Health Services Research
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- Proquest, Ingenta, Health Research & Educational Trust, CSA, Gale, Wiley from 2002, Ovid from 2002, and Rcgp
Concurrent and lagged effects of registered nurse turnover and staffing on unit-acquired pressure ulcers.
We examined the concurrent and lagged effects of registered nurse (RN) turnover on unit-acquired pressure ulcer rates and whether RN staffing mediated the effects. Quarterly unit-level data were obtained from the National Database of Nursing Quality Indicators for 2008 to 2010. A total of 10,935 uni...
Modeling health care policy alternatives.
We review microsimulation and cell-based models. For each type of model, we discuss data requirements and other factors that may affect its scope. We also discuss how to improve models by changing data collection and data access procedures. Materials and Methods. We review the modeling literature, d...
Evaluating the sale of a nonprofit health system to a for-profit hospital management company: the Legacy Experience.
The use of the decision model enabled senior management and trustees to systematically address the conversion question and to conclude that continuing to operate as a nonprofit organization would provide the most benefit to the local community. The model will prove useful to organizations that decid...
Making Medicaid managed care research relevant.
Many challenges confront researchers seeking to develop policy-relevant research on managed care. Researchers need to confront these challenges in turn by developing second-best approaches that will provide timely insight into important questions in a relatively defensible and rigorous way in the fa...
Risk-adjusted capitation based on the Diagnostic Cost Group Model: an empirical evaluation with health survey information.
The use of diagnostic information from prior hospitalizations is a promising option for improving the demographic capitation payment formula. This study suggests that diagnostic information from outpatient utilization is complementary to DCGs in predicting future costs....
A discrete choice model of drug abuse treatment location.
There are two plausible explanations for the findings. First, people beginning treatment later in the three-year period had less severe conditions than earlier cases and therefore had less need of inpatient treatment. Second, drug abuse treatment experienced the same trend toward the increased use o...
Approaching death: improving care at the end of life--a report of the Institute of Medicine.