Medical Care Research and Review最新文献

Predicting All-Cause Mortality Using Two Claims-Based Measures in Medicare Beneficiaries With Dementia. 使用两种基于索赔的措施预测老年痴呆症医疗保险受益人的全因死亡率。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-06-01 Epub Date: 2025-12-13 DOI: 10.1177/10775587251396723

Jianfang Liu, Monica O'Reilly-Jacob, Anyu Zhu, Soo Borson, Jennifer Perloff, Miles DeGrazia, Lusine Poghosyan

{"title":"Predicting All-Cause Mortality Using Two Claims-Based Measures in Medicare Beneficiaries With Dementia.","authors":"Jianfang Liu, Monica O'Reilly-Jacob, Anyu Zhu, Soo Borson, Jennifer Perloff, Miles DeGrazia, Lusine Poghosyan","doi":"10.1177/10775587251396723","DOIUrl":"10.1177/10775587251396723","url":null,"abstract":"To compare the performance of the Chronic Conditions Warehouse (CCW) and the 38-condition Elixhauser Comorbidity Index in predicting all-cause mortality among Medicare beneficiaries with dementia, we used a national sample of 1,566,359 community-dwelling Medicare beneficiaries (age ≥65) with dementia, identified in 2018 claims data. Using elastic net logistic regression, we applied 30 CCW conditions and 38 Elixhauser comorbidities from 2018 to predict mortality at 30, 60, 180 days, and 1 year through December 31, 2019. Mortality rates were 2.42% (30 days), 4.27% (60 days), 10.77% (180 days), and 19.0% (1 year). All models demonstrated good discrimination (C-statistics: 0.696-0.731) and calibration, with no meaningful performance differences between the two measures. Elastic net models produced parsimonious predictors with performance comparable to traditional logistic regression. Both CCW and Elixhauser measures predicted all-cause mortality in dementia with similar accuracy. Elastic net offers a robust approach to claims-based mortality prediction.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"215-226"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145744988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying Dual-Eligible Beneficiaries With Long-Term Services and Supports Use in Medicare Enrollment Data. 在医疗保险登记数据中识别具有长期服务和支持的双重合格受益人。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-06-01 Epub Date: 2025-12-07 DOI: 10.1177/10775587251394772

Laura M Keohane, Emmaline Keesee, Chanee D Fabius, David G Stevenson

引用次数: 0

Patients' Perceptions of Their Physicians' Interpersonal Manner and Technical Competence: A Qualitative Study of Online Written Reviews. 患者对医生人际交往方式和技术能力的看法：一项在线书面评论的定性研究。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-06-01 Epub Date: 2025-12-19 DOI: 10.1177/10775587251400544

Farrah Madanay, Ada Campagna, Karissa Tu, J Kelly Davis, Steven S Doerstling, Felicia Chen, Peter A Ubel

{"title":"Patients' Perceptions of Their Physicians' Interpersonal Manner and Technical Competence: A Qualitative Study of Online Written Reviews.","authors":"Farrah Madanay, Ada Campagna, Karissa Tu, J Kelly Davis, Steven S Doerstling, Felicia Chen, Peter A Ubel","doi":"10.1177/10775587251400544","DOIUrl":"10.1177/10775587251400544","url":null,"abstract":"Patients increasingly use online rating and review websites to share their clinical experiences, yet few studies have taxonomized how patients perceive their physicians. We developed a theoretical framework identifying the factors comprising patients' perceptions of their physicians' interpersonal manner and technical competence. We conducted a qualitative content analysis of 2,000 online reviews sampled from distinct physicians across the United States, balanced to represent primary care physicians and surgeons, males and females, and low- and high-star rated reviews. Reviews were received between 2015 and 2020 on a large commercial rating and review website. Our theoretical framework identifies 16 interpersonal manner factors and 10 technical competence factors. Interpersonal manner factors were grouped by physicians' attitude and character, behavior, and communication; technical competence factors were grouped by physicians' expertise, treatment approach, and outcomes. This framework may help physicians and health systems seeking to improve care quality, delivery, and patient satisfaction.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"195-206"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Organizational Interventions to Address Primary Care Provider Burnout: A Systematic Review. 解决初级保健提供者职业倦怠的组织干预：系统回顾。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-06-01 Epub Date: 2025-11-30 DOI: 10.1177/10775587251391520

Xuefan Ji, Maura Dougherty, Yuna Lee, Lusine Poghosyan, Corina Lelutiu-Weinberger

