Health Services Research articles from February 1997

Health Services Research archives from February 1997

Uninsured in an era of managed care.
February 1, 1997... Health services research is focusing extensively on ways in which managed care is affecting the U.S. health care system. Questions addressed range from managed care and cost, quality, and continuity of care to managed care and Medicare, Medicaid,...

Using Medicare claims data to assess provider quality for CABG surgery: does it work well enough? (coronary artery bypass graft)
February 1, 1997... In recent years, many efforts have been made to assess the quality of medical care using outcomes data. One of the most frequently explored areas for this research has been coronary artery bypass graft (CABG) surgery. In part this is because of...

Effects of market position and competition on rural hospital closures.
February 1, 1997... Policy changes such as Medicare's prospective payment system have been designed to contain health care costs and promote efficiency by increasing competition among hospitals. Although increased competition in the period since the introduction of...

Hospital mergers and market overlap.
February 1, 1997... The landscape of hospital ownership and affiliation before the 1980s stands in sharp contrast to that of the early 1990s. In the pre-1980s era, the terrain was marked by large numbers of freestanding hospitals, independent of but coexisting with...

Forecasting the need for physicians in the United States: the Health Resources and Services Administration's physician requirements model.
February 1, 1997... Policymakers and analysts concerned with assuring an adequate supply of physicians in the United States must, like actors in an oversized theater, be able to project. They must be able to predict with reasonable accuracy how many physicians, in...

Where do elderly veterans obtain care for acute myocardial infarction: Department of Veterans Affairs or Medicare?
February 1, 1997... Federal programs face increasing pressure to move toward models of managed care, but planners, researchers, and physicians have long been hampered by inadequate information on out-of-system use by their patients. The care of veterans exemplifies...

Does case mix matter for substance abuse treatment? A comparison of observed and case mix-adjusted readmission rates for inpatient substance abuse treatments in the Department of Veterans Affairs.
February 1, 1997... The quality assurance service of the Department of Veterans Affairs (VA) is in the process of implementing a system to monitor outcomes as part of an effort to maintain and improve the quality of care (Halpern 1996). A key feature of this system...

The relationship between prices of services, quality of care, and patient time costs for general dental practice.
February 1, 1997... In contrast to medicine, dental care is still primarily delivered by community-based solo general practitioners. Few dentists are organized in larger practice units or are employed by health care organizations. Approximately 45 percent of dental...