Summary: An organized procedure carried out through committees to review admissions, duration of stay, professional services furnished, and to evaluate the medical necessity of those services and promote their most efficient use.
Publications207 found, 100 shown here
- Measuring appropriate use of acute beds. A systematic review of methods and resultsM S McDonagh
Centre for Reviews and Dissemination, University of York, Heslington, Y010 5DD, York, UK
Health Policy 53:157-84. 2000..Before definitive conclusions on the inappropriate use of acute beds can be made, future research needs to take into account the methodological problems discussed here...
- Utilization trends for advanced imaging procedures: evidence from individuals with private insurance coverage in CaliforniaJean M Mitchell
Georgetown University, Georgetown Public Policy Institute, 3520 Prospect St, NW Room 423, Washington, DC 20007, USA
Med Care 46:460-6. 2008..Little research has examined whether such trends also exist among persons with generous private insurance coverage. Moreover, research documenting changes in the share of utilization linked to self-referral is nonexistent...
- Technology diffusion, hospital variation, and racial disparities among elderly Medicare beneficiaries: 1989-2000Peter W Groeneveld
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA
Med Care 43:320-9. 2005..Low rates of technology utilization in hospitals with high proportions of black inpatients may be a remediable cause of healthcare disparities...
- Frequent users of Massachusetts emergency departments: a statewide analysisKathleen Kerwin Fuda
Massachusetts Division of Health Care Finance and Policy, Boston, MA
Ann Emerg Med 48:9-16. 2006..We describe the epidemiology of frequent users of emergency departments (EDs), using a statewide dataset derived from linked ED, observation stay, and inpatient hospital discharge databases...
- Socioeconomic disparities in health care use: Does universal coverage reduce inequalities in health?P J Veugelers
Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, Halifax, Canada
J Epidemiol Community Health 57:424-8. 2003..Despite enormous public sector expenditures, the effectiveness of universal coverage for health care in reducing socioeconomic disparities in health has received little attention...
- Does it matter what a hospital is "high volume" for? Specificity of hospital volume-outcome associations for surgical procedures: analysis of administrative dataDavid R Urbach
Department of Surgery, University of Toronto, 200 Elizabeth Street, 9EN 236A, Toronto, ON M5G 2C4, Canada
BMJ 328:737-40. 2004..To determine whether the improved outcome of a surgical procedure in high volume hospitals is specific to the volume of the same procedure...
- Do we know what inappropriate laboratory utilization is? A systematic review of laboratory clinical auditsC van Walraven
Institute for Clinical Evaluative Sciences, North York, Ontario, Canada
JAMA 280:550-8. 1998..Laboratory utilization has steadily increased, and some studies suggest inappropriate utilization. Therefore, we wished to assess studies that measure inappropriate laboratory use in light of methodological criteria...
- Trends in the utilization of outpatient advanced imaging after the deficit reduction actDavid C Levin
Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania, USA
J Am Coll Radiol 9:27-32. 2012..The aim of this study was to see if these developments occurred during the years after the DRA...
- Measuring physician attitudes toward cost, uncertainty, malpractice, and utilization reviewS D Goold
Department of Internal Medicine, University of Michigan Medical School, Ann Arbor
J Gen Intern Med 9:544-9. 1994..were interpreted as cost-consciousness, discomfort with uncertainty, fear of malpractice, and annoyance with utilization review. A replication of the analysis using 25 survey items and conducted on the remainder of the data (surgeons, ..
- Evaluation of quality improvement interventions to reduce inappropriate hospital useMichel P Kossovsky
Department of Internal Medicine, Geneva University Hospitals, Switzerland
Int J Qual Health Care 14:227-32. 2002..To assess the impact of process analyses and modifications on inappropriate hospital use...
- How appropriate is the use of rehabilitation facilities? Assessment by an evaluation tool based on the AEP protocolS Castaldi
Department of Public Health, Microbiology and Virology, University of Milan, Italy
J Prev Med Hyg 51:116-20. 2010..The aims of this study were to test the validity of the PRUO-rehab tool and to analyse the causes for Inappropriate Hospital Stay (IPS) in rehabilitation units...
- Patterns of health care and disability for Medicare beneficiaries under 65Gerald F Riley
Office of Research, Development, and Information, Centers for Medicare and Medicaid Services, Baltimore, MD 21244, USA
Inquiry 40:71-83. 2003..It is essential that the special needs of the disabled not be overlooked as policymakers consider fundamental modifications to Medicare and Medicaid...
- Effectiveness of feedback to physicians in reducing inappropriate use of hospitalization: a study in a Spanish hospitalCarles Moya-Ruiz
Hospital Sant Boi, Barcelona, Spain
Int J Qual Health Care 14:305-12. 2002..To evaluate the effectiveness of feedback to medical staff in reducing inappropriate hospital days, particularly those attributable to conservative medical discharge policies...
- The influence of gatekeeping and utilization review on patient satisfactionE A Kerr
Center for Practice Management and Outcomes Research, VA Medical Center, Ann Arbor, Mich, USA
J Gen Intern Med 14:287-96. 1999OBJECTIVE: To examine the influence of utilization review and denial of specialty referrals on patient satisfaction with overall medical care, willingness to recommend one's physician group to a friend, and desire to disenroll from the ..
- [Appropriateness of hospitalization in a short stay unit of a teaching hospital. A controlled study]Jaume Villalta
Servei de Medicina Interna Hospital Clínic, Facultat de Medicina, Universitat de Barcelona, Barcelona, Spain
Med Clin (Barc) 122:454-6. 2004..Our aim was to evaluate the rate and the reasons for inappropriate hospital use in a medical Short Stay Unit (SSU) in comparison with conventional hospitalization...
- Relationship between trauma center volume and outcomesA B Nathens
Harborview Medical Center, Box 359796, 325 Ninth Ave, Seattle, WA 98104 2499, USA
JAMA 285:1164-71. 2001..However, whether a relationship exists between institutional volume and trauma outcomes remains unknown...
