abstract：:The effectiveness of sharing medical records in improving physician-older patient communication was evaluated in 203 ambulatory chronically ill older patients (mean age, 70.1 years) by a randomized controlled trial. Ninety-five experimental group patients received copies of their physicians' progress notes 1 week afte...

journal_title：Medical care

authors： Bronson DL,Costanza MC,Tufo HM

更新日期：1986-04-01 00:00:00

abstract：:Adherence to the medical regimen continues to rank as a major clinical problem in the management of patients with essential hypertension, as in other conditions treated with drugs and life-style modification. This article reviews the psychometric properties and tests the concurrent and predictive validity of a structu...

journal_title：Medical care

authors： Morisky DE,Green LW,Levine DM

更新日期：1986-01-01 00:00:00

abstract：:This study, like two earlier studies by the author, examines the effects of changing medical technologies on medical care costs by comparing the costs of treatment of a number of common illnesses at two points in time, 1971 and 1981. While the earlier studies, covering the periods 1951-1964 and 1964-1971, showed that ...

journal_title：Medical care

authors： Scitovsky AA

更新日期：1985-12-01 00:00:00

abstract：:In 1977, the American Heart Association recommended that patients with mitral valve prolapse (MVP) and mitral insufficiency receive antibiotic prophylaxis prior to procedures that place them at risk for bacterial endocarditis. To study how clinicians conformed to this recommendation, the authors selected 126 patients ...

journal_title：Medical care

authors： Retchin SM,Fletcher RH,Buescher PC,Waugh RA,Battaglini SW

更新日期：1985-10-01 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

authors： Horwitz SM,Morgenstern H,Berkman LF

更新日期：1985-08-01 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

authors： Buchner DM,Carter WB,Inui TS

更新日期：1985-06-01 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

authors： Cafferata GL,Kasper JD

更新日期：1985-04-01 00:00:00

abstract：:Teaching hospitals have higher charges than nonteaching hospitals, and teaching patients within a single institution incur higher charges than do private patients. Teaching hospitals claim that these higher charges are due to caring for patients with more complex illnesses. Critics claim that the increased charges are...

journal_title：Medical care

authors： Jones KR

更新日期：1985-03-01 00:00:00

abstract：:The authors compared the continuity of care that family physicians, general internists, and medical subspecialists provided to their adult primary care patients. The 40 study physicians came from large, private multispecialty practices in the San Francisco Bay Area. The three physician types did not differ significant...

journal_title：Medical care

authors： Goldberg HI,Dietrich AJ

更新日期：1985-01-01 00:00:00

abstract：:The authors examined the effect of after-hours telephone access to physicians and physician access to computerized medical records on hospitalizations and emergency room (ER) visits in an inner-city, adult, general medicine clinic. Patients were randomly assigned to a control (C) and two study groups (S1 and S2). Pati...

journal_title：Medical care

authors： Darnell JC,Hiner SL,Neill PJ,Mamlin JJ,McDonald CJ,Hui SL,Tierney WM

更新日期：1985-01-01 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：:Utilizing national data on patient care provided by family practitioners, general internists, and subspecialists in internal medicine, this study examines the complexity of care provided by generalist physicians versus subspecialty physicians on a disease-specific basis. Limiting the analysis to "principal care" provi...

journal_title：Medical care

authors： Mendenhall RC,Moynihan CJ,Radecki SE

更新日期：1984-11-01 00:00:00

abstract：:A new technique for identifying inefficient hospitals, Data Envelopment Analysis (DEA), is field tested by application to a group of teaching hospitals. DEA is found to provide meaningful insights into the location and nature of hospital inefficiencies as judged by the opinion of a panel of hospital experts. DEA provi...

journal_title：Medical care

authors： Sherman HD

更新日期：1984-10-01 00:00:00

abstract：:Broken appointments have been a major problem at the Anthony L. Jordan Health Center since it opened in 1968. In an earlier 6-month study of broken appointments at the center the authors found 48% of pediatric appointments and 43% of medicine appointments to be broken. Daily broken appointment rates were correlated be...

journal_title：Medical care

authors： Morse DL,Coulter MP,Napodano RJ,Hwang HL,Lawrence C

更新日期：1984-09-01 00:00:00

abstract：:A population-based, retrospective analysis of Medicare Part A and Blue Cross hospital insurance claims data was used to determine whether hospice home care cost savings to third-party insurers are substantial and result from the substitution of less expensive home care visits for more costly hospital inpatient days. T...

