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Health Services Research articles from April 2004
Journal focusing on research, public policy formulation, and health services management with the latest findings, methods, and thinking on important policy and practice issues.
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Health Services Research archives from April 2004
AcademyHealth update.
April 1, 2004... AcademyHealth (www.academyhealth.org) is the professional home for health services researchers, policy analysts, and practitioners, and a leading, non-partisan resource for the best in health research and policy. AcademyHealth promotes the use...
Delays in treatment for mental disorders and health insurance coverage.(Editorial)
April 1, 2004... Wang et al. (2004) present interesting information about the frequent and lengthy delays in receiving treatment experienced by many individuals after the onset of a mental disorder. They estimate a median delay of 10 years after onset until the...
Relationship of nursing home staffing to quality of care.
April 1, 2004... Nursing home (NH) staffing resources necessary to provide care consistent with regulatory guidelines are the subject of national debate due to emerging evidence that existing staffing resources may not be adequate (U.S. Department of Health and...
Commentary: nursing home staffing--more is necessary but not necessarily sufficient.
April 1, 2004... A growing body of evidence links nursing staffing levels in nursing homes with quality of care. Indeed, the relationship between nurse staffing and patient care is not restricted to nursing homes; it applies in hospitals as well (Aiken et al....
Hospital-physician affiliations and patient treatments, expenditures, and outcomes.
April 1, 2004... Hospital-physician affiliations diffused rapidly across the United States in the 1990s. Whether they took the form of hospital employment of physicians, physician-hospital organizations (PHOs), or an alphabet soup of other organizations, these...
A longitudinal examination of hospital registered nurse staffing and quality of care.
April 1, 2004... The relationship between hospital nurse staffing and quality of care continues to be a significant concern for health services researchers, health care executives, policymakers, and consumers. Several early studies that included nurse staffing...
The impact of S-CHIP enrollment on physician participation in Medicaid in Alabama and Georgia.(Managed Care And Insurance Coverage)
April 1, 2004... The State Children's Health Insurance Program (S-CHIP), passed by Congress in 1997 and implemented by states beginning in 1998, gave the states funds to provide insurance coverage for low-income uninsured children who were not eligible for...
The impact of managed care on substance abuse treatment services.
April 1, 2004... The aim of this study is to determine if managed care affects the number and type of services offered by substance abuse treatment facilities. This topic is important for several reasons. Substance abuse is an important and costly societal...
The effects of HMO penetration on preventable hospitalizations.(health maintenance organizations)
April 1, 2004... In the 1980s, health maintenance organizations (HMOs) were heralded as an important mechanism to control rising health care costs. Proponents believed that, under a capitated payment system, HMOs could achieve savings by promoting prevention...
Trends in inpatient treatment intensity among Medicare beneficiaries at the end of life.(practice patterns)
April 1, 2004... Thirty percent of Medicare expenditures are attributable to the 5 percent of beneficiaries who die each year, resulting in per-capita spending on decedents that is six times as great as for nondecedents (Hogan et al. 2001; Lubitz and Riley...
The combined effects of participatory styles of elderly patients and their physicians on satisfaction.
April 1, 2004... Consumer satisfaction ratings in health care are commonly used indicators of access and outcomes (Kane, Maciejewski, and Finch 1997; Rohrer 1999). An early study found that patients' satisfaction with care was positively associated with their...
Delays in initial treatment contact after first onset of a mental disorder.
April 1, 2004... Despite the substantial distress and impairment caused by mental disorders and the availability of effective therapies, unmet need for treatment of mental disorders remains a serious public health problem (Kessler, Olfson, and Berglund 1998;...
Updated variable-radius measures of hospital competition.
April 1, 2004... Researchers have long been interested in understanding hospitals' behavior, and in particular the influence of competition on behavior (Dranove and White 1994). Various methods have been used to determine the area that defines a hospital's...