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Health Services Research

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https://www.readbyqxmd.com/read/29349772/does-the-use-of-diagnostic-technology-reduce-fetal-mortality
#1
Jostein Grytten, Irene Skau, Rune Sørensen, Anne Eskild
OBJECTIVE: To examine the effect that the introduction of new diagnostic technology in obstetric care has had on fetal death. DATA SOURCE: The Medical Birth Registry of Norway provided detailed medical information for approximately 1.2 million deliveries from 1967 to 1995. Information about diagnostic technology was collected directly from the maternity units, using a questionnaire. STUDY DESIGN: The data were analyzed using a hospital fixed-effects regression with fetal mortality as the outcome measure...
January 19, 2018: Health Services Research
https://www.readbyqxmd.com/read/29315527/modeling-semicontinuous-longitudinal-expenditures-a-practical-guide
#2
Valerie A Smith, Matthew L Maciejewski, Maren K Olsen
OBJECTIVE: To compare different strategies for analyzing longitudinal expenditure data that have a point mass at $0. We provide guidance on parameter interpretation, research questions, and model selection. DATA SOURCES, STUDY DESIGN, AND DATA COLLECTION: One-part models, uncorrelated two-part models, correlated conditional two-part (CTP) models, and correlated marginalized two-part (MTP) models have been proposed for longitudinal expenditures that often exhibit a large proportion of zeros and a distribution of continuous, highly right-skewed positive values...
January 8, 2018: Health Services Research
https://www.readbyqxmd.com/read/29285763/gp-practices-as-a-one-stop-shop-how-do-patients-perceive-the-quality-of-care-a-cross-sectional-study-in-thirty-four-countries
#3
Willemijn L A Schäfer, Wienke G W Boerma, François G Schellevis, Peter P Groenewegen
OBJECTIVE: To contribute to the current knowledge on how a broad range of services offered by general practitioners (GPs) may contribute to the patient perceived quality and, hence, the potential benefits of primary care. STUDY SETTING: Between 2011 and 2013, primary care data were collected among GPs and their patients in 31 European countries, plus Australia, Canada, and New Zealand. In these countries, GPs are the main providers of primary care, mostly specialized in family medicine and working in the ambulatory setting...
December 29, 2017: Health Services Research
https://www.readbyqxmd.com/read/29285762/the-necessary-return-of-comprehensive-primary-health-care
#4
EDITORIAL
Asaf Bitton
No abstract text is available yet for this article.
December 29, 2017: Health Services Research
https://www.readbyqxmd.com/read/29282723/comparison-of-electronic-health-record-based-and-claims-based-diabetes-care-quality-measures-causes-of-discrepancies
#5
Michael Barton Laws, Joanne Michaud, Renee Shield, William McQuade, Ira B Wilson
OBJECTIVE: To investigate magnitude and sources of discrepancy in quality metrics using claims versus electronic health record (EHR) data. STUDY DESIGN: Assessment of proportions of HbA1c and LDL testing for people ascertained as diabetic from the respective sources. Qualitative interviews and review of EHRs of discrepant cases. DATA COLLECTION/EXTRACTION: Claims submitted to Rhode Island Medicaid by three practice sites in 2013; program-coded EHR extraction; manual review of selected EHRs...
December 28, 2017: Health Services Research
https://www.readbyqxmd.com/read/29282722/estimating-the-cost-of-providing-foundational-public-health-services
#6
Cezar Brian C Mamaril, Glen P Mays, Douglas Keith Branham, Betty Bekemeier, Justin Marlowe, Lava Timsina
OBJECTIVE: To estimate the cost of resources required to implement a set of Foundational Public Health Services (FPHS) as recommended by the Institute of Medicine. STUDY DESIGN: A stochastic simulation model was used to generate probability distributions of input and output costs across 11 FPHS domains. We used an implementation attainment scale to estimate costs of fully implementing FPHS. DATA COLLECTION/EXTRACTION METHODS: We use data collected from a diverse cohort of 19 public health agencies located in three states that implemented the FPHS cost estimation methodology in their agencies during 2014-2015...
