anhang i : verwendeter suchalgorithmus und suchstrategie...anhang zu kapitel 7.7.2.2; hier:...

Anhang zu Kapitel 7.7.2.2; hier: verwendeter Suchalgorithmus und Suchstrategie

(("outcome") OR ("quality") OR ("quality of care"[All Fields])OR ("quality of health care"[All Fields]) OR (Qualitat*[All Fields])) AND ((managed care[Text Word]) OR (managed care program*[MeSH Terms]) OR (managed care program*[TIAB] NOT Medline[SB]) OR (health maintenance organization*[Text Word]) OR (health maintenance organization*[MeSH Terms]) OR (health maintenance organization*[TIAB] NOT Medline[SB]) OR (preferred provider organization*[Text Word]) OR (preferred provider organization*[MeSH Terms]) OR (preferred provider organization*[TIAB] NOT Medline[SB]) OR (exclusive provider organization*[Text Word]) OR (exclusive provider organization*[TIAB] NOT Medline[SB]) OR (independent practice association*[Text Word]) OR (independent practice association*[MeSH Terms]) OR (independent practice association*[TIAB] NOT Medline[SB]) OR (Point-of-Service*[Text Word]) OR (Point-of-Service*[TIAB] NOT Medline[SB]) OR ("physician hospital organization*"[Text Word]) OR ("hospital physician joint ventures"[Text Word]) OR ("hospital physician joint ventures"[MeSH Terms])).

Eigene Darstellung nach Reinert 2009

detaillierter endgültiger Suchalgorithmus in Medline (Pubmed) am 26.08.2008

("outcome"[All Fields] OR "quality"[All Fields] OR "quality of care"[All Fields] OR "quality of health care"[All Fields] OR (qualitat[All Fields] OR qualitat'iv[All Fields] OR qualitatassicherung[All Fields] OR qualitatative[All Fields] OR qualitatatively[All Fields] OR qualitate[All Fields] OR qualitated[All Fields] OR qualitaten[All Fields] OR qualitatenlehre[All Fields] OR qualitatenlehre'[All Fields] OR qualitates[All Fields] OR qualitatief[All Fields] OR qualitatieve[All Fields] OR qualitatievly[All Fields] OR qualitatif[All Fields] OR qualitatifs[All Fields] OR qualitatige[All Fields] OR qualitating[All Fields] OR qualitation[All Fields] OR qualitations[All Fields] OR qualitatissicherung[All Fields] OR qualitatitvely[All Fields] OR qualitativ[All Fields] OR qualitativ/quantitative[All Fields] OR qualitativa[All Fields] OR qualitativamente[All Fields] OR qualitativas[All Fields] OR qualitative[All Fields] OR qualitative/categorical[All Fields] OR qualitative/clinical[All Fields] OR qualitative/constructivist[All Fields] OR qualitative/descriptive[All Fields] OR qualitative/functional[All Fields] OR qualitative/historical[All Fields] OR qualitative/implicit[All Fields] OR qualitative/inductive[All Fields] OR qualitative/organoleptic[All Fields] OR qualitative/perceptual[All Fields] OR qualitative/quantitative[All Fields] OR qualitative/screening[All Fields] OR qualitative/semiquantitative[All Fields] OR qualitative/structural[All Fields] OR qualitative'[All Fields] OR qualitative''[All Fields] OR qualitativecin'etique[All Fields] OR qualitatively[All Fields] OR qualitatively/quantitatively[All Fields] OR qualitativement[All Fields] OR qualitativemusic[All Fields] OR qualitativen[All Fields] OR qualitativeprognosis[All Fields] OR qualitativer[All Fields] OR qualitativeresearch[All Fields] OR qualitatives[All Fields] OR qualitativfaktor[All Fields] OR qualitativi[All Fields] OR qualitativism[All Fields] OR qualitativity[All Fields] OR qualitativo[All Fields] OR qualitativos[All Fields] OR qualitatkontrolle[All Fields] OR qualitatmanagement[All Fields] OR qualitator[All Fields] OR qualitator'[All Fields] OR qualitats[All Fields] OR qualitatsabbau[All Fields] OR qualitatsabstieges[All Fields] OR qualitatsadjustierte[All Fields] OR qualitatsanalyse[All Fields] OR qualitatsanderung[All Fields] OR qualitatsanforderung[All Fields] OR qualitatsanforderungen[All Fields] OR qualitatsangleich[All Fields] OR qualitatsanspruch[All Fields] OR qualitatsanspruche[All Fields] OR qualitatsarbeit[All Fields] OR qualitatsaspekte[All Fields] OR qualitatsbeauftragte[All Fields] OR qualitatsbeauftragter[All Fields] OR qualitatsbeauftragter'[All Fields] OR qualitatsbeeinflussende[All Fields] OR qualitatsbeeinflussung[All Fields] OR qualitatsbegriff[All Fields] OR qualitatsbericht[All Fields] OR qualitatsberichte[All Fields] OR qualitatsbestimmende[All Fields] OR qualitatsbestimmender[All Fields] OR qualitatsbestimmung[All Fields] OR qualitatsbestimmungen[All Fields] OR qualitatsbeurteilung[All Fields] OR qualitatsbeurteilungen[All Fields] OR qualitatsbewegung[All Fields] OR qualitatsbewertende[All Fields] OR qualitatsbewertung[All Fields] OR qualitatsbezahlung[All Fields] OR qualitatscherung[All Fields] OR qualitatscontrollings[All Fields] OR qualitatsdefiziten[All Fields] OR qualitatsdiagnose[All Fields] OR qualitatsdiagnostik[All Fields] OR qualitatsdiagnostische[All Fields] OR qualitatsdifferenzen[All Fields] OR qualitatsdimensionen[All Fields] OR qualitatsdiskussion[All Fields] OR qualitatsdokumentation[All Fields] OR qualitatsdrogengewinnung[All Fields] OR qualitatsdruck[All Fields] OR qualitatsdrucks[All Fields] OR qualitatseigenschaften[All Fields] OR qualitatseinbusse[All Fields] OR qualitatseinbussen[All Fields] OR qualitatsentwicklung[All Fields] OR qualitatsentwicklungsprojektes[All Fields] OR qualitatserfassung[All Fields] OR qualitatserhaltung[All Fields] OR qualitatserwartungen[All Fields] OR qualitatsfaktoren[All Fields] OR qualitatsforderung[All Fields] OR qualitatsforschung[All Fields] OR qualitatsfrage[All Fields] OR qualitatsgemeinschaft[All Fields] OR qualitatsgerechte[All Fields] OR qualitatsgesicherte[All Fields] OR qualitatsgesicherten[All Fields] OR qualitatsgesicherter[All Fields] OR qualitatsgesichertes[All Fields] OR qualitatsgesichtspunkten[All Fields] OR qualitatsgestutzte[All Fields] OR qualitatshandbuch[All

