解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract:BACKGROUND:Previous studies relating the incidence of negligent medical care to malpractice lawsuits in the United States may not be generalizable. These studies are based on data from 2 of the most populous states (California and New York), collected more than a decade ago, during volatile periods in the history of ma...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200003000-00002
更新日期:2000-03-01 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
pub_type: 杂志文章
doi:10.1097/00005650-200002000-00006
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND:Previous research has indicated that the needs of persons infected with human immunodeficiency virus (HIV) for supportive services often go unmet. Although case management has been advocated as a method of decreasing unmet needs for supportive services, its effectiveness is poorly understood. OBJECTIVES:To ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200001000-00007
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:The number of older patients enrolling in health maintenance organizations (HMOs) is increasing. Concerns have been raised that older patients may be targeted by HMOs for more stringent cost-containment mechanisms, including reduced access to expensive specialty care. OBJECTIVES:We investigated the relation...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199912000-00002
更新日期:1999-12-01 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
pub_type: 杂志文章
doi:10.1097/00005650-199912000-00012
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:Changes in the demographic, specialty, and employment sector composition of medicine have altered physicians' jobs, limiting autonomy and reducing morale. Because physician job satisfaction has been linked to clinical variables, better measurement might help to ameliorate conditions linked to medical disaffe...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199911000-00010
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVE:To compare mental health service utilization and its associated factors between African Americans and whites in the 1980s and 1990s. DESIGN:Household-based longitudinal study with baseline interviews in 1981 and follow-up interviews from 1993 to 1996. SETTING:The Baltimore Epidemiologic Catchment Area (ECA)...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199910000-00007
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:Although most of the elderly are covered by Medicare, they potentially face large out-of-pocket costs for their health care because of excluded services. Aside from nursing home care, the exclusion of prescription drugs is one of the most significant. Several earlier policy initiatives have proposed adding p...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199909000-00008
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVE:To compare primary care and traditional Internal Medicine residents in their adherence to preventive medicine guidelines, performance in the management of chronic diseases, and utilization of resources. DESIGN:Prospective cohort study. SETTING:Urban Internal Medicine residency program. PARTICIPANTS:Sixteen...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199908000-00007
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES:To assess the likely effects of the 1996 Health Insurance Portability and Accessibility Act (HIPAA), based on small firms' experiences under state small group insurance reforms that were similar in design to HIPAA. METHODS:Data on 17,818 small businesses (range, 2-50 employees) nationwide from the 1994 Nati...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199907000-00009
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE:To introduce and demonstrate two methods that can be us...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199906000-00007
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVES:The Manitoba Centre for Health Policy and Evaluation (MCHPE) collaborated with a provincially-appointed Physician Resource Committee in an assessment of provincial physician resources. RESEARCH DESIGN:Beginning with map-based analyses of physician supply and contacts across the province, compared with the h...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199906001-00017
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the psychometric assumptions underlying the construction and scoring of SF-36 scales and summary measures among clinical trial participants with arthritis. METHODS:Cross-sectional SF-36 data from the baseline assessment of adult patients (n = 1,016) participating in four placebo-controlled clinic...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199905001-00002
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:If shape of a person's utility function is associated with his health status, as is predicted by Prospect Theory, the use of utilities from the healthy could result in 'de facto' discrimination against the sick. OBJECTIVES:To determine if patients' utilities for hypothetical states and for their current hea...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199905000-00007
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND:Although patients readmitted to intensive care units (ICUs) typically have poor outcomes, ICU readmission rates have not been studied as a measure of hospital performance. OBJECTIVES:To determine variation in ICU readmission rates across hospitals and associations of readmission rates with other ICU-based m...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199904000-00009
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Estimates of health care cost are needed to conduct cost-effectiveness research at the facilities operated by the US Department of Veterans Affairs. METHODS:The medical literature was searched for VA studies to characterize different cost methods and identify their advantages and disadvantages. RESULTS:Dif...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/00005650-199904002-00003
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Health plans commonly face the conflicting demands of trying to provide access to novel technologies, including new classes of medications, while trying to contain costs. These demands are particularly acute for California's Medicaid program, known as Medi-Cal, which is responsible for delivery of medical ca...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199904001-00005
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to determine whether parents rate their children's care differently when they also rate their own care than when they do not. METHODS:Subjects were employees of Washington State who had been enrolled in a health plan for at least 6 months and who had at least one covered child. Sub...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-199903001-00007
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Rural health care workforce forecasting has not included adjustments for predictable changes in practice patterns, such as the introduction of practice guidelines. PURPOSE:To estimate the impact of a practice guideline for a single health condition on the needs of a rural health professional workforce. MET...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199903000-00006
