Abstract:
:Rising health care costs in general and hospital costs in particular have placed significant financial strain on federal programs such as Medicare. It was with this in mind that the Reagan administration in 1983 initiated Medicare's new prospective payment system based on diagnostic-related groups (DRGs) to reduce the growth rate of Medicare expenditures. The introduction of DRGs has generated significant controversy in the health care community. The DRG system may necessitate consideration of four new management alternatives by hospital administrators: increased monitoring and regulation of physicians, profit-loss sharing arrangements between physicians and hospital management, development of collective protocols among physicians, and bedside budget balancing. This study examines the opinions of a random sample of 838 physicians from the West North-Central region regarding these management alternatives. The findings suggest that physicians have strong negative opinions about these management alternatives and believe that they will have a negative impact on the health care system. The development of collective protocols emerges as the most likely acceptable alternative among physicians, but even collective protocols as an alternative promise limited success.
journal_name
Eval Health Profjournal_title
Evaluation & the health professionsauthors
Patel Kdoi
10.1177/016327878801100405subject
Has Abstractpub_date
1988-12-01 00:00:00pages
487-505issue
4eissn
0163-2787issn
1552-3918journal_volume
11pub_type
杂志文章abstract::Access to outpatient services within the first 30 days after an inpatient mental health episode may influence relapse risk. A retrospective cohort of 3,755 adult Medicaid mental health inpatients discharged from their first managed care acute episode of care from July 1, 1996, through May 20, 1998, were studied. Resul...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01632780022034714
更新日期:2000-12-01 00:00:00
abstract::Many studies have been compiled which report patient characteristics and patterns in the utilization of health care services. Very little information is available on the characteristics of patients who refuse services in a particular program. This article employs a sample of 246 home health care patients to describe t...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878200500205
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abstract::The national evaluation of the federally funded Healthy Start program involved translating a design for a process and outcomes evaluation and standard maternal and infant data set, both developed prior to the national evaluation contract award, into an evaluation design and client data collection protocol that could b...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879601900307
更新日期:1996-09-01 00:00:00
abstract::A practice analysis, in which an appropriate sample of professionals is asked to describe what they do in their practices, is considered an essential part of the content-related validity evidence for licensure and certification tests. This article examines the precision of estimates of the mean frequencies for categor...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879501800103
更新日期:1995-03-01 00:00:00
abstract::A meta-analysis of studies examining the interrater reliability of the standard practice of peer assessments of quality of care was conducted. Using the Medline, Health Planning and Administration, and SCISEARCH databases, the English-language literature from 1966 through 1991 was searched for studies of chance correc...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,meta分析
doi:10.1177/016327879401700101
更新日期:1994-03-01 00:00:00
abstract::Periodic review of professional competence or performance is on the public agenda as a response to rising malpractice suits, iatrogenic morbidity, and mortality resulting directly from professional incompetence, and the inadequacy of current licensing and discipline systems. This article reviews several continuing com...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878701000306
更新日期:1987-09-01 00:00:00
abstract::A principal components analysis identified the immediate convenience of indoor tanning (i.e., relaxation, perceived attractiveness of tans) as a major factor that motivates people to visit commercial tanning salons frequently and continually. Long-term considerations, such as price, socializing, and perceived health, ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879702000401
更新日期:1997-12-01 00:00:00
abstract::Obtaining a high response rate in survey research can bolster statistical power, reduce sampling error, and enhance the generalizability of the results to the population surveyed. We describe a mail survey designed to achieve a high return rate of completed questionnaires from members of the American Psychological Ass...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01678702025002002
更新日期:2002-06-01 00:00:00
abstract::Given concerns about survey nonresponse bias as well as the need to plan resources for participant recruitment, this study tracked each step of the recruitment process (location, response, consent, and completion) of sociodemographically diverse older women for a survey concerning mammography experience. Younger, less...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879401700408
更新日期:1994-12-01 00:00:00
abstract::The Clinical and Translational Science Awards (CTSA) program sponsors an array of innovative, collaborative research. This study uses complementary bibliometric approaches to assess the scope, influence, and interdisciplinary collaboration of publications supported by single CTSA hubs and those supported by multiple h...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278719839435
更新日期:2020-09-01 00:00:00
abstract::This article summarizes research on Type II translation of prevention interventions aimed at enhancing the adoption of effective programs and practices in communities. The primary goal of Type II translation is to institutionalize evidence-based programs, products, and services. First, the authors describe theoretical...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278706290408
更新日期:2006-09-01 00:00:00