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Fields] OR qualitatshaus[All Fields] OR qualitatsicherung[All Fields] OR qualitatsindices[All Fields] OR qualitatsindikator[All Fields] OR qualitatsindikatoren[All Fields] OR qualitatsindizes[All Fields] OR qualitatsinformationen[All Fields] OR qualitatsinitiative[All Fields] OR qualitatskommission[All Fields] OR qualitatskomtrolle[All Fields] OR qualitatskontrolle[All Fields] OR qualitatskontrollen[All Fields] OR qualitatskontrollierten[All Fields] OR qualitatskontrollmarker[All Fields] OR qualitatskontrollplasmen[All Fields] OR qualitatskontrollstudie[All Fields] OR qualitatskontrollstudien[All Fields] OR qualitatskontrollsystem[All Fields] OR qualitatskontrollversuche[All Fields] OR qualitatskonzeptes[All Fields] OR qualitatskriterien[All Fields] OR qualitatskriterium[All Fields] OR qualitatskultur[All Fields] OR qualitatslabel[All Fields] OR qualitatsleitlinien[All Fields] OR qualitatsmanagement[All Fields] OR qualitatsmanagementbeauftragte[All Fields] OR qualitatsmanagementdokumentation[All Fields] OR qualitatsmanagementhandbuchs[All Fields] OR qualitatsmanagementmassnahme[All Fields] OR qualitatsmanagementprojekt[All Fields] OR qualitatsmanagements[All Fields] OR qualitatsmanagementsystem[All Fields] OR qualitatsmanagementsysteme[All Fields] OR qualitatsmanagementsystemen[All Fields] OR qualitatsmanagementsystems[All Fields] OR qualitatsmanagerin[All Fields] OR qualitatsmanagment[All Fields] OR qualitatsmangel[All Fields] OR qualitatsmangeln[All Fields] OR qualitatsmassnahmen[All Fields] OR qualitatsmast[All Fields] OR qualitatsmerkmal[All Fields] OR qualitatsmerkmale[All Fields] OR qualitatsmerkmalen[All Fields] OR qualitatsmessparameter[All Fields] OR qualitatsmessung[All Fields] OR qualitatsmessungskriterien[All Fields] OR qualitatsmilch[All Fields] OR qualitatsminderung[All Fields] OR qualitatsmodell[All Fields] OR qualitatsmonitoring[All Fields] OR qualitatsmonitoringsystems[All Fields] OR qualitatsnachweise[All Fields] OR qualitatsniveau[All Fields] OR qualitatsniveaus[All Fields] OR qualitatsnorm[All Fields] OR qualitatsnormen[All Fields] OR qualitatsnormierung[All Fields] OR qualitatsoffensive[All Fields] OR qualitatsorientierte[All Fields] OR qualitatsorientierten[All Fields] OR qualitatsparameter[All Fields] OR qualitatsparametern[All Fields] OR qualitatspartnerschaft[All Fields] OR qualitatspolitische[All Fields] OR qualitatspraxen[All Fields] OR qualitatspreis[All Fields] OR qualitatsproblematik[All Fields] OR qualitatsprobleme[All Fields] OR qualitatsproduktion[All Fields] OR qualitatsprofil[All Fields] OR qualitatsprogramme[All Fields] OR qualitatsprojekt[All Fields] OR qualitatsprojekte[All Fields] OR qualitatsprojekten[All Fields] OR qualitatsprufung[All Fields] OR qualitatsprufungen[All Fields] OR qualitatsregister[All Fields] OR qualitatsregisters[All Fields] OR qualitatsrelevante[All Fields] OR qualitatsreprot[All Fields] OR qualitatsrhythmen[All Fields] OR qualitatsrichtlinien[All