Health Services Research articles from October 1998

Health Services Research archives from October 1998

Violence in families: assessing prevention and treatment programs.
October 1, 1998... Institute of Medicine and National Research Council Billions of dollars are spent annually in the United States to curb family violence, and most of this money is spent on treatment and intervention programs that have not been evaluated for...

AHCPR focuses on information for health care decision makers. (Agency for Health Care Policy and Research)
October 1, 1998... In the spring of 1989, the annual report of the Physician Payment Review Commission (PPRC) called for an additional federal investment in research "to determine the medical outcomes and costs of clinical alternatives and their effect on medical...

The roles of Medicaid and economic factors in the demand for nursing home care.
October 1, 1998... Nursing home care constitutes a sizable portion of the total health sector. About 43 percent of persons reaching age 65 will use nursing home care at some point during their remaining lives; 55 percent of these users will have at least one year...

Nursing home performance under case-mix reimbursement: responding to heavy-care incentives and market changes.
October 1, 1998... Case-mix reimbursement systems are intended to eliminate incentives that discourage nursing homes from admitting heavy-care Medicaid patients by varying the reimbursement rate with the patient's condition (Rosko, Boyles, and Aaronson 1987)....

A longitudinal analysis of nursing home outcomes.
October 1, 1998... Researchers have advocated the use of outcome measures for measuring quality of nursing home care and for reimbursement purposes since the late 1960s (Andersen and Stone 1969). To date, only a handful of studies have analyzed outcome differences...

The demand for healthcare among racial/ethnic subpopulations.
October 1, 1998... BACKGROUND There are important differences among racial/ethnic groups in the probability of any healthcare use, as well as in the probability of use of specific types of services, such as inpatient hospital care (see, for example, Adams and...

Too little time? The recognition and treatment of mental health problems in primary care.
October 1, 1998... As the first line of patient contact, primary care physicians often have the best opportunity to recognize patients with mental health problems and to treat them or refer them to specialists. The growing importance of primary care physicians as...

Empirically defined health states for depression from the SF-12. (12-Item Short Form Health Survey)
October 1, 1998... The cost-effectiveness of different strategies for the identification and treatment of depressive illness in primary care practice is the focus of one of the Patient Outcomes Research Team (PORT) projects of the Agency for Health Care Policy and...

Hospitalizations for back and neck problems: a comparison between the province of Ontario and Washington state.
October 1, 1998... Although physicians in Canada and the United States are trained in very similar fashions, they practice in different systems. The Canadian universal health insurance system has a single payer - the provincial government - that provides the vast...

Economies of scope and home healthcare. (response to T.I. Gonzales, Health Services Research, vol. 32, p. 313, 1997)
October 1, 1998... The recently published article by Gonzales (1997) in HSR asserts that there is empirical evidence in support of the existence of economies of scope in home healthcare. This conclusion differs markedly from that found in an earlier study that...

Improving the quality of healthcare for children: implementing the results of the AHSR research agenda conference. (Association for Health Services Research)(Improving the Quality of Healthcare for Children: An Agenda for Research)
October 1, 1998... Healthcare delivery in the United States is undergoing a dramatic and rapid transformation. In just the past few years, major changes have occurred in the ways in which consumers choose their physicians, in the benefits covered by their health...

Overview of issues in improving quality of care for children.(Improving the Quality of Healthcare for Children: An Agenda for Research)
October 1, 1998... The Conference on Improving Quality of Health Care for Children: An Agenda for Research was convened to identify key research questions that must be addressed to improve the delivery of health services for children. The conference organizers...

The health of children.(Improving the Quality of Healthcare for Children: An Agenda for Research)
October 1, 1998... The health of children and adolescents has received relatively little attention from health services researchers. This shortcoming has been recognized, and interest and support for research on children's health status and healthcare utilization...

Issues in studying the effectiveness of health services for children.(Improving the Quality of Healthcare for Children: An Agenda for Research)
October 1, 1998... Health policymakers, clinicians, and other advocates need high-quality evidence about effectiveness in order to recommend appropriate services for children. Ongoing changes in healthcare delivery, including the trend toward managed care among...

Assessing the quality of healthcare provided to children.(Improving the Quality of Healthcare for Children: An Agenda for Research)
October 1, 1998... WHY MEASURE QUALITY OF CARE? The healthcare system has changed dramatically during the past decade in response to a perceived need to contain rising costs. The resulting changes, including the shift to managed care systems, raise concerns that...

Improving the quality of care for children in health systems.(Improving the Quality of Healthcare for Children: An Agenda for Research)
October 1, 1998... Despite the substantial improvement in health status for children in the United States over the past half-century, health services for children exhibit numerous deficiencies in quality of care. The deficiencies cross all major domains of...

Assessing the performance of community systems for children.(Improving the Quality of Healthcare for Children: An Agenda for Research)
October 1, 1998... An effective health system promotes and improves the health of a population. Services for children should be organized at the community level to fulfill community-wide goals of delivering an array of health services that permit children to...

Getting the incentives right for children.(Improving the Quality of Healthcare for Children: An Agenda for Research)
October 1, 1998... Changes in the health system - particularly the replacement of traditional private indemnity insurance and fee-for-service Medicaid coverage by sets of competing managed care plans paid to care for defined populations - have led to significant...

Specific issues related to developing, disseminating, and implementing pediatric practice guidelines for physicians, patients, families, and other stakeholders.(Improving the Quality of Healthcare for Children: An Agenda for Research)
October 1, 1998... The rapid growth of medical knowledge is reflected in the proliferation of journal articles, textbooks, direct advertising to patients, and other printed sources of medical information (Agency for Health Care Policy and Research [AHCPR] 1994)....