Author Archives: Health Services Research

Health System Consolidation and Diabetes Care Performance at Ambulatory Clinics

Objective We addressed two questions regarding health system consolidation through the acquisition of ambulatory clinics: (1) Was increasing health system size associated with improved diabetes care performance and (2) Did the diabetes care performance of acquired clinics improve postacquisition?

Posted in Delivery, Diabetes, Journal Watch, Noncommunicable Disease, Policy & Systems | Tagged , , | Comments closed

Changes in Consumer Demand Following Public Reporting of Summary Quality Ratings: An Evaluation…

Objective Limited consumer use of health care report cards may be due to the large amount of information presented in report cards, which can be difficult to understand.

Posted in Journal Watch | Comments closed

The Nursing Home Compare Report Card: Perceptions of Residents and Caregivers Regarding Quality…

Objective To evaluate the perceived usefulness of publicly reported nursing home quality indicators.

Posted in Journal Watch | Comments closed

The Method for Performance Measurement Matters: Diabetes Care Quality as Measured by…

Objectives Performance measurement is used by health care providers, payers, and patients.

Posted in Aid & Development, Diabetes, Journal Watch, Noncommunicable Disease, Policy & Systems | Tagged , | Comments closed

A Randomized, Controlled Trial of a Shared Panel Management Program for Small Practices

Objectives To determine whether a shared panel management program was effective at improving quality of care for patients with uncontrolled chronic disease.

Posted in Delivery, Journal Watch, Medical Record Systems, Policy & Systems, Technology | Tagged , | Comments closed

Risk Adjustment Tools for Learning Health Systems: A Comparison of DxCG and CMS-HCC V21

Objective To compare risk scores computed by DxCG (Verisk) and Centers for Medicare and Medicaid Services (CMS) V21.

Posted in Aid & Development, Journal Watch, Policy & Systems | Tagged , | Comments closed

High-Deductible Health Plans: Implications for Substance Use Treatment

Objective To examine whether high-deductible health plans are related to patient complexity, health services use, and medical care costs among substance use treatment patients.

Posted in Journal Watch, Noncommunicable Disease, Tobacco & alcohol | Tagged , | Comments closed

The Comparison of Matching Methods Using Different Measures of Balance: Benefits and Risks…

Objective To present a case study on how to compare various matching methods applying different measures of balance and to point out some pitfalls involved in relying on such measures.

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Do Smoking Bans Improve Neonatal Health?

Research Objective To estimate the effects of smoking bans on neonatal health outcomes and maternal smoking behavior during pregnancy.

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Health Insurance Dynamics: Methodological Considerations and a Comparison of Estimates from Two…

Objective To highlight key methodological issues in studying insurance dynamics and to compare estimates across two commonly used surveys.

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The Relative Importance of Post-Acute Care and Readmissions for Post-Discharge Spending

Objective To understand what patterns of health care use are associated with higher post-hospitalization spending.

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The Effect of Clinical Chorioamnionitis on Cesarean Delivery in the United States

Objective To examine the association of clinical chorioamnionitis on cesarean delivery in a national sample of hospital discharges.

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Determinants of National Guard Mental Health Service Utilization in VA versus Non-VA Settings

Objective To determine associations between need, enabling, and predisposing factors with mental health service use among National Guard soldiers in the first year following a combat deployment to Iraq or Afghanistan.

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Accountability across the Continuum: The Participation of Postacute Care Providers in…

Objective To examine the extent to which accountable care organizations (ACOs) formally incorporate postacute care providers.

Posted in Delivery, Injury, Journal Watch, Noncommunicable Disease, Policy & Systems, Surgical disease | Tagged | Comments closed