Fields] OR qualitatsrufung[All Fields] OR qualitatssaulen[All Fields] OR qualitatssich[All Fields] OR qualitatssichernde[All Fields] OR qualitatssichernden[All Fields] OR qualitatssichernder[All Fields] OR qualitatssichernder/fordernder[All Fields] OR qualitatssicherung[All Fields] OR qualitatssicherung/biopharmazie[All Fields] OR qualitatssicherung/management[All Fields] OR qualitatssicherung/qualitatsmanagement[All Fields] OR qualitatssicherungin[All Fields] OR qualitatssicherungs[All Fields] OR qualitatssicherungsaktivitaten[All Fields] OR qualitatssicherungsbericht[All Fields] OR qualitatssicherungsgremien[All Fields] OR qualitatssicherungsgruppe[All Fields] OR qualitatssicherungsinstrument[All Fields] OR qualitatssicherungskonzepte[All Fields] OR qualitatssicherungskonzeptes[All Fields] OR qualitatssicherungsmassnahme[All Fields] OR qualitatssicherungsmassnahmen[All Fields] OR qualitatssicherungsmodell[All Fields] OR qualitatssicherungsprogramm[All Fields] OR qualitatssicherungsprogrammen[All Fields] OR qualitatssicherungsprogrammes[All Fields] OR qualitatssicherungsprogramms[All Fields] OR qualitatssicherungsprojekts[All Fields] OR qualitatssicherungsrichtlinie[All Fields] OR qualitatssicherungsstudie[All Fields] OR qualitatssicherungsstudien[All Fields] OR qualitatssicherungssysteme[All Fields] OR qualitatssicherungssystems[All Fields] OR qualitatssicherungsverfahren[All Fields] OR qualitatssicherungsverfahrens[All Fields] OR qualitatssicherungsvorhaben[All Fields] OR qualitatssicherungszirkel[All Fields] OR qualitatssiegel[All Fields] OR qualitatssiegels[All Fields] OR qualitatssituation[All Fields] OR qualitatssocherung[All Fields] OR qualitatssprung[All Fields] OR qualitatsstandard[All Fields] OR qualitatsstandards[All Fields] OR qualitatssteigerung[All Fields] OR qualitatsstrukturen[All Fields] OR qualitatsstudie[All Fields] OR qualitatsuberwachung[All Fields] OR qualitatsunterschiede[All Fields] OR qualitatsuntersuchungen[All Fields] OR qualitatsveranderungen[All Fields] OR qualitatsverbesserung[All Fields] OR qualitatsverbesserungen[All Fields] OR qualitatsverbesserungsmassnahmen[All Fields] OR qualitatsverbesserungspotenziale[All Fields] OR qualitatsverbesserungsprozess[All Fields] OR qualitatsvergleich[All Fields] OR qualitatsvergleichen[All Fields] OR qualitatsverlust[All Fields] OR qualitatswahrnehmung[All Fields] OR qualitatswahrung[All Fields] OR qualitatswirkungen[All Fields] OR qualitatszahl[All Fields] OR qualitatszertifikat[All Fields] OR qualitatsziele[All Fields] OR qualitatszirkel[All Fields] OR qualitatszirkelarbeit[All Fields] OR qualitatszirkelmoderatoren[All Fields] OR qualitatszirkeln[All Fields] OR qualitatszirkels[All Fields] OR qualitatszitkels[All Fields] OR qualitatve[All Fields] OR qualitaty[All Fields])) AND (managed care[Text Word] OR (managed care programs[MeSH Terms] OR managed care programs/classification[MeSH Terms] OR managed care programs/economics[MeSH Terms] OR managed care programs/ethics[MeSH Terms] OR managed

