Medical care research and review : MCRR最新文献_第8页

Pay for performance, public reporting, and racial disparities in health care: how are programs being designed? 医疗保健中的绩效薪酬、公开报告和种族差异:项目是如何设计的?

IF 2.5

Medical care research and review : MCRR Pub Date : 2007-10-01 DOI: 10.1177/1077558707305426

Alyna T Chien, Marshall H Chin, Andrew M Davis, Lawrence P Casalino

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引用次数: 135

Effects of state managed care patient protection laws on physician satisfaction. 国家管理医疗病人保护法对医生满意度的影响。

IF 2.5

Medical care research and review : MCRR Pub Date : 2007-10-01 DOI: 10.1177/1077558707300715

Frank A Sloan, John R Rattliff, Mark A Hall

{"title":"Effects of state managed care patient protection laws on physician satisfaction.","authors":"Frank A Sloan, John R Rattliff, Mark A Hall","doi":"10.1177/1077558707300715","DOIUrl":"https://doi.org/10.1177/1077558707300715","url":null,"abstract":"Physician dissatisfaction often drives public policy, and is associated with lower quality of care and disruption of treatment relationships. Physicians expressed strong dissatisfaction with managed care, leading to enactment of patient protection laws. By 2001, almost all states enacted laws to curb alleged abuses of managed care organizations. To date, no studies have examined whether such laws improved physician satisfaction. This article examines whether enactment of these laws improved physician satisfaction, using responses to the Physician Survey component of the Community Tracking Study (CTS), supplemented with data on state statutes/regulations. Career satisfaction increased for both primary care physicians (PCPs) and specialists following enactment of such laws; improvements were limited to early-adopting states. Enactment was associated with improvements in early-adopting states for specialists but not for PCPs on: ability to provide high quality care, clinical freedom, and ability to make clinical decisions in patients' interests without sacrificing physician income.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"585-99"},"PeriodicalIF":2.5,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1077558707300715","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40983154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Interventions to enhance breast cancer screening, diagnosis, and treatment among racial and ethnic minority women. 干预措施，以加强乳腺癌筛查，诊断和治疗的种族和少数民族妇女。

Medical care research and review : MCRR Pub Date : 2007-10-01 DOI: 10.1177/1077558707305410

Christopher M Masi, Dionne J Blackman, Monica E Peek

{"title":"Interventions to enhance breast cancer screening, diagnosis, and treatment among racial and ethnic minority women.","authors":"Christopher M Masi, Dionne J Blackman, Monica E Peek","doi":"10.1177/1077558707305410","DOIUrl":"10.1177/1077558707305410","url":null,"abstract":"The authors conduct a systematic review of the literature to identify interventions designed to enhance breast cancer screening, diagnosis, and treatment among minority women. Most trials in this area have focused on breast cancer screening, while relatively few have addressed diagnostic testing or breast cancer treatment. Among patient-targeted screening interventions, those that are culturally tailored or addressed financial or logistical barriers are generally more effective than reminder-based interventions, especially among women with fewer financial resources and those without previous mammography. Chart-based reminders increase physician adherence to mammography guidelines but are less effective at increasing clinical breast examination. Several trials demonstrate that case management is an effective strategy for expediting diagnostic testing after screening abnormalities have been found. Additional support for these and other proven health care organization-based interventions appears justified and may be necessary to eliminate racial and ethnic breast cancer disparities.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"195S-242S"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657605/pdf/nihms-88560.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40984735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adapting a dynamic model of interorganizational cooperation to the health care sector. 使组织间合作的动态模式适用于保健部门。

IF 2.5

Medical care research and review : MCRR Pub Date : 2007-10-01 DOI: 10.1177/1077558707301166

Rebecca Wells, Bryan J Weiner

引用次数: 18

Do HMOs reduce preventable hospitalizations for Medicare beneficiaries? hmo是否减少了医疗保险受益人可预防的住院治疗?

IF 2.5

Medical care research and review : MCRR Pub Date : 2007-10-01 DOI: 10.1177/1077558707301955

Jayasree Basu, Lee R Mobley

{"title":"Do HMOs reduce preventable hospitalizations for Medicare beneficiaries?","authors":"Jayasree Basu, Lee R Mobley","doi":"10.1177/1077558707301955","DOIUrl":"https://doi.org/10.1177/1077558707301955","url":null,"abstract":"This study assesses the association of HMO enrollment with preventable hospitalizations among the elderly in four states. Using 2001 hospital discharge abstracts for elderly Medicare enrollees (age 65 and above) residing in four states (New York, Pennsylvania, Florida, and California), from the Healthcare Cost and Utilization Project (HCUP-SID) database of the Agency for Healthcare Research and Quality, we use a multivariate cross-sectional design with patient-level data for each state. Holding other factors such as demographics and illness severity constant, we find that in three out of four states, Medicare HMO patients had lower odds of a preventable admission versus marker admission than Medicare fee-for-service (FFS) patients. Moreover, in the two states with longest tenure and greatest Medicare HMO penetration, California and Florida, the reduction in preventable admissions among Medicare HMO patients was mainly concentrated among more ill patients. These findings add to the evidence that managed care outperforms traditional care among the elderly, rather than simply skimming off the healthiest populations.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"544-67"},"PeriodicalIF":2.5,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1077558707301955","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40983153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 39

