检索结果-内蒙古大学图书馆

Using administrative data to assess health care outcomes

EUROPEAN HEART JOURNAL 1999年第23期20卷 1689-1691页

作者： Ayanian, JZ Brigham & Womens Hosp Div Gen Med Boston MA 02115 USA Harvard Univ Sch Med Dept Hlth Care Policy Boston MA 02115 USA

来源：评论

学校读者我要写书评

暂无评论

A comparison of dental care expenditures and office-based medical care expenditures, 1987

引用

JOURNAL OF THE AMERICAN DENTAL ASSOCIATION 1999年第5期130卷 659-666页

作者： Manski, RJ Moeller, JF Maas, WR Univ Maryland Sch Dent Dept Oral Hlth Care Delivery Baltimore MD 21201 USA US Dept HHS Agcy Hlth Care Policy & Res Rockville MD 20852 USA

Background. This article compares national estimates of utilization of and expenditures for dental care and office-based medical care. The comparison includes respondents in several socioeconomic and demographic categories. Methods. The focus of the analyses is on dental care and office-based medical care utilization during 1987. Specifically, the authors provide national estimates for numbers of dental and office-based medical visits made, expenditures for and sources of payment for each of several socioeconomic and demographic categories using household survey data from the 1987 National Medical Expenditure Survey, or NMES. Results. Data show that out-of-pocket expenditures are greater for dental care than for office-based medical care;that few Medicaid dollars are spent on dental care;that insurance is an important component of dental and office-based medical care;and that dentists provide greater amounts of unreimbursed care than do their office-based physician counterparts. Conclusions. NMES data show that dental care expenditures are considerable, almost as large as expenditures for office-based medical care, and are a significant component of all nonhospital health care expenditures for noninstitutionalized Americans. Practice Implications. U.S. dentists provide a significant amount of care. By understanding these analyses, practitioners will be better positioned to provide care and to better meet the dental needs of all Americans.

关键词：数据收集牙科保健服务/经济学牙科保健服务/统计学和数值数据卫生经费支出/统计学和数值数据诊室就医/经济学诊室就医/统计学和数值数据偿还途径/经济学偿还途径/统计学和数值数据社会经济因素美国青少年成年人女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

Depression in diabetes mellitus: A national survey of office-based encounters, 1990-1995

引用

DIABETES EDUCATOR 1999年第3期25卷 331-+页

作者： Sclar, DA Robison, LM Skaer, TL Galin, RS Washington State Univ Coll Pharm Pharmacoecon & Pharmacoepidemiol Res Unit Pullman WA 99164 USA

来源：评论

学校读者我要写书评

暂无评论

A simplified sequence for fabricating full dentures

引用

JOURNAL OF THE AMERICAN DENTAL ASSOCIATION 1999年第9期130卷 1344-1345页

作者： McArdle, BF Building B Portsmouth NH 03801 264 Lafayette Road United States

Not only does this sequence for fabricating full dentures result in fewer visits, it also reduces the patient"s perception of time between visits. Taking a bite registration at the second visit with the promise of a try-in at the third visit creates a sense of dispatch. This method also results in a better prosthesis. Repeatedly removing and reseating base plates on final models during bite rim and set-up fabrication abrades the models. The pro- cessing of dentures made from abraded models results in com- promised tissue-surface adapta- tion; thus, the delivered den- tures are less stable and retentive than they should be and can cause sore spots, dis- placement and reduced patient satisfaction. Using the sequence I describe in this article prevents such abrasion from occurring.