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care programs/history[MeSH Terms] OR managed care programs/manpower[MeSH Terms] OR managed care programs/methods[MeSH Terms] OR managed care programs/standards[MeSH Terms] OR managed care programs/trends[MeSH Terms] OR managed care programs/utilization[MeSH Terms]) OR ((managed care program[TIAB] OR managed care programmes[TIAB] OR managed care programs[TIAB]) NOT Medline[SB]) OR (health maintenance organization[Text Word] OR health maintenance organization's[Text Word] OR health maintenance organizations[Text Word]) OR (health maintenance organizations[MeSH Terms] OR health maintenance organizations/classification[MeSH Terms] OR health maintenance organizations/economics[MeSH Terms] OR health maintenance organizations/ethics[MeSH Terms] OR health maintenance organizations/history[MeSH Terms] OR health maintenance organizations/manpower[MeSH Terms] OR health maintenance organizations/standards[MeSH Terms] OR health maintenance organizations/trends[MeSH Terms] OR health maintenance organizations/utilization[MeSH Terms]) OR ((health maintenance organization[TIAB] OR health maintenance organization's[TIAB] OR health maintenance organizations[TIAB]) NOT Medline[SB]) OR (preferred provider organization[Text Word] OR preferred provider organizations[Text Word]) OR (preferred provider organizations[MeSH Terms] OR preferred provider organizations/classification[MeSH Terms] OR preferred provider organizations/economics[MeSH Terms] OR preferred provider organizations/history[MeSH Terms] OR preferred provider organizations/manpower[MeSH Terms] OR preferred provider organizations/methods[MeSH Terms] OR preferred provider organizations/standards[MeSH Terms] OR preferred provider organizations/trends[MeSH Terms] OR preferred provider organizations/utilization[MeSH Terms]) OR ((preferred provider organization[TIAB] OR preferred provider organizations[TIAB]) NOT Medline[SB]) OR (exclusive provider organization[Text Word] OR exclusive provider organizations[Text Word]) OR ((exclusive provider organization[TIAB] OR exclusive provider organizations[TIAB]) NOT Medline[SB]) OR (independent practice association[Text Word] OR independent practice associations[Text Word]) OR (independent practice associations[MeSH Terms] OR independent practice associations/classification[MeSH Terms] OR independent practice associations/economics[MeSH Terms] OR independent practice associations/ethics[MeSH Terms] OR independent practice associations/history[MeSH Terms] OR independent practice associations/manpower[MeSH Terms] OR independent practice associations/standards[MeSH Terms] OR independent practice associations/trends[MeSH Terms] OR independent practice associations/utilization[MeSH Terms]) OR ((independent practice association[TIAB] OR independent practice associations[TIAB]) NOT Medline[SB]) OR point of service[Text Word] OR (point of service[TIAB] NOT Medline[SB]) OR "physician hospital organization*"[Text Word] OR "hospital physician joint ventures"[Text Word] OR "hospital physician joint ventures"[MeSH Terms])


