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:Many health plans have outreach programs aimed at appropriately screening, evaluating, and treating women experiencing fragility fractures; however, few programs exist for men. OBJECTIVE:The objective of this study was to develop, implement, and evaluate an osteoporosis outreach program for men with a recen...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001459
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:Limited research suggests that rates of suicide death among transgender people may be higher than their nontransgender peers. OBJECTIVE:The objective of this study was to compare rates of suicide deaths by different means between transgender and nontransgender patients. RESEARCH DESIGN:This secondary analy...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001384
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:Traumatic brain injury (TBI) is a serious public health problem in the United States. Each year, TBIs substantially contribute to health care costs, which vary by severity. This is important to consider given the variability in recovery time by severity. RESEARCH DESIGN:This study quantifies the annual incr...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001511
更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:Since COVID-19 has caused dramatic changes in everyday life, a major concern is whether patients have adequate access to mental health care despite shelter-in-place ordinances, school closures, and social distancing practices. OBJECTIVES:The aim was to examine the availability of telehealth services at outp...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001512
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND/OBJECTIVES:Nearly 38 million Americans have hearing loss. Understanding how sensory deficits such as hearing loss, which limit communication, impact satisfaction has implications for Medicare value-based reimbursement mechanisms. The aim of this study was to characterize the association of functional hearing...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001419
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Hospitalization is a difficult experience, especially for patients with dementia. Understanding whether better continuity of care (COC) reduces hospitalizations can indicate interventions that might help curb hospitalizations. OBJECTIVE:To estimate the causal impact of COC on hospitalizations and different ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001386
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Little is known about the health care experiences of American Indians and Alaska Natives (AIANs) due to limited data. OBJECTIVE:The objective of this study was to investigate the health care experiences of AIAN Medicare beneficiaries relative to non-Hispanic Whites using national survey data pooled over 5 y...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001392
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Collaborative Chronic Care Models represent an evidence-based way to structure care for chronic conditions, including mental health conditions. Few studies, however, have examined the cost implications of collaborative care for mental health. OBJECTIVE:We aimed to conduct an economic analysis of implementin...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001372
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:Veterans Health Administration encourages auricular acupuncture (Battlefield Acupuncture/BFA) as a nonpharmacologic approach to pain management. Qualitative reports highlighted a "gateway hypothesis": providing BFA can lead to additional nonpharmacologic treatments. This analysis examines subsequent use of t...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001367
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Under the Affordable Care Act, the Centers for Medicare and Medicaid Services has greatly expanded inpatient fee-for-value programs including the Hospital Value-based Purchasing (HVBP) program. Existing evidence from the HVBP program is mixed. There is a need for a systematic review of the HVBP program to in...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001354
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine how pre-Affordable Care Act (ACA) state-level Medicaid expansions affect dual enrollment and utilization of Veterans Health Administration (VA) and Medicaid-funded care. RESEARCH DESIGN:We employed difference-in-difference analysis to determine the association betwe...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001327
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:An updated version of the SF-6D Classification System (SF-6Dv2) has been developed, and utility value sets are required. The aim of this study was to test the development of a United Kingdom SF-6Dv2 value set, and address limitations of the existing SF-6D value set (which results in a narrow range of utilitie...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001324
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:The Centers for Medicare & Medicaid Services (CMS) State Innovation Models (SIM) Initiative funds states to accelerate delivery system and payment reforms. All SIM states focus on improving diabetes care, but SIM's effect on 30-day readmissions among adults with diabetes remains unclear. METHODS:A quasi-exp...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001276
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to measure the dissemination of comparative provider quality information (CPQI) and evaluate its impact on consumers' awareness and use of CPQI. DATA SOURCES:Two-period, random-digit-dial panel survey of chronically ill consumers residing in 14 regions of the United States; su...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001279
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Once just a small part of the Medicare program, private managed care plans now cover over one-third of all Medicare beneficiaries and cost the Federal government ~$210 billion each year. Importantly, the evolution of Medicare managed care policy has been far from linear; for several decades there have been d...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001256
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Research on frequent emergency department (ED) use shows that a subgroup of patients visits multiple EDs. This study characterizes these individuals. OBJECTIVE:The objective of this study was to determine how many frequent ED users seek care at multiple EDs and to identify sociodemographic, clinical, and co...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001228
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Engaging patients as partners in their care is clinically appealing, yet challenging to implement, and we lack a measurement framework that is applicable to vulnerable populations. To address this gap, we conducted a qualitative study to refine a conceptual framework that reflects an individual's propensity ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001240
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:A requirement of the Arkansas Medicaid Section 1115 demonstration waiver was to evaluate the level of care received for Medicaid expansion eligible beneficiaries enrolled in commercial Qualified Health Plans (QHPs) in the Health Care Independence "Private Option" Program. This allowed for a direct comparison...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001248
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Acute health shocks can reduce the ability to work and earn among working-age survivors. The full economic impact includes labor market effects on spouses/partners, but there is a knowledge gap in this area. OBJECTIVES:The objective of this study was to assess how 3 common health shocks, acute myocardial in...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001249
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Patient experience data can be collected by sampling patients periodically (eg, patients with any visits over a 1-year period) or sampling visits continuously (eg, sampling any visit in a monthly interval). Continuous sampling likely yields a sample with more frequent and more recent visits, possibly affecti...