journal_title：Medical care

authors： Brooks CH,Smyth-Staruch K

更新日期：1984-08-01 00:00:00

abstract：:Issues that arise in the development of methods for measuring adequacy of physician performance (MAPP) are discussed. The comparative content validity, scorability, cost, and acceptability of four MAPP strategies are assessed using a sample of clinic-based physicians treating 30 patients with chronic obstructive pulmo...

journal_title：Medical care

authors： Kemeny ME,Hargreaves WA,Gerbert B,Stone GC,Gullion DS

更新日期：1984-07-01 00:00:00

abstract：:This report describes efforts to develop and test scales for measuring attitudes toward the medical care of chronically and terminally ill patients and their families. The following satisfaction scales were developed: General Satisfaction, Availability of Care, Continuity of Care, Physician Availability, Physician Com...

journal_title：Medical care

authors： McCusker J

更新日期：1984-05-01 00:00:00

abstract：:Patients often receive medical care from many different providers. Consequently, the various episodes of care may not be integrated into a meaningful whole, and the quality of care may suffer. Before this possibility can be evaluated, it is necessary to develop a measure of the integrating process. The authors studied...

journal_title：Medical care

authors： Fletcher RH,O'Malley MS,Fletcher SW,Earp JA,Alexander JP

更新日期：1984-05-01 00:00:00

abstract：:The effect of a greater volume of patients with similar conditions being treated at a hospital on the outcomes achieved is studied using a variety of categories of patients, 15 surgical and 2 medical, and involving 550,000 patients treated in over 1,200 nonfederal United States acute care hospitals. After demonstratin...

journal_title：Medical care

authors： Flood AB,Scott WR,Ewy W

更新日期：1984-02-01 00:00:00

abstract：:The authors of this study examine temporal patterns of medical expenditures by Medicare beneficiaries. A random sample of 204,917 individuals who were alive and in the program from 1974 to 1977 was investigated. Individuals hospitalized in 1974 were found to have twice the rate of hospitalization in 1975, 1976, or 197...

journal_title：Medical care

authors： Anderson G,Knickman JR

更新日期：1984-02-01 00:00:00

abstract：:The accurate measurement of physician job satisfaction in organized practice settings is important for both policy and administrative purposes. Previous efforts to measure physician job satisfaction have been unsatisfactory because of either conceptual or methodologic weaknesses. New measures of physician job satisfac...

journal_title：Medical care

authors： Lichtenstein R

更新日期：1984-01-01 00:00:00

abstract：:Foreign-born physicians graduated from foreign medical schools who were unlicensed in California are described by nationality, age, sex, location, visa status, employment, English fluency, and specialty. Over 1,210 unlicensed foreign medical graduates (FMGs) were located in California and 736 were interviewed, approxi...

journal_title：Medical care

authors： Smith MW,Fowkes VK

更新日期：1983-12-01 00:00:00

abstract：:In this paper the individual is employed as the unit of analysis to examine the extent to which the use of physician care by beneficiaries insured under the Canadian Medicare program is determined by medical needs and sociodemographic characteristics as opposed to economic considerations. The data were derived from th...

journal_title：Medical care

authors： Broyles RW,Manga P,Binder DA,Angus DE,Charette A

更新日期：1983-11-01 00:00:00

abstract：:A common objective of health services is to provide high quality care at the least cost, yet some services achieve these objectives better than others. Moreover, there are questions about relationships between cost and quality: do higher expenditures usually result in higher quality, or, conversely, is it possible to ...

journal_title：Medical care

authors： Schulz RI,Greenley JR,Peterson RW

更新日期：1983-09-01 00:00:00

abstract：:Although there are large-scale forces that influence the economic behavior of the health care delivery system, it is the physician who has primary authority to make decisions about the use of resources. Consequently, when considering alternative options for controlling rising health care expenditures, it is useful to ...

journal_title：Medical care

authors： Grossman RM

更新日期：1983-08-01 00:00:00

abstract：:This article assesses the extent to which formally provided comprehensive community care tends to substitute for informal care provided by family and friends to impaired elderly persons living in the community. Using simultaneous equations causal modeling techniques to control for selective targeting and other interve...

journal_title：Medical care

authors： Greene VL

更新日期：1983-06-01 00:00:00

abstract：:Previous research has estimated the effect of children's health care needs on women's market and nonmarket roles. This article reports the results of a study on the impact of health care for disabled children on women's nonmarket work. (Effects on women's market work are reported elsewhere.) Data from 369 families of ...