{"title":"Organizational Interventions to Address Primary Care Provider Burnout: A Systematic Review.","authors":"Xuefan Ji, Maura Dougherty, Yuna Lee, Lusine Poghosyan, Corina Lelutiu-Weinberger","doi":"10.1177/10775587251391520","DOIUrl":"10.1177/10775587251391520","url":null,"abstract":"Primary care providers (PCPs) in the United States experience burnout more frequently than clinicians in other care settings. Interventions addressing PCP burnout are urgently needed. Organizational-level interventions implemented in the workplace may help address burnout, as poor organizational conditions are primary contributors to burnout. This review synthesized existing evidence on organizational-level interventions' effects on PCP burnout in the United States. A comprehensive search was conducted in four databases and selected journals. Thirteen studies were included, and four overarching categories of interventions emerged. Interventions that addressed the workload, control, and community areas of worklife resulted in notable burnout reduction. Organizations considering using workload interventions to reduce PCP burnout should incorporate both human and time resources. PCP engagement in intervention design and implementation is crucial and may affect burnout. More studies are needed on interventions that target nurse practitioners and physician assistants who increasingly serve as PCPs.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"167-182"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sequence Analysis of U.S. Insurance Coverage Trajectories From Ages 25 to 37. 美国25 - 37岁保险覆盖轨迹的序列分析。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-06-01 Epub Date: 2025-12-31 DOI: 10.1177/10775587251401723

Adrianne Frech, Gwendolyn Richner, Dmitry Tumin

引用次数: 0

Patient Perspectives of Care Integration During Early Implementation of a Care Coordination Initiative. 在护理协调倡议的早期实施过程中，患者对护理整合的看法。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-06-01 Epub Date: 2026-01-30 DOI: 10.1177/10775587251413444

Denise M Hynes, Alex Hickok, Holly McCready, Meike Niederhausen, Mazhgan Rowneki, Diana J Govier, Sara J Singer, Kristina M Cordasco, Christopher G Slatore, Matthew L Maciejewski, Kathryn McDonald, Lisa Perla, Abby Moss

{"title":"Patient Perspectives of Care Integration During Early Implementation of a Care Coordination Initiative.","authors":"Denise M Hynes, Alex Hickok, Holly McCready, Meike Niederhausen, Mazhgan Rowneki, Diana J Govier, Sara J Singer, Kristina M Cordasco, Christopher G Slatore, Matthew L Maciejewski, Kathryn McDonald, Lisa Perla, Abby Moss","doi":"10.1177/10775587251413444","DOIUrl":"10.1177/10775587251413444","url":null,"abstract":"Research shows care coordination contributes to integrated care experiences. Yet evidence from system-level initiatives is lacking. Using a survey of Veterans Health Administration (VHA) patients linked with clinical records, this nonrandomized, cross-sectional study compares perceived care integration among patients at high risk of hospitalization or mortality who did and did not receive care coordination services at 31 VHA sites during early implementation of a national initiative. Six validated dimensions included: knowledge about patient's medical history among staff, providers, and specialists; provider support for self-directed care and for medication adherence and home care; and test results communication. Among 714 respondents, 48% had received care coordination services, 78% were 65 or older, and 95% were male. Regression models suggest little association between receipt of care coordination and perceived care integration. Implementation monitoring followed by responsive adaptations may be needed to boost patient perceptions of care integration.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"183-194"},"PeriodicalIF":2.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Defining the Social Needs Service Cascade: Evidence From A Multistakeholder Qualitative Study. 定义社会需求服务级联：来自多利益相关者定性研究的证据。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-04-29 DOI: 10.1177/10775587261439173

Daniel Gilmore, Alicia Bunger, Katharine Garrity, Seuli Bose-Brill, Ann Scheck McAlearney, Jennifer L Hefner, Eric Seiber, Jennifer A Garner, Amy Headings, Joshua J Joseph, Daniel M Walker