4

Suchstrategie in Medline (Pubmed) am 12.08.2008 und Ergebnisse

Such-schritt Suchwörter Treffer

#1 managed care* [Text Word] 26639#2 managed care program* [MeSH Terms] 36597#3 managed care program* [TIAB] NOT Medline[SB] 6

#4 (#1) OR (#4) OR (#5) (= MC allg.) 40000#5 health maintenance organization* [Text Word] 15740#6 health maintenance organization*[MeSH Terms] 14055#7 health maintenance organization*[TIAB] NOT Medline[SB] 56

#8 ((#5) OR (#6)) OR (#7) (= HMO) 15740#9 preferred provider organization* [Text Word] 1761

#10 preferred provider organization*[MeSH Terms] 1584#11 preferred provider organization*[TIAB] NOT Medline[SB] 4

#12 ((#9) OR (#10)) OR (#11) (= PPO) 1761#13 exclusive provider organization*[Text Word] 10#14 exclusive provider organization*[MeSH Terms] 2

#15 exclusive provider organization*[TIAB] NOT Medline[SB]

no items found

(nif)#16 ((#13) OR (#14)) OR (#15) (= EPO) 11#17 independent practice association*[Text Word] 902#18 independent practice association*[MeSH Terms] 776#19 independent practice association* [TIAB] NOT Medline[SB] 1

#20 ((#17) OR (#18)) OR (#19) (= IPA) 902#21 Point-of-Service*[Text Word] 242#22 Point-of-Service*[MeSH Terms] nif#23 Point-of-Service* [TIAB] NOT Medline[SB] 3

#24 ((#21) OR (#22)) OR (#23) (= POS) 242#25 "physician hospital organization*"[Text Word] 62#26 "physician hospital organization*"[MeSH Terms] nif#27 physician hospital organization* [TIAB] NOT Medline[SB] nif#28 hospital physician joint ventures[Text Word] 2084#29 "hospital physician joint ventures"[MeSH Terms] 2603#30 "hospital physician joint ventures"[TIAB] NOT Medline[SB] nif

#31 ((#25) OR (#28)) OR (#29) (= PHO) 2618

#32 ((((((((#4)OR(#8))OR(#12))OR(#16))OR(#20))OR(#24))OR(#31)) (=MC gesamt) 43523

5

(((((((((((managed care[Text Word])) OR ((managed care program*[MeSH Terms]))) OR ((managed care program*[TIAB] NOT Medline[SB]))))) OR (((((health maintenance organization*[Text Word])) OR ((health maintenance organization*[MeSH Terms]))) OR ((health maintenance organization*[TIAB] NOT Medline[SB]))))) OR (((((preferred provider organization*[Text Word])) OR

((preferred provider organization*[MeSH Terms]))) OR ((preferred provider organization*[TIAB] NOT Medline[SB]))))) OR (((((exclusive provider organization*[Text Word])) OR ((exclusive provider organization*[MeSH Terms]))) OR ((exclusive provider organization*[TIAB] NOT Medline[SB]))))) OR (((((independent practice association*[Text Word])) OR ((independent practice association*[MeSH Terms]))) OR ((independent practice association*[TIAB] NOT Medline[SB]))))) OR (((((Point-of-Service*[Text Word])) OR ((Point-of-Service*[MeSH Terms]))) OR ((Point-of-Service*[TIAB] NOT Medline[SB]))))) OR ((((("physician hospital organization*"[Text Word])) OR (("hospital physician joint ventures"[Text Word]))) OR (("hospital physician joint ventures"[MeSH Terms]))))

#33 "quality"[All Fields] 408898

#34 "quality of care"[All Fields] 13097#35 "quality of health care"[All Fields] 41399

#36 ((#33)) OR (#34)) OR (#35) ( = Quality gesamt) 408898

#37 Qualität [All Fields] 85

#38 Qualität* [All Fields] 96649

#39 (#36) (=Quality gesamt) OR ('38) (=Qualität) 496786

#40 (#32) (= MC gesamt) AND (#33) (="quality" [All Fields]) 8539

((((((((((((managed care[Text Word])) OR ((managed care program*[MeSH Terms]))) OR ((managed care program*[TIAB] NOT Medline[SB]))))) OR (((((health maintenance organization*[Text Word])) OR ((health maintenance organization*[MeSH Terms]))) OR ((health maintenance organization*[TIAB] NOT Medline[SB]))))) OR (((((preferred provider organization*[Text Word])) OR ((preferred provider organization*[MeSH Terms]))) OR ((preferred provider organization*[TIAB] NOT Medline[SB]))))) OR (((((exclusive provider organization*[Text Word])) OR ((exclusive provider organization*[MeSH Terms]))) OR ((exclusive provider organization*[TIAB] NOT Medline[SB]))))) OR (((((independent practice association*[Text Word])) OR ((independent practice association*[MeSH Terms]))) OR ((independent practice association*[TIAB] NOT Medline[SB]))))) OR (((((Point-of-Service*[Text Word])) OR ((Point-of-Service*[MeSH Terms]))) OR ((Point-of-Service*[TIAB] NOT Medline[SB]))))) OR ((((("physician hospital organization*"[Text Word])) OR (("hospital physician joint ventures"[Text Word]))) OR (("hospital physician joint ventures"[MeSH Terms]))))) AND (("quality"))

