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The impact of nonclinical factors on practice variations: the case of hysterectomies.
February 1, 1996... Hysterectomy is the second most common major surgical procedure for women in the United States. Approximately 590,000 hysterectomies are performed annually, although recent data suggest the possibility of a downward trend since the mid-1980s....
Ambulatory care practice variation within a Medicaid program.
February 1, 1996... It is well known that the health care system is shifting away from the inpatient environment toward the ambulatory. Today, among working-age populations more resources are expended in ambulatory care settings than in hospitals, and for all...
A network approach to outpatient service delivery systems: resources flow and system influence.
February 1, 1996... The challenges of providing effective human services, such as health and mental health care, have received much attention from researchers, policy-makers, administrators, and providers. The trend toward integrated systems of managed care,...
Reconsidering the effect of Medicaid on health care services use.
February 1, 1996... By any accounting, the Medicaid program has substantially expanded the amount of health care provided to the poor. In 1993, Medicaid paid for the health care of 13 percent of Americans, at a cost of $125 billion (Health Care Financing...
Determinants of dental user groups among an elderly, low-income population.
February 1, 1996... Although the percentage of dental utilization among the elderly (Public Health Service 1987) has increased, they are still the least likely adult group to use dental care annually (Bloom, Gift, and Jack 1992). Several variables may influence...
The short-term effects of merger on hospital operations.
February 1, 1996... The introduction of the prospective payment system (PPS) and increased competition among health care providers have compelled hospitals to engage in more frequent consolidation and merger to improve efficiencies, reduce duplication, and increase...