Abstract:
OBJECTIVES:(1) To examine the association of socioeconomic characteristics (SES) with hospitalization by age group, and when using measures of SES at the community as opposed to the individual level. (2) Thus, to support the inference that socioeconomic factors are important in the analysis of small area utilization data and address potential criticisms of this conclusion. DATA SOURCES:The 1989 Michigan Inpatient Database (MIDB), the 1990 U.S. Census, the 1989 Area Resource File (ARF), and the 1990 National Health Interview Survey (NHIS). STUDY DESIGN:A qualitative comparison of socioeconomic predictors of hospitalization in two cross-sectional analyses when using community as opposed to individual socioeconomic characteristics was done. DATA EXTRACTION. Hospitalizations (excluding delivery) were extracted by county from the MIDB and by individual from the NHIS. SES variables were extracted from the U.S. Census for communities and from the NHIS for individuals. Measures of employment for communities were from the ARF and information on health insurance and health status of individuals from the NHIS. PRINCIPAL FINDINGS:Both analyses show similar age-specific patterns for income and education. The effects were greatest in young adults, and diminished with increasing age. Accounting for multiple admissions did not change these conclusions. In the individual-level data the addition of variables representing health and insurance status substantially diminished the size of the coefficients for the socioeconomic variables. CONCLUSIONS:By comparison to parallel individual-level analyses, small area analyses with community-level SES characteristics appear to represent the effect of individual-level characteristics. They are also not substantially affected by the inability to track individuals with multiple readmissions across hospitals. We conclude that the impact of SES characteristics on hospitalization rates is consistent when measured by individual or community-level measures and varies substantially by age. These variables should be included in analyses of small area variation.
journal_name
Health Serv Resjournal_title
Health services researchauthors
Hofer TP,Wolfe RA,Tedeschi PJ,McMahon LF,Griffith JRsubject
Has Abstractpub_date
1998-06-01 00:00:00pages
243-59issue
2 Pt 1eissn
0017-9124issn
1475-6773journal_volume
33pub_type
杂志文章abstract:OBJECTIVE:To evaluate whether community-based health insurance (CBHI) protects household assets in rural Burkina Faso, Africa. DATA SOURCES:Data were used from a household panel survey that collected primary data from randomly selected households, covering 41 villages and one town, during 2004-2007(n = 890). STUDY DE...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2011.01321.x
更新日期:2012-04-01 00:00:00
abstract:STUDY QUESTION:Continuous quality improvement (CQI) has been implemented at least to some degree in many health care settings, yet randomized controlled trials (RCTs) of CQI are rare. We ask whether, when, and how RCTs of CQI might be designed. STUDY DESIGN:We consider two applications of CQI: as a general philosophy ...
journal_title:Health services research
pub_type: 评论,杂志文章
doi:
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:To assess costs, effectiveness, and cost-effectiveness of inhaled corticosteroids (ICS) augmenting bronchodilator treatment for chronic obstructive pulmonary disease (COPD). DATA SOURCES:Claims between 1997 and 2005 from a large managed care database. STUDY DESIGN:Individual-level, fixed-effects regression ...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2008.00879.x
更新日期:2008-12-01 00:00:00
abstract::The purpose of this study was to evaluate the applicability of a multiattribute utility model for measuring the severity of a patient's illness. A single medical problem (an analysis of the costs and benefits of different burn care systems) was used to test the model. Physicians estimated the relative importance of an...
journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1975-04-01 00:00:00
abstract:OBJECTIVE:To examine whether disparities in health care experiences of Medicare beneficiaries differ between managed care (Medicare Advantage [MA]) and traditional fee-for-service (FFS) Medicare. DATA SOURCES:132,937 MA and 201,444 FFS respondents to the 2007 Medicare Consumer Assessment of Health Care Providers and S...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2011.01245.x
更新日期:2011-08-01 00:00:00
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
doi:10.1111/1475-6773.12836
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To study the impact of the number of choices and age on measures of performance in choosing a Medicare prescription drug plan. DATA SOURCE/STUDY SETTING:One hundred ninty-two healthy individuals age 18 and older, half age 65 or older, in Claremont, California. STUDY DESIGN:Participants were randomly assigne...
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pub_type: 杂志文章
doi:10.1111/j.1475-6773.2009.00981.x
更新日期:2009-08-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.12318
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:Examine the impact of the 2011 shortage of the drug cytarabine on patient receipt and timeliness of induction treatment for Acute Myeloid Leukemia (AML). STUDY DESIGN:A retrospective cohort was utilized to examine odds of receipt of inpatient induction chemotherapy and time to first dose across major (N = 10...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.13028
更新日期:2018-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract:OBJECTIVE:To determine whether Medicaid home care spending reduces the proportion of the disabled elderly population who do not get help with personal care. DATA SOURCES:Data on Medicaid home care spending per poor elderly person in each state is merged with data from the Medicare Current Beneficiary Survey for 1992, ...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2007.00762.x
更新日期:2008-02-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.12135
更新日期:2014-02-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2008.00881.x
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:To examine the effect of the Medicare prospective payment system (PPS) for skilled nursing facilities (SNF) on the delivery of rehabilitation therapy to residents. DATA SOURCES:Resident-level data are based on the Resident Assessment Instrument Minimum Data Set for nursing facilities. All elderly residents a...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2004.00291.x
更新日期:2004-10-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.12864
更新日期:2018-08-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1475-6773.2005.00409.x
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:To explore why and how health systems are engaging in care delivery redesign (CDR)-defined as the variety of tools and organizational change processes health systems use to pursue the Triple Aim. STUDY SETTING:A purposive sample of 24 health systems across 4 states as part of the Agency for Healthcare Resear...
journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.13585
更新日期:2020-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
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doi:10.1111/1475-6773.13574
更新日期:2020-12-01 00:00:00
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doi:10.1111/j.1475-6773.2004.00246.x
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doi:10.1111/1475-6773.12994
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2004.00321.x
更新日期:2004-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1990-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/1475-6773.12344
更新日期:2016-04-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1984-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2006.00649.x
更新日期:2007-06-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/j.1475-6773.2003.00205.x
更新日期:2003-12-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:
更新日期:1992-08-01 00:00:00
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journal_title:Health services research
pub_type: 杂志文章
doi:10.1111/1475-6773.12269
更新日期:2015-08-01 00:00:00