Health Services Research articles from April 2001

Health Services Research archives from April 2001

Setting a Research Agenda for Medical Errors and Patient Safety.
April 1, 2001... Although medical errors and patient safety have been the subject of research for more than a decade, with much of the research supported by the Agency for Healthcare Research and Quality (AHRQ) and its predecessor organizations, the number of...

Why Do Delays in Treatment Occur? Lessons Learned from Ruptured Appendicitis.
April 1, 2001... Few would argue that timeliness is a desirable attribute in the diagnosis and treatment of illness. For some conditions, delays in diagnosis and treatment may also result in serious adverse outcomes. For example, delay in diagnosis and...

Impacts of Medicaid Managed Care on Children.
April 1, 2001... Objective. To assess the impact of switching from a fee-for-service (FFS) delivery system to managed care on access to, use of, and satisfaction with health care for children. Data Sources/Study Setting. A 1998 survey of Medicaid recipients...

Are Urban Safety-Net Hospitals Losing Low-Risk Medicaid Maternity Patients?
April 1, 2001... Objective. To examine data on Medicaid and self-pay/charity maternity cases to address four questions: (1) Did safety-net hospitals' share of Medicaid patients decline while their shares of self-pay/charity-care patients increased from 1991 to...

Medicaid Managed Care: Using Research for Policy.
April 1, 2001... Over the past four decades the roles of government, and thus of public policy, have grown dramatically in health as in many other social spheres. Much of this growth has marched to the accompaniment of relentless conservative insistence that...

Case Management and Quality of Life: Assessing Treatment and Outcomes for Clients with Chronic and Persistent Mental Illness.
April 1, 2001... Objective. To examine the impact of treatment setting and exposure to case management services on the quality of life of U. S. veterans with chronic and persistent mental illness. Data Sources/Study Setting. Data were collected...

Outcome Trajectories for Assisted Living and Nursing Facility Residents in Oregon.
April 1, 2001... Objective. To compare assisted living residents and nursing home residents on outcome trajectories for three outcomes: ability to perform activities of daily living (ADLs), psychological well-being, and pain and discomfort. Data...

Patterns of Mental Health Utilization and Costs Among Children in a Privately Insured Population.
April 1, 2001... Objective. To examine trends in mental health service use and cost among privately insured children. Data Sources. Inpatient and outpatient claims from the MarketScan [R] database, a collection of health care claims for a national sample...

Ruptured Appendicitis Among Children as an Indicator of Access to Care.(Statistical Data Included)
April 1, 2001... Objective. To determine factors associated with ruptured appendicitis among children, using administrative databases. Insurance-related differences in the risk of ruptured appendix among adults in California have previously been described...

Comparison of Indicators Assessing the Quality of Drug Prescribing for Asthma.
April 1, 2001... Objective. To compare different indicators for assessing the quality of drug prescribing and establish their agreement in identifying doctors who may not adhere to treatment guidelines. Data Sources/Study Setting. Data from 181 general...

Overview of the Special Supplement Issue.
April 1, 2001... Much of the current confidence in the value of competition in health care rests on knowledge of how markets work in other sectors of the U. S. economy. Nevertheless, there is an American predisposition to use market competition wherever and...

Organizational Economics and Health Care Markets.(industry data)(Industry Overview)
April 1, 2001... Abstract. As health policy emphasizes the use of private sector mechanisms to pursue public sector goals, health services research needs to develop stronger conceptual frameworks for the interpretation of empirical studies of health care...

Competition in Hospital and Health Insurance Markets: A Review and Research Agenda.(analysis information of both industries)(Industry Overview)
April 1, 2001... Objectives. To review the empirical literature on the effects of selective contracting and hospital competition on hospital prices, travel distance, services, and quality; to review the effects of managed care penetration and competition on...

Measuring Competition in Health Care Markets.(analysis research data)(Industry Overview)
April 1, 2001... Objective. Measuring competition is increasingly important for analysis of health care markets and policies. Measurement of competition in health care is made complex by the breadth of potential issues under study, by the lack of necessary...

Studying the Effects of Health Plan Competition: Are Available Data Resources up to the Task?(analysis data)(Industry Overview)
April 1, 2001... Objectives. To review the availability of data sources to study health plan competition in the United States. Data Sources. The literature on health plan competition was reviewed. Possible data sources to study health plan competition were...

Data Sharing and Dissemination Strategies for Fostering Competition in Health Care.
April 1, 2001... Objectives. To introduce the concept of common models for data sharing and dissemination, highlight the current operational, technical, and political issues surrounding existing data sharing and dissemination initiatives in a health care...

Conducting Research on the Medicare Market: The Need for Better Data and Methods.(Statistical Data Included)
April 1, 2001... Objective. To highlight data limitations, the need to improve data collection, the need to develop better analytic methods, and the need to use alternative data sources to conduct research related to the Medicare program. Objectives were...