The association of attributes of primary care with the delivery of clinical preventive services.

abstract：BACKGROUND:Teens and racial and ethnic minority women are less likely to initiate prenatal care (PNC) in the first trimester of pregnancy than their counterparts. OBJECTIVE:This study examines the impact of Medicaid program changes in the late 1990s on the timing of Medicaid enrollment and PNC initiation among pregnan...

journal_title：Medical care

authors： Kuo TM,Gavin NI,Adams EK,Ayadi MF

更新日期：2008-10-01 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

authors： Shortell SM,Marsteller JA,Lin M,Pearson ML,Wu SY,Mendel P,Cretin S,Rosen M

更新日期：2004-11-01 00:00:00

abstract：OBJECTIVES:Rebalancing the long-term care system between institutional care and home-based and community-based services (HCBS) has become an important policy goal of most state Medicaid programs and several provisions of the Affordable Care Act. This study estimated nursing home admission patterns by race and ethnicity...

journal_title：Medical care

authors： Cai X,Temkin-Greener H

更新日期：2015-07-01 00:00:00

abstract：:The application of analytical and interactive decision models to decisions, in EMS councils, with various levels of uncertainty is described. Uncertainty is defined as having temporal, procedural, quantifiability, and environmental attributes. Highly uncertain decisions are unique, with unknown decision procedures. De...

journal_title：Medical care

authors： Nutt PC

更新日期：1979-02-01 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：:Earlier efforts of the Commission on Professional and Hospital Activities (CPHA) to develop a patient care data system for long-term care facilities were discontinued for lack of user interest and shortage of funds; however, the facilities were encouraged to participate in the hospital data system (PAS) and to use opt...

journal_title：Medical care

authors： Slee VN

更新日期：1976-05-01 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：OBJECTIVES:Most tests of the practice-makes-perfect hypothesis have used cross-sectional data, which reveal that patients receiving surgery in high-volume hospitals tend to experience better postsurgery outcomes. This study uses longitudinal data to explicitly examine whether any given hospital's patient outcomes chang...

journal_title：Medical care

authors： Hamilton BH,Ho V

更新日期：1998-06-01 00:00:00

abstract：:Nurse anesthetists (CRNAs) are a lower cost substitute for anesthesiologists in the delivery of anesthesia services. This article addresses the question of when anesthesiologists delegate in a team approach as opposed to using a solo arrangement. Logistic regression analysis was done using data from the 1986 Anesthesi...

journal_title：Medical care

authors： Rosenbach ML,Cromwell J

更新日期：1989-05-01 00:00:00

abstract：:Our purpose was to identify factors predictive of reported dental care use by elders (65+) over a ten-year period in Massachusetts. The Massachusetts Health Care Panel Study began in 1974-75 (wave 1) as a statewide survey of 1625 noninstitutionalized elders. Wave 2 occurred in 1976, wave 3 in 1980, and wave 4 in 1985....

journal_title：Medical care

authors： Gilbert GH,Branch LG,Orav EJ

更新日期：1990-12-01 00:00:00

abstract：OBJECTIVE:To assess drug prescribing by primary care physicians in France for various types of conditions, and to identify patterns and risk factors for poor prescribing quality. METHODS:The orders (n = 23,080) written for patients with five target diseases (acute nasopharyngitis, acute tonsillitis, essential hyperten...

journal_title：Medical care

authors： Coste J,Venot A

更新日期：1999-12-01 00:00:00

abstract：:The management information system (FP/MIS) used by the Howard University Center for Family Planning Services, which operates community family planning clinics in Washington, D.C. is described. The system was developed to satisfy program objectives in patient management, program planning and evaluation, resource manage...

journal_title：Medical care

authors： Herson J,Crocker CL,Butts E,Phong LT,Haynes JA

更新日期：1977-05-01 00:00:00

abstract：BACKGROUND:Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. OBJECTIVES:To link Meals on Wheels (MOW) program data to Med...

journal_title：Medical care

authors： Shan M,Gutman R,Dosa D,Gozalo PL,Ogarek JA,Kler S,Thomas KS

更新日期：2019-03-01 00:00:00

abstract：BACKGROUND:Readmission and length of stay (LOS) are increasingly accepted as quality measures for surgical care. Centers for Medicare & Medicaid Services will soon assess penalties for excessive readmissions after coronary artery bypass graft (CABG) surgery and hip and knee replacements. OBJECTIVE:To determine and com...

journal_title：Medical care

authors： Sedrakyan A,Kamel H,Mao J,Ting H,Paul S

更新日期：2016-06-01 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：:A randomized clinical trial was performed to assess whether the results of a depression screening instrument, when provided to physicians, could influence their recognition and treatment of depression in a primary care setting. The intervention consisted of randomly informing or not informing physicians of the depress...

journal_title：Medical care

authors： Magruder-Habib K,Zung WW,Feussner JR

更新日期：1990-03-01 00:00:00

abstract：:Lack of consensus about the treatment of low back pain is reflected by wide regional variations in lumbar spine surgery rates. Neck pain may be as common as low back pain, but there has been no similar evaluation of regional variation for the surgical treatment of neck pain. This report examines the geographic variati...

