Comparing Medicare and private insurers: growth rates in spending over three decades [0.03%]
三十多年来 Medicare 和私人保险公司支出的增长率比较
Cristina Boccuti,Marilyn Moon
Cristina Boccuti
Over the past three decades both Medicare and private insurers have initiated cost containment mechanisms to control the growth of spending on personal health care. To compare spending growth between these two payers, we present four measur...
Comparative Study
Health affairs (Project Hope). 2003 Mar-Apr;22(2):230-7. DOI:10.1377/hlthaff.22.2.230 2003
The rise of nursing home litigation: findings from a national survey of attorneys [0.03%]
来自全国律师调查的发现：养老院诉讼的增长
David G Stevenson,David M Studdert
David G Stevenson
Lawsuits against nursing homes are a relatively recent phenomenon. Despite a growing sense of alarm among policymakers, little is known about these lawsuits' scale, dynamics, or outcomes. To describe these characteristics, we conducted a We...
How does the employer contribution for the federal employees health benefits program influence plan selection? [0.03%]
联邦雇员医疗福利计划中的雇主供款是如何影响计划选择的？
Curtis S Florence,Kenneth E Thorpe
Curtis S Florence
Market reform of health insurance is proposed to increase coverage and reduce growth in spending by providing an incentive to choose low-cost plans. However, having a choice of plans could result in risk segmentation. Risk-adjusted payments...
Jon R Gabel,Gail A Jensen,Samantha Hawkins
Jon R Gabel
This paper examines trends in self-insurance and in the content of self-insured plans from 1993 to 2001. The percentage of employees enrolled in self-insured plans fell during these years. Much of the decrease was attributable to the declin...
Comparative Study
Health affairs (Project Hope). 2003 Mar-Apr;22(2):202-10. DOI:10.1377/hlthaff.22.2.202 2003
Closing the gap between science and practice: the need for professional leadership [0.03%]
理论与实践的差距：呼唤专业领导者
Kim A Eagle,Arthur J Garson Jr,George A Beller et al.
Kim A Eagle et al.
Major opportunity exists to better align clinical science and clinical practice. To do so will require efforts not only to develop clinical practice guidelines, but to facilitate their application in practice. The American College of Cardio...
Robert Galvin
Robert Galvin
By recommending that the federal government take a leadership role in driving quality improvement in the U.S. health care system, the Institute of Medicine has taken a bold step, one that signals a significant policy shift. Through regulati...
Rushika Fernandopulle,Timothy Ferris,Arnold Epstein et al.
Rushika Fernandopulle et al.
Realizing the vision of the IOM's landmark report, Crossing the Quality Chasm, will require new knowledge to support new policy and management. This paper lays out a research agenda that must be pursued if the health care system is to bridg...
Anne Elixhauser,Claudia Steiner,Irene Fraser
Anne Elixhauser
Procedure volume has been used as a proxy for quality and recommended as a basis for hospital referrals. We studied the volume, mortality, and associated hospital and staffing characteristics of ten complex procedures in U.S. hospitals usin...
Patrick S Romano,Jeffrey J Geppert,Sheryl Davies et al.
Patrick S Romano et al.
Measures based on routinely collected data would be useful to examine the epidemiology of patient safety. Extending previous work, we established the face and consensual validity of twenty Patient Safety Indicators (PSIs). We generated a na...
Pathways to access: health insurance, the health care delivery system, and racial/ethnic disparities, 1996-1999 [0.03%]
通路获取问题：医疗费用、医疗保健体制及种族／民族差异，1996—1999年
Samuel H Zuvekas,Gregg S Taliaferro
Samuel H Zuvekas
We examine the roles that insurance coverage, the delivery system, and external factors play in explaining persistent disparities in access among racial and ethnic groups of all ages. Using data from the 1996-1999 Medical Expenditure Panel ...
Comparative Study
Health affairs (Project Hope). 2003 Mar-Apr;22(2):139-53. DOI:10.1377/hlthaff.22.2.139 2003