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:The "Unborn Child" (UC) option provides state Medicaid/Children's Health Insurance Program (CHIP) programs with a new strategy to extend prenatal coverage to low-income women who would otherwise have difficulty enrolling in or would be ineligible for Medicaid. OBJECTIVES:To examine the association of the UC...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000020
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:By shifting a greater share of out-of-pocket medical costs to consumers, high-deductible health plans (HDHP) might discourage use of essential outpatient services. OBJECTIVE:The objective of the study was to examine the impact of an HDHP on outpatient visits and associated laboratory and radiology tests. R...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000008
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Although there are several studies of the human and system factors that influence the outcomes of cardiac surgery, it remains difficult to draw conclusions because many do not simultaneously adjust for the characteristics of patients, physicians, and institutions. The current study explores the associations ...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0b013e3182a048af
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Relative to traditional fee-for-service Medicare, managed care plans caring for Medicare beneficiaries may be better positioned to promote recommended services and discourage burdensome procedures with little clinical value at the end of life. OBJECTIVE:To compare end-of-life service use for enrollees in Me...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182a50278
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:Prior meta-analysis indicates that collaborative chronic care models (CCMs) improve mental and physical health outcomes for individuals with mental disorders. This study aimed to investigate the stability of evidence over time and identify patient and intervention factors associated with CCM effects to facili...
journal_title:Medical care
pub_type: 杂志文章,meta分析
doi:10.1097/MLR.0b013e3182a3e4c4
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:To demonstrate a rigorous methodology that optimally balanced internal validity with generalizability to evaluate a statewide collaborative that implemented an evidence-based, collaborative care model for depression management in primary care. STUDY DESIGN AND SETTING:Several operational features of the DIAM...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318249d8a4
更新日期:2013-09-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31829a4f92
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:The Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) 10, "Postoperative Physiologic and Metabolic Derangement" (PPMD), uses administrative data to detect postoperative acute kidney injury (AKI) requiring dialysis and diabetes-related complications. We sought to evaluate the indicator'...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31829c8b91
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:As clinical data are increasingly collected and stored electronically, their potential use for comparative effectiveness research (CER) grows. Despite this promise, challenges face those wishing to leverage such data. In this paper we aim to enumerate some of the knowledge management and informatics issues c...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31829b1de1
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVES:To examine the prevalence of obesity and its relationship with pressure ulcers among nursing home (NH) populations, and whether such relationship varies with certified nursing assistant (CNA) level in NHs. DATA AND STUDY POPULATION: The 1999-2009 nationwide Minimum Data Sets were linked with Online Survey of...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182881cb0
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Healthcare accrediting organizations and insurers increasingly require reporting of clinical data, and cancer treatment is one area of enhanced scrutiny. OBJECTIVES:To compare rates of received versus reported adjuvant breast cancer treatments, and to assess barriers to measuring and reporting treatments to...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182422f7b
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Current health care reform efforts are focused on reorganizing health care systems to reduce waste in the US health care system. OBJECTIVE:To compare rates of overuse in different health care systems and examine whether certain systems of care or insurers have lower rates of overuse of health care services....
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/MLR.0b013e31828dbafe
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:It is unclear if volume-outcome relationships exist in inpatient rehabilitation. OBJECTIVES:Assess associations between facility volumes and 2 patient-centered outcomes in the 3 most common diagnostic groups in inpatient rehabilitation. RESEARCH DESIGN:We used hierarchical linear and generalized linear mod...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0b013e318286e3c8
更新日期:2013-05-01 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
abstract:BACKGROUND:Among older women with early-stage breast cancer, patients with a short life expectancy (LE) are much less likely to benefit from adjuvant radiation therapy (RT). Little is known about the impact of physicians and regional factors on the use of RT across LE groups. OBJECTIVE:To determine the relative contri...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31827631b0
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Little is known about the medical care resources devoted to diagnosing and treating cancer-related symptoms before a definitive cancer diagnosis. Previous research using SEER-Medicare data to measure incremental costs and utilization associated with cancer started with the date of diagnosis. We hypothesized ...
journal_title:Medical care
pub_type: 杂志文章,随机对照试验
doi:10.1097/MLR.0b013e3182731277
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Regret after one of the many decisions and interventions that health care professionals make every day can have an impact on their own health and quality of life, and on their patient care practices. OBJECTIVES:To validate a new care-related regret intensity scale (RIS) for health care professionals. RESEA...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318280f02c
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:The effects of continuity of care (COC) on health care outcomes are well established. However, the mechanism of this association is not fully understood. OBJECTIVE:The objective of this study was to examine the relationship between COC and medication adherence, as well as to investigate the mediating effect...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31827da5b9
更新日期:2013-03-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182763230
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND:Among patients with type 2 diabetes, it is not known whether risk factor control is better or worse for those who also have heart disease, depression, multiple other comorbidities, and associated management challenges. OBJECTIVE:To examine the relationship between this complex constellation of multimorbidit...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0b013e318273119b
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND:Medicare and private plans are encouraging individuals to seek care at hospitals that are designated as centers of excellence. Few evaluations of such programs have been conducted. This study examines a large national initiative that designated hospitals as centers of excellence for knee and hip replacement....
