Abstract:
OBJECTIVES:The authors developed an "off-the-shelf" source of health-related quality of life (HRQL) scores for cost-effectiveness analysts unable to collect primary data. METHODS:The authors derived and conducted preliminary validation on a set of health-related quality of life scores for chronic conditions using nationally representative data from the National Health Interview Survey (NHIS) and the Healthy People 2000 Years of Healthy Life measure developed to monitor the health (longevity and health-related quality of life) of Americans during this decade. The measure comprises two domains, role function and self-rated health, and is scaled from 0 (death) to 1 (best health state). Health-related quality of life scores for chronic conditions were calculated using the Years of Healthy Life scores associated with chronic conditions reported in the 1987-1992 National Health Interview Survey. Preliminary validation was examined by comparing the health-related quality of life scores with those obtained in two other studies. RESULTS:Tables provide health-related quality of life scores for persons with and without conditions. The scores had reasonable face validity, ranging from 0.87 for allergic rhinitis to 0.27 for hemiplegia. Correlations of the health-related quality of life condition weight scores with those from two other studies were 0.78 and 0.86. CONCLUSIONS:These condition weights may prove useful to investigators conducting cost-effectiveness analyses using secondary data, where community ratings of health-related quality of life for chronic conditions are required. Use of a standard set of health-related quality of life weights gathered from a national sample can enhance the comparability of cost-effectiveness analyses. Improvements in national data collection techniques, with empirical gathering of preferences, will further strengthen this measure.
journal_name
Med Carejournal_title
Medical careauthors
Gold MR,Franks P,McCoy KI,Fryback DGdoi
10.1097/00005650-199806000-00002subject
Has Abstractpub_date
1998-06-01 00:00:00pages
778-92issue
6eissn
0025-7079issn
1537-1948journal_volume
36pub_type
杂志文章相关文献
MEDICAL CARE文献大全abstract:OBJECTIVES:An important factor contributing to the steep rise in health care costs in the late 1960s was a reversal from the predominance of acute illness to that of chronic disease. Beginning with the philosophy of Illich and Levin, and the practical instruments of Fries, Sehnert, Vickery, and Ferguson, a new movement...
journal_title:Medical care
pub_type: 历史文章,杂志文章,评审
doi:10.1097/00005650-200204001-00007
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to examine the dimensions of physician work satisfaction across a variety of medical specialties and practice settings. METHODS:A modified version of the Scheckler et al survey instrument was mailed to all physicians in Marion County, Indiana. Forty-two percent (777) of the eli...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199804000-00016
更新日期:1998-04-01 00:00:00
abstract::Many health care system, including that of the Department of Veterans Affairs (VA), are facing dramatic changes as they adapt to state-level reform legislation and move into managed care environments. As new costing systems are designed and as researchers seek to conduct cost-effectiveness studies to guide health poli...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199603001-00008
更新日期:1996-03-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318202a9f2
更新日期:2011-04-01 00:00:00
abstract::The pivotal role of women as wife, mother or adult daughter in performing health-related activities for family members has received little attention from health researchers or policymakers. Yet the majority of health problems do not reach the medical care system, but are dealt with informally or through other social s...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198012000-00006
更新日期:1980-12-01 00:00:00
abstract:BACKGROUND:In 1999, the US Congress mandated the Agency for Healthcare Research and Quality (AHRQ), Department of Health and Human Services (DHHS), to report annually to the nation about healthcare quality. One chapter in the National Healthcare Quality Report (NHQR) is focused on patient safety. OBJECTIVES:The object...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/00005650-200503001-00007
更新日期:2005-03-01 00:00:00
abstract::Substantial differences in the use of pediatric medical resources reinforce the need for identifying and understanding factors that influence the use of medical services for children. This research assesses the simultaneous impact of sociodemographic characteristics, health attitudes and beliefs, psychologic distress,...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198508000-00002
更新日期:1985-08-01 00:00:00
abstract::The authors describe a new model for classifying hospitalized patients with acquired immunodeficiency syndrome (AIDS) according to their severity of illness. In the first phase of the project, a clinical model indicating the relative severity of AIDS complications was formulated, based on the clinical literature and e...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198904000-00009
更新日期:1989-04-01 00:00:00
abstract:BACKGROUND:Continuity of the relationship between patients and primary care providers (PCPs) is an important component of care from the consumer perspective that may be affected by variation in cost containment strategies within managed care. OBJECTIVE:To evaluate the effects of cost containment strategies on the cont...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200110000-00005
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Although the Affordable Care Act has been successful in expanding Medicaid to >17 million people, insurance alone may not translate into access to health care. Even among the insured, substantial barriers to accessing services inhibit health care utilization. OBJECTIVES:We examined the effect of selected ba...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000644
更新日期:2017-03-01 00:00:00
abstract::Because of the rapid changes that have occurred in the dental profession, the Dentist Satisfaction Survey (DSS) was developed to assess both facet and overall job satisfaction among dentists. The DSS was administered to a sample of 558 California general dentists. The results suggest that the DSS is a practical, relia...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199108000-00006
更新日期:1991-08-01 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
pub_type: 杂志文章,多中心研究
doi:10.1097/01.mlr.0000173568.67805.70
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND/OBJECTIVES:Nearly 38 million Americans have hearing loss. Understanding how sensory deficits such as hearing loss, which limit communication, impact satisfaction has implications for Medicare value-based reimbursement mechanisms. The aim of this study was to characterize the association of functional hearing...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001419
