abstract：BACKGROUND:Indwelling urinary catheters are used postoperatively in hip fracture care. Their use beyond the immediate postoperative period may result in excess nosocomial infections. OBJECTIVES:The objectives of this study were to explore the relationship between extended indwelling urinary catheterization and outcome...

journal_title：Medical care

authors： Wald H,Epstein A,Kramer A

更新日期：2005-10-01 00:00:00

abstract：BACKGROUND:Medication error occurring during the care of HIV-infected patients may lead to treatment failure, drug toxicity, or even death. OBJECTIVE:The objective of this study was to ascertain and confirm 5 categories of medication error in the care of HIV-infected patients. RESEARCH DESIGN:This study was a retrosp...

journal_title：Medical care

authors： DeLorenze GN,Follansbee SF,Nguyen DP,Klein DB,Horberg M,Quesenberry CP Jr,Blick NT,Tsai AL

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:The major fault with existing reimbursement systems lies in their failure to discriminate for the effectiveness of stay, both when paying per day and when paying per episode of treatment. OBJECTIVES:We sought to define an average length of effective stay and recovery trends by impairment category, to design...

journal_title：Medical care

authors： Saitto C,Marino C,Fusco D,Arcà M,Perucci CA,Prospective Payment in Rehabilitation Collaborative Group.

更新日期：2005-09-01 00:00:00

abstract：BACKGROUND:Barriers to colorectal cancer (CRC) screening are not well understood. OBJECTIVES:We sought to compare barriers to CRC screening reported by primary care physicians (PCPs) and by average-risk adults, and to examine characteristics of average-risk adults who identified lack of provider recommendation as a ma...

journal_title：Medical care

authors： Klabunde CN,Vernon SW,Nadel MR,Breen N,Seeff LC,Brown ML

更新日期：2005-09-01 00:00:00

abstract：OBJECTIVES:The primary objective of this study was to examine veterans' reliance on health care services provided by the Veterans Health Administration (VHA) within Minnesota and estimate the potential effect on uninsurance rates if all eligible veterans relied on VHA coverage. Secondary objectives were to compare vete...

journal_title：Medical care

authors： Jonk YC,Call KT,Cutting AH,O'Connor H,Bansiya V,Harrison K

更新日期：2005-08-01 00:00:00

abstract：BACKGROUND:The practice of ordering "Do-Not-Resuscitate" (DNR) varies across hospitals. No research has explored how the DNR variation would affect cross-institutional performance reporting when DNR status is used as a risk adjustor. OBJECTIVE:We sought to assess the impact of DNR variation on performance reporting. ...

journal_title：Medical care

authors： Tabak YP,Johannes RS,Silber JH,Kurtz SG

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:The variability in preferences used in quality-adjusted life-years estimation jeopardizes the comparability of cost-effectiveness analyses and has led the Panel on Cost-Effectiveness in Health and Medicine (the PCEHM) to call for a catalog of "off-the-shelf" preference weights associated with conditions that...

journal_title：Medical care

authors： Sullivan PW,Lawrence WF,Ghushchyan V

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:Federal regulation requires hospitals to present patients with a Notice of Privacy Practices (NPP) that contains all stipulated content items, is readable by patients, and posted on institutional web sites. OBJECTIVE:The objective of this study was to determine whether the NPP texts contain the required con...

journal_title：Medical care

authors： Paasche-Orlow MK,Jacob DM,Powell JN

更新日期：2005-06-01 00:00:00

abstract：OBJECTIVES:We sought to assess the responses of providers to recommendations generated by a computer-management system for chronic heart failure (CHF). METHODS:This study is an analysis of primary care providers' responses to evidence-based computer-generated suggestions regarding patients with CHF at one center of a ...

journal_title：Medical care

authors： Keeffe B,Subramanian U,Tierney WM,Udris E,Willems J,McDonell M,Fihn SD

更新日期：2005-05-01 00:00:00

abstract：BACKGROUND:Incomplete participation is of particular concern for surveys of patient perceptions of care because patients who have negative opinions may be least likely to participate. OBJECTIVE:We sought to examine indirect evidence of nonresponse bias. DESIGN:We re-analyzed data from a cross-sectional patient survey...

