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:Hospital occupancy, nurse staffing levels, weekend admission, and seasonal influenza have all been shown to be associated with in-hospital mortality. Yet, no study has simultaneously compared the strength of associations of these 4 factors with in-hospital mortality. OBJECTIVE:To compare the risk of in-hosp...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0b013e3181c162c0
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVES:To study the reported medical practice of euthanasia in Belgium since implementation of the euthanasia law. RESEARCH DESIGN:Analysis of the anonymous database of all euthanasia cases reported to the Federal Control and Evaluation Committee Euthanasia. SUBJECTS:All euthanasia cases reported by physicians fo...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181bd4dde
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Variance reduction is sometimes considered as a goal of clinical quality improvement. Variance among physicians, hospitals, or health plans has been evaluated as the proportion of total variance (or intraclass correlation, ICC) in a quality measure; low ICCs have been interpreted to indicate low potential fo...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0b013e3181c15a6e
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Although mental disorders constitute a significant public health problem in military populations, little is known about whether military members seek mental health treatment in a timely manner. OBJECTIVE:The objective of this study was to examine delays in making the initial treatment contact for various me...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181bd4bf9
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Given strict residency controls and geographic imbalances in health care resources, China may experience serious urban-rural health disparities. OBJECTIVES:To investigate urban-rural disparities in the patterns of health status and health care utilization in China and to examine the evolution of these dispa...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181adcc32
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVES:Building on Andersen's behavioral model for the utilization of health care services, we examined factors associated with utilization of physician and hospital services among adults in Canada and the United States, with a focus on socioeconomic status (enabling resources in Andersen's framework). METHODS:Usi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181adcbe9
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:Compare healthcare utilization and total payments for community-acquired pneumonia (CAP) episodes-of-care among 5 health plan designs spanning the continuum of managed care. RESEARCH DESIGN:Medical and prescription claims analysis of CAP episodes among enrollees of employer-sponsored health plans. Episode ch...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181a8116d
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:We evaluated the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese breast and nasopharyngeal cancer patients. METHODS:A sample of Chinese breast (n = 250) and nasopharyngeal (n = 242) cancer patients were assessed during their first outpatient visit (b...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181a393cf
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Several organizations are advocating for patients' preferences to be considered in clinical practice guideline development and implementation. However, lack of agreement on the goal and meaning of this policy curtails evaluation and development of patient involvement programs. GOAL:To describe guideline dev...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181a81158
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Estimates of the costs of medical care vary across patient populations, data sources, and methods. The objective of this study was to compare 3 approaches for estimating the incidence costs of colorectal cancer (CRC) care using similar patient populations, but different data sources and methods. METHODS:We ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181a4f482
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Econometric modeling of healthcare costs and expenditures has become an important component of decision-making across a wide array of real-world settings. OBJECTIVES:The objective of this article is to provide a brief summary of important conceptual and analytical issues involved in econometric healthcare c...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31819c9593
更新日期:2009-07-01 00:00:00
abstract:RATIONALE:Moving patients from low-performing hospitals to high-performing hospitals may improve patient outcomes. These transfers may be particularly important in critical care, where small relative improvements can yield substantial absolute changes in survival. OBJECTIVE:To characterize the existing critical care n...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318197b1f5
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Versus whites, blacks with diabetes have poorer control of hemoglobin A1c (HbA1c), higher systolic blood pressure (SBP), and higher low-density lipoprotein (LDL) cholesterol as well as higher rates of morbidity and microvascular complications. OBJECTIVE:To examine whether several mutable risk factors were m...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/mlr.0b013e318192609d
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Latinos make up the largest group of minority children in the United States. Despite great diversity among Latino children, studies have traditionally treated them as a monolithic group. Few studies have examined patterns and determinants of access to and use of health care for different subgroups of Latino ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318190d9e4
更新日期:2009-06-01 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
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318195fce7
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Most health insurance plans monitor ambulatory care quality using the Healthcare Effectiveness Data and Information Set (HEDIS), publicly reporting results at the plan level. Plan-level comparisons obscure the influence of patients served or settings where care is delivered. Mental illness, substance abuse, ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318190db45
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/mlr.0b013e318190ccac
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Cardiac risk assessment may not be routinely performed. Electronic health records (EHRs) offer the potential to automate risk estimation. We compared EHR-based assessment with manual chart review to determine the accuracy of automated cardiac risk estimation and determination of candidates for antiplatelet o...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31818dce21
更新日期:2009-04-01 00:00:00
abstract:INTRODUCTION:Screening hospital patients for falls risk is now a contentious component of geriatric care despite its widespread clinical use. The economic implications of using a falls risk screening approach to deliver an effective falls prevention intervention have not previously been examined. METHODS:This was a mu...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0b013e318190ccc0
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Data suggest that differences in patient preferences may account for racial disparities in the use of medical interventions. Racial disparities have also been noted in outcomes and the delivery of healthcare services in chronic disease. Whether treatment preferences in chronic disease differ by race is not k...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31818af829
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Hospital-acquired catheter-associated urinary tract infection (CAUTI) is one of the first 6 conditions Medicare is targeting to reduce payment associated with hospital-acquired conditions under Congressional mandate. This study was to determine the positive predictive value (PPV) and sensitivit...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31818af83d