December 28, 2017: Health Services Research
https://www.readbyqxmd.com/read/29282721/state-medicaid-expansions-for-parents-led-to-increased-coverage-and-prenatal-care-utilization-among-pregnant-mothers
#7
Laura R Wherry
OBJECTIVE: To evaluate impacts of state Medicaid expansions for low-income parents on the health insurance coverage, pregnancy intention, and use of prenatal care among mothers who became pregnant. DATA SOURCES/STUDY SETTING: Person-level data for women with a live birth from the 1997-2012 Pregnancy Risk Assessment Monitoring System. DATA COLLECTION/EXTRACTION METHODS: The sample was restricted to women who were already parents using information on previous live births and combined with information on state Medicaid policies for low-income parents...
December 28, 2017: Health Services Research
https://www.readbyqxmd.com/read/29282724/the-impact-of-enhanced-critical-care-training-and-24-7-tele-icu-support-on-medicare-spending-and-postdischarge-utilization-patterns
#8
Matthew J Trombley, Andrea Hassol, Jennifer T Lloyd, Timothy G Buchman, Allison F Marier, Alan White, Erin Colligan
OBJECTIVE: To estimate the effect of implementing a tele-ICU and a critical care residency training program for advanced practice providers on service utilization and total Medicare episode spending. DATA SOURCES/STUDY SETTINGS: Medicare claims data for fee-for-service beneficiaries at 12 large, inpatient hospitals in the Atlanta Hospital Referral Region. STUDY DESIGN: Difference-in-differences design where changes in spending and utilization for Medicare beneficiaries eligible for treatment in participating ICUs was compared to changes in a comparison group of clinically similar beneficiaries treated at similar hospitals' ICUs in the same hospital referral region...
December 27, 2017: Health Services Research
https://www.readbyqxmd.com/read/29244202/mental-health-risk-adjustment-with-clinical-categories-and-machine-learning
#9
Akritee Shrestha, Savannah Bergquist, Ellen Montz, Sherri Rose
OBJECTIVE: To propose nonparametric ensemble machine learning for mental health and substance use disorders (MHSUD) spending risk adjustment formulas, including considering Clinical Classification Software (CCS) categories as diagnostic covariates over the commonly used Hierarchical Condition Category (HCC) system. DATA SOURCES: 2012-2013 Truven MarketScan database. STUDY DESIGN: We implement 21 algorithms to predict MHSUD spending, as well as a weighted combination of these algorithms called super learning...
December 15, 2017: Health Services Research
https://www.readbyqxmd.com/read/29243823/pathways-to-medical-home-recognition-a-qualitative-comparative-analysis-of-the-pcmh-transformation-process
#10
Peter Mendel, Emily K Chen, Harold D Green, Courtney Armstrong, Justin W Timbie, Amii M Kress, Mark W Friedberg, Katherine L Kahn
OBJECTIVE: To understand the process of practice transformation by identifying pathways for attaining patient-centered medical home (PCMH) recognition. DATA SOURCES/STUDY SETTING: The CMS Federally Qualified Health Center (FQHC) Advanced Primary Care Practice Demonstration was designed to help FQHCs achieve NCQA Level 3 PCMH recognition and improve patient outcomes. We used a stratified random sample of 20 (out of 503) participating sites for this analysis. STUDY DESIGN: We developed a conceptual model of structural, cultural, and implementation factors affecting PCMH transformation based on literature and initial qualitative interview themes...