journal_title：Medical care

authors： Einstadter D,Kent DL,Fihn SD,Deyo RA

更新日期：1993-08-01 00:00:00

abstract：BACKGROUND:Fried and colleagues described a frailty phenotype measured in the Cardiovascular Health Study (CHS). This phenotype is manifest when ≥3 of the following are present: low grip strength, low energy, slowed waking speed, low physical activity, or unintentional weight loss. We sought to approximate frailty phen...

journal_title：Medical care

authors： Segal JB,Chang H-Y,Du Y,Walston JD,Carlson MC,Varadhan R

更新日期：2017-07-01 00:00:00

abstract：OBJECTIVE:To examine variation in culture change to a person-centered care (PCC) model, and the association between culture change and a composite measure of quality in 107 Department of Veterans Affairs nursing homes. METHODS:We examined the relationship between a composite quality measure calculated from 24 quality ...

journal_title：Medical care

authors： Sullivan JL,Shwartz M,Burgess JF Jr,Peköz EA,Christiansen CL,Gerena-Melia M,Berlowitz D

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:Collaborative Chronic Care Models represent an evidence-based way to structure care for chronic conditions, including mental health conditions. Few studies, however, have examined the cost implications of collaborative care for mental health. OBJECTIVE:We aimed to conduct an economic analysis of implementin...

journal_title：Medical care

authors： Miller CJ,Griffith KN,Stolzmann K,Kim B,Connolly SL,Bauer MS

更新日期：2020-10-01 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：BACKGROUND:The quality of nursing home (NH) care for residents with advanced dementia has been described as suboptimal. One relatively understudied factor in the provision of NH care is the role of private oversight and monitoring by family members and friends. OBJECTIVE:To examine the association between private over...

journal_title：Medical care

authors： Grabowski DC,Mitchell SL

更新日期：2009-05-01 00:00:00

abstract：BACKGROUND:A need exists for adapting existing perioperative risk stratification methods such as the Charlson Comorbidity Index (CCI) for application with hospital administrative data in noncardiac surgery populations. OBJECTIVE:Develop and validate outcome-specific CCIs for predicting inpatient mortality, and cardiac...

journal_title：Medical care

authors： Moodley Y

更新日期：2016-12-01 00:00:00

abstract：:Effective physician involvement in quality assurance in hospitals is necessary both to identify problems in patient care and to bring about problem resolution. This report describes a controlled, longitudinal study designed to measure effects on physician performance of involving physicians in setting medical audit cr...

journal_title：Medical care

authors： Sommers LS,Sholtz R,Shepherd RM,Starkweather DB

更新日期：1984-12-01 00:00:00

abstract：OBJECTIVES:The authors compare two generic measures of health status with disease-specific measures in a randomized controlled trial of transurethral resection of the prostate with laser vaporization prostatectomy for benign prostatic hypertrophy. METHODS:Patients entered into the trial completed the following questio...

journal_title：Medical care

authors： Jenkinson C,Gray A,Doll H,Lawrence K,Keoghane S,Layte R

更新日期：1997-11-01 00:00:00

abstract：OBJECTIVE:To investigate differences in self-rated health (SRH) between web and mail questionnaires in a mixed mode survey and to provide a model that explains those differences. SUBJECTS:A total of 15,200 mail respondents and 17,829 web respondents from the 2008 US National Health Survey conducted by the Gallup Panel...

journal_title：Medical care

authors： Shim JM,Shin E,Johnson TP

更新日期：2013-09-01 00:00:00

abstract：:In 1979, MEDICAL CARE published a supplement that summarized and evaluated existing research on changes in health care patterns associated with mental health, alcoholism, and drug abuse treatment. This paper, limited to alcoholism treatment, reviews research that has been completed since the 1979 supplement. Considera...

journal_title：Medical care

authors： Holder HD

更新日期：1987-01-01 00:00:00

abstract：:The present research was designed to identify psychosocial correlates of adherence among patients receiving hemodialysis at two outpatient clinics. The 116 participants were interviewed concerning their knowledge of treatment, health beliefs, treatment history, social support, personal characteristics, and adherence t...

journal_title：Medical care

authors： Cummings KM,Becker MH,Kirscht JP,Levin NW

更新日期：1982-06-01 00:00:00

abstract：OBJECTIVES:We investigated relationships at the health-plan level among member ratings of and reports on plans in the Consumer Assessment of Health Plans Survey (CAHPS). We sought a more parsimonious description of the reports that can be used in analyses of the distribution and correlates of consumer-assessed quality....

journal_title：Medical care

authors： Zaslavsky AM,Beaulieu ND,Landon BE,Cleary PD

更新日期：2000-02-01 00:00:00

abstract：:The total utilization rate of ambulatory illness-related physician services in Finland is higher in big urban health center areas than in rural areas. When only the health center physician utilization rates were studied the finding was opposite. A notable finding related to the impact of the national health planning w...

journal_title：Medical care

authors： Kekki P

更新日期：1982-08-01 00:00:00