关键词：义齿设计义齿全口诊室就医/统计学和数值数据人类

来源：评论

学校读者我要写书评

暂无评论

Is it necessary that some patients come to see us so often? Factors associated with primary care use in pediatrics

引用

Gaceta sanitaria / S.E.S.P.A.S 2000年第3期14卷 195-202页

作者： Orueta, J.F. López-De-Munain, J. Centro de Salud de Astrabudúa (Bizkaia) Osakidetza-Servicio Vasco de Salud Bilbao Spain Unidad de Investigación de Atención Primaria de Bizkaia Osakidetza-Servicio Vasco de Salud Bilbao Spain

OBJECTIVES: To analyze the relationship between pediatric patients morbidity and their level of primary health care services use;and to establish if the patients level of use affects the health promotion and immunization schedule completion. METHODS: All patients assigned to a pediatric practice of the Basque National Health Service in Astrabudua (Bizkaia, Spain) over a 6-year period were categorized into different utilization patterns according to their age and number of primary care visits (whose principal reason for encounter was different from health promotion activities). Bivariate and multivariate analyses were performed comparing three groups of subjects: 116 consistently high users, 115 consistently low users and 123 patients classified as consistently medium or erratic users. Ambulatory care Groups (ACGs) case-mix system was used to manage pathologies. RESULTS: High use patients experienced several morbidity types most frequently than low use ones: asthma (OR = 44.7;95% CI = 5.5-206.1), diseases likely to recurr (OR = 33.5;95% CI = 8.5-131.6), specialty unstable chronic conditions (OR = 10.8;95% CI = 2.2-52.8), psychosocial conditions (OR = 5.7;95% CI = 2.1-15.2), chronic medical stable conditions (OR = 4.0;95% CI = 1.9-8.6), eye/dental diseases (OR = 3.5;95% CI = 1.5-8.1). On the other hand, low users were more likely to be lacking completion of the immunization (OR = 3.0;95% CI = 1.1-8.8) and the well-child care program visits schedules (OR = 4.3;95% CI = 2.3-8.0). CONCLUSION: Our data confirm that high utilization, far from being inadequate behavior, is an adequate response to the higher health care needs showed by such patients. Primary care pediatricians should assess preventive care needs of the children who consult them infrequently.

关键词：诊室就医/统计学和数值数据初级卫生保健儿童儿童学龄前女(雌)性人类男(雄)性

来源：评论

学校读者我要写书评

暂无评论

ECONOMIC INCENTIVES, HEALTH-STATUS AND HEALTH-SERVICES UTILIZATION

引用

JOURNAL OF HEALTH ECONOMICS 1993年第2期12卷 151-169页

作者： NOLAN, B ECON & SOCIAL RES INST 4 BURLINGTON RDDUBLIN 4IRELAND

The impact on utilisation of differential public entitlements to free health services is analysed, using data for a large sample of Irish households. GP visiting rates are seen to be significantly higher for those on low incomes whose costs are covered by the State than for those who pay for such care, having controlled for other characteristics including health status. The importance of taking differences in health status into account in attempting to distinguish the effects of economic incentives is shown both for GP visits and hospital stays.

关键词：青少年成年人老年人数据收集女(雌)性卫生保健费用/统计学和数值数据卫生服务易得程度/经济学卫生服务易得程度/统计学和数值数据健康状况住院/统计学和数值数据人类收入/统计学和数值数据保险健康/立法和法学保险健康/利用爱尔兰最小二乘法分析 Logistic模型男(雄)性医疗补助/立法和法学医疗补助/利用中年人动机国家卫生规划/经济学国家卫生规划/利用诊室就医/统计学和数值数据医师家庭/经济学医师家庭/利用

来源：评论

学校读者我要写书评

暂无评论

Immunization practices and beliefs of physicians in suburban Cook County, Illinois

引用

JOURNAL OF COMMUNITY HEALTH 1999年第1期24卷 1-11页

作者： Smith, SW Connery, P Knudsen, K Scott, KL Frintner, MP Outlaw, G Weingart, S Cook Cty Dept Publ Hlth Div Communicable Dis Oak Pk IL 60301 USA Univ Illinois Maternal & Child Community Hlth Sci Consortium Chicago IL 60680 USA

