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Health Services Research articles from December 1998
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 December 1998
The effect of hospital volume on the in-hospital complications rate in knee replacement patients.
December 1, 1998... Knee replacement has become one of the most common inpatient surgical procedures among the elderly, with nearly 80,000 performed on Medicare patients in 1990 (Coyte et al. 1995). The number of knee replacements in 1990 was almost double those...
Patterns of coordination and clinical outcomes: a study of surgical services.
December 1, 1998... In recent years, increasing attention has been paid to the coordination practices of healthcare organizations. For example, the Joint Commission on the Accreditation of Healthcare Organizations, as part of its agenda to promote quality...
Multiple outcome assessment in a study of the cost-effectiveness of clozapine in the treatment of refractory schizophrenia.
December 1, 1998... Schizophrenia is severe chronic illness accounting for 2.5 percent of U.S. healthcare expenditures and 10 percent of all permanent disability in the United States (Rupp and Keith 1993). Almost one-third of patients fail to respond to standard...
Provider choice and use of mental health care: implications for gatekeeper models.
December 1, 1998... !!! BEGIN AUTH ABST Objective. To examine the ways in which the costs of nonresidential mental health care depend on (1) the type of provider who initiates the treatment episode and (2) the level of cost sharing imposed on the patient. Study...
Cost-effectiveness of assertive community treatment versus standard case management for persons with co-occurring severe mental illness and substance use disorders.
December 1, 1998... Substance use disorders are common among persons with severe mental illness (SMI). According to the Epidemiologic Catchment Area study, approximately one-half of all persons with severe mental illness will have a substance use disorder during...
Single women and the dynamics of Medicaid.
December 1, 1998... Far-reaching changes in welfare were enacted into federal law in 1996 (Rosenbaum and Darnell 1997). Even the new program's name, "Temporary Assistance for Needy Families" (TANF), emphasizes the lawmakers' determination to promote work and end...
Who is the marginal patient? Understanding instrumental variables estimates of treatment effects.
December 1, 1998... The goal of outcomes research is to determine the effects of medical interventions on the health and well-being of patients. Ethical, financial, and practical considerations limit the widespread use of randomized experiments in medical outcome...
Medical outcomes study short form 36: testing and cross-validating a second-order factorial structure for health system employees.
December 1, 1998... It has been recognized for some time that a need and a great demand exist for measures of physical and mental health, social and role functioning, and other general health concepts for use in evaluating healthcare (Stewart, Hays, and Ware 1988;...
A new measurement of contemporary life stress: development, validation, and reliability of the CRISYS.(Crisis in Family Systems)
December 1, 1998... Consumers, employers, and the government are demanding greater accountability from the healthcare industry in terms of quality, cost-effectiveness, and service. The application of clinical algorithms and the measurement of health outcomes are...
Increasing consolidation in healthcare markets: what are the antitrust policy implications?(Examining the Role of Regulation in an Evolving Healthcare Marketplace)
December 1, 1998... Market forces are leading to fundamental changes in the way healthcare is financed and delivered. Healthcare providers and insurers have been aligning in a plethora of coalitions as mergers, networks, joint ventures, and contracts have...
Defining competition in markets: why and how?(Examining the Role of Regulation in an Evolving Healthcare Marketplace)
December 1, 1998... As the healthcare delivery system in the United States evolves, the nature of competition in the market is changing just as rapidly. Standard market-based economic theory is based on the premise that for markets to operate at economic...
Managed care, market power, and monopsony.(Examining the Role of Regulation in an Evolving Healthcare Marketplace)
December 1, 1998... All forms of managed care share a common technique for achieving lower costs than their indemnity insurance competitors: they pay lower prices or revenues to healthcare providers. Such managed care discounts from prices charged to indemnity...
Marshfield Clinic, physician networks, and the exercise of monopoly power.(Examining the Role of Regulation in an Evolving Healthcare Marketplace)
December 1, 1998... In one of the largest antitrust cases brought in the healthcare industry, Blue Cross and Blue Shield United of Wisconsin and CompCare Health Services Insurance Corporation v. Marshfield Clinic and Security Health Plan of Wisconsin, Inc. (883 F....
Antitrust enforcement in the healthcare industry: the expanding scope of state activity.(Examining the Role of Regulation in an Evolving Healthcare Marketplace)
December 1, 1998... !!! BEGIN AUTH ABST Objective. To describe the landscape of state antitrust activity and review related research and policy issues. In particular, to examine state laws that attempt to immunize mergers among healthcare providers from state and...
Nonprofit conversion: theory, evidence, and state policy options.(Examining the Role of Regulation in an Evolving Healthcare Marketplace)
December 1, 1998... Nonprofit (NP) hospitals and health plans are increasingly converting to for-profit (FP) status. Policymakers have recently focused on the billions of dollars in NP assets at stake and the sometimes dire predictions about the "dissolving...
The spread of state any willing provider laws.(Examining the Role of Regulation in an Evolving Healthcare Marketplace)
December 1, 1998... The Congress recently enacted laws specifying a minimum number of hours of hospital stay for a maternity admission. It is expected to debate a national bill of rights for managed care members. Over the last decade the states have debated and...