- How valid are utilization review tools in assessing appropriate use of acute care beds?N Kalant
Department of Medicine, Sir Mortimer B Davis Jewish General Hospital, Montreal, Que
CMAJ 162:1809-13. 2000Despite their widespread acceptance, utilization review tools, which were designed to assess the appropriateness of care in acute care hospitals, have not been well validated in Canada...
- Do older rural and urban veterans experience different rates of unplanned readmission to VA and non-VA hospitals?William B Weeks
Field Office, VA National Center for Patient Safety, White River Junction, VT 05009, USA
J Rural Health 25:62-9. 2009..Unplanned readmission within 30 days of discharge is an indicator of hospital quality...
- Factors related to potentially preventable hospitalizations among the elderlyS D Culler
Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
Med Care 36:804-17. 1998..The authors examine whether the odds of having a hospitalization associated with an ambulatory care sensitive condition can be explained by observed differences in a Medicare beneficiary's predisposing, enabling, and need characteristics...
- The effect of trauma center designation and trauma volume on outcome in specific severe injuriesDemetrios Demetriades
Division of Trauma and Surgical Critical Care, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA
Ann Surg 242:512-7; discussion 517-9. 2005..The objective of this study was to investigate the effect of American College of Surgeons (ACS) trauma center designation and trauma volume on outcome in patients with specific severe injuries...
- Physician orders contribute to high-tech imaging slowdownDavid C Levin
Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Health Aff (Millwood) 29:189-95. 2010..More likely, there has been a change in physicians' ordering patterns, possibly due to the influence of radiology business management companies (RBMs) and imaging guidelines promulgated by specialty societies...
- Utilization of radiology services in the United States: levels and trends in modalities, regions, and populationsMythreyi Bhargavan
Research Department, American College of Radiology, 1891 Preston White Dr, Reston, VA 20191, USA
Radiology 234:824-32. 2005..To assess the most recent available data for levels and trends in utilization of radiology procedures across populations, modalities, and geographic areas...
- Self-report was a viable method for obtaining health care utilization data in community-dwelling seniorsDeborah P Lubeck
Division of Immunology and Rheumatology, Stanford University, School of Medicine, 701 Welch Road, Suite 3305, Palo Alto, CA 94304, USA
J Clin Epidemiol 58:286-90. 2005..Because of the time and cost savings associated with self-report, it is important to demonstrate the reliability of this approach, particularly in older persons who use more medical resources but may have poorer recall...
- Reducing emergency visits in older adults with chronic illness. A randomized, controlled trial of group visitsE A Coleman
Center on Aging Research Section, Division of Geriatric Medicine, University of Colorado, Denver, Colo, USA
Eff Clin Pract 4:49-57. 2001..A primary care group visit (i.e., several patients meeting together with the provider at the same time) may reduce fragmentation of care and subsequent emergency department utilization...
- Use of a computer-assisted system for blood utilization reviewSunny Dzik
Mass General Hospital, Harvard Medical School, Boston, Massachusetts, USA
Transfusion 47:142S-144S; discussion 155S-156S. 2007
- Use of health services by children and young people according to ethnicity and social class: secondary analysis of a national surveyH Cooper
Department of Sociology, University of Surrey, Guildford, Surrey GU2 5XH
BMJ 317:1047-51. 1998..To assess whether equity is achieved in use of general practitioner, outpatient, and inpatient services by children and young people according to their ethnic group and socioeconomic background...
- Evaluating inpatient public rehabilitation in Australia using a utilization review tool developed in North AmericaChristopher J Poulos
University of Wollongong, Port Kembla Hospital, Warrawong, NSW, Australia
J Rehabil Med 42:246-53. 2010To evaluate inpatient rehabilitation in public facilities in Australia against a utilization review tool used in the USA.
- The nature of increased hospital use in poor neighbourhoods: findings from a Canadian inner cityR H Glazier
Department of Family and Community Medicine, University of Toronto, Ontario
Can J Public Health 91:268-73. 2000..8% higher than for the middle-income quintile. Poor urban neighbourhoods may require more resources than previously anticipated, related to higher hospital admission and readmission rates...
- Missed opportunities for noninvasive positive pressure ventilation: a utilization reviewDavid D Sweet
Center for Health Evaluation and Outcome Sciences, St Paul s Hospital and University of British Columbia, Vancouver, British Columbia, Canada V6Z 1Y6
J Crit Care 23:111-7. 2008....
- Healthcare utilization and costs in managed care patients with Alzheimer's disease during the last few years of lifeW C McCormick
Department of Medicine, University of Washington, Seattle, Washington, USA
J Am Geriatr Soc 49:1156-60. 2001....
- The AROC annual report: the state of rehabilitation in Australia 2006Frances Simmonds
Centre for Health Service Development, University of Wollongong, Building 29, University of Wollongong, Wollongong, NSW 2522, Australia
Aust Health Rev 32:85-110. 2008..This is the second comprehensive annual report that describes patients discharged from subacute inpatient rehabilitation programs provided by facilities that are members of the Australasian Rehabilitation Outcomes Centre (AROC)...
- Primary care service areas: a new tool for the evaluation of primary care servicesDavid C Goodman
Department of Pediatrics, Dartmouth Medical School, Hanover, NH 03755, USA
Health Serv Res 38:287-309. 2003..To develop and characterize utilization-based service areas for the United States which reflect the travel of Medicare beneficiaries to primary care clinicians...
- Resource use and costs in a Swedish cohort of patients with Parkinson's diseasePeter Hagell
Section of Restorative Neurology, Department of Clinical Neuroscience, University Hospital, Lund, Sweden
Mov Disord 17:1213-20. 2002..In addition to other outcomes, evaluations of the economic implications of new therapeutic interventions are highly warranted. In this perspective, the present study provides valuable baseline data...
