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:Little is known about the time health professionals spend with inpatients that are close to the end of life. SUBJECTS AND METHODS:We asked day-shift nurses to use a standardized log sheet to record how much time they spent in various categories of activity for 146 seriously ill medical inpatients with poor ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000053226.38288.18
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Researchers need valid methods to assess whether patients are taking their antidepressant medications. Two important sources of data on drug exposure are patients' self-reports and pharmacy claims. OBJECTIVE:To compare self-report and claims data for antidepressant exposure. RESEARCH DESIGN:Cross-sectional...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000053019.79054.B6
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVES:The relative performance of three widely used generic health status measures (EQ-5D, a modified HUI3 [mHUI3], and SF-12) was compared within a general population sample. MATERIALS AND METHODS:Data were taken from a cohort of persons identified from the patient list of a large general practice in York, UK. T...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000044901.57067.19
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:In Ontario, Canada, the 70/90 regulations were instituted in May 1993 to establish provincial government procurement prices for generic drugs. Accordingly, the first generic entrant's price could not exceed 70% of the incumbent's branded price. Subsequent entrants' prices could not exceed 90% of the first en...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200301000-00015
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to identify hospital organizational characteristics consistently associated with adherence to multiple clinical practice guidelines (CPGs). We examined the relationship between organizational and patient population characteristics and adherence to three screening CPGs implemented...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200212000-00005
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:We evaluated the association of medication refill adherence with demographic and prescription characteristics to determine whether such factors could guide intervention strategies in an indigent rural population. METHODS:The study was conducted at a University-based internal medicine practice serving an indi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200212000-00016
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:Insurance expansions and service delivery system expansions are alternative policy instruments used to try to improve birth outcomes for low-income women. OBJECTIVES:The objective of this research is to investigate the effect of expansions of public insurance on access and birth outcomes for pregnant women ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200211000-00006
更新日期:2002-11-01 00:00:00
abstract:BACKGROUND:Several quality assessment systems use administrative data to identify postoperative complications, with uncertain validity. OBJECTIVES:To determine how accurately postoperative complications are reported in administrative data, whether accuracy varies systematically across hospitals, and whether serious co...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200210000-00004
更新日期:2002-10-01 00:00:00
abstract:OBJECTIVE:To examine the association of drug users' outpatient patterns of care with subsequent intensity of antiretroviral therapy (ART). MATERIALS AND METHODS:Annual types of ART in 8897 New York State Medicaid drug users who were prescribed ART for > or =6 months in 1996 or 1997 were determined. From pharmacy claim...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200210000-00014
更新日期:2002-10-01 00:00:00
abstract::The authors provide brief information about the Department of Veterans Affairs (VA) and the Veterans Health Administration, to establish an understanding of this large, multifaceted organization. They then offer an overview of the VA's Office of Research and Development, with particular emphasis on recent and ongoing ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000023950.96307.BD
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:Adherence is a factor in the outcome of medical treatment, but the strength and moderators of the adherence-outcome association have not been systematically assessed. OBJECTIVES:A quantitative review using meta-analysis of three decades of empirical research correlating adherence with objective measures of ...