abstract::Two-arm time-to-event (or survival) trials are powered to continue until a required number of events is reached. The authors discuss how the required number of events should be defined for a study with three or more arms with various pairwise comparisons and a common control arm. They advocate stopping one active arm ...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278707304037
更新日期:2007-09-01 00:00:00
abstract::Most chronic fatigue syndrome (CFS) studies are based on information about patients from primary or tertiary care settings. These patients might not be typical of patients in the general population. This investigation involved examinations of individuals with CFS from a community-based study. A random sample of 18,675...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01632780022034598
更新日期:2000-09-01 00:00:00
abstract::Medical decisions, including physicians' prescribing behaviors, are shaped by a complex interplay of clinical and nonclinical factors. We aim to determine how physician, patient, and relationship characteristics influence physicians' decisions to accommodate brand-name prescription drug requests. We applied multivaria...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278712468756
更新日期:2014-09-01 00:00:00
abstract::Although it is increasingly common, meta-analysis is still a relatively new addition to the toolbox of research strategies. Partially because of its newness and partially because its early enthusiasts may have overstated its presumed contributions, a number of common misunderstandings have developed about the meta-ana...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879501800305
更新日期:1995-09-01 00:00:00
abstract::Persons with Chronic Fatigue Syndrome (PWCs) completed and returned by mail a brief survey of open- and closed-ended items designed to assess their utilization and preferences for a variety of services. A total of 984 middle-aged adults diagnosed with Chronic Fatique Syndrome (CFS) from across North America returned t...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327879601900204
更新日期:1996-06-01 00:00:00
abstract::The authors describe the development and psychometric testing across three study phases of an Attitudes Toward Health Care Teams Scale. The measure contains two subscales: Quality of Care/Process (14 items) and Physician Centrality (6 items). The Quality of Care/Process subscale measures team members' perceptions of t...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/01632789922034202
更新日期:1999-03-01 00:00:00
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journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278706297337
更新日期:2007-03-01 00:00:00
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journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/0163278705278273
更新日期:2005-09-01 00:00:00
abstract::This article describes the Joint Commission's implementation plans, experience, and results to date of incorporating performance measurement data into the accreditation process. These plans have evolved in response to changes in the health care environment, feedback from accredited organizations, and both technical an...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
doi:10.1177/016327879902200301
更新日期:1999-09-01 00:00:00
abstract::This article reports a study of the process of selecting and evaluating general surgery residents. In personnel psychology terms, a job analysis of general surgery was conducted using the Critical Incident Technique (CIT). The researchers collected 235 critical incidents through structured interviews with 10 general s...
journal_title:Evaluation & the health professions
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doi:10.1177/016327879301600105
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abstract::In this article, we review three innovative methods: multiform protocols, visual analog scaling, and the retrospective pretest-posttest design that can be used in evaluation research. These three techniques have been proposed for decades, but unfortunately, they are still not utilized readily in evaluation research. O...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,评审
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journal_title:Evaluation & the health professions
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abstract::The medical group survey from the CAHPS (formerly Consumer Assessment of Health Plans Study) project, G-CAHPS, focuses on patient experiences in receiving care from their medical group practice. We compared mail and telephone responses to the G-CAHPS survey in a sample of 880 patients from four physician groups. Patie...
journal_title:Evaluation & the health professions
pub_type: 杂志文章,随机对照试验
doi:10.1177/0163278705281074
更新日期:2005-12-01 00:00:00
abstract::Normalization has gained wide acceptance as a goal that residential institutations for the mentally retarded should strive to achieve, but many organizations have been shown to have difficulty achieving the goal. Theories developed from the organizational contingency perspective suggest that organizations with bureauc...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878000300105
更新日期:1980-03-01 00:00:00
abstract::Chronic Fatigue Syndrome (CFS) is characterized by debilitating symptoms including persistent or relapsing fatigue. As a result of CFS, some individuals experience significant stigma that is attached to this illness. Many medical professionals are skeptical of the validity of the illness, and employers often fail to a...
journal_title:Evaluation & the health professions
pub_type: 杂志文章
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更新日期:1999-12-01 00:00:00
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journal_title:Evaluation & the health professions
pub_type: 杂志文章
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更新日期:2010-12-01 00:00:00
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journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878300600302
更新日期:1983-09-01 00:00:00
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journal_title:Evaluation & the health professions
pub_type: 杂志文章
doi:10.1177/016327878500800307
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journal_title:Evaluation & the health professions
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