This study was conducted to ascertain the vaccination beliefs and practices of physicians who provide care for low income children. Sixty-two (56.9%) of a sample of 109 physicians in suburban Cook County, Illinois responded to a mail survey. A majority of physicians reported a willingness to immunize during well child care, follow-up, and chronic illness visits;yet, a substantial lack of willingness to immunize given certain acute mild illnesses was reported. Twenty-six percent of providers did not routinely identify children who were behind in immunizations and only 16% had completed a chart audit in the past three years. Seventy-four percent were willing to provide all shots needed at a single visit. Misconceptions regarding true contraindications was found among the group. Missed well child visits were identified as the greatest barrier to complete immunization. Improvements in vaccination rates are expected if physicians utilize all types of medical encounters to monitor the immunization status of patients and provide vaccines using only true medical contraindications.

来源：评论

学校读者我要写书评

暂无评论

Perceptions of health and use of ambulatory care: Differences between Korean and white elderly

引用

JOURNAL OF AGING AND HEALTH 2000年第1期12卷 112-134页

作者： Pourat, N Lubben, J Yu, HJ Wallace, S Univ Calif Los Angeles Los Angeles CA 90024 USA

This study identifies whether culturally based differences in perceptions of health resulted in differences in ambulatory care use among the elderly. Methods: The authors conducted stratified Poisson regressions on data from a 1992 survey of older Koreans and Whites in Los Angeles County. The models included measures of demographics, health, functioning, income, insurance, social support, and culture (perceptions of health or other beliefs). Results: Descriptive findings showed older Koreans had more ambulatory physician visits, poorer functioning,and poorer perceptions of their health than Whites. Multivariate findings showed that positive perceptions of health independently reduced office visits for both Koreans and Whites, but the effect was significantly smaller for Koreans. Other cultural differences also affected use. Discussion: The findings highlight differences between older Koreans and Whites' responses to physical and socioeconomic conditions and the importance of cultural sensitivity in the health care delivery system.

关键词：门诊医疗/统计学和数值数据文化人种群欧洲大陆世系人群健康行为卫生服务需求健康状况朝鲜/人种学模型统计学诊室就医/统计学和数值数据诊室就医/利用美国老年人人类

来源：评论

学校读者我要写书评

暂无评论

An economic evaluation comparing two schedules of antenatal visits

引用

Journal of Health Services Research and Policy 2000年第2期5卷 69-75页

作者： Henderson, J. Roberts, T. Sikorski, J. Wilson, J. Clement, S. Natl. Perinatal Epidemiol. Unit Institute of Health Sciences Oxford United Kingdom

Objectives: To conduct an economic evaluation comparing a traditional antenatal visiting schedule (traditional care) with a reduced schedule of visits (new style care) for women at low risk of complications. Methods: Economic evaluation using the results of a randomised controlled trial, the Antenatal Care Project. This took place between 1993 and 1994 in antenatal clinics in South East London and involved 2794 women at low risk of complications. Results: The estimated baseline costs to the UK National Health Service (NHS) for the traditional schedule were £544 per woman, of which £251 occurred antenatally, with a range of £327-1203 per woman. The estimated baseline costs to the NHS for the reduced visit schedule was £563 per woman, of which £225 occurred antenatally, with a range of £274-1741 per woman. Savings from new style care that arose antenatally were offset by the greater numbers of babies in this group who required special or intensive care. Sensitivity analyses based on possible variations in unit costs and resource use and modelled postnatal stay showed considerable variation and substantial overlap in costs. Conclusions: Patterns of antenatal care involving fewer routine visits for women at low risk of complications are unlikely to result in savings to the Health Service. In addition, women who had the reduced schedule of care reported greater dissatisfaction with their care and poorer psychosocial outcomes which argues against reducing numbers of antenatal visits. (C) The Royal Society of Medicine Press Ltd 2000.

关键词：费用效益分析大不列颠诊室就医/经济学诊室就医/统计学和数值数据产前保健/经济学产前保健/组织和管理敏感性与特异性公费医疗/经济学女(雌)性人类

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：