Medical Care Research and Review
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Relocation of the Elderly
Medical Care Research and Review - Tập 58 Số 3 - Trang 291-333 - 2001
In this article, the author reviews 78 studies addressing the relocation of the
elderly. He begins by defining the four major forms of relocation and describing
the trends in the current health care marketplace precipitating relocation
events. Next, he reviews the major findings of studies assessing the potential
negative and positive outcomes of relocation. These outcomes include changes in
morta...
VHA Enrollees' Health Care Coverage and Use of Care
Medical Care Research and Review - Tập 60 Số 2 - Trang 253-267 - 2003
The authors examined health care coverage for Veterans' Health Administration
(VHA) enrollees and how their reliance on VHA care varies by coverage, using the
largest and most detailed survey of veterans using VHA services ever conducted.
The results showed that a majority of veterans who use VHA services have
alternative health care coverage and that most of them use both VHA and non-VHA
health c...
Supporting Shared Decisions When Clinical Evidence Is Low
Medical Care Research and Review - Tập 70 Số 1_suppl - Trang 113S-128S - 2013
There is growing interest in shared decision making (SDM) in the United States
and globally, at both the clinical and policy levels. SDM is typically employed
during “preference-sensitive” decisions, where there is equipoise between
treatment options with equal or similar outcomes from a medical standpoint. In
these situations, patients’ preferences for the possible risks, benefits, and
trade-offs...
Supporting Shared Decision Making When Clinical Evidence Is Low
Medical Care Research and Review - Tập 70 Số 1_suppl - Trang 129S-140S - 2013
Shared decision making (SDM) is the process of providing the patient with
critical information that can support his or her informed participation in
decision making. Shared decision making has become accepted as an important
component of quality health care. Influenced by its foundations in law and
ethics and by empirical work on its value as a tool to reduce variability in
care, a perception has ...
What Is Shared in Shared Decision Making? Complex Decisions When the Evidence Is Unclear
Medical Care Research and Review - Tập 70 Số 1_suppl - Trang 94S-112S - 2013
Patient involvement in decisions is central to patient-centered care. Yet many
important decisions must be made in complex, ambiguous clinical situations in
which all possible options cannot be known, evidence is inadequate to inform
patients’ preferences fully, and/or patients are unclear about their desired
level of involvement. In these situations, preferences are shaped by affect,
framing, and...
Pay for Performance in Health Care
Medical Care Research and Review - Tập 69 Số 3 - Trang 251-276 - 2012
Pay for performance (P4P) has become a popular approach to performance
improvement in health care. Most of the P4P literature has focused on the United
States and there is limited insight in the characteristics of major programs
initiated in other countries. This article systematically describes and reviews
P4P programs outside the United States. Our literature search identified 13
programs initia...
Measuring Patients’ Trust in their Primary Care Providers
Medical Care Research and Review - Tập 59 Số 3 - Trang 293-318 - 2002
Existing scales to measure trust in physicians have differing content and
limited testing. To improve on these measures, a large item pool (n = 78) was
generated following a detailed conceptual model and expert review. After pilot
testing, the best-performing items were validated with a random national sample
(n = 9) and a regional sample of HMO members (n = 99). Various psychometric
tests produce...
Impact of the Cincinnati Aligning Forces for Quality Multi-Payer Patient Centered Medical Home Pilot on Health Care Quality, Utilization, and Costs
Medical Care Research and Review - Tập 73 Số 5 - Trang 532-545 - 2016
To evaluate the potential for a patient-centered medical home initiative to
reduce utilization and cost while improving quality, we examined a natural
experiment involving 11 primary care practices in Cincinnati, Ohio, that
participated in the Aligning Forces for Quality Multi-Payer Patient Centered
Medical Home pilot. Our research design involved difference-in-difference
analyses, comparing chang...
Understanding and Enhancing the Value of Hospital Discharge Data
Medical Care Research and Review - Tập 64 Số 4 - Trang 449-468 - 2007
This work summarizes how hospital discharge data are used, identifies strengths
and shortcomings, and presents suggestions for enhancing usefulness of the data.
Results demonstrate that discharge data are used in a wide range of applications
by diverse users. Uses include public health and population-based applications,
as well as quality assessment, informed purchasing, strategic planning, and
po...
Review: Electronic Health Records and the Reliability and Validity of Quality Measures: A Review of the Literature
Medical Care Research and Review - Tập 67 Số 5 - Trang 503-527 - 2010
Previous reviews of research on electronic health record (EHR) data quality have
not focused on the needs of quality measurement. The authors reviewed empirical
studies of EHR data quality, published from January 2004, with an emphasis on
data attributes relevant to quality measurement. Many of the 35 studies reviewed
examined multiple aspects of data quality. Sixty-six percent evaluated data
accu...
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