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182699407
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:For patients recovering from severe acute illness, admission to a long-term acute care hospital (LTAC) is an increasingly common alternative to continued management in an intensive care unit (ICU). OBJECTIVE:To examine the effectiveness of LTAC transfer in patients with chronic critical illness. RESEARCH D...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31826528a7
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Earlier studies estimated annual income differences across specialties, but lifetime income may be more relevant given physicians' long-term commitments to specialties. METHODS:Annual income and work hours data were collected from 6381 physicians in the nationally representative 2004-2005 Community Tracking...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318268ac0c
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:Self-care management is recognized as a key component of care for multimorbid older adults; however, the characteristics of those most likely to participate in Chronic Disease Self-Management (CDSM) programs and strategies to maximize participation in such programs are unknown. OBJECTIVES:To identify indivi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318268abe7
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:The lack of quality-oriented organizational climates is partly responsible for deficiencies in patient-centered care and poor quality more broadly. To improve their quality-oriented climates, several organizations have joined quality improvement collaboratives. The effectiveness of this approach is unknown. ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31826b1087
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this review is to identify and analyze published studies that have evaluated disparities for opportunistic infection (OI) prophylaxis between blacks and whites with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) in the United States. METHODS:The authors conducted...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/MLR.0b013e31826c85d1
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:The appropriate use of medications can influence quality performance measures and costs. Drug-related morbidity and mortality represents a public health challenge due to the ineffective and unsafe consequences of medication use. This article addresses the impact of team-based care that incorporates comprehen...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31826ecf9a
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Demand for surgical treatment is rising while operating room (OR) resources are limited. Requests for more resources therefore can only be partly met by repartitioning the existing sparse resources. OBJECTIVE:Our goal is to define a method to allocate OR block times among surgical disciplines in such a way ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182549eb9
更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION:Validly interpreting scores based on patients' reports of their experiences using scales depends on a valid scoring system. The possibility exists that, although the creators of a scale intended to create a scale measuring a single construct, the questions may seem to measure more than one construct. Howev...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318266519e
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Seizures and epilepsy are common in older adults especially in some minorities. Despite the importance of medical care to maximize seizure control, little is known about its quality across racial groups. One indicator of quality care is the receipt of electroencephalograms (EEG), and magnetic resonance imagi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31824ebdc4
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Outcome measures, like hospital standardized mortality ratios (HSMRs), are increasingly used to assess quality of care. The validity of HSMRs and their accuracy to reflect quality of care is heavily contested. OBJECTIVE:We explored apparent and potential shortcomings and adverse effects of the HSMR in the a...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/MLR.0b013e31824ebd9f
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:The 2006 Massachusetts health reform substantially decreased uninsurance rates. Yet, little is known about the reform's impact on actual health care utilization among poor and minority populations, particularly for receipt of inpatient surgical procedures that are commonly initiated by outpatient physician r...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31824e319f
更新日期:2012-07-01 00:00:00
abstract:INTRODUCTION:Growing adoption of electronic health records and increased emphasis on the reuse and integration of clinical care and administration data require a robust informatics infrastructure to inform health care effectiveness in real-world settings. The Scalable Architecture for Federated Translational Inquiries ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318259bff4
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:Indication bias is the major challenge in assessing treatment effectiveness in observational studies. We explored the potential advantages of using an instrumental variable approach in the context of primary androgen deprivation therapy (ADT) for prostate cancer. METHODS:We identified 31,930 men in the link...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318245a086
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Performance measures often fail to account for legitimate reasons why patients do not achieve recommended treatment targets. METHODS:We tested a novel performance measurement system for blood pressure (BP) control that was designed to mimic clinical reasoning. This clinically guided approach focuses on (1) ...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0b013e318245a147
更新日期:2012-05-01 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:Limited literacy has repeatedly been linked to problems comprehending health information, although the majority of studies to date have focused on reading various print health materials. We sought to investigate patients' ability to recall spoken medical instructions in the context of a hypothetical clinical...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318241e8e1
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:In the setting of declining U.S. literacy, new policies include use of clear communication and low-literacy accessibility practices with all patients. Reliable methods for adapting health information to meet such criteria remain a pressing need. OBJECTIVES:To report method validation (study 1) and method re...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318249d6c8
更新日期:2012-04-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318245a754
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVES:This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies, and more useful info...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3182408812
更新日期:2012-03-01 00:00:00