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Medical Errors and Patient Safety: A Growing Research Priority.
August 1, 2000... One death from a medical error is too many; 44,000 deaths annually constitute a national problem of epidemic proportion. Although our medical profession is world class and our technology the most advanced, Americans are dying or suffering...
Community Health Improvement Approaches: Accounting for the Relative Lack of Impact.
August 1, 2000... The articles in this issue speak to the broad field of health services research. They range from the opening article, which evaluates the impact of community health improvement interventions, to the concluding article, which identifies a more...
The Kaiser Family Foundation Community Health Promotion Grants Program: Findings from an Outcome Evaluation.
August 1, 2000... Objectives. To present results from an outcome evaluation of the Henry J. Kaiser Family Foundation's Community Health Promotion Grants Program (CHPGP) in the West, which represented a major community-based initiative designed to promote...
The Effects of Medical Group Practice and Physician Payment Methods on Costs of Care.
August 1, 2000... Objective. To assess the effects of payment methods on the costs of care in medical group practices.
Data Sources. Eighty-six clinics providing services for a Blue Cross managed care program during 1995. The clinics were analyzed to...
The Optimal Outcomes of Post-Hospital Care Under Medicare.
August 1, 2000... Objective. To estimate the differences in functional outcomes attributable to discharge to one of four different venues for post-hospital care for each of five different types of illness associated with post-hospital care: stroke, chronic...
The Cost of Work-related Physical Assaults in Minnesota.
August 1, 2000... Objective. To describe the long-term productivity costs of occupational assaults. Data Sources/Study Setting. All incidents of physical assaults that resulted in indemnity payments, identified from the Minnesota Department of Labor and Industry...
Can Continuous Quality Improvement Be Assessed Using Randomized Trials?
August 1, 2000... Study Question. Continuous quality improvement (CQI) has been implemented at least to some degree in many health care settings, yet randomized controlled trials (RCTs) of CQI are rare. We ask whether, when, and how RCTs of CQI might be...
Continuous Quality Improvement and Controlled Trials Are Not Mutually Exclusive.
August 1, 2000... Can continuous quality improvement (CQI) be evaluated with randomized controlled trials (RCTs)? As with all epistemological debates, it is first necessary to define terms, because the answer depends on what is meant by "CQI." The article by Dr....
Measuring the "Managedness" and Covered Benefits of Health Plans.
August 1, 2000... Study Aims. (1) To develop indexes measuring the degree of managedness and the covered benefits of health insurance plans, (2) to describe the variation in these indexes among plans in one health insurance market, (3) to assess the validity of...
Toward a Redefinition of Psychiatric Emergency.
August 1, 2000... Objective. To compare three methods for rating legitimate use of psychiatric emergency services (PES) in order to develop criteria that can differentiate appropriate from inappropriate PES service requests.
Method. Ratings of PES visits by...