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A controlled trial of inpatient and outpatient geriatric evaluation and management.
In this controlled trial, care provided in inpatient geriatric units and outpatient geriatric clinics had no significant effects on survival and there were significant reductions in functional decline and improvements in mental health with outpatient Geriatric evaluation and management, with no increase in costs. Expand
Is There Monopsony in the Labor Market? Evidence from a Natural Experiment
Recent theoretical and empirical advances have renewed interest in monopsonistic models of the labor market. However, there is little direct empirical support for these models. We use an exogenousExpand
Prevalence and Costs of Chronic Conditions in the VA Health Care System
Overall, VA health care users have more chronic diseases than the general population, and these individuals accounted for 73 percent of the total cost. Expand
Correlation of Travel Time on Roads versus Straight Line Distance
  • C. Phibbs, H. Luft
  • Medicine
  • Medical care research and review : MCRR
  • 1 December 1995
The authors' outlier analyses show some exceptions, however, so this relationship may not hold for studies focusing on specific hospitals, very small numbers of hospitals, or studies in dense urban areas with high congestion and reliance on surface streets. Expand
Level and volume of neonatal intensive care and mortality in very-low-birth-weight infants.
Mortality among very-low-birth-weight infants was lowest for deliveries that occurred in hospitals with NICUs that had both a high level of care and a high volume of such patients. Expand
The effects of patient volume and level of care at the hospital of birth on neonatal mortality.
Concentration of high-risk deliveries in urban areas in a smaller number of hospitals that could provide level III NICU care has the potential to decrease neonatal mortality without increasing costs. Expand
Increased mortality associated with digoxin in contemporary patients with atrial fibrillation: findings from the TREAT-AF study.
Digoxin was associated with increased risk of death in patients with newly diagnosed AF, independent of drug adherence, kidney function, cardiovascular comorbidities, and concomitant therapies, and these findings challenge current cardiovascular society recommendations on use of digoxin in AF. Expand
Managed Care, Technology Adoption, and Health Care: The Adoption of Neonatal Intensive Care
Results suggest that health outcomes for seriously ill newborns are better in higher-level units and that reduced availability of mid- level units may increase their chance of receiving care in a high-level center, so that slower mid-level growth could have benefitted patients. Expand
Mortality in low birth weight infants according to level of neonatal care at hospital of birth.
The results support the recommendation that hospitals with no NICU or intermediate NICUs transfer high-risk mothers with estimated fetal weight of <2000 g to a regional NICU and the evidence for the few hospitals with large community NICUs is mixed. Expand
Birth weight and illness severity: independent predictors of neonatal mortality.
This simplified clinical score providing accurate mortality risk estimates for application in a broad array of clinical and research settings demonstrated that birth weight and illness severity are powerful independent predictors across a broad range of birth weights and that their effects are additive. Expand