- Effectiveness of a physician-oriented feedback intervention on inappropriate hospital staysPedro Antón
Fundación Instituto de Investigación en Servicios de Salud, San Vicente 112, 3, 46007 Valencia, Spain
J Epidemiol Community Health 61:128-34. 2007..To evaluate the effectiveness of a combined intervention to reduce inappropriate hospital stays...
- The use of out of hours health services: a cross sectional surveyC Brogan
Anglia and Oxford Regional Office NHS Executive, Milton Keynes
BMJ 316:524-7. 1998..CONCLUSIONS: New models such as multidisciplinary primary care centres with telephone advice lines and triaging are required to ensure high quality, cost effective care that is responsive to the needs of both consumers and professionals...
- General practice out-of-hours co-operatives--population contact ratesG Bury
Department of General Practice, University College Dublin
Ir Med J 99:73-5. 2006..These results are explored in the context of UK and Danish data, with which they compare. The implications of the urban/rural banding are significant and require early further research...
- Appropriateness of emergency department visits in a Turkish university hospitalCem Oktay
Department of Emergency Medicine, Dokuz Eylul University School of Medicine, Izmir, Turkey
Croat Med J 44:585-91. 2003..To determine the patterns and appropriateness of patients' use of a university hospital emergency department...
- Depressive symptoms predict medical care utilization in a population-based sampleP J Rowan
Department of Psychology, University of Alabama, Tuscaloosa, USA
Psychol Med 32:903-8. 2002....
- Use of health care services by ethnic minorities in The Netherlands: do patterns differ?Ellen Uiters
Netherlands Institute for Health Services Research NIVEL, Utrecht, The Netherlands
Eur J Public Health 16:388-93. 2006..This article examines the nature of ethnic differences in health care utilisation by assessing patterns of use in addition to single service utilisation...
- Review of the utilisation of a university hospital in Barcelona (Spain): evolution 1992-1996G Navarro
Department of Preventive Medicine and Technical Management, IDIBAPS, , University of Barcelona, Spain
Eur J Epidemiol 17:679-84. 2001..CONCLUSION: Periodic checking of the utilisation levels with the application of methods such as the AEP will contribute towards adapting hospital management in the more competitive current setting...
- Non-urgent visits to a hospital emergency department in ItalyA Bianco
Medical School, University of Catanzaro Magna Graecia, Via Tommaso Campanella, 88100 Catanzaro, Italy
Public Health 117:250-5. 2003..Further investigations are necessary to evaluate the use of primary care since closer co-operation within the healthcare organization system may provide a more responsive service...
- Ambulatory health care use by patients in a public hospital emergency departmentK J Rask
Department of Medicine, Emory University School of Medicine, Emory University Center for Clinical Evaluation Sciences, Atlanta, GA 30303, USA
J Gen Intern Med 13:614-20. 1998....
- Association between early returns and frequent ED visits at a rural academic medical centerJack E Riggs
Department of Emergency Medicine, West Virginia University School of Medicine, Morgantown, WV, USA
Am J Emerg Med 21:30-1. 2003..55, 95% CI 12.84-16.48; Wald chi(2), P <.000001). The high rate of early returns to this rural academic ED was significantly associated with frequent visits (4 or more times per year) to the ED by particular individual...
- Eliminating night hours for a community's sole urgent care clinicGale S Pollock
Martin Army Community Hospital, Fort Benning, Georgia, USA
J Healthc Manag 47:403-9. 2002
- To stay or not to stay. The assessment of appropriate hospital stay: a Dutch reportLambert J G G Panis
Clinical Epidemiology and Medical Technology Assessment, University Hospital Maastricht, The Netherlands
Int J Qual Health Care 14:55-67. 2002....
- Use of community versus individual socioeconomic data in predicting variation in hospital useT P Hofer
VA Center for Practice Management and Outcomes Research, Ann Arbor VA HSR and D Field Program, Ann Arbor, MI 48103, USA
Health Serv Res 33:243-59. 1998..2) Thus, to support the inference that socioeconomic factors are important in the analysis of small area utilization data and address potential criticisms of this conclusion...
- [Impact on hospital days of care due to unnecessary emergency admissions]Luis Velasco Díaz
Servicio de Urgencias, Hospital Valle del Nalon, Riaño, Asturias
Rev Esp Salud Publica 79:541-9. 2005..This study is aimed to identify percentage of unnecessary admissions from a hospital emergency department and the reasons why, as well as to quantify the unnecessary hospital days of care generated by these admissions...
- Liability and validity of the Appropriateness Evaluation Protocol in TurkeyS Kaya
Takemi Program in International Health, Harvard School of Public Health, Boston, MA 02115, USA
Int J Qual Health Care 12:325-9. 2000..To assess the inter-rater reliability between nurses and the convergent validity of the Appropriateness Evaluation Protocol (AEP) in the Turkish context...
- Indicators of breast cancer severity and appropriateness of surgery based on hospital administrative data in the Lazio Region, ItalyPatrizia Schifano
Department of Epidemiology, Health Local Unit RME, Rome, Italy
BMC Public Health 6:25. 2006..The aim of this study is to evaluate the use of hospital administrative data to determine breast cancer severity and the appropriateness of surgical treatment...
- Reliability study of the European appropriateness evaluation protocolS Lorenzo
Fundacion Hospital Alcorcon, Madrid, Spain
Int J Qual Health Care 11:419-24. 1999To help to co-ordinate and harmonize research on utilization review in Europe, the US Appropriateness Evaluation Protocol (f¿EP) was adapted for use in the European setting...
