Health Services Research back issues from February 2004:
AHRQ's bioterrorism research portfolio: real linkages in real time.(AHRQ Update)(Agency for Healthcare Research and Quality)
Feb 01, 2004; ... Responding to a bioterrorist event calls for critical communication and linkages in real time; among systems of care, the public health infrastructure and individual clinicians, law enforcement agents and emergency responders. In particular, there are many unanswered questions about the ...
From the editors: perspectives on turnaround time.(Editorial)
Feb 01, 2004; ... Editors are frequently asked about the turnaround time at their journals, but there is no standard way this "simple" statistic is defined, making comparisons across journals somewhat risky. The easiest number for an editor to access is based on all the time to reach a decision for all ...
The challenge of studying the effects of managed care as managed care evolves.
Feb 01, 2004; ... Managed care today, for both Medicare beneficiaries and others, bears increasingly less resemblance to the managed care plans of the early 1990s (Lesser, Ginsburg, and Devers 2003). Utilization management strategies such as gatekeeping and preauthorization are on the decline. Many health ...
The impact of visit frequency on the relationship between service quality and outpatient satisfaction: a South Korean study.(patient assessments)
Feb 01, 2004; ... The health care system in the United States has recently experienced tremendous change. For the first time, providers are facing decreased funding, increased competition, and the maturation of the entire industry (Emanuel and Dubler 1995). To survive in this harsh environment, providers ...
Older persons' evaluations of health care: the effects of medical skepticism and worry about health.(patient assessments)
Feb 01, 2004; ... Consumer assessments have become an important tool for monitoring the accessibility and quality of health services. Health plans and systems routinely conduct consumer evaluations to monitor their performance and alter the delivery of care in order to retain and attract customers ...
Identifying children with special health care needs in the National Health Interview Survey: a new resource for policy analysis.(child health)
Feb 01, 2004; ... The ability to address the special needs of children with chronic conditions has become an important focus for providers and policymakers in the arenas of health care and education. In the changing policy environment, with recent reforms to the welfare system, expansions in use of managed ...
Profile of medical charges for children by health status group and severity level in a Washington State health plan.(child health)
Feb 01, 2004; ... There is considerable evidence that costs of care vary widely across medical conditions and general health status, and children with certain conditions generate higher medical costs than the average pediatric population (Newacheck and Halfon 1998). There is limited information, however, ...
Do drug-free workplace programs prevent occupational injuries? Evidence from Washington State.
Feb 01, 2004; ... Substance abuse remains one of the nation's most important public health problems resulting in significant morbidity and premature mortality (National Institute on Alcohol Abuse and Alcoholism and National Institute on Drug Abuse 1998; Office of National Drug Control Policy 2001). Current ...
The costs of decedents in the Medicare program: implications for payments to Medicare+Choice plans.
Feb 01, 2004; ... Medicare's payment system for health maintenance organizations (HMOs) would ideally reward plans that efficiently deliver care. In practice, however, Medicare's capitated payment system instead gives health plans and subcapitated providers incentives to attract low-risk patients and ...
Impact of managed care on the treatment, costs, and outcomes of fee-for-service Medicare patients with acute myocardial infarction.
Feb 01, 2004; ... The presence of managed care organizations in a health care market may affect health care delivery for both managed care and nonmanaged care patients. Through financial incentives to providers, and by more actively managing patient care than other types of insurers, managed care ...
Are gatekeeper requirements associated with cancer screening utilization?
Feb 01, 2004; ... Although early studies of the impact of managed care on cancer screening found that screening is higher in health maintenance organizations (HMOs) or managed care plans, more recent studies have had ambiguous results (Bernstein, Thompson, and Harlan 1991; Brown et al. 1990; Gordon, ...
Moving beyond the typologies of managed care: the example of health plan predictors of screening mammography.
Feb 01, 2004; ... Understanding the influence of managed care on the utilization of preventive health services has been problematic, parry because well-developed measures of health plans are not readily available. Previous studies typically used dichotomous comparisons such as "managed care" versus ...
Reexamining organizational configurations: an update, validation, and expansion of the taxonomy of health networks and systems.
Feb 01, 2004; ... A number of years ago a taxonomy of health networks and systems was created, using data from the mid-1990s, for the purpose of defining the structures and strategies of newly emerging health care organizations and identifying classes of health care organizations that share common features ...