Facility and area variation affecting the use of physical restraints in nursing homes.

abstract：:As part of a comprehensive evaluation of care received by enrollees in a prepaid community health care project, we studied the process of care for enrollees reported to have a urinary tract infection. The care given to 98 patients enrolled in a large prepaid group practice (PGP) and 69 patients seen by 45 physicians i...

journal_title：Medical care

authors： LoGerfo JP,Larson E,Richardson WC

更新日期：1978-06-01 00:00:00

abstract：:The published preferences for scale steps in a health-related quality-of-life scale have been noted to be contrary to some prior assumptions about their rank ordering. The differences noted are actually statistically nonsignificant, and the observed ordering has a clear intuitive explanation. Several alternative expla...

journal_title：Medical care

authors： Bush JW,Anderson JP,Kaplan RM,Blischke WR

更新日期：1982-05-01 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：:The techniques of cost-effectiveness are employed to simplify resource allocation decisions concerned with the use of land and air transport systems in the health services of a developing country. Outcome classifications are produced for patients seen by mobile and fixed primary care units. The mobile services examine...

journal_title：Medical care

authors： Walker G,Gish O

更新日期：1977-04-01 00:00:00

abstract：:The measurement of inpatient complications his received substantial attention in recent years because mortality rates and other outcome measures often appear unable to discriminate superior from inferior hospital care. Complication measurement holds out the promise of being more sensitive to variations in patient care...

journal_title：Medical care

authors： Brailer DJ,Kroch E,Pauly MV,Huang J

更新日期：1996-05-01 00:00:00

abstract：BACKGROUND:Adherence is a factor in the outcome of medical treatment, but the strength and moderators of the adherence-outcome association have not been systematically assessed. OBJECTIVES:A quantitative review using meta-analysis of three decades of empirical research correlating adherence with objective measures of ...

journal_title：Medical care

authors： DiMatteo MR,Giordani PJ,Lepper HS,Croghan TW

更新日期：2002-09-01 00:00:00

abstract：BACKGROUND:Little is known about the medical care resources devoted to diagnosing and treating cancer-related symptoms before a definitive cancer diagnosis. Previous research using SEER-Medicare data to measure incremental costs and utilization associated with cancer started with the date of diagnosis. We hypothesized ...

journal_title：Medical care

authors： Hornbrook MC,Fishman PA,Ritzwoller DP,Elston-Lafata J,O'Keeffe-Rosetti MC,Salloum RG

更新日期：2013-04-01 00:00:00

abstract：:The authors of this study examine temporal patterns of medical expenditures by Medicare beneficiaries. A random sample of 204,917 individuals who were alive and in the program from 1974 to 1977 was investigated. Individuals hospitalized in 1974 were found to have twice the rate of hospitalization in 1975, 1976, or 197...

journal_title：Medical care

authors： Anderson G,Knickman JR

更新日期：1984-02-01 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：BACKGROUND:The negative impact of pain on health-related quality of life has been documented for persons with human immunodeficiency virus (HIV). Furthermore, pain could be an important factor in seeking medical care. However, the relationship between pain and health service utilization is poorly understood. OBJECTIVE...

journal_title：Medical care

authors： Dobalian A,Tsao JC,Duncan RP

更新日期：2004-02-01 00:00:00

abstract：:Even with the passage of state safety belt laws, primary care physicians can contribute to their patients' safety by brief interventions. The present study explores the prevalence of such action with adult patients and tests the power of constructs taken from social learning theory to explain physicians' behavior. The...

journal_title：Medical care

authors： Mullen PD,Gottlieb NH,Biddle AK,McCuan RA,McAlister AL

更新日期：1988-04-01 00:00:00

abstract：:Current efforts to contain health care costs include a variety of strategies aimed at the users of health services. These approaches attempt to encourage users to be more cost-conscious and to shop for lower-cost services and more efficient health care plans. The primary method for achieving this is by increasing the ...

journal_title：Medical care

authors： Hibbard JH,Weeks EC

更新日期：1987-11-01 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:For patients recovering from severe acute illness, admission to a long-term acute care hospital (LTAC) is an increasingly common alternative to continued management in an intensive care unit (ICU). OBJECTIVE:To examine the effectiveness of LTAC transfer in patients with chronic critical illness. RESEARCH D...

journal_title：Medical care

authors： Kahn JM,Werner RM,David G,Ten Have TR,Benson NM,Asch DA

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:Studies have documented that patients of female physicians receive higher levels of preventive services. However, most studies include patients of only one gender, examine mainly gender-specific screening services, and do not examine patient education and counseling. OBJECTIVES:This study tests both physici...

journal_title：Medical care

authors： Henderson JT,Weisman CS

更新日期：2001-12-01 00:00:00

abstract：OBJECTIVE:To demonstrate a rigorous methodology that optimally balanced internal validity with generalizability to evaluate a statewide collaborative that implemented an evidence-based, collaborative care model for depression management in primary care. STUDY DESIGN AND SETTING:Several operational features of the DIAM...

journal_title：Medical care

authors： Crain AL,Solberg LI,Unützer J,Ohnsorg KA,Maciosek MV,Whitebird RR,Beck A,Molitor BA

