Application of functional independence measure-function related groups and resource utilization groups-version III systems across post acute settings.

abstract：OBJECTIVE:The Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) 10, "Postoperative Physiologic and Metabolic Derangement" (PPMD), uses administrative data to detect postoperative acute kidney injury (AKI) requiring dialysis and diabetes-related complications. We sought to evaluate the indicator'...

journal_title：Medical care

authors： Zrelak PA,Romano PS,Tancredi DJ,Geppert JJ,Utter GH

更新日期：2013-09-01 00:00:00

abstract：:This paper describes a comparative analysis of questionnaire-based measures of functional status and clinical ratings of disability made by general practitioners and health visitors. Both approaches to functional assessment were used in rating 92 elderly primary care patients in terms of their performance of 13 mobili...

journal_title：Medical care

authors： Kaufert JM,Green S,Dunt DR,Corkhill R,Creese AL,Locker D

更新日期：1979-08-01 00:00:00

abstract：OBJECTIVES:Cutpoints are specific numeric values used to create discrete categories for patient-reported outcome (PRO) items or scales. Cutpoints are widely used in both clinical research and practice. This article offers a definition for cutpoints, describes strategies for determining actionable cutpoints, and discuss...

journal_title：Medical care

authors： Shi Q,Mendoza TR,Cleeland CS

更新日期：2019-05-01 00:00:00

abstract：:Whereas previous authors have used a variety of strategies to identify use of mental health services, the sensitivity of estimates to the definition of a visit has been little studied. The authors examined the sensitivity of estimates of use of outpatient mental health services in both HMO and fee-for-service plans to...

journal_title：Medical care

authors： Wells KB,Manning WG Jr,Benjamin B

更新日期：1987-09-01 00:00:00

abstract：BACKGROUND:In 2002 British Columbia, Canada began redistributing its hospital services. OBJECTIVE AND DESIGN:We used administrative data and interrupted time series analyses to determine how recent hospital closures affected patient outcomes. SUBJECTS:All adult acute myocardial infarction (AMI), stroke, and trauma ev...

journal_title：Medical care

authors： Panagiotoglou D,Law MR,McGrail K

更新日期：2017-01-01 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:Breast cancer missed on diagnostic mammography may contribute to delayed diagnoses, whereas false-positive results may lead to unnecessary invasive procedures. Whether accuracy of diagnostic mammography at facilities serving vulnerable women differs from other facilities is unknown. OBJECTIVE:To compare the...

journal_title：Medical care

authors： Goldman LE,Walker R,Miglioretti DL,Smith-Bindman R,Kerlikowske K,National Cancer Institute Breast Cancer Surveillance Consortium.

更新日期：2011-01-01 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：: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：BACKGROUND:Complex health care interventions involve multiple distinct elements that contribute to their functioning. Conducting systematic reviews of complex interventions has substantial challenges. Although methodological guidance exists, less is known about the practical strategies and approaches undertaken by syst...

journal_title：Medical care

authors： Wilt TJ,Greer N,Duan-Porter W

更新日期：2019-10-01 00:00:00

abstract：:The goals of this study were to determine 1) the prevalence of exposure to intrafamilial violence among children attending a pediatric primary care clinic; 2) the prevalence of psychosocial distress among mothers bringing their children to the clinic; 3) the extent to which pediatricians are aware of family violence a...

journal_title：Medical care

authors： Wissow LS,Wilson ME,Roter D,Larson S,Berman HI

更新日期：1992-05-01 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：OBJECTIVES:This study sought to compare the performance of the old and new versions of the Simplified Acute Physiology Score, SAPS and SAPS II, in classifying patients according to the risk of hospital mortality. METHODS:To compare the performance of the two systems, measures of association between the scores and obse...

journal_title：Medical care

authors： Bertolini G,D'Amico R,Apolone G,Cattaneo A,Ravizza A,Iapichino G,Brazzi L,Melotti RM

更新日期：1998-09-01 00:00:00

abstract：BACKGROUND:Accurate estimation of medical care costs raises a host of issues, both practical and methodological. OBJECTIVES:This article reviews methods for estimating the long-term medical care costs associated with a cancer diagnosis. METHODS:The authors consider data from administrative claims databases and descri...

journal_title：Medical care

authors： Etzioni R,Riley GF,Ramsey SD,Brown M

更新日期：2002-06-01 00:00:00

abstract：OBJECTIVE:To examine the association between registered nurse (RN) staffing and patient outcomes in acute care hospitals. STUDY SELECTION:Twenty-eight studies reported adjusted odds ratios of patient outcomes in categories of RN-to-patient ratio, and met inclusion criteria. Information was abstracted using a standardi...

journal_title：Medical care

authors： Kane RL,Shamliyan TA,Mueller C,Duval S,Wilt TJ

更新日期：2007-12-01 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：:The authors tested the "uncertainty hypothesis," which holds that variations in rates of hospitalization or surgeries across small geographic areas reflect differences in physicians' decision making when confronting uncertainty. A small-areas variation analysis of suspected acute cardiac ischemia (ACI) admissions in n...

