Health Services Research

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Proquest, Ingenta, Health Research & Educational Trust, CSA, Gale, Wiley from 2002, Ovid from 2002, and Rcgp

  1. Prescription drug coverage and effects on drug expenditures among elderly Medicare beneficiaries.

    Health Services Research 43(3):810 (2008) PMID 18454769 PMCID PMC2442248

    To identify determinants of drug coverage among elderly Medicare beneficiaries and to investigate the impact of drug coverage on drug expenditures with and without taking selection bias into account. The primary data were from the 2000 Medicare Current Beneficiary Survey (MCBS) Cost and Use file...
  2. Has the Medicare prospective payment system led to increased nursing home efficiency?

    Health Services Research 43(3):1043 (2008) PMID 18454780 PMCID PMC2442238

    To assess the impact of recent Medicare prospective payment system (PPS) changes on efficiency in skilled nursing homes. Medicare Cost Reports (MCR), On-line Survey Certification and Reporting System (OSCAR), Area Resource Files (ARF), a Centers for Medicare and Medicaid Services (CMS) hospital ...
  3. Nonprice competition and quality of care in managed care: the New York SCHIP market.

    Health Services Research 43(3):971 (2008) PMID 18454776 PMCID PMC2442245

    To examine the effect of nonprice competition among managed care plans on the quality of care in the New York SCHIP market. U.S. Census 2000; 2002 New York State Managed Care Plan Performance Report; and 2001 New York State Managed Care Annual Enrollment Report. Each market is defined as a count...
  4. Role of state policies in the adoption of naltrexone for substance abuse treatment.

    Health Services Research 43(3):951 (2008) PMID 18454775 PMCID PMC2442246

    To examine state policies associated with adoption of a pharmaceutical agent-naltrexone-by substance abuse treatment facilities to treat alcohol-dependent clients. Facility-level data from the 2003 National Survey of Substance Abuse Treatment Services, and state-level data on policy and environm...
  5. Medicaid undercount and bias to estimates of uninsurance: new estimates and existing evidence.

    Health Services Research 43(3):901 (2008) PMID 18546545 PMCID PMC2442249

    To examine whether known Medicaid enrollees misreport their health insurance coverage in surveys and the extent to which misreports of lack of coverage bias estimates of uninsurance. Primary survey data from the Medicaid Undercount Experiment. Analyze new data from surveys of Medicaid enrollees ...
  6. Shareholder value and the performance of a large nursing home chain.

    Health Services Research 43(3):1062 (2008) PMID 18454781 PMCID PMC2442234

    To analyze corporate governance arrangements and quality and financial performance outcomes among large multi-facility nursing home corporations (chains) that pursue stakeholder value (profit maximization) strategies. To establish a foundation of knowledge about the focal phenomenon and processe...
  7. How do proxy responses and proxy-assisted responses differ from what Medicare beneficiaries might have reported about their health care?

    Health Services Research 43(3):833 (2008) PMID 18454770 PMCID PMC2442242

    Assess proxy respondent effects on health care evaluations by Medicare beneficiaries. 110,215 respondents from the nationally representative 2001 CAHPS((R)) Medicare Fee-for-Service Survey. We compare the effects of both proxy respondents and proxy assistance (reading, writing, or translating) o...
  8. Hospital quality: a PRIDIT approach.

    Health Services Research 43(3):988 (2008) PMID 18454777 PMCID PMC2442235

    Access to high quality medical care is an important determinant of health outcomes, but the quality of care is difficult to determine. To apply the PRIDIT methodology to determine an aggregate relative measure of hospital quality using individual process measures. Retrospective analysis of Medic...
  9. Relationship between state medicaid policies, nursing home racial composition, and the risk of hospitalization for black and white residents.

    Health Services Research 43(3):869 (2008) PMID 18454772 PMCID PMC2442243

    To examine racial differences in the risk of hospitalization for nursing home (NH) residents. National NH Minimum Data Set, Medicare claims, and Online Survey Certification and Reporting data from 2000 were merged with independently collected Medicaid policy data. One hundred and fifty day follo...
  10. Evidence-based imaging guidelines and Medicare payment policy.