更新日期：2013-09-01 00:00:00

abstract：:In this study, trends in hospital use were identified in Japanese cities. Data for all inpatient care in May 1985 (9,555 patients) and in May 1988 (11,205 patients) paid for by National Health Insurance in 12 cities in Osaka Prefecture were analyzed. The main factor affecting differences in inpatient days per insured ...

journal_title：Medical care

authors： Tatara K,Shinsho F,Nishigaki C,Takatorige T,Okamoto E,Kuroda K

更新日期：1993-04-01 00:00:00

abstract：:Past research in continuity of medical care has generally examined its determinants or its consequences. A model is proposed which combines these lines of research and incorporates a continuity measure as a process and specifying variable. The validity of this model is tested with a set of data consisting of 1,410 per...

journal_title：Medical care

authors： Hennelly VD,Boxerman SB

更新日期：1979-10-01 00:00:00

abstract：BACKGROUND:Indication bias is the major challenge in assessing treatment effectiveness in observational studies. We explored the potential advantages of using an instrumental variable approach in the context of primary androgen deprivation therapy (ADT) for prostate cancer. METHODS:We identified 31,930 men in the link...

journal_title：Medical care

authors： Kuo YF,Montie JE,Shahinian VB

更新日期：2012-05-01 00:00:00

abstract：BACKGROUND:Measures for pay-for-performance and public reporting programs may be based on clinical practice guidelines. The impact of guideline changes over time-and whether evolving clinical evidence can render measures based on prior guidelines misleading-is not known. OBJECTIVE:To assess the impact of using differe...

journal_title：Medical care

authors： Lin GA,Redberg RF,Anderson HV,Shaw RE,Milford-Beland S,Peterson ED,Rao SV,Werner RM,Dudley RA

更新日期：2010-08-01 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:Clinical practice guidelines quickly become outdated. One reason they might not be updated as often as needed is the expense of collecting expert judgment regarding the evidence. The RAND-UCLA Appropriateness Method is one commonly used method for collecting expert opinion. We tested whether a less expensive...

journal_title：Medical care

authors： Washington DL,Bernstein SJ,Kahan JP,Leape LL,Kamberg CJ,Shekelle PG

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:Care for patients with chronic conditions often requires coordination between multiple physicians and delivery sites. Electronic Health Record (EHR) use could improve care quality and efficiency in part by facilitating care coordination. OBJECTIVE:We examined the association between EHR use and clinician pe...

journal_title：Medical care

authors： Graetz I,Reed M,Shortell SM,Rundall TG,Bellows J,Hsu J

更新日期：2014-12-01 00:00:00

abstract：:Satisfaction with health services is an aspect of quality of care that is of special importance for captive clients like low-income clinic users. Several methodologies have been reported, but validation has been difficult. This study compares two older scaling techniques with a new, nonmetric method to detect underlyi...

journal_title：Medical care

authors： Hengst A,Roghmann K

更新日期：1978-03-01 00:00:00

abstract：BACKGROUND:Quality improvement organizations (QIOs) are contracted to improve the quality of care delivered to Medicare beneficiaries. The purpose of this study was to determine whether provider participation in New York State QIO activities resulted in significant improvements in the quality of diabetes care during th...

journal_title：Medical care

authors： Wu WY,Chen JJ,Shih A

更新日期：2006-12-01 00:00:00

abstract：BACKGROUND:Recent combat operations have involved large numbers of personnel. Long-term health effects of military deployment remain largely unknown. OBJECTIVES:To examine patterns and trends in long-term disability among combat veterans and to relate disability to aspects of wartime experience. PARTICIPANTS:A total ...

journal_title：Medical care

authors： Clarke PM,Gregory R,Salomon JA

更新日期：2015-05-01 00:00:00

abstract：PURPOSE:To explore whether there was a significant relationship between difficulty paying for ostomy supplies and overall quality of life among a sample of ostomates receiving care from the Veterans Health Administration (VHA). METHODS:The data were collected as part of the Veterans Affairs (VA) Ostomy Health-Related ...

journal_title：Medical care

authors： Coons SJ,Chongpison Y,Wendel CS,Grant M,Krouse RS

更新日期：2007-09-01 00:00:00

abstract：:A factorial design randomized controlled trial to test several clinically feasible strategies primary-care practitioners may use in routine practice to increase patient participation in occult blood testing for colorectal cancer is reported. Three compliance-enhancing intervention strategies (physician/nurse talk, and...

journal_title：Medical care

authors： Thompson RS,Michnich ME,Gray J,Friedlander L,Gilson B

更新日期：1986-10-01 00:00:00

abstract：BACKGROUND:Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES:To assess the impact of a state policy implemented in June 2010 that required prospect...

journal_title：Medical care

authors： Graves JM,Fulton-Kehoe D,Jarvik JG,Franklin GM

更新日期：2018-06-01 00:00:00

abstract：BACKGROUND:Millions of traumatized refugees worldwide have resettled in the United States. For one of the largest, the Cambodian community, having their mental health needs met has been a continuing challenge. A multicomponent health information technology screening tool was designed to aid provider recognition and tre...

journal_title：Medical care

authors： Sorkin DH,Rizzo S,Biegler K,Sim SE,Nicholas E,Chandler M,Ngo-Metzger Q,Paigne K,Nguyen DV,Mollica R

更新日期：2019-06-01 00:00:00