- Reliability of provider volume and outcome associations for healthcare policyKazim Sheikh
U S Department of Health and Human Services, Centers for Medicare and Medicaid Services, 601 East 12th Street, Room 235, Kansas City, MO 64106, USA
Med Care 41:1111-7. 2003
- Demand for emergency health service: factors associated with inappropriate useMaria L V Carret
Department of Public Health, Catholic University of Pelotas, Pelotas, RS, Brazil
BMC Health Serv Res 7:131. 2007..Inappropriate ER use makes it difficult to guarantee access for real emergency cases, decreases readiness for care, produces negative spillover effects on the quality of emergency services, and raises overall costs...
- Association between percutaneous transluminal coronary angioplasty volumes and outcomes in the Healthcare Cost and Utilization Project 1993-1994J L Ritchie
Department of Medicine, Department of Veterans Affairs, Seattle, Washington, USA
Am J Cardiol 83:493-7. 1999..The results of this study support the hypothesis that better results are obtained in higher volume institutions, but also show that in 1993 and 1994, relatively few patients had their procedures performed in low-volume institutions...
- [The outpatient care in the Latium region (Italy) in 2001]C Torri
Agenzia di Sanità Pubblica del Lazio
Ann Ig 16:29-39. 2004....
- Appropriateness of emergency department visits in a Portuguese university hospitalS Pereira
, , Porto, Portugal
Ann Emerg Med 37:580-6. 2001..A duration of the complaint 24 hours or less along with an arrival between midnight and 8 AM in women and age 60 years or older in men were the most important determinants...
- Examining the use of breast-conserving treatment for women with breast cancer in a managed care environmentA P Legorreta
Health Benchmarks, Inc, Woodland Hills, CA 91367, USA
Am J Clin Oncol 23:438-41. 2000..This treatment became available in a broader range of institutions, moving from large, academic teaching centers to smaller community hospitals...
- Mobile documentation. Wireless PDAs boost job satisfaction for utilization review nursesCraig Lanway
Hill Physicians Medical Group, San Ramon, Calif, USA
Healthc Inform 20:80. 2003
- Comprehensive care for women veterans: indicators of dual use of VA and non-VA providersBevanne Bean-Mayberry
Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, USA
J Am Med Womens Assoc 59:192-7. 2004..To compare women who use Department of Veterans Affairs (VA) health care providers only with women who use VA and non-VA providers (dual users)...
- Revisiting the appropriateness of carotid endarterectomyEthan A Halm
MPH, Department of Health Policy and Medicine, Box 1077, Mount Sinai School of Medicine, One Gustave L Levy Place, New York, NY 10029, USA
Stroke 34:1464-71. 2003..Since publication of several randomized controlled trials (RCTs), rates of carotid endarterectomy have doubled nationwide. This study assesses the appropriateness and use of carotid endarterectomy since publication of the RCTs...
- Effect of ambulatory utilization review on referrals from generalists to specialistsC T Grimm
Sepulveda Veterans Administration Medical Center, Calif 91343, USA
J Gen Intern Med 13:778-80. 1998We studied whether ambulatory utilization review (UR) alters how many patients internal medicine residents refer to sub-specialists, and whether the effect persists without reinforcement...
- National estimates of mental health utilization and expenditures for children in 1998J S Ringel
RAND, Santa Monica, CA 90407 2138, USA
J Behav Health Serv Res 28:319-33. 2001..This finding replicates the differences between recent managed care data and earlier actuarial databases for privately insured adults and confirms the trend from inpatient toward outpatient care...
- Assessing the necessity of hospital stay by means of the appropriateness evaluation protocol: how strong is the evidence to proceed?P M Smeets
Transmural and Diagnostic Centre, University Hospital Maastricht, The Netherlands
Int J Qual Health Care 12:483-93. 2000..To review the Appropriateness Evaluation Protocol (AEP) with respect to assessing the necessity of hospital stay at the University Hospital of Maastricht...
- Audit of prenatal diagnosis for haemoglobin disorders in the United Kingdom: the first 20 yearsB Modell
Department of Obstetrics and Gynaecology, University College London Medical School
BMJ 315:779-84. 1997..To audit services for prenatal diagnosis for haemoglobin disorders in the United Kingdom...
- Predictors of inappropriate hospital stay: a clinical case studyLambert J G G Panis
Department of Clinical Epidemiology and Medical Technology Assessment, University Hospital Maastricht, The Netherlands
Int J Qual Health Care 15:57-65. 2003..To assess the reasons for inappropriate patient stay (IPS) and to identify possible predictors of this inappropriate stay...
- Appropriate and inappropriate use of day-hospital care in ItalyA Bianco
Medical School, University of Catanzaro Magna Graecia, Italy
Public Health 116:368-73. 2002..The findings suggest the need for standardized diagnostic and therapeutic guidelines for day-hospital care...
- From observing the relationship between volume and outcome to making policy recommendations: comments on SheikhHarold S Luft
Institute for Health Policy Studies, University of California San Francisco, 3333 California Street, Suite 265, San Francisco, CA 94118, USA
Med Care 41:1118-22; discussion 1123-6. 2003
- Psychiatric hospitalization of persons with dual diagnoses: estimates from two national surveysC Maynard
Department of Medicine, University of Washington, Seattle 98105, USA
Psychiatr Serv 49:1615-7. 1998..Nationally, the number of community hospitalizations for dually diagnosed patients increased 15 percent from 1990 to 1994, and total hospital charges increased from $1.9 to $2.2 billion...
- Improving outcomes with community-wide distribution of health care dataRonald J Lagoe
Hospital Executive Council, Syracuse, NY, USA
Health Care Manage Rev 29:67-76. 2004..These efforts produced increased accessibility of hospital emergency departments and greater efficiency of acute and long-term care...
- Geographic variation in the rate of carotid endarterectomy in CanadaT E Feasby
Department of Clinical Neurosciences, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada
Stroke 32:2417-22. 2001..This study sought to determine the rate and the regional variation in the rate of CEA in Canada, its provinces, and census divisions for 1994-1997...