{"title":"Defining the Social Needs Service Cascade: Evidence From A Multistakeholder Qualitative Study.","authors":"Daniel Gilmore, Alicia Bunger, Katharine Garrity, Seuli Bose-Brill, Ann Scheck McAlearney, Jennifer L Hefner, Eric Seiber, Jennifer A Garner, Amy Headings, Joshua J Joseph, Daniel M Walker","doi":"10.1177/10775587261439173","DOIUrl":"10.1177/10775587261439173","url":null,"abstract":"A service cascade refers conceptually to a multi-step process that occurs during the delivery of care as individuals proceed from one part of care to the next. Health care systems increasingly screen patients for unmet social needs and refer them to community-based organizations to address them, requiring a multi-step interaction between the health and social care systems, which we refer to as the social needs service cascade. This cascade is poorly understood beyond screening and referral. As part of an ongoing trial, we interviewed clinicians (n = 38), representatives from community-based organizations (n = 14), and patients with both uncontrolled type 2 diabetes and food insecurity (n = 39), to improve our understanding of the cascade. Qualitative data were analyzed thematically, and highlight key cascade steps including: (a) screening, (b) referral, (c) lag time, (d) linkage and engagement experience, and (e) resolution. These findings can inform future studies and policy approaches supporting integration between health and social care.Trial Registration: ClinicalTrials.gov NCT05472441.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"10775587261439173"},"PeriodicalIF":2.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Small is Not Beautiful: A Critique of Antitrust Economics and Policy in Health Care. 小不美：反垄断经济学与医保政策批判。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-04-19 DOI: 10.1177/10775587261430879

James C Robinson

{"title":"Small is Not Beautiful: A Critique of Antitrust Economics and Policy in Health Care.","authors":"James C Robinson","doi":"10.1177/10775587261430879","DOIUrl":"https://doi.org/10.1177/10775587261430879","url":null,"abstract":"The dominant health policy perspective today appears to be that markets are over-consolidated and in need of anti-trust intervention. This commentary argues that the diagnosis is largely incorrect and the proposed treatment ineffective or, worse, effective but undesirable. The anti-trust ideal of a fragmented cottage industry of physician practices, hospitals, and other care organizations does not promise efficiency, even if the current industry configuration also is far from ideal. Many health care market are indeed competitive, and most are contestable, when one views provider organizations as multiproduct firms competing in overlapping geographic and customer markets. For example, many hospital systems compete in overlapping markets for primary care, specialty procedures, drug infusion, home health, subacute care, transplant surgery, telemedicine, population health management, and other services beyond traditional acute inpatient care. The anti-trust perspective should articulate its short-term and its long-term vision for the future of health care. What if it stopped all further mergers but left the status quo in place. What then? What if it not only stopped mergers but reversed them and brought us back to the health care industry of 1980? What then?","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"10775587261430879"},"PeriodicalIF":2.2,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of Hospital Trauma Center Charges for Commercially Insured Patients in the United States. 美国商业保险患者医院创伤中心收费分析。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-04-14 DOI: 10.1177/10775587261439676

Elena Andreyeva, Ayae Yamamoto, Oluwayomi Akintola, Glenn Melnick

引用次数: 0

Estimating True Patient Cost-Sharing Burden: Multi-Payer Claim Reconciliation in an All-Payer Claims Database. 估计真正的病人费用分摊负担：多付款人索赔协调在一个全付款人索赔数据库。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2026-04-14 DOI: 10.1177/10775587261437729

Rick DeVoss, Cathy J Bradley, Richard C Lindrooth, Lindsay Sabik, Marcelo Perraillon

{"title":"Estimating True Patient Cost-Sharing Burden: Multi-Payer Claim Reconciliation in an All-Payer Claims Database.","authors":"Rick DeVoss, Cathy J Bradley, Richard C Lindrooth, Lindsay Sabik, Marcelo Perraillon","doi":"10.1177/10775587261437729","DOIUrl":"https://doi.org/10.1177/10775587261437729","url":null,"abstract":"All-payer claims databases (APCDs) comprise claims from multiple payers that can be traced to a single patient. To correctly estimate cost-sharing for an individual patient, we developed an algorithm to reconcile payments from secondary and tertiary payers to claims that are not fully covered by primary insurance. In a Colorado APCD cancer cohort (n = 70,100), reconciliation of claims across multiple payers markedly lowered estimated cost-sharing for patients with more than one source of coverage ($5,544 (no reconciliation); $5,013 (primary payer only) to $1,580). The largest reductions in cost-sharing after reconciliation were for individuals with Traditional Medicare with Medigap ($6,449→$1,123; Δ = -$5,326), dual Medicare-Medicaid ($4,439→$2,340; Δ = -$2,099), and Medicaid-commercial ($2,708→$2,009; Δ = -$699). Excluding secondary payments from estimates of cost-sharing systematically inflates cost-sharing estimates. A transparent reconciliation algorithm is necessary to correctly estimate cost-sharing and is recommended for researchers and policymakers who use the APCD for estimating costs across payers and to the patient.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"10775587261437729"},"PeriodicalIF":2.2,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0