journal_title：Medical care

authors： Perneger TV,Chamot E,Bovier PA

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:In 1999, the US Congress mandated the Agency for Healthcare Research and Quality (AHRQ), Department of Health and Human Services (DHHS), to report annually to the nation about healthcare quality. One chapter in the National Healthcare Quality Report (NHQR) is focused on patient safety. OBJECTIVES:The object...

journal_title：Medical care

authors： Zhan C,Kelley E,Yang HP,Keyes M,Battles J,Borotkanics RJ,Stryer D

更新日期：2005-03-01 00:00:00

abstract：BACKGROUND:The cesarean rate has served an integral role in the monitoring of obstetrical care, and in 2002, the national rate reached 26.1%, the highest ever reported. OBJECTIVE:We sought to describe the effect of clinical complications on hospital cesarean rates. RESEARCH DESIGN:This was a population-based cohort s...

journal_title：Medical care

authors： Korst LM,Gornbein JA,Gregory KD

更新日期：2005-03-01 00:00:00

abstract：OBJECTIVE:Emergency departments (ED) were on the front lines for possible cases of transmission during the severe acute respiratory syndrome (SARS) epidemic. The purpose of this study was to investigate the impact of the SARS catastrophe on an urban ED. METHODS:The patients' characteristics in an urban ED were collect...

journal_title：Medical care

authors： Chen WK,Cheng YC,Chung YT,Lin CC

更新日期：2005-02-01 00:00:00

abstract：OBJECTIVES:To investigate the temporal association between symptoms of psychiatric disorder and physical aspects of health-related quality of life (HRQOL) in a sample of HIV-positive adults. METHODS:Sample included 2431 participants at baseline and the first follow-up (FU1; approximately 8 months later). Measures incl...

journal_title：Medical care

authors： Orlando M,Tucker JS,Sherbourne CD,Burnam MA

更新日期：2005-01-01 00:00:00

abstract：OBJECTIVE:To test whether an intervention to improve primary care depression management significantly improves productivity at work and absenteeism over 2 years. SETTING AND SUBJECTS:Twelve community primary care practices recruiting depressed primary care patients identified in a previsit screening. RESEARCH DESIGN:...

journal_title：Medical care

authors： Rost K,Smith JL,Dickinson M

更新日期：2004-12-01 00:00:00

abstract：BACKGROUND/OBJECTIVES:The importance of teams for improving quality of care has received increased attention. We examine both the correlates of self-assessed or perceived team effectiveness and its consequences for actually making changes to improve care for people with chronic illness. STUDY SETTING AND METHODS: Data ...

journal_title：Medical care

authors： Shortell SM,Marsteller JA,Lin M,Pearson ML,Wu SY,Mendel P,Cretin S,Rosen M

更新日期：2004-11-01 00:00:00

abstract：OBJECTIVES:Utility scores can be assessed indirectly using preference-based instruments and used as weightings for quality-adjusted life years in economic analyses. It is not clear whether available instruments yield similar results or what domains of health are contributing to the overall score in a sample of patients...

journal_title：Medical care

authors： Marra CA,Esdaile JM,Guh D,Kopec JA,Brazier JE,Koehler BE,Chalmers A,Anis AH

更新日期：2004-11-01 00:00:00

abstract：OBJECTIVE:We sought to evaluate the extent of changes in usual source of care and associations with perceived health care access, quality, and use. RESEARCH DESIGN:We collected cross-sectional data on adults from the 1998 to 1999 Community Tracking Household Survey (n = 48,720). Linear and logistic regressions account...

journal_title：Medical care

authors： Smith MA,Bartell JM

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:The SF-12 is a multidimensional generic measure of health-related quality of life. It has become widely used in clinical trials and routine outcome assessment because of its brevity and psychometric performance, but it cannot be used in economic evaluation in its current form. OBJECTIVES:We sought to derive...

journal_title：Medical care

authors： Brazier JE,Roberts J

更新日期：2004-09-01 00:00:00

abstract：OBJECTIVE:The objective of this study was to test the hypothesis that social support is an important predictor of mortality in a frail older population receiving formal long-term care services. RESEARCH DESIGN AND METHODS:The analysis is based on 3138 individuals enrolled in 28 Programs of All-Inclusive Care for the E...

journal_title：Medical care

authors： Temkin-Greener H,Bajorska A,Peterson DR,Kunitz SJ,Gross D,Williams TF,Mukamel DB

