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Browsing PHS Research Publications by Issue Date
Now showing items 1-20 of 69
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Use of covered services in Medicare home health care
(Routledge, 1995)Using data on 295 patients entering Medicare home health care at discharge from Medicare hospital stays, we explain receipt of Medicare home health nursing, PT and OT visits, and length of stay. Care reflected need, but ... -
Nursing home waits for admission in an era of change
(Routledge, 1995)Access by older persons to nursing home care is a major concern. Turmoil in the health care industry in the 1980s worsened access problems, including waits for admission, already severe at the start of the decade. This ... -
Medical care reform is necessary, but not sufficient, for healthcare reform
(Emerald, 1996-07) -
The relationship between resource constraints and physician problem solving. Implications for improving the process of care
(Lippincott Williams & Wilkins, 1996-09)Research suggests that physicians will engage in more vigilant problem-solving under conditions of resource constraints than under conditions of resource slack. Increased vigilance related to physicians' clinical strategies ... -
Zinc deprivation promotes progression of 1,2-dimethylhydrazine-induced colon tumors but reduces malignant invasion in mice
(Routledge, 1997)The aim of this study was to characterize colon tumor development and invasiveness associated with dietary zinc deprivation. Colon carcinogenesis was initiated by eight weekly subcutaneous injections of 1,2-dimethylhydrazine ... -
Medicare revenue in large medical groups
(Routledge, 1997)The aged are the heaviest users of physician services. A ageing population and escalation in medical costs have pressured Medicare budgets, which have increased fastest in Part B physician reimbursement. Policy responses ... -
Antigovernment sentiment and support for universal access to care: are they incompatible?
(American Public Health Association, 1997-01)Attitudes toward universal access to medical care were examined to determine whether support for it among people opposed to government involvement in health care was modified by three proxy measures of self-interest: being ... -
State-imposed limits on Medicaid reimbursement for nursing facility care
(American Public Health Association, 1997-07)Nursing cost-center limits were examined, along with their effects on Medicaid. -
Dental hygienists and long-term care
(American Dental Hygienists' Association, 1998)This study examined the willingness of dental hygienists to work in long-term care (LTC) facilities providing oral health care to the elderly. -
Case management and the cost of care in the last month of life: evidence from one managed care setting
(Lippincott Williams & Wilkins, 1999)Elderly, functionally disabled enrollees in a managed care organization were randomly assigned to case management or regular care. The service use and cost of care for the last month life for the case managed deceased is ... -
The relationship between self-assessed health status, mortality, service use, and cost in a managed care setting
(Lippincott Williams & Wilkins, 1999)This article explores the extent to which Self-Assessed Health Status (SAH) can contribute to the development of capitation and premium rates by predicting mortality, service use, and service cost in an elderly population ... -
Defining the utility of clinically acceptable variations in evidence-based practice guidelines for evaluation of quality improvement activities
(Sage Publications, 1999-09)This study examines the utility of systematically accounting for acceptable physician variations in guideline application. The results argue against assuming that even seemingly noncontentious guideline protocol offer a ... -
Residential care supply, nursing home licensing, and case mix in four states
(Centers for Medicare & Medicaid Services, 2000)Simulation analyses quantify admission and continuing physical and cognitive impairment patient case-mix changes under two scenarios: with increases in residential care supply and with all nursing homes licensed only as ... -
The relationship of impending death and age category to treatment intensity in the elderly
(Wiley-Blackwell Publishing, 2000-02)The purpose of this study was to isolate and quantify the age-related treatment intensity differential in elderly clients (n = 278) with functional disability in one managed care setting. For those who died during the ... -
How should physicians Involve Patients in Medical Decisions?
(American Medical Association, 2000-05) -
What price an additional day of life? A cost-effectiveness study of case management
(Managed Care & Healthcare Communications, 2000-08)To examine the costs and benefits of a case-management program for an elderly, functionally impaired population in a managed care setting. -
Medicaid nursing facility reimbursement methods: 1979-1997
(Sage Publications, 2000-09)This article describes state Medicaid nursing facility reimbursement methods and rates in 1979-1997, using data derived from telephone surveys of state Medicaid reimbursement. The 1980s saw shifts toward prospective ... -
Explaining state Medicaid nursing home reimbursement
(Routledge, 2001)Medicaid nursing home reimbursement methods and per diem rates affect costs, quality, equity, and access. State rate-setting is a laboratory of policymaking, which can inform state and federal Medicaid reform initiatives. ... -
State Medicaid nursing home reimbursement rates: adjusting for ancillaries
(Oxford University Press, 2001-10)State variation in inclusion of ancillary services in daily Medicaid nursing home reimbursement rates, versus covering ancillary costs outside of such rates, makes rate comparisons difficult. The purpose of this study is ... -
An explanatory model of medical practice variation: a physician resource demand perspective
(Wiley-Blackwell Publishing, 2002-05)Practice style variation, or variation in the manner in which physicians treat patients with a similar disease condition, has been the focus of attention for many years. The research agenda is further intensified by the ...