December 15, 2017: Health Services Research
https://www.readbyqxmd.com/read/29230801/medicaid-expansion-and-health-plan-quality-in-medicaid-managed-care
#11
Chima D Ndumele, William L Schpero, Amal N Trivedi
OBJECTIVE: To assess the effect of the 2014 Medicaid expansion on Medicaid managed care plan quality. DATA SOURCES: Three composite measures of plan-level quality constructed from the Health Care Effectiveness Data and Information Set. STUDY SETTING: One hundred and sixty-three plans in 27 Medicaid expansion states and 100 plans in 14 nonexpansion states. STUDY DESIGN: Quasi-experimental difference-in-differences (DID) analysis, comparing quality before (2011-13) and after (2014-15) Medicaid expansion in states that elected to expand Medicaid eligibility and those that did not...
December 12, 2017: Health Services Research
https://www.readbyqxmd.com/read/29226309/medical-malpractice-liability-exposure-and-ob-gyn-physician-delivery-decisions
#12
Christine Piette Durrance, Scott Hankins
OBJECTIVE: This study examines the effect of physician medical malpractice liability exposure on primary Cesarean and vaginal births after Cesarean (VBACs). DATA SOURCES/STUDY SETTING: Secondary data on hospital births from Florida Hospital Inpatient File, physician characteristics from American Medical Association Physician Masterfile, and physician malpractice claim history from Florida Office of Insurance Regulation. STUDY DESIGN: Our study estimates the effects of physician malpractice liability exposure on Cesareans and VBACs using panel data and a multivariate, fixed effects model...
December 10, 2017: Health Services Research
https://www.readbyqxmd.com/read/29205345/evidence-based-medicine-and-state-health-care-coverage-the-washington-health-technology-assessment-program
#13
David J Rothman, Kristy L Blackwood, Whitney Adair, Sheila M Rothman
OBJECTIVE: To evaluate the Washington State Health Technology Assessment Program (WHTAP). STUDY SETTING: Washington State Health Technology Assessment Program proceedings in Seattle, Washington. DATA COLLECTION AND STUDY DESIGN: We assessed the program through observation of its proceedings over a 5-year period, 2009-2014. We conducted detailed analyses of the documents it produced and reviewed relevant literature. PRINCIPAL FINDINGS: Washington State Health Technology Assessment Program is unique compared to other state and federal programs...
December 3, 2017: Health Services Research
https://www.readbyqxmd.com/read/29194615/the-impact-of-wic-on-infant-immunizations-and-health-care-utilization
#14
Tim Bersak, Lyudmyla Sonchak
OBJECTIVE: To test how prenatal participation in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) impacts health care utilization and immunizations within the first year of an infant's life. DATA SOURCE: We utilize comprehensive South Carolina Medicaid claims data from 2004 to 2013 linked with birth certificates data from 2004 to 2012. These data contain information on WIC participation and all health care utilization within the first year of an infant's life...
December 1, 2017: Health Services Research
https://www.readbyqxmd.com/read/29194594/development-and-validation-of-a-short-form-safety-net-medical-home-scale
#15
Robert S Nocon, Kathryn E Gunter, Yue Gao, Sang Mee Lee, Marshall H Chin
OBJECTIVE: To develop a short-form Safety Net Medical Home Scale (SNMHS) for assessing patient-centered medical home (PCMH) capability in safety net clinics. DATA SOURCES/STUDY SETTING: National surveys of federally qualified health centers (FQHCs). Interviews with FQHC directors. STUDY DESIGN: We constructed three short-form SNMHS versions and examined correlations with full SNMHS and related primary care assessments. We tested usability with FQHC directors and reviewed scale development with an advisory group...
December 1, 2017: Health Services Research
https://www.readbyqxmd.com/read/29194621/effects-of-the-medicare-modernization-act-on-spending-for-outpatient-surgery
#16
John M Hollingsworth, Mary K Oerline, Chandy Ellimoottil, Lindsey A Herrel, Brent K Hollenbeck
OBJECTIVES: To examine the effects of Medicare's revised ambulatory surgery center (ASC) payment schedule on overall payments for outpatient surgery. DATA SOURCES: Twenty percent sample of national Medicare beneficiaries. STUDY DESIGN: We conducted a pre-post study of Medicare beneficiaries who underwent outpatient surgery in a hospital outpatient department (HOPD), ASC, or physician office between 2004 and 2011. Specifically, we used multivariable regression to compare temporal trends in outpatient surgery before and after implementation of Medicare's revised payment schedule in 2008, which reduced ASC facility payments to roughly two-thirds that of HOPDs...
