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HSR: Health Services Research Annual Report to our readers and field, September 1, 1996 through August 31, 1997.
April 1, 1998... In this issue, we introduce another new feature of the Journal, a formal Annual Report to our readers and the field. Consistent with the growing demand for evidence-based accountability in the delivery of healthcare itself, we believe it is...
Do vouchers improve breast cancer screening rates? Results from a randomized trial.
April 1, 1998... One in eight U.S. women can expect to be diagnosed with breast cancer during her lifetime (American Cancer Society 1995). Breast cancer was the leading cause of cancer death among women of all ages until the mid-1980s when it was surpassed by...
Factors associated with women's adherence to mammography screening guidelines.
April 1, 1998... Although numerous studies have examined factors associated with women having ever had mammography (Vernon 1990; Breen, Brown et al. 1996), little is known about the factors associated with women's adherence to screening guidelines. Understanding...
A comparison of capitated and fee-for-service Medicaid reimbursement methods on pregnancy outcomes.
April 1, 1998... According to the Health Care Financing Administration (HCFA) (1996a), the government agency responsible for implementing and evaluating the Medicaid program, 36.3 million people, or 14 percent of the U.S. population, were Medicaid recipients in...
Commentary: burden of proof in era of outcomes research and managed care.
April 1, 1998... Managed care is a system of healthcare in which the doctor-patient relationship is influenced by a third party - the management. Management uses a myriad of rules and incentives to influence both doctors and patients. At its best, managed care...
How do HMOs achieve savings? The effectiveness of one organization's strategies. (health maintenance organizations)(Public Policy and Managerial Impact Section)
April 1, 1998... Health maintenance organizations (HMOs), and managed care more broadly, offer two auspicious promises: lower costs and better health. These promises first gained widespread attention in the 1970s, bolstered by federal legislation designed to...
Advance care planning in nursing homes: pre- and post-Patient Self-Determination Act.
April 1, 1998... Advance care plans are documentation showing patients' preferences concerning medical interventions. They include preferences regarding hospitalization, artificial nutrition, living wills, and/or do-not-resuscitate (DNR) orders (Branco, Teno, and...
A discrete choice model of drug abuse treatment location.
April 1, 1998... As analysis of healthcare costs for alcohol, drug, and mental health (ADM) disorders has become more sophisticated, the analytical framework has expanded to include treatment location as a primary variable. Several factors have led to this...