Health Services Research articles from June 2003

Health Services Research archives from June 2003

AcademyHealth update.
June 1, 2003... AcademyHealth (www.academyhealth.org) is the professional home for health services researchers, policy analysts, and practitioners, and a leading, non-partisan resource for the best in health research and policy. AcademyHealth promotes the use...

Health services research: from galvanizing attention to creating action. (Editorial).
June 1, 2003... In 1991, a simple, yet powerful, symbol premiered in New York that has become the most identifiable representation of the fight against AIDS--the red ribbon. In the ensuing 12 years, the red AIDS ribbon has been joined by a score of ribbons in...

Why Truth Matters: research versus propaganda in the policy debate. (Address of the Chair of AcademyHealth).
June 1, 2003... I begin my remarks with a confession: I wrote the title of my talk-"Why Truth Matters"--before I wrote the talk. I know such behavior is neither unique nor egregious. But it has caused me some anxiety. First came the challenge from my son, who...

Race/ethnicity, language, and patients' assessments of care in Medicaid managed care. (Meeting Presentation).
June 1, 2003... Major demographic shifts are changing the landscape of the U.S. population. As of 2000, 31 percent of the U.S. population was a member of a racial or ethnic minority group. By 2030, it is projected that 40 percent of the U.S. population will be...

The contribution of insurance coverage and community resources to reducing racial/ethnic disparities in access to care. (Impact of Health Care Context).
June 1, 2003... Well-documented disparities in health exist among members of racial and ethnic groups (Brown et al. 2000). For example, death associated with heart disease, stroke, and cancer remain higher for African Americans than whites (Keppel, Pearcy, and...

The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998.(new research is emerging concerning the international comparison of health systems around the world)
June 1, 2003... The World Health Organization (WHO) has recently proposed new methods for assessing the performance of national health systems (World Health Organization 2000). In spite of criticism of the methodologies employed (see Almeida et al. 2001;...

Length of stay, conditional length of stay, and prolonged stay in pediatric asthma. (Access in Chronic Care).(a study finds the overall management of asthma admissions appears more efficient in Pennsylvania than in New York)(Illustration)
June 1, 2003... Asthma is the most common serious chronic disease of the pediatric population (Newacheck and Taylor 1992; Goodman, Stukel, and Chang 1998; Mannino et al. 1998). Annually, there are approximately 200,000 childhood asthmatic admissions in the...

Accessibility of addiction treatment: results from a national survey of outpatient substance abuse treatment organizations.
June 1, 2003... The adverse personal, social, and public health effects of addictive disorders are well described (Stein 1999; O'Connor and Schottenfeld 1998). In dollar terms, the consequences of drug abuse alone cost $143.4 billion in the United States in...

Hospital economics of the hospitalist. (Debate).
June 1, 2003... The Balanced Budget Act together with increasing managed care penetration contributed to lower hospital profitability in the late 1990s. Thirty-four percent of hospitals experienced operating losses in 1997, and bond ratings of not-for-profit...

Twenty-first century hospitals: intensification increases. (Commentary: Hospital Economics of the Hospitalist).
June 1, 2003... As America's hospitals enter a new millennium, there is every indication that they will continue what seems like an interminable march toward increasing intensification and ever higher per day costs. The paper by Gregory, Baigelman, and Wilson...

The quantitative measurement of organizational culture in health care: a review of the available instruments. (Methods).
June 1, 2003... Health system reforms have until recently tended to focus primarily on structural change. The introduction of managed care in the United States (Miller and Luft 1997), the establishment of standard-setting bodies such as the National Institute...

Ability of Medicaid claims data to identify incident cases of breast cancer in the Ohio Medicaid population.
June 1, 2003... Claims data are increasingly used in cancer-related health services research. A number of studies have compared the completeness and accuracy of Medicare or commercial insurance claims data to that of medical records (Fisher et al. 1992), SEER...

Understanding biased selection in Medicare HMOs.(Brief Article)
June 1, 2003... The Medicare risk program (now Medicare+Choice) is a managed care initiative in which qualified health maintenance organizations (HMOs) assume responsibility for providing comprehensive health services to Medicare beneficiaries in exchange for...