- Influence of patient gender on admission to intensive careRosalind Raine
Health Services Research Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
J Epidemiol Community Health 56:418-23. 2002..To compare the case mix and outcomes of male and female patients admitted to intensive care units for a wide range of conditions...
- Carotid endarterectomy among Medicare beneficiaries: a statewide evaluation of appropriateness and outcomeH R Karp
Georgia Medical Care Foundation, Emory University, Atlanta 30329 2224, USA
Stroke 29:46-52. 1998..We sought to examine the appropriateness and the surgical outcomes of carotid endarterectomy (CE) in unselected community hospitals to identify opportunities for improvement...
- Outpatient medical and mental healthcare utilization models among military veterans: results from the 2001 National Survey of VeteransJon D Elhai
Disaster Mental Health Institute, The University of South Dakota, Vermillion, SD 57069, USA
J Psychiatr Res 42:858-67. 2008..The results demonstrate that need remains an important factor that drives healthcare use among veterans and does not seem to be overshadowed by socioeconomic factors that may create unfair disparities in treatment access...
- Appropriateness of admission and length of stay in a Turkish Military HospitalKadir Teke
Department of Health Administration, Gulhane Military Medical School, Etlik Ankara, Turkey
J Med Syst 28:653-63. 2004..The results of the study suggest that changes in physicians' behavior and in the organization of hospital activities may be effective in improving the quality and efficiency of hospital care...
- Adolescent substance abuse treatment clinicians' self-help meeting referral practices and adolescent attendance ratesLora L Passetti
Chestnut Health Systems, Bloomington, IL 61701, USA
J Psychoactive Drugs 40:29-40. 2008..Additionally, programs may want to develop and train staff in standardized referral procedures. Further research is needed to empirically test referral strategies with adolescents...
- Hospital and demographic influences on the disposition of transient ischemic attackJeffrey H Coben
Department of Emergency Medicine, West Virginia University, Morgantown, WV, USA
Acad Emerg Med 15:171-6. 2008..In this study, the authors examined the influence of clinical, sociodemographic, and hospital characteristics on ED disposition...
- The data page. Real emergenciesLee Ann Runy
Hosp Health Netw 80:28. 2006
- [The impact of mental disorders on health care utilization and illness behaviour in the elderly]Heide Glaesmer
Universitat Leipzig, Abteilung für Medizinische Psychologie und Medizinische Soziologie, Leipzig
Psychiatr Prax 35:187-93. 2008..The differential impact of mental disorders on health care utilization and illness behaviour in old age should be studied...
- Self-rated mental health and racial/ethnic disparities in mental health service useSamuel H Zuvekas
Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
Med Care 46:915-23. 2008..In addition, mental health service use is lower among members of minority communities, compared with non-Hispanic whites...
- [Direct costs of acute day hospital care: results from a randomized controlled trial]Thomas W Kallert
Klinik und Poliklinik fur Psychiatrie und Psychotherapie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden
Psychiatr Prax 32:132-41. 2005..This paper aims to close this research gap for German speaking countries...
- How many walked through the door?: the effect of hurricane Katrina evacuees on Houston emergency departmentsKaroline Mortensen
Department of Political Science MS 24, Rice University, Houston, Texas, USA
Med Care 46:998-1001. 2008..The already stressed emergency departments (EDs) were faced with a potential influx of patients suffering injuries and conditions exacerbated by the hurricane and resulting devastation...
- Changing neurosurgical workload in the United States, 1988-2001: craniotomy other than trauma in adultsFred G Barker
Neurosurgical Service, Massachusetts General Hospital, Department of Surgery Neurosurgery, Harvard Medical School, Boston, Massachusetts, USA
Neurosurgery 55:506-17; discussion 517-8. 2004..Most previous studies have used non-population-based data sources, such as surveys of professional society members, to explore the neurosurgical workload in the United States...
- Length of hospital stay, diagnoses and pattern of investigation following emergency admission to an Irish teaching hospitalE D Moloney
Division of Internal Medicine, St James Hospital, Dublin, Eire
Ir Med J 97:170-2. 2004..Therefore, determining major influences on hospital LOS is valuable, to develop potential strategies to optimise efficient utilization of acute bed capacity...
- Patient flow in hospitals: understanding and controlling it betterCarol Haraden
The Institute for Healthcare Improvement, Boston, USA
Front Health Serv Manage 20:3-15. 2004....
- Cost-effective management of isolated facial fracturesClaire Sanger
Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157 1075, USA
J Craniofac Surg 15:636-41; discussion 642. 2004..The results of this study reveal a significant decrease in cost for patients with isolated facial fractures admitted as outpatients on scheduling surgery as compared with immediate admission from the emergency department...
- Minding the gap: a decomposition of emergency department use by Medicaid enrollees and the uninsuredKaroline Mortensen
Department of Political Science, Rice University Houston, Texas 77005 1892, USA
Med Care 46:1099-107. 2008..To examine differences in Emergency Department (ED) utilization between Medicaid enrollees and the uninsured...
- Evaluation of asthma prescription measures and health system performance based on emergency department utilizationAnne Fuhlbrigge
Channing Laboratory, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Med Care 42:465-71. 2004..Measures based on the use of either antiinflammatory and/or reliever medications have been used to evaluate clinical performance in asthma...
- Impact of ambulance transportation on resource use in the emergency departmentAdrian Marinovich
McGill University, Montreal, Quebec, Canada
Acad Emerg Med 11:312-5. 2004..To determine how ambulance transportation is associated with resource use in the emergency department (ED)...
- Gender and use of care: planning for tomorrow's Veterans Health AdministrationSusan M Frayne
Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park, CA 94025, USA
J Womens Health (Larchmt) 16:1188-99. 2007..With more women entering the system, a systematic assessment of their healthcare use and costs of care is needed. We examined how utilization and costs of VHA care differ in women veterans compared with men veterans...