更新日期：2004-08-01 00:00:00

abstract：BACKGROUND:Reference drug pricing (RP) is a cost-sharing strategy commonly used to control drug expenditures. Under RP, a benefit plan fully reimburses medications that are equally or less expensive than the reference price, and requires patients to pay the extra cost of therapeutically equivalent but higher priced dru...

journal_title：Medical care

authors： Schneeweiss S,Dormuth C,Grootendorst P,Soumerai SB,Maclure M

更新日期：2004-07-01 00:00:00

abstract：BACKGROUND:Linking process and outcomes is critical to accurately estimating healthcare quality and quantifying its benefits. OBJECTIVES:The objective of this study was to explore the relationship of guideline-based depression process measures with subsequent overall and psychiatric hospitalizations. RESEARCH DESIGN:...

journal_title：Medical care

authors： Charbonneau A,Rosen AK,Owen RR,Spiro A 3rd,Ash AS,Miller DR,Kazis L,Kader B,Cunningham F,Berlowitz DR

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:Policymakers and researchers are concerned that changes in the healthcare market have stressed and weakened the safety net nationwide. OBJECTIVES:The objectives of this study were to investigate variations in the safety net across communities and over time and to explore the effect of market changes on the ...

journal_title：Medical care

authors： Marquis MS,Rogowski JA,Escarce JJ

更新日期：2004-05-01 00:00:00

abstract：BACKGROUND:Drug provision within the German statutory health insurance system has undergone several reforms, including the introduction of drug macrobudgets in 1993. OBJECTIVE:The objective of this study was to investigate the extent to which statutorily (SHI) and fully privately (PHI) health-insured patients were pro...

journal_title：Medical care

authors： Krobot KJ,Miller WC,Kaufman JS,Christensen DB,Preisser JS,Ibrahim MA

更新日期：2004-05-01 00:00:00

abstract：BACKGROUND:Managed care is the dominant form of health insurance in the United States, covering millions of children. Little is known about whether inner-city parents adequately understand managed care's complex definitions and rules. OBJECTIVE:The objective of this study was to examine managed care knowledge and prac...

journal_title：Medical care

authors： Flores G,Abreu M,Sun D,Tomany SC

更新日期：2004-04-01 00:00:00

abstract：:The increasing prominence of drug therapies in health care and their rapidly rising costs have led to a dramatic escalation of interest in the use of outcomes data for therapeutics and formulary decisions. The expanded use of formulary submission dossiers, effectiveness data, health outcomes analysis, and pharmacoecon...

journal_title：Medical care

authors： Fullerton DS,Atherly DS

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND:Valid, comprehensive instruments to describe, monitor, and evaluate health from childhood through adolescence are almost nonexistent, but are critical for health resource planning, evaluation of policy, preventive, and clinical interventions, and understanding trajectories of health during this important per...

journal_title：Medical care

authors： Riley AW,Forrest CB,Starfield B,Rebok GW,Robertson JA,Green BF

更新日期：2004-03-01 00:00:00

abstract：BACKGROUND:The influence of payment mechanisms on physician decisions is not well understood. OBJECTIVES:The objective of this study was to test 2 null hypotheses: 1) physicians' clinical decisions would not be influenced by payment incentives; and 2) physicians would have equal concern about medical decisions made un...

journal_title：Medical care

authors： Shen J,Andersen R,Brook R,Kominski G,Albert PS,Wenger N

更新日期：2004-03-01 00:00:00

abstract：BACKGROUND:Performance assessments help to quantify the level of adherence with practice standards and are often used to measure and compare the quality of care. However, most performance assessments are based on a cross-sectional analysis of patient information, whereas patient care is inherently longitudinal. This di...

journal_title：Medical care

authors： Weiner M,Long J

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:The negative impact of pain on health-related quality of life has been documented for persons with human immunodeficiency virus (HIV). Furthermore, pain could be an important factor in seeking medical care. However, the relationship between pain and health service utilization is poorly understood. OBJECTIVE...

journal_title：Medical care

authors： Dobalian A,Tsao JC,Duncan RP

更新日期：2004-02-01 00:00:00

abstract：BACKGROUND:Information is limited regarding the effects of processes of care on cardiac surgical outcomes. Correspondingly, many recommended cardiac surgical processes of care are derived from animal experiments or clinical judgment. This report from the VA Cooperative Study in Health Services, "Processes, Structures, ...