#41 (#32) (= MC gesamt) AND (#36) ( Quality gesamt) 8539

6

((((((((((((managed care[Text Word])) OR ((managed care program*[MeSH Terms]))) OR ((managed care program*[TIAB] NOT Medline[SB]))))) OR (((((health maintenance organization*[Text Word])) OR ((health maintenance organization*[MeSH Terms]))) OR ((health maintenance organization*[TIAB] NOT Medline[SB]))))) OR (((((preferred provider organization*[Text Word])) OR ((preferred provider organization*[MeSH Terms]))) OR ((preferred provider organization*[TIAB] NOT Medline[SB]))))) OR (((((exclusive provider organization*[Text Word])) OR ((exclusive provider organization*[MeSH Terms]))) OR ((exclusive provider organization*[TIAB] NOT Medline[SB]))))) OR (((((independent practice association*[Text Word])) OR ((independent practice association*[MeSH Terms]))) OR ((independent practice association*[TIAB] NOT Medline[SB]))))) OR (((((Point-of-Service*[Text Word])) OR ((Point-of-Service*[MeSH Terms]))) OR ((Point-of-Service*[TIAB] NOT Medline[SB]))))) OR ((((("physician hospital organization*"[Text Word])) OR (("hospital physician joint ventures"[Text Word]))) OR (("hospital physician joint ventures"[MeSH Terms]))))) AND ((((("quality"))) OR (("quality of care"[All Fields])) OR (("quality of health care"[All Fields]))))

#42 (#32) (= MC gesamt) AND (Qualität* [All Fields]) 200

(((((((((((managed care[Text Word])) OR ((managed care program*[MeSH Terms]))) OR ((managed care program*[TIAB] NOT Medline[SB]))))) OR (((((health maintenance organization*[Text Word])) OR ((health maintenance organization*[MeSH Terms]))) OR ((health maintenance organization*[TIAB] NOT Medline[SB]))))) OR (((((preferred provider organization*[Text Word])) OR ((preferred provider organization*[MeSH Terms]))) OR ((preferred provider organization*[TIAB] NOT Medline[SB]))))) OR (((((exclusive provider organization*[Text Word])) OR ((exclusive provider organization*[MeSH Terms]))) OR ((exclusive provider organization*[TIAB] NOT Medline[SB]))))) OR (((((independent practice association*[Text Word])) OR ((independent practice association*[MeSH Terms]))) OR ((independent practice association*[TIAB] NOT Medline[SB]))))) OR (((((Point-of-Service*[Text Word])) OR ((Point-of-Service*[MeSH Terms]))) OR ((Point-of-Service*[TIAB] NOT Medline[SB]))))) OR ((((("physician hospital organization*"[Text Word])) OR (("hospital physician joint ventures"[Text Word]))) OR (("hospital physician joint ventures"[MeSH Terms]))))) AND ((Qualitat*[All Fields]))

#43 (#32) (= MC gesamt) AND (#39) (=Quality insgesamt) 8672

#43 outcome [all field] 693924

#44 "outcome"[All Fields] AND (#32) (= MC gesamt) 3746

7

#45

"outcome" AND ((((((((((((managed care[Text Word])) OR ((managed care program*[MeSH Terms]))) OR ((managed care program*[TIAB] NOT Medline[SB]))))) OR (((((health maintenance organization*[Text Word])) OR ((health maintenance organization*[MeSH Terms]))) OR ((health maintenance organization*[TIAB] NOT Medline[SB]))))) OR (((((preferred provider organization*[Text Word])) OR ((preferred provider organization*[MeSH Terms]))) OR ((preferred provider organization*[TIAB] NOT Medline[SB]))))) OR (((((exclusive provider organization*[Text Word])) OR ((exclusive provider organization*[MeSH Terms]))) OR ((exclusive provider organization*[TIAB] NOT Medline[SB]))))) OR (((((independent practice association*[Text Word])) OR ((independent practice association*[MeSH Terms]))) OR ((independent practice association*[TIAB] NOT Medline[SB]))))) OR (((((Point-of-Service*[Text Word])) OR ((Point-of-Service*[MeSH Terms]))) OR ((Point-of-Service*[TIAB] NOT Medline[SB]))))) OR ((((("physician hospital organization*"[Text Word])) OR (("hospital physician joint ventures"[Text Word]))) OR (("hospital physician joint ventures"[MeSH Terms])))))