- Management of mental health patients attending Victorian emergency departmentsJonathan C Knott
Emergency Medicine Research Unit, Royal Melbourne Hospital, Parkville, Australia
Aust N Z J Psychiatry 41:759-67. 2007..To evaluate the management of mental health presentations to Victorian emergency departments...
- Medicare expenditures for residents in assisted living: data from a national studyCharles D Phillips
School of Rural Public Health, Texas A and M University System of Health Science Center, 3000 Briarcrest Drive, Suite 310, Bryan, TX 77803, USA
Health Serv Res 40:373-88. 2005..To provide preliminary data on Medicare expenditures for assisted living facility (ALF) residents and to investigate whether ALF characteristics were related to Medicare expenditures for ALF residents...
- Resource use of elderly emergency department patients with alcohol-related diagnosesShadi S Saleh
Department of Health Policy, Management, and Behavior, School of Public Health, State University of New York at Albany, One University Place, Rensselaer, NY 12144, USA
J Subst Abuse Treat 29:313-9. 2005..05) than other types of ED admissions. Proper linkages to substance abuse treatment services should be instituted and coupled with medical treatment to limit the additional resource use burden of alcohol-related admissions...
- Can case management interventions reduce the number of emergency department visits by frequent users?Keon Hyung Lee
Department of Health Professions, College of Health and Public Affairs, University of Central Florida, Orlando, FL 32816 2205, USA
Health Care Manag (Frederick) 25:155-9. 2006..The ability of case management interventions to reduce the volume of visits and associated impact on reducing Emergency Department overcrowding was not proven...
- A 6-months assessment of the alcohol-related clinical burden at emergency rooms (ERs) in 11 acute care hospitals of an urban area in GermanyBernhard T Baune
Department of Psychiatry, University of Muenster, Germany
BMC Health Serv Res 5:73. 2005....
- Treatment adequacy of anxiety and depressive disorders: primary versus specialised care in SpainAnna Fernandez
Sant Joan de Deu SSM, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain
J Affect Disord 96:9-20. 2006..This study aimed to describe the adequacy of treatment for Anxiety and Depressive disorders in Spain, how this differs between providers (primary versus specialised care) and which factors are associated with appropriate care...
- Relieving an overcrowded ED and increasing capacity for regional transfers: one hospital's bed management strategiesRuth Hemphill
Emergency Services and Critical Care, Saint Francis Hospital, 6161 S Yale Ave, Tulsa, OK 74136, USA
J Emerg Nurs 31:243-6; quiz 323. 2005
- Does age influence the intensity of care in a managed care organization?Michael J Long
Department of Public Health Sciences, Wichita State University, KS 67260 0152, USA
Health Care Manag (Frederick) 24:119-23. 2005..We found strong support for our hypotheses. An investigation of the reasons for these findings was beyond the scope of our data...
- Adults with invasive pneumococcal disease: missed opportunities for vaccinationMoe H Kyaw
Respiratory Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
Am J Prev Med 31:286-92. 2006..Missed opportunities for vaccination were defined as one or more visits to a hospital, emergency room (ER), or main provider in the 2 years before infection among unvaccinated, adult IPD case-patients with a vaccine indication...
- [Characteristics of psychiatric patients in the accident and emergency department (ED)]Stefan Kropp
Klinik fur Psychiatrie, Psychotherapie und Psychosomatik, Asklepios Fachklinikum Teupitz
Psychiatr Prax 34:72-5. 2007..To obtain data and results concerning the acute treatment of psychiatric patients within a general ED...
- Depression in veterans with Parkinson's disease: frequency, co-morbidity, and healthcare utilizationPeijun Chen
Division of Geriatric Psychiatry, Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
Int J Geriatr Psychiatry 22:543-8. 2007..To determine the frequency of depression in Parkinson's disease (PD) in routine clinical care, and to examine its association with co-morbid psychiatric and medical conditions and healthcare utilization...
- [Utilization of the health care system due to somatoform complaints -- results of a representative survey]Aike Hessel
University of Leipzig, Department of Psychotherapy and Psychosomatic Medicine, K Tauchnitz Strasse 25, D 04107 Leipzig, Germany
Z Psychosom Med Psychother 51:38-56. 2005..The present paper summarizes the frequency of somatoform complaints in the general population and health care utilization due to these complaints...
- Obesity and use of acute hospital services in participants of the Renfrew/Paisley studyC L Hart
Public Health and Health Policy, University of Glasgow, Glasgow G12 8RZ, UK
J Public Health (Oxf) 29:53-6. 2007..Because overweight and obesity are associated with comorbidities, increasing levels of overweight and obesity may impact on hospital use...
- Older Adults and Specialty Care Use in Managed CareMaureen Smith; Fiscal Year: 2002..on specific MCO incentives, including hospital and physician payment policies, hospital networks, and utilization review. This will be augmented by data on hospital characteristics from the American Hospital Association annual ..
- Diagnostic Error in DystoniaCaroline M Tanner; Fiscal Year: 2010..Using computerized health utilization review and direct patient interviews we will identify and describe the frequency and characteristics of incorrect ..
- Tools for Optimizing Prescribing, Monitoring and EducationBruce L Lambert; Fiscal Year: 2010..test, deploy and disseminate tools and training materials in five key areas: drug formularies, drug utilization review, lab-pharmacy linkages, N-of-1 trials and pharmacoeconomics...
- Economic Production Functions of Schizophrenia TreatmentDouglas L Leslie; Fiscal Year: 2010..on many levels, such as developing and refining treatment recommendations and guidelines, implementing utilization review and case management programs, structuring insurance benefit plans, and allocating resources in public mental ..
- COST CONTAINMENT & GROUP HEALTH INSURANCE BENEFIT GROWTHDouglas Coate; Fiscal Year: 1993..maintenance organizations, preferred provider organizations, broader use of coinsurance and deductibles, and utilization review programs ineffective in constraining the growth of employer sponsored group health plan costs? Two closely ..