journal_title:Medical care
pub_type: 杂志文章,meta分析
doi:10.1097/00005650-200209000-00009
更新日期:2002-09-01 00:00:00
abstract:BACKGROUND:The linkage of SEER registry data with Medicare claims allows the longitudinal tracking of health care and outcomes for patients after a cancer diagnosis. One category of outcomes amenable to research using Medicare claims is complications of cancer treatments: the unintentional, adverse side effects or sequ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200208001-00009
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:The first objective of this study was to examine the prevalence of prescriptions that offer the opportunity for generic drug use (a prescription for a multisource drug product). The second objective was to examine the prevalence of generic drug use by examining the rate of generic drug prescribing for multis...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/01.MLR.0000020926.85284.8E
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVE:This paper describes the history of the Department of Veterans Affairs (VA) Community-Based Outpatient Clinics (CBOCs), CBOC Performance Evaluation Project, and characteristics of CBOCs within the VA, and summarizes the findings and implications of the CBOC Performance Evaluation Project. SUBJECTS:There were...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200207000-00001
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVE:To identify consistent provision of clinical preventive services, we sought to benchmark all acute care Veterans Affairs Medical Centers (VAMCs) against each other nationally on the basis of multiple evidence-based, performance measures to identify facilities performing consistently higher and lower than expe...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200206000-00011
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:Accurate estimation of medical care costs raises a host of issues, both practical and methodological. OBJECTIVES:This article reviews methods for estimating the long-term medical care costs associated with a cancer diagnosis. METHODS:The authors consider data from administrative claims databases and descri...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:Previous studies of nonresponders have not assessed the effects of nonresponse on the accuracy of clinician behavior measurements. Knowledge of these effects is critical to both research and quality improvement. OBJECTIVE:To evaluate the hypothesis that nonresponders to a survey would not adversely affect t...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-200204000-00010
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVES:An important factor contributing to the steep rise in health care costs in the late 1960s was a reversal from the predominance of acute illness to that of chronic disease. Beginning with the philosophy of Illich and Levin, and the practical instruments of Fries, Sehnert, Vickery, and Ferguson, a new movement...
journal_title:Medical care
pub_type: 历史文章,杂志文章,评审
doi:10.1097/00005650-200204001-00007
更新日期:2002-04-01 00:00:00
abstract:CONTEXT:Black patients and Hispanic patients receive carotid endarterectomy (CEA) at lower rates than white patients. It is unclear whether worse surgical outcomes are influencing clinical decision-making regarding use of the operation among minority group patients. OBJECTIVE:To determine if there are racial differenc...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Studies have documented that patients of female physicians receive higher levels of preventive services. However, most studies include patients of only one gender, examine mainly gender-specific screening services, and do not examine patient education and counseling. OBJECTIVES:This study tests both physici...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200112000-00004
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVES:We conducted a theoretically guided study of access to inpatient or residential treatment among a probability sample of homeless adults with alcohol or drug use disorders in Houston, Texas. METHODS:This study used a cross-sectional, retrospective design with data collected from a multistage random sample of...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200111000-00003
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:Continuity of the relationship between patients and primary care providers (PCPs) is an important component of care from the consumer perspective that may be affected by variation in cost containment strategies within managed care. OBJECTIVE:To evaluate the effects of cost containment strategies on the cont...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200110000-00005
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVES:This paper presents a profile of the use of antipsychotic medications in the treatment of schizophrenia in a national health system. METHODS:Prescription drug records written for antipsychotic medications between June 1999 and September 1999 were collected for patients diagnosed with schizophrenia in the De...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200109000-00003
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:Increasing recognition of the failure to translate research findings into practice has led to greater awareness of the importance of using active dissemination and implementation strategies. Although there is a growing body of research evidence about the effectiveness of different strategies, this is not eas...
journal_title:Medical care
pub_type: 杂志文章
doi:
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:Test whether physicians' counseling patients for smoking cessation with an autonomy supportive rather than controlling style would increase patients' active involvement in the counseling session and increase maintained abstinence. DESIGN:Randomized trial of 27 community-based physicians using two interview s...
journal_title:Medical care
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1097/00005650-200108000-00007
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to compare poisoning mortality rates of states served by a poison control center certified by the American Association of Poison Control Centers (AAPCC) to those that are not served by a certified center because health policy has been based on certification status. METHODS:Poiso...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/00005650-200107000-00002
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Federally Qualified Health Centers (FQHCs) serve as regular sources of preventive and primary care for low-income families within their communities and are key parts of the health care safety net. OBJECTIVES:Compare admissions and emergency room visits for ambulatory care sensitive conditions (ACSCs) among ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200106000-00004
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVES:To estimate cost and outcomes of the Arthritis Foundation aquatic exercise classes from the societal perspective. DESIGN:Randomized trial of 20-week aquatic classes. Cost per quality-adjusted life year (QALY) gained was estimated using trial data. Sample size was based on 80% power to reject the null hypoth...