#46 ((#39)OR(#42)) (=Qualität insgesamt OR Outcome) 1128417

#47 (#32) (= MC gesamt) AND (#46) (=Qualität insgesamt OR Outcome) 10990

(((("outcome")) OR ((((((("quality"))) OR (("quality of care"[All Fields])) OR (("quality of health care"[All Fields])))) OR ((Qualitat*[All Fields])))))) AND (((((((((((((managed care[Text Word])) OR ((managed care program*[MeSH Terms]))) OR ((managed care program*[TIAB] NOT Medline[SB]))))) OR (((((health maintenance organization*[Text Word])) OR ((health maintenance organization*[MeSH Terms]))) OR ((health maintenance organization*[TIAB] NOT Medline[SB]))))) OR (((((preferred provider organization*[Text Word])) OR ((preferred provider organization*[MeSH Terms]))) OR ((preferred provider organization*[TIAB] NOT Medline[SB]))))) OR (((((exclusive provider organization*[Text Word])) OR ((exclusive provider organization*[MeSH Terms]))) OR ((exclusive provider organization*[TIAB] NOT Medline[SB]))))) OR (((((independent practice association*[Text Word])) OR ((independent practice association*[MeSH Terms]))) OR ((independent practice association*[TIAB] NOT Medline[SB]))))) OR (((((Point-of-Service*[Text Word])) OR ((Point-of-Service*[MeSH Terms]))) OR ((Point-of-Service*[TIAB] NOT Medline[SB]))))) OR ((((("physician hospital organization*"[Text Word])) OR (("hospital physician joint ventures"[Text Word]))) OR (("hospital physician joint ventures"[MeSH Terms]))))))


8

Anhang zu Kapitel 7.7.2.2; hier: ausgewertete Publikationen (n = 107)

Publikation Kurzbeleg

Adams, Carolyn E./Kramer, Sandi/Wilson, Marilynne (1995): Home health quality outcomes. Fee-for-service versus health maintenance organization enrollees. Journal of Nursing Administration 25(11): 39–45.

Adams/Kramer/Wilson (1995)

Adolph, Vincent R./Falterman, Kenneth W. (1996): Appendicitis in children in the managed care era. Journal of Pediatric Surgery 31(8): 1035-1037.

Adolph/Falterman (1996)

Aitken, Mary E./Warden, Craig R./Critchlow, Cathy W. (1997): The effect of health maintenance organization vs commercial insurance status on obstetrical management and outcome. Archives of Pediatric and Adolescent Medicine 151(11): 1104–1108.

Aitken/Warden/Critchlow (1997)

Alessandrini, Evaline A./Shaw, Kathy N./Bilker Warren B./Schwarz, Donald F./Bell, Louis M. (2001b): Effects of medicaid managed care on quality: childhood immunizations. Pediatrics 107(6): 1335–1342.

Alessandrini et al. (2001)1

Alessandrini, Evaline. A./Shaw, Kathy N./Bilker, Warren B./Perry, Katherine A./Baker, M. Douglas/Schwarz, Donald F. (2001a): Effects of Medicaid managed care on health care use: infant emergency department and ambulatory services. Pediatrics 108(1): 103–110.

Alessandrini et al. (2001)1

Alterman, Arthur I./Randall, Mary/ McLellan, A. Thomas (2000): Comparison of outcomes by gender and for fee-for-service versus managed care: a study of nine community programs. Journal of Substance Abuse Treatment 19(2): 127–134.

Alterman/Randall/McLellan (2000)

Angelelli, Joseph J./ Wilber, Kathleen H./ Myrtle, R. (2000): A comparison of skilled nursing facility rehabilitation treatment and outcomes under medicare managed care and medicare fee-for-service reimbursement. The Gerontologist 40(6): 646-653.

Angelelli/Wilber/Myrtle (2000)

1 Die zwei eingeschlossenen Studien von Alessandrini et al. (2001, 2001a) untersuchen die gleiche Intervention in derselben Kohorte (Kinder) als Grundpopulation (Personenbezug). Die Studien betrachten allerdings unterschiedliche Endpunkte zu unterschiedlichen Zeitpunkten. In einer Studie wird die Beeinflussung der Inanspruchnahme der Kinder-Notaufnahmen und ambulanter Dienste mit einer 6-monatigen Nachbeobachtung betrachtet. Hingegen wird in der anderen Studie die Impfrate von Kindern über eine Dauer von 24 Monaten untersucht. Aufgrund derselben Studienpopulation wurden die beiden Publikationen als eine Studie, bezeichnet als Alessandrini et al. (2001), extrahiert.

