval, computerized tomography (CT) scans at an urban, 400-bed Department of Veterans Affairs medical center (VAMC) were obtained in three ways. First, an in-house low-efficiency machine was used. Then, scans were done at another area hospital, in effect duplicating some aspects of regionalizing ser...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Elixhauser A,Reker DM,Gillespie KN,Fletcher J,Wolinsky FD

    更新日期:1990-04-01 00:00:00

  • Gender discrimination in the United States: Experiences of women.

    abstract:OBJECTIVE:To examine reported experiences of gender discrimination and harassment among US women. DATA SOURCE AND STUDY DESIGN:Data come from a nationally representative, probability-based telephone survey of 1596 women, conducted January-April 2017. METHODS:We calculated the percentages of women reporting gender dis...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: SteelFisher GK,Findling MG,Bleich SN,Casey LS,Blendon RJ,Benson JM,Sayde JM,Miller C

    更新日期:2019-12-01 00:00:00

  • Shifting Patterns in Cesarean Delivery Scheduling and Timing in Oregon before and after a Statewide Hard Stop Policy.

    abstract:OBJECTIVES:To assess the use and timing of scheduled cesareans and other categories of cesarean delivery and the prevalence of neonatal morbidity among cesareans in Oregon before and after the implementation of Oregon's statewide policy limiting elective early deliveries. DATA SOURCES:Oregon vital statistics records, ...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Muoto I,Darney BG,Lau B,Cheng YW,Tomlinson MW,Neilson DR Jr,Friedman SA,Rogovoy J,Caughey AB,Snowden JM

    更新日期:2018-08-01 00:00:00

  • A framework to measure the value of public health services.

    abstract:OBJECTIVE:To develop a framework that public health practitioners could use to measure the value of public health services. DATA SOURCES:Primary data were collected from August 2006 through March 2007. We interviewed (n=46) public health practitioners in four states, leaders of national public health organizations, an...

    journal_title:Health services research

    pub_type: 杂志文章,多中心研究


    authors: Jacobson PD,Neumann PJ

    更新日期:2009-10-01 00:00:00

  • Prescription drug monitoring programs: Assessing the association between "best practices" and opioid use in Medicare.

    abstract:OBJECTIVE:To estimate the impact of implementing prescription drug monitoring program (PDMP) best practices on prescription opioid use. DATA SOURCES:2007-2012 Medicare claims for noncancer pain patients, and PDMP attributes from the Prescription Drug Abuse Policy System. STUDY DESIGN:We derived PDMP composite scores ...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Moyo P,Simoni-Wastila L,Griffin BA,Harrington D,Alexander GC,Palumbo F,Onukwugha E

    更新日期:2019-10-01 00:00:00

  • Determinants of hospital tax-exempt debt yields: corrections for selection and simultaneous equation bias.

    abstract::The cost of capital for hospitals is a topic of continuing interest as Medicare's new capital payment policy is implemented. This study examines the determinants of tax-exempt revenue bond yields, the primary source of long-term capital for hospitals. Two important methodological issues are addressed. A probit analysi...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Carpenter CE

    更新日期:1992-12-01 00:00:00

  • Tax-Exempt Hospitals' Investments in Community Health and Local Public Health Spending: Patterns and Relationships.

    abstract:OBJECTIVES:To investigate whether tax-exempt hospitals' investments in community health are associated with patterns of governmental public health spending focusing specifically on the relationship between hospitals' community benefit expenditures and the spending patterns of local health departments (LHDs). STUDY DES...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Singh SR,Young GJ

    更新日期:2017-12-01 00:00:00

  • A decade in dental care utilization among adults and children (2001-2010).

    abstract:OBJECTIVE:To decompose the change in pediatric and adult dental care utilization over the last decade. DATA:2001 through 2010 Medical Expenditure Panel Survey. STUDY DESIGN:The Blinder-Oaxaca decomposition was used to explain the change in dental care utilization among adults and children. Changes in dental care util...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Vujicic M,Nasseh K

    更新日期:2014-04-01 00:00:00

  • Sample Selection for Medicare Risk Adjustment Due to Systematically Missing Data.

    abstract:OBJECTIVE:To assess the issue of nonrepresentative sampling in Medicare Advantage (MA) risk adjustment. DATA SOURCES:Medicare enrollment and claims data from 2008 to 2011. DATA EXTRACTION:Risk adjustment predictor variables were created from 2008 to 2010 Part A and B claims and the Medicare Beneficiary Summary File. ...

    journal_title:Health services research

    pub_type: 杂志文章


    authors: Bergquist SL,McGuire TG,Layton TJ,Rose S

    更新日期:2018-12-01 00:00:00