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Building a Community of Health Services Research Training.(Agency for Healthcare Research and Quality)
December 1, 2000... In previous HSR Updates this year, we discussed the Agency for Healthcare Research and Quality's (AHRQ) research agenda: priority health care research issues; developing the tools and talent for using the findings of this research; and...
Community-Based Interventions: Taking on the Cost and Cost-Effectiveness Questions.(Los Angeles Mammography Program)(Statistical Data Included)
December 1, 2000... Carolyn M. Clancy [1]
Thirty years ago, a landmark clinical trial established the effectiveness of annual screening mammography for reducing mortality from breast cancer in women over the age of 50 (Shapiro, Strax, and Venet 1966). Despite...
Uninsured Status and Out-of-Pocket Costs at Midlife.(health insurance coverage)(Statistical Data Included)
December 1, 2000... Objective. To investigate how baseline health insurance coverage affects subsequent out-of-pocket costs and utilization of health services over a two-year period.
Data Source. The first two waves of the Health and Retirement Study, a...
Do Consumer Reports of Health Plan Quality Affect Health Plan Selection?(Statistical Data Included)
December 1, 2000... Objective. To learn whether consumer reports of health plan quality can affect health plan selection.
Data Sources. A sample of 311 privately insured adults from Los Angeles County.
Study Design. The design was a fractional factorial...
The Health Plan Choices of Retirees Under Managed Competition.(Statistical Data Included)
December 1, 2000... Objective. To investigate the effect of price on the health insurance decisions of Medicare-eligible retirees in a managed competition setting.
Data Source. The study is based on four years of administrative data from the University of...
The Outcomes of Outcomes and Effectiveness Research: Impacts and Lessons from the First Decade.(assessing Agency for Healthcare Research and Quality research)(Statistical Data Included)
December 1, 2000... Objective. To assess the outcomes of the Agency for Healthcare Research and Quality's (AHRQ formerly the Agency for Health Care Policy and Research, AHCPR) first decade of focus on outcomes and effectiveness research (OER) and to identify needs...
Heritability of Self-Reported Health.(researching male-male twin pair members of the Vietnam Era Twin Registry)(Statistical Data Included)
December 1, 2000... Objective. To explore the contribution of genes and environmental factors to variation in a common measure (i.e., a five-point--excellent, very good, good, fair, and poor--Likert scale) of self-reported health.
Data Sources. Data were...
Community Orientation in Hospitals: An Institutional and Resource Dependence Perspective.
December 1, 2000... Objective. To conceptualize community orientation--defined as the generation, dissemination, and use of community health-need intelligence--as a strategic response to environmental pressures, and to test a theoretically justified model of the...
Costs and Cost-Effectiveness of a Church-Based Intervention to Promote Mammography Screening.(Statistical Data Included)
December 1, 2000... Objectives. To evaluate the costs of implementing a church-based, telephone-counseling program for increasing mammography use, and to identify the components of costs and the likely cost-effectiveness in hypothetical communities with varying...
Editor's Note.
December 1, 2000... Last December we published a Special Supplement on Qualitative Methods in Health Services Research (see Volume 34, Number 5, December 1999, Part II; edited by Kelly J. Devers, Shoshanna Sofaer, and Thomas G. Rundall). The purpose of that...
Overview of the Special Supplement Issue.
December 1, 2000... Instrumental variables (IV) analysis is a technique that virtually every econometrics textbook describes and that econometricians have employed for over half a century. It is used to contrast two or more groups when the differences among them...
Do Longer Postpartum Stays Reduce Newborn Readmissions? Analysis Using Instrumental Variables.
December 1, 2000... Objective. To determine the effect of postpartum length of stay on newborn readmission.
Data Sources. Secondary data set consisting of newborns born in Washington state in 1989 and 1990. The data set contains information about the...
Does Physician Specialty Affect the Survival of Elderly Patients with Myocardial Infarction?(Statistical Data Included)
December 1, 2000... Objective. To determine the effect of treatment by a cardiologist on mortality of elderly patients with acute myocardial infarction (AMI, heart attack), accounting for both measured confounding using risk-adjustment techniques and residual...
The Impact of Waiting Time on Liver Transplant Outcomes.
December 1, 2000... Objective. To measure the impact of patient waiting time on the probability of graft failure following liver transplantation.
Data Sources. Observations on all patients receiving transplants between 1995 and 1997 collected by the United...
Is More Better than Less? An Analysis of Children's Mental Health Services.
December 1, 2000... Objective. To assess the dose-response relationship for outpatient therapy received by children and adolescents--that is, to determine the impact of added outpatient visits on key mental health outcomes (functioning and symptomatology).
...
An Instrumental Variables Approach to Measuring the Effect of Body Weight on Employment Disability.
December 1, 2000... Objective. To measure the effect of body weight on employment disability.
Data Sources. Female respondents to the National Longitudinal Survey of Youth (NLSY), a nationally representative sample of American youth, surveyed from 1979 to...
Expectations Among the Elderly About Nursing Home Entry.
December 1, 2000... Objective. To assess whether the covariates that explain expectations of nursing home entry are consistent with the characteristics of those who enter nursing homes.
Data Sources. Waves 1 and 2 of the Assets and Health Dynamics Among the...