Health Services Research articles from June 1999

Health Services Research archives from June 1999

Planning and accountability at AHCPR: applying the quality message at home.(Agency for Health Care Policy and Research)
June 1, 1999... The end of the 1980s witnessed the establishment of a new federal initiative, the Agency for Health Care Policy and Research (AHCPR). Now, ten years later, the end of the 1990s is witness to a still young Agency that has learned from its first...

Quality of primary care practice in a large HMO according to physician specialty.(health maintenance organization)
June 1, 1999... Studies comparing the performance of generalist and specialist physicians have predominantly focused on resource use (Greenfield, Nelson, Zubkoff, et al. 1992; Carey, Garrett, Jackman, et al. 1995; Greenwald, Peterson, Garrison, et al. 1984;...

Differences in resource use and costs of primary care in a large HMO according to physician specialty.(health maintenance organization)
June 1, 1999... Recent healthcare reform efforts have emphasized the importance of primary care medicine in providing cost-effective comprehensive medical care (Iglehart 1994; Starfield and Simpson 1993; Schroeder and Sandy 1993; Rivo et al. 1995)....

Prostate cancer treatment and ten-year survival among group/staff HMO and fee-for-service Medicare patients.(health maintenance organization)
June 1, 1999... Dramatic changes have occurred in the U.S. healthcare system in the past two decades, with enrollment in health maintenance organizations (HMOs) increasing from 4 percent to 20 percent of the population between 1980 and 1996 (National Center...

No exit? The effect of health status on dissatisfaction and disenrollment from health plans.
June 1, 1999... As various forms of managed care have spread throughout the American healthcare system, policymakers and the general public have grown concerned about the implications for the quality of medical care, particularly for the most vulnerable...

Assertive community treatment for people with severe mental illness: the effect on hospital use and costs.
June 1, 1999... Mental health clinicians and researchers in the 1960s developed a model for continuous, comprehensive, and highly flexible community care for persons with severe mental illness (Marx, Test, and Stein 1973). Known as the Program for Assertive...

A claims data approach to defining an episode of care.
June 1, 1999... Prospective economic evaluations of new medical technologies are rapidly becoming standard practice in the pharmaceutical industry. Economic evaluation is designed to inform healthcare decision makers about the economic benefits of new...

Patient assessments of hospital maternity care: a useful tool for consumers?
June 1, 1999... The rise of consumerism and the need for sensitive, easily administered measures of healthcare quality have spawned interest in the use of patient assessments to evaluate healthcare quality (Maloney and Paul 1991; Friedman 1995; Hibbard and...