journal_title：Medical care

authors： Green LA,Becker MP

更新日期：1994-11-01 00:00:00

abstract：OBJECTIVES:Assess the validity of Medicare claims for identifying myocardial infarction (MI). METHODS:We used data from 9951 Medicare beneficiaries 65 years and above in the Reasons for Geographic And Racial Differences in Stroke study. Between 2003 and 2012, 669 participants had an MI identified and adjudicated throu...

journal_title：Medical care

authors： Colantonio LD,Levitan EB,Yun H,Kilgore ML,Rhodes JD,Howard G,Safford MM,Muntner P

更新日期：2018-12-01 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

authors： Rubin DB

更新日期：1993-05-01 00:00:00

abstract：OBJECTIVE:The objective of this systematic review was to identify factors that consistently predict nursing home admission (NHA) in persons with dementia. METHODS:Studies published in English were retrieved by searching the MEDLINE (1966-2006), PSYCINFO (1950-2006), CINAHL (1982-2006), and Digital Dissertations (1950-...

journal_title：Medical care

authors： Gaugler JE,Yu F,Krichbaum K,Wyman JF

更新日期：2009-02-01 00:00:00

abstract：BACKGROUND:Process measures have been developed and implemented to evaluate the quality of care patients receive in the hospital. This study examines whether there is an association between the quality of in-hospital cardiac care and a hospital's proportion of low-income patients. METHODS AND RESULTS:A retrospective a...

journal_title：Medical care

authors： Culler SD,Schieb L,Casper M,Nwaise I,Yoon PW

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:With rising health spending, predicting costs is essential to identify patients for interventions. Many of the existing approaches have moderate predictive ability, which may result, in part, from not considering potentially meaningful changes in spending over time. Group-based trajectory modeling could be u...

journal_title：Medical care

authors： Lauffenburger JC,Franklin JM,Krumme AA,Shrank WH,Brennan TA,Matlin OS,Spettell CM,Brill G,Choudhry NK

更新日期：2017-01-01 00:00:00

abstract：BACKGROUND:Disabled Americans who qualify for Medicare coverage typically have multiple chronic conditions, are highly dependent on effective drug therapy, and have limited financial resources, putting them at risk for cost-related medication nonadherence (CRN). Since 2006, the Part D benefit has helped Medicare benefi...

journal_title：Medical care

authors： Naci H,Soumerai SB,Ross-Degnan D,Zhang F,Briesacher BA,Gurwitz JH,Madden JM

更新日期：2014-11-01 00:00:00

abstract：:Mental health services were included in comprehensive benefits available with no out-of-pocket expenses to enrollees in the Seattle Prepaid Health Care Project. This study was designed to examine the characteristics of users as compared to nonusers of mental health services and to examine the possibility of lower use ...

journal_title：Medical care

authors： Diehr P,Williams SJ,Shortell SM,Richardson WC,Drucker WL

更新日期：1979-09-01 00:00:00

abstract：:This article summarizes tests of the appropriateness of aggregating specific categories of physical capacities and limitations into aggregate functional status indexes. Self-administered questionnaires were used to gather data from 4,603 people between 14 and 66 years of age. Cumulative indexes defining ranked levels ...

journal_title：Medical care

authors： Stewart AL,Ware JE Jr,Brook RH

更新日期：1981-05-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to estimate the effect of Medicare Health Maintenance Organization (HMO) enrollment on hospitalization rates and total inpatient days for ambulatory care-sensitive conditions (ACSCs) after controlling for selection. RESEARCH DESIGN:Simultaneous equations using a discrete facto...

journal_title：Medical care

authors： Zeng F,O'Leary JF,Sloss EM,Lopez MS,Dhanani N,Melnick G

更新日期：2006-10-01 00:00:00

abstract：:The effect of large numbers of patients with a history of substance abuse upon a health care system is rarely considered, nor is the health care system's response to such a clientele ever assessed. In this preliminary study, the collective effect of large numbers of substance abuse patients upon a clinic serving the u...

journal_title：Medical care

authors： Cahill DF,Hodgkins BJ

更新日期：1991-10-01 00:00:00

abstract：:This research explored whether differentiating patients whose severity of illness worsened, improved, or remained the same over the hospital stay is a good screen for quality of care. The hypothesis was that substandard care is more likely to occur among patients who have worsened. Severity was measured using the Comp...

journal_title：Medical care

authors： Iezzoni LI,Restuccia JD,Shwartz M,Schaumburg D,Coffman GA,Kreger BE,Butterly JR,Selker HP

更新日期：1992-05-01 00:00:00

abstract：BACKGROUND:Despite clinical guidelines, many patients with hypercholesterolemia do not achieve treatment goals in clinical practice. OBJECTIVES:This study examined physician attitudes and beliefs about hyperlipidemia and whether they are associated with lipid treatment decisions. METHODS:This was a cross-sectional st...

journal_title：Medical care

authors： Foley KA,Denke MA,Kamal-Bahl S,Simpson R Jr,Berra K,Sajjan S,Alexander CM

更新日期：2006-05-01 00:00:00

abstract：:Queues arise in medical care and serve as allocators in the absence of an effective market and when resources become perceptibly constrained. This is essentially the case in all countries where money is not the means for gaining access to medical services. A study estimated that the total wait in England was 96 days f...

journal_title：Medical care

authors： Bloom BS,Fendrick AM

更新日期：1987-02-01 00:00:00