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Health Services Research articles from October 1997
Journal focusing on research, public policy formulation, and health services management with the latest findings, methods, and thinking on important policy and practice issues.
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Health Services Research archives from October 1997
A memorial: Professor Sylvester E. Berki, 1930-1996.(Obituary)
October 1, 1997... Late last year, I received the news that Professor Sylvester E. Berki - my major professor and thesis advisor, my mentor, my friend - was dead. First, of course, I felt a great sadness, then came a flood of individual memories, disconnected...
The effects of predetermined payment rates for Medicare home healthcare.
October 1, 1997... Between 1983 and 1994, total Medicare outlays for home healthcare increased from $1.6 billion to $13 billion, raising home health's share of total Medicare costs from 2.8 percent to 7.8 percent. Costs per beneficiary increased from $78 to $352 in...
Impact of home care on hospital days: a meta analysis.
October 1, 1997... During the past 30 years home care in the United States has grown considerably in response to four basic trends: the escalating cost of inpatient care and the search for outpatient substitutes, the aging of the population, the increased...
Differences across payors in charges for agency-based home health services: evidence from the National Home and Hospice Care Survey.
October 1, 1997... The home health industry has experienced explosive growth in the past decade. Expenditures for home health services have grown from $5.6 billion in 1985 to $24.9 billion in 1993 (Levit, Sensenig, Cowan, et al. 1994). Medicare is the predominant...
The demand for health insurance coverage by low-income workers: can reduced premiums achieve full coverage?
October 1, 1997... BACKGROUND
In 1994, approximately 40 million Americans had no health insurance coverage (U.S. Bureau of the Census 1996). A disproportionate number of uninsured individuals have low incomes and do not qualify for Medicaid. Of persons under the...
A controlled letter intervention to change prescribing behavior: results of a dual-targeted approach.
October 1, 1997... An essential goal of drug utilization review (DUR) is to improve the accuracy and appropriateness of physician drug prescribing. DUR is a dynamic process aimed first at rational prescribing and the consequent improvement in the quality of...
Promoting clinical involvement in the hospital quality improvement efforts: the effects of top management, board, and physician leadership.
October 1, 1997... It is widely believed that the systematic application of industrial quality improvement (QI) methods can result in significant improvement in clinical processes and medical care outcomes (Berwick, Godfrey, and Roessner 1990; Berwick 1989; James...
Adjusting Cesarean delivery rates for case mix.
October 1, 1997... Cesarean delivery rates are one of the first measures used to judge hospital and health plan performance (National Committee for Quality Assurance 1995). There are good substantive reasons for reporting on cesareans: lower cesarean rates save...
Development of function-related groups version 2.0: a classification system for medical rehabilitation.
October 1, 1997... Payment for inpatient medical rehabilitation remains exempt from Medicare's prospective payment system. Under the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA, PL 97-248), Medicare reimburses inpatient rehabilitation for reasonable...