    Health Services Research 43(3):1006 (2008) PMID 18454778 PMCID PMC2442247

    This study examines the relationship between evidence-based appropriateness criteria for neurologic imaging procedures and Medicare payment determinations. The primary research question is whether Medicare is more likely to pay for imaging procedures as the level of appropriateness increases. Th...
  11. The staffing-outcomes relationship in nursing homes.

    Health Services Research 43(3):1025 (2008) PMID 18454779 PMCID PMC2442239

    To assess longitudinally whether a change in registered nurse (RN) staffing and skill mix leads to a change in nursing home resident outcomes while controlling for the potential endogeneity of staffing. Minimum Data Set (MDS) nursing home resident assessment data from five states merged with Onl...
  12. Power of tests for a dichotomous independent variable measured with error.

    Health Services Research 43(3):1085 (2008) PMID 18454782 PMCID PMC2442236

    To examine the implications for statistical power of using predicted probabilities for a dichotomous independent variable, rather than the actual variable. An application uses 271,479 observations from the 2000 to 2002 CAHPS Medicare Fee-for-Service surveys. STUDY DESIGN AND DATA: A methodologic...
  13. The financial burden of overweight and obesity among elderly Americans: the dynamics of weight, longevity, and health care cost.

    Health Services Research 43(3):849 (2008) PMID 18454771 PMCID PMC2442233

    To investigate the financial burdens attributed to overweight and obesity on the U.S. health care system among elderly Americans. Longitudinal Cost and Use files of the Medicare Current Beneficiary Survey from 1992 to 2001. We constructed a simultaneous equation system to model the dynamic relat...
  14. Effects of poverty and lack of insurance on perceptions of racial and ethnic bias in health care.

    Health Services Research 43(3):915 (2008) PMID 18546546 PMCID PMC2442232

    To investigate whether poverty and lack of insurance are associated with perceived racial and ethnic bias in health care. 2001 Survey on Disparities in Quality of Health Care, a nationally representative telephone survey. We use data on black, Hispanic, and white adults who have a regular physic...
  15. Examining variation in treatment costs: a cost function for outpatient methadone treatment programs.

    Health Services Research 43(3):931 (2008) PMID 18454774 PMCID PMC2442241

    To estimate a hybrid cost function of the relationship between total annual cost for outpatient methadone treatment and output (annual patient days and selected services), input prices (wages and building space costs), and selected program and patient case-mix characteristics. Data are from a mu...
  16. Medicaid managed care and the unmet need for mental health care among children with special health care needs.

    Health Services Research 43(3):882 (2008) PMID 18454773 PMCID PMC2442244

    To determine the association between Medicaid managed care pediatric behavioral health programs and unmet need for mental health care among children with special health care needs (CSHCN). The National Survey of CSHCN (2000-2002), using subsets of 4,400 CSHCN with Medicaid and 1,856 CSHCN with M...
  17. Falling short: continued challenges in meeting the mental health needs of children with special health care needs.

    Health Services Research 43(3):803 (2008) PMID 18454768 PMCID PMC2442237

  18. Cost of hospital care for older adults with heart failure: medical, pharmaceutical, and nursing costs.

    Health Services Research 43(2):635 (2008) PMID 18370971 PMCID PMC2442365

    To determine the impact of patient characteristics, clinical conditions, hospital unit characteristics, and health care interventions on hospital cost of patients with heart failure. Data for this study were part of a larger study that used electronic clinical data repositories from an 843-bed, ...
  19. Regression tree boosting to adjust health care cost predictions for diagnostic mix.

    Health Services Research 43(2):755 (2008) PMID 18370977 PMCID PMC2442380

    To assess the ability of regression tree boosting to risk-adjust health care cost predictions, using diagnostic groups and demographic variables as inputs. Systems for risk-adjusting health care cost, described in the literature, have consistently employed deterministic models to account for int...
  20. Strategic orientation and nursing home response to public reporting of quality measures: an application of the miles and snow typology.

    Health Services Research 43(2):598 (2008) PMID 18370969 PMCID PMC2442378

    To assess whether differences in strategic orientation of nursing homes as identified by the Miles and Snow typology are associated with differences in their response to the publication of quality measures on the Nursing Home Compare website. Administrator survey of a national 10 percent random ...