November 30, 2017: Health Services Research
https://www.readbyqxmd.com/read/29194610/estimating-the-cost-savings-of-preventive-dental-services-delivered-to-medicaid-enrolled-children-in-six-southeastern-states
#17
Ilbin Lee, Sean Monahan, Nicoleta Serban, Paul M Griffin, Scott L Tomar
OBJECTIVE: To quantify the impact of multiyear utilization of preventive dental services on downstream dental care utilization and expenditures for children. DATA SOURCES/STUDY SETTING: We followed 0.93 million Medicaid-enrolled children who were 3-6 years old in 2005 from 2005 to 2011. We used Medicaid claims data of Alabama, Georgia, Mississippi, North Carolina, South Carolina, and Texas. STUDY DESIGN: We clustered each state's study population into four groups based on utilization of topical fluoride and dental sealants before caries-related treatment using machine learning algorithms...
November 30, 2017: Health Services Research
https://www.readbyqxmd.com/read/29159815/effectiveness-of-interventions-for-breast-cancer-screening-in-african-american-women-a-meta-analysis
#18
Valire Carr Copeland, Yoo Jung Kim, Shaun M Eack
OBJECTIVE: The purpose of this study was to report the results of a meta-analysis conducted on the effects of clinical trials in breast cancer screening for African American women between 1997 and 2017. DATA SOURCES: Articles published in English and in the United States, between January 1997 and March 2017, were eligible for inclusion if they (1) conducted psychosocial, behavioral, or educational interventions designed to increase screening mammography rates in predominantly African American women of all ages; (2) utilized a randomized, controlled trial (RCT) design; and (3) reported quantitative screening rates following the intervention...
November 21, 2017: Health Services Research
https://www.readbyqxmd.com/read/29154464/patient-centered-medical-home-implementation-and-improved-chronic-disease-quality-a-longitudinal-observational-study
#19
Ann-Marie Rosland, Edwin Wong, Matthew Maciejewski, Donna Zulman, Rebecca Piegari, Stephan Fihn, Karin Nelson
OBJECTIVE: To examine associations between clinics' extent of patient-centered medical home (PCMH) implementation and improvements in chronic illness care quality. DATA SOURCE: Data from 808 Veterans Health Administration (VHA) primary care clinics nationwide implementing the Patient Aligned Care Teams (PACT) PCMH initiative, begun in 2010. DESIGN: Clinic-level longitudinal observational study of clinics that received training and resources to implement PACT...
November 20, 2017: Health Services Research
https://www.readbyqxmd.com/read/29143331/implicit-review-instrument-to-evaluate-quality-of-care-delivered-by-physicians-to-children-in-emergency-departments
#20
James P Marcin, Patrick S Romano, Madan Dharmar, James M Chamberlain, Nanette Dudley, Charles G Macias, Lise E Nigrovic, Elizabeth C Powell, Alexander J Rogers, Meridith Sonnett, Leah Tzimenatos, Elizabeth R Alpern, Rebecca Andrews-Dickert, Dominic A Borgialli, Erika Sidney, Charlie Casper, Jonathan Michael Dean, Nathan Kuppermann
OBJECTIVE: To evaluate the consistency, reliability, and validity of an implicit review instrument that measures the quality of care provided to children in the emergency department (ED). DATA SOURCES/STUDY SETTING: Medical records of randomly selected children from 12 EDs in the Pediatric Emergency Care Applied Research Network (PECARN). STUDY DESIGN: Eight pediatric emergency medicine physicians applied the instrument to 620 medical records...
November 16, 2017: Health Services Research
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