Health Services Research articles from June 1997

Health Services Research archives from June 1997

A comparison of three methods for estimating the requirements for medical specialists: the case of otolaryngologists.
June 1, 1997... For several decades policymakers have debated whether the United States is training the appropriate number of physicians and the appropriate mix of generalists and specialists. Interest in this issue intensified when President Clinton proposed...

Utilization of home care among people with HIV infection.
June 1, 1997... Over the past decade, advances in clinical management have transformed HIV infection from an acute illness treated in inpatient settings to a chronic illness treated primarily in ambulatory settings (Hellinger 1993; Mauskopf, Turner, Markson, et...

The effect of chain membership on hospital costs.
June 1, 1997... THE EFFECT OF CHAIN MEMBERSHIP ON HOSPITAL COSTS The increasing consolidation of the hospital industry makes it important to know the impact of multihospital systems on costs. Chain hospitals comprised 34.4 percent of nonfederal hospitals in...

Commentary on "Factors contributing to practice variation in post-stroke rehabilitation." (response to article by A.J. Lee, J.H. Huber and W.B. Stason in this issue, p. 197)
June 1, 1997... In this issue of Health Services Research, Lee et al. (1997) present evidence regarding the relative importance of several sources of variation in the patterns of post-stroke rehabilitation, evidence that is derived from a secondary analysis of...

Complications, comorbidities, and mortality: improving classification and prediction.
June 1, 1997... Comparative analysis of patient outcomes has been a central concern of recent health services research. Regardless of the dependent variable under study, researchers need to adjust for influences that might bias outcomes of interest (Iezzoni,...

Methodological commentary. (response to article by L.L. Roos, L. Stranc, R.C. James and J. Li in this issue, p. 229)
June 1, 1997... Roos et al. address a problem faced by researchers attempting to account for patient risk factors using administrative data, such as hospital discharge abstracts. Most hospital data sets include all diagnoses that affect the treatment of the...

Normative models and healthcare planning: network-based simulations within a geographic information system environment.
June 1, 1997... The use of geographic information systems (GIS) in health-related studies is emerging as an important new tool in healthcare planning and research (Albert, Gesler, and Wittie 1995). While medical geographers and others have long employed spatial...