journal_title:Medical care
pub_type: 社论
doi:10.1097/MLR.0000000000001134
更新日期:2019-12-01 00:00:00
abstract:IMPORTANCE:Hospitals that serve poorer populations have higher readmission rates. It is unknown whether these hospitals effectively lowered readmission rates in response to the Hospital Readmissions Reduction Program (HRRP). OBJECTIVE:To compare pre-post differences in readmission rates among hospitals with different ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001207
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Personal health records offer patients access to view their own health information and to manage their care online through secure patient portal tools. Little is known about the patient-reported experience in using health portals to manage chronic conditions. OBJECTIVE:In a patient-centered research study, ...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001178
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Access to health care is a critical concept in the design, delivery, and evaluation of high quality care. Meaningful evaluation of access requires research evidence and the integration of perspectives of patients, providers, and administrators. OBJECTIVE:Because of high-profile access challenges, the Depart...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001177
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Complex health care interventions involve multiple distinct elements that contribute to their functioning. Conducting systematic reviews of complex interventions has substantial challenges. Although methodological guidance exists, less is known about the practical strategies and approaches undertaken by syst...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001158
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVE:Most Veterans Affairs (VA) Health Care System enrollees age 65+ also have the option of obtaining care through Medicare. Reliance upon VA varies widely and there is a need to optimize its prediction in an era of expanding choice for veterans to obtain care within or outside of VA. We examined whether survey-b...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001155
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:The intensity of end-of-life care varies substantially both within and between areas. Differing practice patterns of individual physicians are likely influenced by their peers. OBJECTIVE:To assess whether intensity of end-of-life care previously provided by a physician's peers influences patterns of care at...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001124
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:For limited English-proficient (LEP) patients, the digital divide has narrowed, creating a new population of Internet users. However, language-appropriate health information is difficult to find. Community health center (CHC) websites are health information resources and their homepages are critical access p...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001027
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Millions of traumatized refugees worldwide have resettled in the United States. For one of the largest, the Cambodian community, having their mental health needs met has been a continuing challenge. A multicomponent health information technology screening tool was designed to aid provider recognition and tre...
journal_title:Medical care
pub_type: 杂志文章,随机对照试验
doi:10.1097/MLR.0000000000001036
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Spinal mobilization and manipulation are 2 therapies found to be generally safe and effective for chronic low back pain (CLBP). However, the question remains whether they are appropriate for all CLBP patients. RESEARCH DESIGN:An expert panel used a well-validated approach, including an evidence synthesis an...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001108
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Services targeting social determinants of health-such as income support, housing, and nutrition-have been shown to improve health outcomes and reduce health care costs for older adults. Nevertheless, evidence on the properties of effective collaborative networks across health care and social services sectors...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001097
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVES:Cutpoints are specific numeric values used to create discrete categories for patient-reported outcome (PRO) items or scales. Cutpoints are widely used in both clinical research and practice. This article offers a definition for cutpoints, describes strategies for determining actionable cutpoints, and discuss...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001062
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:In 2007 Cancer Care Ontario (CCO) implemented standardized systematic symptom evaluation in all cancer patients in Ontario using the Edmonton Symptom Assessment System. The initial implementation did not include symptom management guidance and this limited the success of the implementation. Within a short ti...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001084
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Multiple claims-based proxy measures of poor function have been developed to address confounding in observational studies of drug effects in older adults. We evaluated agreement between these measures and their associations with treatment receipt and mortality in a cohort of older colon cancer patients. MET...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001073
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Decades-long efforts to require parity between behavioral and physical health insurance coverage culminated in the comprehensive federal Mental Health Parity and Addiction Equity Act. OBJECTIVES:To determine the association between federal parity and changes in mental health care utilization and spending, p...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001076
更新日期:2019-04-01 00:00:00
abstract:RESEARCH OBJECTIVE:Pharmacists are an expensive and limited resource in the hospital and outpatient setting. A pharmacist can spend up to 25% of their day planning. Time spent planning is time not spent delivering an intervention. A readmission risk adjustment model has potential to be used as a universal outcome-based...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001075
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited. OBJECTIVES:To link Meals on Wheels (MOW) program data to Med...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000000951
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:More than 70 million Americans are enrolled in a high-deductible health plan (HDHP), with high upfront cost-sharing to encourage strategies such as price shopping to mitigate out-of-pocket spending. Recent research suggests HDHP enrollees are reluctant to engage in these consumer strategies, but there is lit...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001056
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Estimating influenza vaccine effectiveness using an unvaccinated comparison group may result in biased effect estimates. OBJECTIVES:To explore the reduction of confounding bias in an active comparison of high-dose versus standard-dose influenza vaccines, as compared with vaccinated versus unvaccinated compa...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001018
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:Assess the validity of Medicare claims for identifying myocardial infarction (MI). METHODS:We used data from 9951 Medicare beneficiaries 65 years and above in the Reasons for Geographic And Racial Differences in Stroke study. Between 2003 and 2012, 669 participants had an MI identified and adjudicated throu...
journal_title:Medical care
pub_type: 杂志文章
doi:10.1097/MLR.0000000000001004
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The surgical strategy for neonates with tetralogy of Fallot (TOF) consists of complete or staged repair. Assessing the comparative effectiveness of these approaches is facilitated by a large multicenter cohort. We propose a novel process for cohort assembly using the Pediatric Health Information System (PHIS...
journal_title:Medical care
pub_type: 杂志文章,多中心研究
doi:10.1097/MLR.0000000000000846
更新日期:2018-11-01 00:00:00