- OUTCOMES OF A MANAGED CARE COST CONTAINMENT STRATEGYMary Murray; Fiscal Year: 2001The purpose of this study is to determine the impact of a managed care cost containment strategy, concurrent utilization review (UR), on l. the plan of care of hospitalized patients and 2. hospital fiscal outcomes...
- EFFECTIVENESS OF RETROSPECTIVE DRUG UTILIZATION REVIEWBRIAN STROM; Fiscal Year: 1999..Drug utilization review (DUR) is a procedure that seeks to reduce the consequences of improper prescribing...
- PATTERNS AND OUTCOMES OF CARE FOR MEDICAID MENTALLY ILLDonald Steinwachs; Fiscal Year: 2001..The ASO will function like many managed indemnity insurance plans using utilization review and prior approval of treatment plans to control utilization and costs...
- ASSESSING AMBULATORY DUR COST EFFECTIVENESSJacques Tremblay; Fiscal Year: 1980The objective of this project is to evaluate the cost-effectiveness of an ambulatory drug utilization review (DUR) program with respect to a traditional care process, in terms of quality and economy of prescribing...
- ASSESSING RECALL ACCURACY FOR PRESCRIPTION MEDICATIONSSuzanne West; Fiscal Year: 1991Drug utilization review (DUR) programs are conducted to improve the effectiveness of drug use and are instituted in a majority of managed care institutions...
- REDUCING GERIATRIC DRUG THERAPY--TWO APPROACHESHELENE LIPTON; Fiscal Year: 1993..outpatients by improving the quality of prescribing: 1) the application of a prospective computerized drug utilization review (DUR) system, and (2) ongoing clinical pharmacists' drug regimen reviews and consultations to providers...
- MEDICATION USE IN ASSESSING AND IMPROVING ASTHMA CONTROLTina Hartert; Fiscal Year: 2003..The ultimate goal of these analyses will be to (1) develop a computerized pharmacy-based drug utilization review program to identify, in a timely manner, those patients at a high risk of an asthma exacerbation, as well as ..
- NETWORK EFFECTS IN MENTAL HEALTH MANAGED CAREThomas McGuire; Fiscal Year: 2002..Providers respond to managed care by doing less in ways that cannot be explained by utilization review or supply-side price incentives...
- KANSAS RURAL PRACTICE RESEARCH NETWORKK Kallail; Fiscal Year: 2000..existing practice- and hospital-based electronic communications systems to facilitate quality assurance/utilization review data collection. Objective 3...
- RESEARCH CENTER--MANAGED CARE FOR PSYCHIATRIC DISORDERSKenneth Wells; Fiscal Year: 2002..care, and estimate the impact of alternative components of managed care, such as physician reimbursement or utilization review, on access, costs, quality, and health outcomes of care for psychiatric disorders...
- ALCOHOL & PRESCRIPTION DRUG INTERACTION IN THE ELDERLYFrank Ahern; Fiscal Year: 1991..significance for the design and implementation of programs that include alcohol-related information in drug utilization review, drug surveillance and drug education activities in existing and several newly-emerging federal and state ..
- THE PSYCHIATRIC MEDICAL RECORD IN PATIENT MANAGEMENTEugene Laska; Fiscal Year: 1980..Internal facility utilization by utilization review committees, medical audit, medical record review and external utilization by JCAH, Federal and State ..
- MENTAL HEALTH FINANCING--COMPONENTS AND CONSUMER OUTCOMEJODI CONSTANTINE; Fiscal Year: 1999..e., co-payment, session limits, capitation, risk assessment, utilization review, and treatment and medication sessions) and explore their relationship to consumer outcomes (i.e...
- Advanced Technology for Administration of the Teen-ASIBENJAMIN BRODEY; Fiscal Year: 2002..analogous to the adult ASI, (4) help improve clinical care for substance abuse disorders among adolescents, (5) improve addiction case management utilization review, and (6) promote outcomes tracking across the country.
- Feeding Tube Use Among Persons with Advanced DementiaJoan Teno; Fiscal Year: 2008..Knowledge gained will be used to inform public policy and formulate facility interventions to ensure that FT insertion in persons with severe cognitive impairment is ethically appropriate. [unreadable] [unreadable] [unreadable]..
- Rural Child/Adolescent Mental Health Service UseCRAIG HEFLINGER; Fiscal Year: 2007....
- Substance Use Disorders & Service Use Among Rural YouthCRAIG HEFLINGER; Fiscal Year: 2007..unreadable] [unreadable]..
- CO-OCCURING DRUG AND MENTAL DISORDERS IN YOUTHCRAIG HEFLINGER; Fiscal Year: 2001..The project builds on program of health services research by the Principal Investigator that has focused on child, adolescent, and family behavioral health issues. ..
- Multifaceted Interventions to Ameliorate Pain/SymptomsJoan Teno; Fiscal Year: 2005....
- RESIDENT ASSESSMENT OF PAIN MANAGEMENT (RAPM)Joan Teno; Fiscal Year: 2001..abstract_text> ..
- Cancer Assessments and Reports of End-of-Life TreatmentJoan Teno; Fiscal Year: 2005..Such tools will allow institutions to measure whether cancer care is meeting patient and family members' needs and expectations. ..
- SERVICE USE BY YOUTH WITH ALCOHOL AND MENTAL DISORDERSCRAIG HEFLINGER; Fiscal Year: 2002..The project builds on program of health services research by the Principal Investigator that has focused on child, adolescent, and family behavioral health issues. ..
- CONTEXT AND EFFECTIVENESS OF TWO MODELS OF SVC DELIVERYChristine Grella; Fiscal Year: 2002..These data will provide a multilevel context in which to evaluate the implementation and effectiveness of the two models of service delivery. ..