journal_title:Medical care
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00005650-200105000-00002
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:Approximately 2.5 million Americans are admitted to the hospital after traumatic physical injury each year. Few investigations have elicited patients' perspectives regarding posttraumatic outcomes. OBJECTIVE:To identify and categorize physically injured trauma survivors' posttraumatic concerns. RESEARCH DE...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200104000-00004
更新日期:2001-04-01 00:00:00
abstract:BACKGROUND:With the growth of managed care, there are increasing concerns but inconclusive evidence regarding deterioration in the quality of medical care. OBJECTIVES:To assess physicians' perceptions of their ability to provide high-quality care and explore what factors, including managed care, affect these perceptio...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200103000-00006
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:Patients have longer lengths of hospital stay (LOS) in VA medical centers than in the general health care system. OBJECTIVE:The objective of this study was to determine whether resource use and outcome differences between VA and non-VA inpatient rehabilitation facilities remain after controlling for patient...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200102000-00003
更新日期:2001-02-01 00:00:00
abstract:BACKGROUND:Little is known about the extent to which consumers have specific problems with their managed care organizations (MCOs) or whether these problems differ by type of MCO. OBJECTIVE:To estimate the prevalence at which consumers in managed care report specific problems and to assess whether rates in preferred p...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200101000-00004
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Functional limitations of persons living with HIV affect their care needs and ability to perform social roles such as employment. Earlier estimates are outdated, and nationally representative estimates of prevalence and distribution of these limitations have not previously been available. OBJECTIVES:The obj...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200012000-00008
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:The association between volume of patients treated and quality of care has important implications for patient referral policies and approaches to quality improvement. Most studies have focused on hospital volume alone and health outcomes. OBJECTIVES:The objective of this work was to examine the association ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200011000-00004
更新日期:2000-11-01 00:00:00
abstract::In summary, readers are encouraged to read carefully the IRT articles in this special issue. They provide theoretical as well as practical arguments in favor of using IRT models in the health outcomes measurement field. At the same time, readers should be aware that the IRT field is complex and software is limited and...
journal_title:Medical care
pub_type: 评论,杂志文章
doi:10.1097/00005650-200009002-00009
更新日期:2000-09-01 00:00:00
abstract:BACKGROUND:Methods to select physicians most likely to benefit from educational interventions to improve the outcome of depression have not been adequately developed. OBJECTIVE:The purpose of this study was to identify a combination of primary care provider (PCP) self-report questions to improve the precision of PCP e...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200007000-00009
更新日期:2000-07-01 00:00:00
abstract::Despite the dramatic fall in ischemic heart disease (IHD) mortality rates over the last 3 decades, it remains the number one cause of death in the United States, and one of the most frequent indications for care by the US Department of Veterans Affairs. National practice guidelines have been developed and disseminated...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:Analysts performing cost-effectiveness analyses often do not have the resources to gather original quality-of-life (QOL) weights. Furthermore, variability in QOL for the same health state hampers the comparability of cost-effectiveness analyses. For these reasons, opinion leaders such as the Panel on Cost-Eff...
journal_title:Medical care
pub_type: 杂志文章,评审
doi:10.1097/00005650-200006000-00004
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND:Chinese Americans are one of the fastest growing ethnic groups in the United States; however, language and cultural obstacles have challenged health workers and policy makers seeking to understand the health status and needs of this population. OBJECTIVES:This study is the first to use a large-scale probabi...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200005000-00010
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:The medical record serves as an important source of information regarding the care process, but few studies have examined whether thoroughness of documentation is associated with outcomes. OBJECTIVE:The objectives of this study were to analyze the initial visit note for 513 patients presenting with acute mu...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/00005650-200004000-00005
更新日期:2000-04-01 00:00:00