Health services research
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To determine how the inclusion of post-acute evaluation and management (E&M) services as primary care affects assignment of Medicare beneficiaries to accountable care organizations (ACOs). ⋯ Under current Medicare assignment rules, ACOs may not be accountable for an influential group of post-acute patients, suggesting missed opportunities to improve care coordination and reduce inappropriate readmissions.
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Health services research · Aug 2013
Use of emergency departments among working age adults with disabilities: a problem of access and service needs.
To examine the relationship between emergency department (ED) use and access to medical care and prescription medications among working age Americans with disabilities. ⋯ Given the volume of health conditions among people with disabilities, the ED will always play a role in their care. However, some ED visits could potentially be avoided if ongoing care were optimized.
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Health services research · Jun 2013
Confirmatory factor analysis of the pain care quality surveys (PainCQ©).
To examine the reliability and validity and to decrease the battery of items in the Pain Care Quality (PainCQ(©) ) Surveys. ⋯ Cumulative evidence supports the reliability and validity of the companion PainCQ(©) Surveys in hospitalized patients with pain in the oncology setting. The tools may be relevant in both clinical research and quality improvement. Future research is recommended in other populations, settings, and with more diverse groups.
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Health services research · Jun 2013
Hospital use of agency-employed supplemental nurses and patient mortality and failure to rescue.
To determine the association between the use of agency-employed supplemental registered nurses (SRNs) to staff hospitals and patient mortality and failure to rescue (FTR). ⋯ Higher use of SRNs does not appear to have deleterious consequences for patient mortality and may alleviate nurse staffing problems that could produce higher mortality.