更新日期:2021-01-01 00:00:00
abstract::Sixty-eight interviews of hospitalized patients by freshmen medical students were examined for common response patterns. Response profiles were constructed for each medical student and subjected to cluster analysis. Four common response patterns were identified: Questioning Facilitators, Declaring Facilitators, Elabor...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198611000-00002
更新日期:1986-11-01 00:00:00
abstract::Medical record review is increasing in importance as the need to identify and monitor utilization and quality of care problems grow. To conserve resources, reviews are usually performed on a subset of cases. If judgment is used to identify subgroups for review, this raises the following questions: How should subgroups...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVES:The author highlights changes in hospital utilization that have occurred in association with restructuring of Ontario hospitals. The basic features of the epidemiology of hospital utilization described link the analysis of the organizational and structural components of hospitals with a more comprehensive ev...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199710001-00012
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND/OBJECTIVES:The importance of teams for improving quality of care has received increased attention. We examine both the correlates of self-assessed or perceived team effectiveness and its consequences for actually making changes to improve care for people with chronic illness. STUDY SETTING AND METHODS: Data ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200411000-00002
更新日期:2004-11-01 00:00:00
abstract::This is a report on the extension of the concept of the appropriateness of a procedure to the necessity, or crucial importance, of that procedure. To state that a procedure is crucial means that withholding the procedure would be deleterious to the patient's health. Appropriateness and necessity ratings for six proced...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199404000-00004
更新日期:1994-04-01 00:00:00
abstract::In a longitudinal, prospective study of patient's decisions about influenza vaccination, the stability of attitudes about the flu and flu shots, the stability of flu shot decisions, and the relationship of attitude shifts to compliance were studied. In both 1981 and 1982 for 216 patients at high risk for complications...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198506000-00002
更新日期:1985-06-01 00:00:00
abstract:BACKGROUND:Managed care is the dominant form of health insurance in the United States, covering millions of children. Little is known about whether inner-city parents adequately understand managed care's complex definitions and rules. OBJECTIVE:The objective of this study was to examine managed care knowledge and prac...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000118708.21532.de
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND:With the increasing use of colonoscopy there is growing concern about the quality of these procedures. OBJECTIVE:To evaluate the rates of complete colonic evaluation after an incomplete colonoscopy and their associated factors. METHODS:Men and women > or =50 years old living in Ontario on January 1, 1997 w...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817d92bc
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Monitoring mental health treatment outcomes for populations requires an understanding as to which patient information is needed in electronic format and is feasible to obtain in routine care. OBJECTIVE:To examine whether bipolar disorder outcomes can be accurately predicted and how much clinical detail is n...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182422aec
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Little is known about the time health professionals spend with inpatients that are close to the end of life. SUBJECTS AND METHODS:We asked day-shift nurses to use a standardized log sheet to record how much time they spent in various categories of activity for 146 seriously ill medical inpatients with poor ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000053226.38288.18
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Barriers to colorectal cancer (CRC) screening are not well understood. OBJECTIVES:We sought to compare barriers to CRC screening reported by primary care physicians (PCPs) and by average-risk adults, and to examine characteristics of average-risk adults who identified lack of provider recommendation as a ma...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.mlr.0000173599.67470.ba
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Safety-net and teaching hospitals are somewhat more likely to be penalized for excess readmissions, but the association of other hospital characteristics with readmission rates is uncertain and may have relevance for hospital-centered interventions. OBJECTIVE:To examine the independent association of 8 hosp...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000713
更新日期:2017-05-01 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
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-198610000-00004
更新日期:1986-10-01 00:00:00
abstract:OBJECTIVES:We conducted a theoretically guided study of access to inpatient or residential treatment among a probability sample of homeless adults with alcohol or drug use disorders in Houston, Texas. METHODS:This study used a cross-sectional, retrospective design with data collected from a multistage random sample of...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200111000-00003
更新日期:2001-11-01 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
pub_type: 杂志文章
doi:10.1097/01.mlr.0000256971.81184.aa
更新日期:2007-04-01 00:00:00
abstract::The purpose of this article is to examine children's use of ambulatory physician services in relation to three dimensions of family life: maternal employment, single-parent versus two-parent households, and the presence of a nuclear or extended family. Data from the National Medical Care Expenditure Survey show that m...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-198504000-00007
更新日期:1985-04-01 00:00:00
abstract:BACKGROUND:Although cardiac procedures are commonly used to treat cardiovascular disease, they are costly. Administrative data sources could be used to track cardiac procedures, but sources of such data have not been validated against clinical registries. OBJECTIVES:To examine accuracy of cardiac procedure coding in a...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182329778
更新日期:2013-04-01 00:00:00