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Health Services Research articles from March 2000
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Health Services Research archives from March 2000
Editorial Column.
March 1, 2000... Editorial Note: With the support of the Department of Veterans Affairs, Veterans Health Administration Research and Development Office, we are pleased to publish this additional "seventh issue" of the Health Services Research volume year. These...
Racial Variation in Treatment for Transient Ischemic Attacks: Impact of Participation by Neurologists.
March 1, 2000... Objective. This study evaluates the role of neurologists in explaining African American-white differences in the use of diagnostic and therapeutic services for cerebrovascular disease.
Data Sources/Study Setting. Medicare inpatient hospital...
Are Nonspecific Practice Guidelines Potentially Harmful? A Randomized Comparison of the Effect of Nonspecific Versus Specific Guidelines on Physician Decision Making.(Statistical Data Included)
March 1, 2000... Objective. To test the ability of two different clinical practice guideline formats to influence physician ordering of electrodiagnostic tests in low back pain.
Data Sources/Study Design. Randomized controlled trial of the effect of...
Relationships Between In-Hospital and 30-Day Standardized Hospital Mortality: Implications for Profiling Hospitals.
March 1, 2000... Objective. To examine the relationship of in-hospital and 30-day mortality rates and the association between in-hospital mortality and hospital discharge practices.
Data Sources/Study Setting. A secondary analysis of data for 13,834...
Risk-Adjusting Acute Myocardial Infarction Mortality: Are APR-DRGs the Right Tool?
March 1, 2000... Objective. To determine if a widely used proprietary risk-adjustment system, APR-DRGs, misadjusts for severity of illness and misclassifies provider performance.
Data Sources. (1) Discharge abstracts for 116,174 noninstitutionalized adults...
On "Risk-Adjusting Acute Myocardial Infarction Mortality: Are APR-DRGs the Right Tool?".
March 1, 2000... The key portion of the Romano and Chan article (hereafter referred to as "Dr. Romano") can be excerpted as follows:
[The performance of the APR-DRGS] was largely attributable to its inclusion of both comorbidities and complications. When...
A Controlled Time-Series Trial of Clinical Reminders: Using Computerized Firm Systems to Make Quality Improvement Research a Routine Part of Mainstream Practice.
March 1, 2000... Objective. To explore the feasibility of conducting unobtrusive interventional research in community practice settings by integrating firm-system techniques with time-series analysis of relational-respository data.
Study Setting. A...
Variation in the Use of Alternative Levels of Hospital Care for Newborns in a Managed Care Organization.
March 1, 2000... Objective(s). To assess the extent to which variation in the use of neonatal intensive care resources in a managed care organization is a consequence of variation in neonatal health risks and/or variation in the organization and delivery of...
Multiple Approaches to Assessing the Effects of Delays for Hip Fracture Patients in the United States and Canada.
March 1, 2000... Objective. To examine the determinants of postsurgery length of stay (LOS) and inpatient mortality in the United States (California and Massachusetts) and Canada (Manitoba and Quebec).
Data Sources/Study Setting. Patient discharge abstracts...