journal_title：Medical care

authors： O'Brien MM,Shroyer AL,Moritz TE,London MJ,Grunwald GK,Villanueva CB,Thottapurathu LG,MaWhinney S,Marshall G,McCarthy M Jr,Henderson WG,Sethi GK,Grover FL,Hammermeister KE,VA Cooperative Study Group on Processes, Structures, a

更新日期：2004-01-01 00:00:00

abstract：BACKGROUND:Clinical practice guidelines quickly become outdated. One reason they might not be updated as often as needed is the expense of collecting expert judgment regarding the evidence. The RAND-UCLA Appropriateness Method is one commonly used method for collecting expert opinion. We tested whether a less expensive...

journal_title：Medical care

authors： Washington DL,Bernstein SJ,Kahan JP,Leape LL,Kamberg CJ,Shekelle PG

更新日期：2003-12-01 00:00:00

abstract：BACKGROUND:The profile-based SF-12 has a low respondent burden and is used widely in clinical settings to monitor health and evaluate programs. Deriving preference scores for the SF-12 health profile would permit its use in cost-effectiveness analyses. Previous mapping studies of SF family instruments to preference-bas...

journal_title：Medical care

authors： Franks P,Lubetkin EI,Gold MR,Tancredi DJ

更新日期：2003-11-01 00:00:00

abstract：BACKGROUND:While standard methods for conducting economic evaluations have evolved, little attention has been paid to the conduct of these studies in special populations such as children. OBJECTIVES:To build a database of pediatric economic evaluations and to examine trends in publication characteristics over a 20-yea...

journal_title：Medical care

authors： Ungar WJ,Santos MT

更新日期：2003-10-01 00:00:00

abstract：BACKGROUND:Population-based cancer registries represent a potentially valuable tool to evaluate treatment; however, information on the completeness of registry treatment data is sparse. OBJECTIVE:To evaluate the completeness of registry treatment data for patients with colorectal cancer and to identify predictors of c...

journal_title：Medical care

authors： Cress RD,Zaslavsky AM,West DW,Wolf RE,Felter MC,Ayanian JZ

更新日期：2003-09-01 00:00:00

abstract：BACKGROUND:Prescription of new drugs contributes to substantial increases in annual drug expenditures. A small proportion of physicians appear to be early users of new prescription drugs and little is known about their characteristics. OBJECTIVE:To estimate the initial utilization rate of new prescription drugs among ...

journal_title：Medical care

authors： Tamblyn R,McLeod P,Hanley JA,Girard N,Hurley J

更新日期：2003-08-01 00:00:00

abstract：BACKGROUND:Health care providers and health care training institutions need more specific, relevant, and useful information for providing culturally sensitive health care. OBJECTIVE:We sought to determine what patients considered to be culturally sensitive health care. RESEARCH DESIGN AND PARTICIPANTS:We conducted 20...

journal_title：Medical care

authors： Tucker CM,Herman KC,Pedersen TR,Higley B,Montrichard M,Ivery P

更新日期：2003-07-01 00:00:00

abstract：OBJECTIVES:To reapportion Veterans Health Administration (VA) annual expenditures into benefit categories for comparison with estimated payments by private sector providers. METHODS:Total expenditures for six VA medical centers for federal fiscal year 1999 were reapportioned by benefit category using the cost distribu...

journal_title：Medical care

authors： Nugent G,Grippen G,Parris YC,Mitchell M

更新日期：2003-06-01 00:00:00

abstract：OBJECTIVES:This article compares a linear risk-adjusted model of medical expenditures for Medicare patients with a model that explicitly account for skewness in distribution of expenditures. METHODS:A model of expenditures and a model of the square root of expenditures, each expressed as linear combinations of risk ad...

journal_title：Medical care

authors： Veazie PJ,Manning WG,Kane RL

更新日期：2003-06-01 00:00:00

abstract：BACKGROUND:Consumer concerns about the restrictions of managed care may lead to distrust. OBJECTIVES:To examine whether a community's level of gatekeeping activity is associated with an individual's trust in medical care. RESEARCH DESIGN:Cross-sectional cohort (N = 49,929). SUBJECTS:Participants in a nationally repr...

journal_title：Medical care

authors： Haas JS,Phillips KA,Baker LC,Sonneborn D,McCulloch CE

更新日期：2003-05-01 00:00:00