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Health Services Research

A longitudinal view of a randomized controlled trial

Delivery of preventive health services for breast cancer control: A longitudinal view of a randomized controlled trial Phyllis A. Gimotty Randomized controlled trials (RCTs) have become the standard methodology for evaluating intervention strategies used to change the delivery of preventive services. Over the last decade, studies of intervention strategies to promote the use of preventive […]

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Health Services Research

The effects of fee bundling on dental utilization

The effects of fee bundling on dental utilization Joan Porter Several natural experiments have demonstrated that when physician fees are adjusted or the prices of medical and surgical services are controlled, practitioners alter their style of practice or services billed (Hadley, Holahan, and Scanlon 1979; Rice 1983; Barer, Evans, and Labelle 1988; Rice and Labelle […]

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Health Services Research

a comparison of two quality improvement programs

Quality of care for patients with type 2 diabetes mellitus in the Netherlands and the United States: a comparison of two quality improvement programs Gerlof D. Valk In the last decades, care for patients with type 2 diabetes has shifted away from hospitals and toward general practice (Griffin and Kinmonth 1997; Wood 1990). Numerous general […]

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Health Services Research

Organizational structure and the delivery of primary care to older Americans

Organizational structure and the delivery of primary care to older Americans Jacqueline S. Zinn Organizational performance is influenced by structural factors both internal and external to an organization. Industrial organization theory as well as other economics-based perspectives focus on external factors, such as the influence of the number or size of marketplace competitors on profitability […]

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Health Services Research

Medicare breast surgery fees and treatment received by Older Women with localized Breast Cancer

Medicare breast surgery fees and treatment received by Older Women with localized Breast Cancer Jack Hadley Despite an increasing trend in the use of breast conserving surgery (B CS) to treat early-stage breast cancer (Silliman et al. 1997; Guadagnoli et al. 1998), substantial variability exists in use of BCS among older women (Nattinger et al. […]

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Health Services Research

Elevated depressive symptoms among caregiving grandparents

Elevated depressive symptoms among caregiving grandparents Jan Blustein A striking feature of the American demographic landscape is the growth in grandparent-headed households. In 1997, 3.9 million U.S. children lived in a grandparent’s home, a 76 percent increase from 1970 (Caspar and Bryson 1998). Grandparent-headed households are found disproportionately in communities of color, and caregiving grandparents […]

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Health Services Research

Patients’ preferences for technical versus interpersonal quality when selecting a primary care physician

Patients’ preferences for technical versus interpersonal quality when selecting a primary care physician Constance H. Fung The release of performance data about health care providers to the public as a means of improving quality of care has been advocated by government agencies such as the Centers for Medicare and Medicaid Services (CMS), nonprofit accreditation organizations […]

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Health Services Research

Access and use of medications in HIV disease

Access and use of medications in HIV disease Scott R. Smith Early detection of human immunodeficiency virus (HIV) infection and improved drug therapies have prolonged survival in a growing number of individuals. Over the past 15 years, the clinical course of HIV disease has shifted from short and rapidly lethal to chronic and episodic. Likewise, […]

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Health Services Research

Commentary on “Factors contributing to practice variation in post-stroke rehabilitation.”

Commentary on “Factors contributing to practice variation in post-stroke rehabilitation.” – response to article by A.J. Lee, J.H. Huber and W.B. Stason in this issue, p. 197 Ronnie D. Horner In this issue of Health Services Research, Lee et al. (1997) present evidence regarding the relative importance of several sources of variation in the patterns […]

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Health Services Research

International child health services research meeting: advancing knowledge, informing action, improving child health care – AcademyHealth Update – Brief Article

International child health services research meeting: advancing knowledge, informing action, improving child health care – AcademyHealth Update – Brief Article – Calendar This affiliate meeting of the 5th International Conference on the Scientific Basis of Health Services will be held on Saturday, September 20, 8:30 a.m. to 6:00 p.m. This meeting seeks to advance children’s […]