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:To explore the relationship between type of initial care as well as the likelihood of recurrence and consequent care seeking behavior. RESEARCH DESIGN:Prospective observational cohort recruited from 208 randomly selected North Carolina practices. Cohort study examined the recurrence of low back pain among pa...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199902000-00006
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVES:Family members and other "carepartners" often play an important role in the care and support of patients during and after hospitalization, yet little is known about how they assess their hospital experience or the factors that may influence their perceptions. METHODS:A nationwide telephone survey of 1,800 r...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199901000-00006
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:This study compared Department of Veterans Affairs (VA) and non-VA mental health service use among male and female veterans. Because female veterans are a distinct minority in VA, it was hypothesized that they would be less likely to use VA mental health care than would male veterans. METHODS:Using data fro...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199811000-00002
更新日期:1998-11-01 00:00:00
abstract:OBJECTIVES:Many patients have limited English proficiency and require an interpreter. The authors evaluated the effect of current interpreting practices on Spanish-speaking patients' satisfaction with the patient-provider relationship. METHODS:A cross-sectional survey was conducted of 457 patients seen in a public hos...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199810000-00004
更新日期:1998-10-01 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
pub_type: 杂志文章,多中心研究
doi:10.1097/00005650-199809000-00009
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVES:Evidence is building that primary care is associated with quality of care and cost effectiveness. Still, little is known of the contribution of specific attributes of primary care to important health outcomes, such as the delivery of preventive services. This study tests the association of specific attribute...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199808001-00004
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:The economic impact of trauma in older persons is a matter of increasing concern to public health practitioners and planners, yet it is an issue that has not been widely studied. Available evidence does suggest, however, that falls are the costliest category of injury among older persons. METHODS:This study...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199808000-00006
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:The authors examined how the courts have responded to public and private insurers' use of medical appropriateness criteria to establish coverage and payment policies. METHODS:A structured review of all federal and state court health insurance cases decided between 1960 and June 1994 that involved a dispute ...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/00005650-199808000-00016
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:Administrative data from Manitoba, Canada document variation in procedure utilization rates over a period of 15 years. With coronary angiography and cardiovascular surgery centralized in the capital, Winnipeg, previous analyses from 1977 to 1983 found angiography and coronary artery bypass surgery (CABS) rat...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199807000-00009
更新日期:1998-07-01 00:00:00
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 nati...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199806000-00002
更新日期:1998-06-01 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
pub_type: 杂志文章
doi:10.1097/00005650-199806000-00012
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVES:The present study evaluated alternative patient classification systems for skilled nursing facility and rehabilitation facility patients. METHODS:Medicare patients were selected from a random sample of 27 rehabilitation facilities and 65 skilled nursing facilities participating in a national longitudinal st...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199805000-00009
更新日期:1998-05-01 00:00:00
abstract:OBJECTIVES:This study examined factors that affect access to Veterans Administration mental health services. METHODS:Data from national Veterans Affairs databases and the 1990 Decennial Census were used to estimate rates of Veterans Affairs mental health service use in each US county (n = 3,156) among all US veterans ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199804000-00006
更新日期:1998-04-01 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:OBJECTIVES:The authors identify demographic and clinical characteristics associated with noncompliance in patients beginning medical therapy for the treatment of glaucoma in a managed care setting. METHODS:The authors describe a retrospective cohort study in a group-model health maintenance organization in Massachuset...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199803000-00012
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:This study compared the performance of generic measures of Medical Outcome Study Short Form 36-Item Health Survey physical functioning and role limitations with disease-specific measures of physical functioning and role limitations using specific disease attributions for chronic lung disease, chronic low bac...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-199802000-00005
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVES:The effectiveness of case-managed residential care (CMRC) in reducing substance abuse, increasing employment, decreasing homelessness, and improving health was examined. METHODS:A five-year prospective experiment included 358 homeless addicted male veterans 3, 6, and 9 months during their enrollment and at ...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-199801000-00006
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVES:Patient perceptions are increasingly used to measure quality of care in a diversity of health-care delivery settings. The goals of this article are to review the current use of patient perceptions and to review what is known about the sensitivity of patient perceptions for discerning variations in care acros...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/00005650-199711001-00007
更新日期:1997-11-01 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
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-199711000-00003
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVES:To help resolve the current controversy over the validity of early readmission as an indicator of the quality of care, the authors critically reviewed the literature using meta-analysis to derive summary estimates of effect and evaluate inter-study heterogeneity. METHODS:The authors selected reports meeting...
journal_title:Medical care
pub_type: 杂志文章,meta分析
doi:10.1097/00005650-199710000-00006
更新日期:1997-10-01 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