journal_title：Medical care

authors： Breslau N

更新日期：1983-06-01 00:00:00

abstract：:It has been suggested that the efficiency of claim-based utilization review systems could be improved by focusing on providers with very high utilization rates. This strategy assumes that 1) high utilizers are more likely to be overutilizers, 2) labeling claims (e.g., "high utilizer") do not bias the review, and 3) th...

journal_title：Medical care

authors： Bailit HL,Balzer JA,Clive J

更新日期：1983-05-01 00:00:00

abstract：:Two opposing theories have been suggested to describe the relationships among member dissatisfaction with a prepaid group practice (PGP), the choice to go outside for care normally covered by the plan, and disenrollment from the PGP: 1) out-of-plan use--a consequence of dissatisfaction, precedes disenrollment and 2) d...

journal_title：Medical care

authors： Hennelly VD,Boxerman SB

更新日期：1983-03-01 00:00:00

abstract：:In a Veterans Administration ambulatory care facility staffed by experienced nurse practitioners, we observed the length of visits, time utilization for various activities, and the use of diagnostic tests before and after introducing algorithms for 12 common chief complaints. Charges for diagnostic tests decreased as ...

journal_title：Medical care

authors： Orient JM,Kettel LJ,Sox HC Jr,Sox CH,Berggren HJ,Woods AH,Brown BW,Lebowitz M

更新日期：1983-02-01 00:00:00

abstract：:A clustering method for the analysis of ambulatory morbidity data is presented. This approach reduces spurious variations resulting from idiosyncratic diagnosis labeling and coding habits of physicians and facilitates the analysis of the content of ambulatory medical care through the use of aggregate morbidity data. T...

journal_title：Medical care

authors： Schneeweiss R,Rosenblatt RA,Cherkin DC,Kirkwood CR,Hart G

更新日期：1983-01-01 00:00:00

abstract：:In the 2 months immediately after a premium rate increase, the Genesee Valley Group Health Association (Group Health) lost over 600 subscriber contracts. A survey was conducted to determine the reasons for disenrollment and compare the demographic and utilization characteristics of disenrollees with those of all membe...

journal_title：Medical care

authors： Wersinger RP,Sorensen AA

更新日期：1982-12-01 00:00:00

abstract：:Dummy variables frequently are used in regression analysis but often in an incorrect fashion. A brief review of examples in the medical care literature showed that the interpretation of dummy variable regression coefficients and their significance was often incorrect or unclear. This article shows how dummy variables ...

journal_title：Medical care

authors： Polissar L,Diehr P

更新日期：1982-09-01 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

abstract：:The ability of a medical self-care program to have an impact on the utilization and cost of in-clinic and referral visits in a prepaid group practice was studied by following the medical encounter records of 900 HMO members in 217 families during a 12-month period. A control group selected by randomization after accep...

journal_title：Medical care

authors： Kemper DW

更新日期：1982-07-01 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：:The published preferences for scale steps in a health-related quality-of-life scale have been noted to be contrary to some prior assumptions about their rank ordering. The differences noted are actually statistically nonsignificant, and the observed ordering has a clear intuitive explanation. Several alternative expla...

journal_title：Medical care

authors： Bush JW,Anderson JP,Kaplan RM,Blischke WR

更新日期：1982-05-01 00:00:00

abstract：:Data from a national survey of veterans are analyzed to determine how age, income, health insurance and service-connected disability influence the veteran's choice of Veterans Administration (VA) hospitalization. Log-linear analysis is used to provide a model that expresses in numerically quantifiable terms (odds and ...

journal_title：Medical care

authors： Page WF

更新日期：1982-03-01 00:00:00

abstract：:Each physician's ability to treat disease is limited by his/her ability to discriminate among patients on the basis of risk. The relationship of physician expectation of outcome (prognosis) to actual outcome and to cost were determined for 1,757 patients seeking primary care. Outcome was measured by a seven-level func...

journal_title：Medical care

authors： Wright DD,Kane RL

更新日期：1982-02-01 00:00:00

abstract：:Since the costs of nursing home care are a major component of the rapidly rising costs of health care, it is appropriate to base public policy discussions about cost containment on the determinants of nursing home costs. This article investigates the determinants of nursing home operating costs and reviews the results...

journal_title：Medical care

authors： Birnbaum H,Bishop C,Lee AJ,Jensen G

更新日期：1981-11-01 00:00:00