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:The objective of this systematic review was to identify factors that consistently predict nursing home admission (NHA) in persons with dementia. METHODS:Studies published in English were retrieved by searching the MEDLINE (1966-2006), PSYCINFO (1950-2006), CINAHL (1982-2006), and Digital Dissertations (1950-...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/MLR.0b013e31818457ce
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND:With the increasing use of colonoscopy there is growing concern about the quality of these procedures. OBJECTIVE:To evaluate the rates of complete colonic evaluation after an incomplete colonoscopy and their associated factors. METHODS:Men and women > or =50 years old living in Ontario on January 1, 1997 w...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817d92bc
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Assessing accuracy and completeness of data is an important component of conducting research. VA Healthcare System benefits from a highly developed electronic medical information system. The Immunology Case Registry was designed to monitor costs and quality of HIV care. The Decision Support System was develo...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817d69c2
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Physician and patient gender both influence medical communication. Nonverbal behavior is generally under-researched in the medical encounter but plays an important role for patient outcomes such as satisfaction. OBJECTIVE:This article aims at identifying how specific physician nonverbal behaviors predict an...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817e1877
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:There are currently no Medicare claims-based algorithms to identify patients receiving nursing home care (NHC). This constitutes an important limitation in outcome studies using population-based data. OBJECTIVES:To assess the ability of claims data to identify patients receiving NHC, using the nursing home ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817925d2
更新日期:2008-11-01 00:00:00
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
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318187d8f8
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND:Incorporating patients' preferences into colorectal cancer (CRC) screening recommendations has been identified as a potential mechanism for increasing adherence. This study used conjoint analysis to describe variation in CRC screening preferences among racially/ethnically diverse primary care patients. METH...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31817d932e
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:To assess the effects on overall self-rated health of the broad range of symptoms and impairments that are routinely asked about in national surveys. DATA:We use data from adults in the nationally representative Medical Expenditure Panel Survey (MEPS) 2002 with validation in an independent sample from MEPS 2...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e318179199f
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Patient-centered communication (PCC) is associated with more appropriate treatment of depression in primary care. Aside from patient presentation, little is known about other influences on PCC. We investigated whether PCC is influenced by personality dispositions of primary care providers, independent of pat...
journal_title:Medical care
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/MLR.0b013e31817924e4
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:The relationship between health status and Hispanic ethnicities, language, and nativity is poorly understood, due to the limitations and conflicting findings of previous studies. OBJECTIVES:To examine the effects of language and nativity on health status in Hispanic ethnic subgroups and non-Hispanic whites ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181789431
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Copayments (copays) for prescription drugs are a common policy among state Medicaid programs. Research exploring the effects of copays on pharmacy and health care utilization in Medicaid patients is limited, especially among patients with chronic disease. OBJECTIVES:The goal of this research was to quantify...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181734a77
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:The Agency for Healthcare Research and Quality (AHRQ) developed 20 patient safety indicators (PSIs) to identify potentially preventable complications of acute inpatient care based on administrative data. The objective of this patient safety performance study was to assess the impact of cases flagged by each P...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31815f537f
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND:There is limited information on patients' knowledge about their cost-sharing requirements and how that influenced their care-seeking behavior. OBJECTIVE:To examine patients' knowledge of their office visit copayments, their self-reported responses to perceived and actual copayments, and discussions with phy...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31815c3192
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Depression is associated with poor chronic illness outcomes, but it is unknown whether depression influences the quality of communication during the clinical encounter. We investigated whether diabetes patients with depressive symptoms, compared with those without depressive symptoms, report worse clinician-...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31816080e9
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:This study uses empirical data to study changes in the structure and use of HMO hospital provider networks in California. STUDY DESIGN:Data from California HMOs are used to test whether there have been structural changes in HMO size, geographic coverage, hospital network design, and patient channeling for in...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181589bcb
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Efforts to identify hospital-acquired complications from claims data by applying exclusion rules to discharge diagnosis codes exhibit low positive predictive value (PPV). The PPV improves when a variable is added to each secondary diagnosis to indicate whether the condition was "present-on-admission" (POA) o...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181589b92
更新日期:2008-02-01 00:00:00
abstract:AIMS:There are situations in which patient self-reported health-related quality of life must be substituted by proxy assessments. Pickard and Knight recently delineated 2 proxy perspectives that may influence the nature of proxy measurements: the "proxy-patient" (the proxy's assessment from the patient's perspective) a...
journal_title:Medical care
pub_type: 杂志文章,随机对照试验
doi:10.1097/MLR.0b013e318158af13
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:Medicaid preferred drug lists (PDLs) might reduce costs for Medicaid programs while creating costs to physicians. OBJECTIVES:To measure the costs from complying with Medicaid PDLs for primary care physicians and cardiologists, and to quantify the costs of a hypothetical PDL for Medicare Part D. RESEARCH DE...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e31814b8245
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:There is growing attention given to the spiritual needs of dying patients and long-term care (LTC) facilities are common settings in which patients receive care as they approach death. OBJECTIVES:To describe the sources of support, the structure and processes of spiritual care in LTC, and examine the relati...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0b013e3181468b5d
更新日期:2008-01-01 00:00:00