Cultural leverage: interventions using culture to narrow racial disparities in health care. 文化杠杆：利用文化来缩小医疗保健中的种族差异的干预措施。

Medical care research and review : MCRR Pub Date : 2007-10-01 DOI: 10.1177/1077558707305414

Thomas L Fisher, Deborah L Burnet, Elbert S Huang, Marshall H Chin, Kathleen A Cagney

{"title":"Cultural leverage: interventions using culture to narrow racial disparities in health care.","authors":"Thomas L Fisher, Deborah L Burnet, Elbert S Huang, Marshall H Chin, Kathleen A Cagney","doi":"10.1177/1077558707305414","DOIUrl":"10.1177/1077558707305414","url":null,"abstract":"The authors reviewed interventions using cultural leverage to narrow racial disparities in health care. Thirty-eight interventions of three types were identified: interventions that modified the health behaviors of individual patients of color, that increased the access of communities of color to the existing health care system, and that modified the health care system to better serve patients of color and their communities. Individual-level interventions typically tapped community members' expertise to shape programs. Access interventions largely involved screening programs, incorporating patient navigators and lay educators. Health care interventions focused on the roles of nurses, counselors, and community health workers to deliver culturally tailored health information. These interventions increased patients' knowledge for self-care, decreased barriers to access, and improved providers' cultural competence. The delivery of processes of care or intermediate health outcomes was significantly improved in 23 interventions. Interventions using cultural leverage show tremendous promise in reducing health disparities, but more research is needed to understand their health effects in combination with other interventions.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"243S-82S"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2505343/pdf/nihms49597.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40984736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health disparity: causes, consequences, and change. 健康差距:原因、后果和变化。

IF 2.5

Medical care research and review : MCRR Pub Date : 2007-10-01 DOI: 10.1177/1077558707305412

Jeroan J Allison

引用次数: 2

Cardiovascular health disparities: a systematic review of health care interventions. 心血管健康差异：卫生保健干预措施的系统回顾。

Medical care research and review : MCRR Pub Date : 2007-10-01 DOI: 10.1177/1077558707305416

Andrew M Davis, Lisa M Vinci, Tochi M Okwuosa, Ayana R Chase, Elbert S Huang

{"title":"Cardiovascular health disparities: a systematic review of health care interventions.","authors":"Andrew M Davis, Lisa M Vinci, Tochi M Okwuosa, Ayana R Chase, Elbert S Huang","doi":"10.1177/1077558707305416","DOIUrl":"10.1177/1077558707305416","url":null,"abstract":"Racial and ethnic disparities in cardiovascular health care are well documented. Promising approaches to disparity reduction are increasingly described in literature published since 1995, but reports are fragmented by risk, condition, population, and setting. The authors conducted a systematic review of clinically oriented studies in communities of color that addressed hypertension, hyperlipidemia, physical inactivity, tobacco, and two major cardiovascular conditions, coronary artery disease and heart failure. Virtually no literature specifically addressed disparity reduction. The greatest focus has been African American populations, with relatively little work in Hispanic, Asian, and Native American populations. The authors found 62 interventions, 27 addressing hypertension, 9 lipids, 18 tobacco use, 8 physical inactivity, and 7 heart failure. Only 1 study specifically addressed postmyocardial infarction care. Data supporting the value of registries, multidisciplinary teams, and community outreach were found across several conditions. Interventions addressing care transitions, using telephonic outreach, and promoting medication access and adherence merit further exploration.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"29S-100S"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2367222/pdf/nihms-44292.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40983157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

U.S. civil rights policy and access to health care by minority Americans: implications for a changing health care system. 美国民权政策和少数族裔美国人获得医疗保健:对不断变化的医疗保健系统的影响。

Medical care research and review : MCRR Pub Date : 1900-01-01 DOI: 10.1177/107755800773743673

S. Rosenbaum, A. Markus, J. Darnell

引用次数: 16

Translating behavioral health services research into benefits policy. 将行为健康服务研究转化为福利政策。

Medical care research and review : MCRR Pub Date : 1900-01-01 DOI: 10.1177/107755800773743727

K. Grazier, H. Pollack

引用次数: 6