- Medication Management Decisions in SchizophreniaMark Olfson; Fiscal Year: 2003..The results will inform quality improvement programs by identifying key modifiable determinants of the quality of medication management in the community treatment of schizophrenia. ..
- Nursing Effort and Quality in Long-Term Care FacilitiesRobert Kane; Fiscal Year: 2004..The database consists of 3125 residents in 98 nursing units from 62 facilities. Results should shed light on the current policy debate over nursing home staffing standards. ..
- Gender Differences in a Follow-up of Opiate Users in CAChristine Grella; Fiscal Year: 2007..The study findings have the potential to develop interventions aimed at opiate users that address the specific needs of males and females over the life course. ..
- NLAAS II: Unraveling Differences for Clinical ServicesMargarita Alegria; Fiscal Year: 2008....
- MEDICAID MGD CARE FOR CHILDREN WITH SPEC HLTH CARE NEEDSJEAN MITCHELL; Fiscal Year: 2003..abstract_text> ..
- fMRI Assessment of Organophosphate NeurotoxicitySteven Bird; Fiscal Year: 2008..Bird with the facilities, equipment and expertise necessary to achieve the goals set forth in this proposal. ..
- Improve Primary Care Management of Adolescent DepressionLaura Richardson; Fiscal Year: 2008....
- Expired CO2/O2 Analysis to Diagnose Pulmonary EmbolismJEFFREY KLINE; Fiscal Year: 2008..This project will fund a clinical study designed to test the diagnostic accuracy of a hand- held breath device that detects the altered gas exchange physiology caused by PE in post-surgical and other patients at high risk for PE. ..
- Mental Health Services in NY after WTC DisasterJoseph Boscarino; Fiscal Year: 2004..abstract_text> ..
- Working Conditions & Adverse Events in Home Health CarePenny Feldman; Fiscal Year: 2003..It should lead to sounder intervention research and contribute to the broader literature on working conditions, service quality, and patient safety. ..
- Use of an Organophosphorus (OP) Hydrolase for Acute OP PoisoningSteven Bird; Fiscal Year: 2008..Our central hypothesis is that OpdA is safe and improves survival after poisoning with parathion. ..
- Effectiveness of Suicide Hotline TrainingMadelyn S Gould; Fiscal Year: 2010..Few such opportunities arise for research studies to have such policy relevance, in other words, to have a direct impact on existing and future policy decisions. ..
- Methamphetamine Abuse: Natural History, Treatment EffectMary Lynn Brecht; Fiscal Year: 2003..Findings will serve to improve strategies for treatment outreach, engagement, service delivery, and retention, and to design risk reduction programs exterior to the treatment system. ..
- Creation and demonstration of a palliative care research cooperative groupJean S Kutner; Fiscal Year: 2010....
- Ethics in Behavioral Health Services ResearchPaul Stiles; Fiscal Year: 2005..4) Enhance our capacity to disseminate ethics materials and information, and pursue the independent sustainability of this training program. All components will be comprehensively evaluated. ..
- Farmwoker Environmental Health Research Comparable DataThomas Arcury; Fiscal Year: 2004..The purpose of limiting the size of the conference is to facilitate active interaction, discussion and debate among leaders in the field. ..
- Disability Risk in Work-Related Musculoskeletal InjuryGary Franklin; Fiscal Year: 2005....
- Reducing Fragmentation Across Sites of Geriatric CareEric Coleman; Fiscal Year: 2003..Our third aim is to initiate a randomized controlled trial of this intervention. The results of this research will improve our ability to quantify care fragmentation and subsequently measure the effectiveness of a targeted intervention. ..
- Children of Depressed Mothers: a STAR*D Ancillary StudyMyrna Weissman; Fiscal Year: 2005..will moderate the effect. If it is shown that successfully treating maternal depression is associated with diminished risk in offspring, the finding would have wide ranging public health implications. ..
- TREATMENT AND CLINICAL COURSE OF COMPLEX PTSDJulian Ford; Fiscal Year: 2006....
- Volume-Outcomes in Incontinence SurgeryJennifer Anger; Fiscal Year: 2005..The primary outcome will be re-operation rates, repeat sling procedures (for failures), and other postoperative complications, stratified by high and low volume surgeons and hospitals. ..
- Surgical Care and Outcomes Assessment Program Comparative Effectiveness ResearchDavid R Flum; Fiscal Year: 2010..Surgical and interventional services span the continuum of healthcare conditions and SCOAP CERTN will have immediate capacity for investigators interested in almost any of AHRQ's priority conditions. ..
- Aftercare for Adolescents with Substance Use DisordersYifrah Kaminer; Fiscal Year: 2006..This award will allow the applicant protected time to pursue quality mentoring of future clinical investigators while conducting clinical research that will optimize long-term scientific contributions of both the mentor and trainees. ..
- Medical Image Perception Society Confrence XIElizabeth Krupinski; Fiscal Year: 2005..abstract_text> ..
- Comorbid childhood anxiety and asthmaRenee Goodwin; Fiscal Year: 2006..That study will involve a longitudinal epidemiologic preventive intervention study aimed at reducing the risk of anxiety disorders among pediatric asthma/allergy patients. ..
- Long-Term Outcomes of NO for Ventilated Premature BabiesDerek Angus; Fiscal Year: 2007..Finally, our data will allow assessment of the robustness of early proxies for subsequent outcomes, key for future study design in this area. ..
- Are Volume Standards Accurate Measures of Quality?Laurent Glance; Fiscal Year: 2005..abstract_text> ..
- A Randomized Trial of the STAR Program for Children with Autism Spectrum DisorderDavid Mandell; Fiscal Year: 2009..Findings from the proposed study would provide timely and critical evidence regarding the implementation and effectiveness of one promising practice, with direct relevance to translation of findings into practice and policy. ..