Health Services Research articles from August 1997

Health Services Research archives from August 1997

Obstetricians' receptiveness to teen prenatal patients who are Medicaid recipients.
August 1, 1997... Medicaid was enacted in 1965 with the intent of improving the access of low-income Americans to "mainstream" healthcare. Not only was it hoped that the poor would receive more healthcare services than before, but proponents of the legislation...

Physician behavioral response to a Medicare price reduction.
August 1, 1997... Escalating costs are a major challenge to healthcare systems and pose an increasing threat to country, state, and household budgets. Costs for physicians' services are no exception, as they rose an average of 11.2 percent a year from 1960 to 1991...

Physician variations and the ancillary costs of neonatal intensive care.
August 1, 1997... In spite of ongoing debates over research methodologies (Miller et al. 1993) and interpretations of results (Chassin 1993), there is an enlarging body of data confirming that variations in clinical practice styles are important determinants of...

An empirical study of economies of scope in home healthcare.
August 1, 1997... INTRODUCTION AND STATEMENT OF THE PROBLEM The healthcare industry is currently undergoing fundamental changes concerning payment, accessibility, and service delivery. Recent literature has reflected an extraordinary number of mergers involving...

Influence of projected complication rates on estimated appropriate use rates for carotid endarterectomy.
August 1, 1997... Stroke is the third-leading cause of mortality and the leading cause of disability in the United States (Wolf, Cobb and D'Agostino 1992). Carotid endarterectomy has been shown to be effective in reducing stroke risk in several randomized...

Nonmedical influences on medical decision making: an experimental technique using videotapes, factorial design, and survey sampling.
August 1, 1997... Numerous reports suggest that medical decision making - ideally a matter of symptoms, tests, and probabilities - is in fact a social transaction prone to medically extraneous influences. These nonmedical factors include personal characteristics...

Comparison of responses to SF-36 Health Survey questions with one-week and four-week recall periods.
August 1, 1997... General health status surveys differ in the time frame (recall period) respondents are asked to consider when answering questions about their health (Wilkin, Hallam, and Doggett 1992). Commonly used time frames instruct respondents to focus on...