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Angus, Derek C./ Linde-Zwirble, Walter T./ Sirio, Carl A./ Rotondi, Armando J./ Chelluri, L./ Newbold Richard C./ Lave, Judith H./ Pinksky, Michael R. (1996): The effect of manged care on icu length of stay. JAMA 276(13): 1075-1082.

Angus et al. (1996)

Backus, Lisa I./Bindman, Andrew B. (2001): Low-income Californians' experiences with health insurance and managed care. Journal of Health Care for the Poor and Underserved 12(4): 446–460.

Backus/Bindman (2001)

Barton, Mary B./Dayhoff, Debra A./Soumerai, Stephen B./Rosenbach, Margo L./Fletcher, Robert H. (2001): Measuring access to effective care among elderly medicare enrollees in Managed and Fee-for-Service Care: a retrospective cohort study. Biological Medicine Central Health Services Research 1(1): 11-19.

Barton et al. (2001)

Basu, Jayasree/Friedman, Bernard/ Burstin, Helen (2006): Preventable hospitalization and medicaid managed care: does race matter. Journal of Health and Care for the Poor and Underserved 17(1): 101–115.

Basu/Friedman/Burstin (2006)

Basu, Jayasree/Mobley, Lee R. (2007): Do HMOs reduce preventable hospitalizations for Medicare beneficiaries. Medical Care Research and Review 64(5): 544–567.

Basu/Mobley (2007)

Beatty, Phillip W./Dhont, Kelley R. (2001): Medicare health maintenance organizations and traditional coverage: perceptions of health care among beneficiaries with disabilities. Archives of Physical Medicine and Rehabilation 82(8): 1009–1017.

Beatty/Dhont (2001)

Bienstock, Jessica I./Blakernore, Karin J./Wang, Eric/Presser, Dale/Misra, Dawn/Pressman, Eva K. (1997): Managed care does not lower costs but may result in poorer outcomes for patients with gestational diabetes. American journal of obstetrics and gynecology 177(5): 1035-1037.

Bienstock et al. (1997)

Bradbury, Robert C./Golec, Joseph H./Stearns, Frank E. (1991): Research Notes and Data Trends. Comparing Hospital Length of Stay in Independent Practice Association HMOs and Traditional Insurance Programs. Inquiry 28: 87-93.

Bradbury/Golec/Stearns (1991)

Bratton, Susan L./Roberts, Joan. S./Watson, R. Scott/Cabana, Michael D. (2002): Acute severe asthma: Outcome and Medicaid insurance. Pediatric Critical Care Medicine 3(3): 234–238.

Bratton/Watson/Cabana (2002)

10

Braveman, P./Schaaf, Mylo V./Egerter, S./Bennett, T./Schecter, W. (1994): Insurance-related differences in the risk of ruptured appendix. The New England Journal of Medicine 331(7): 444-449.

Braveman et al. (1994)

Burton, Lynda. C./Weiner, Jonathan P./Folkemer, John/Kasper, Judith/German, Pearl S./Stevens, Gregory D. (2001): Satisfaction with health care of dually eligible older beneficiaries. Health Care Financing Review 22(4): 175–178.

Burton et al. (2001)

Carey, Timothy S./Weis, Kathi/Homer, Charles (1991): Prepaid versus traditional Medicaid plans: lack of effect on pregnancy outcomes and prenatal care. Health Services Research 26(2): 165–181.

Carey/Weis/Homer (1991)

Carlisle, David M./Siu, Albert L./Keeler, Emmett B./McGlynn, Elizabeth A./Kahn, Katherine L./Rubenstein, Lisa V./Brook, Robert H. (1992): HMO vs Fee-for-Service Care of Older Persons with Acute Myocardial Infarction. American Journal of Public Health 82(12): 1626-1630.

Carlisle et al. (1992)

Catalano, Ralph/Libby, Anne/Snowden, Lonnie/Cuellar Evans, Alison (2000): The effect of capitated financing on mental health services for children and youth: the Colorado experience. American Journal of Public Health 90(12): 1861–1865.

Catalano et al. (2000)

Clement, Dolores G./Retchin, Sheldon M./Brown Randall S./Stegall, Meribeth H. (1994): Access and outcomes of elderly patients enrolled in managed care. JAMA 271(19): 1487–1492.

Clement et al. (1994)

Coleman, Eric A./Kramer, Andrew M./Kowalsky, Jacqueline. C./Eckhoff, Donald/Lin, Michael/Hester, Eric J./Morgenstern, Nora/Steiner, John F. (2000): A comparison of functional outcomes after hip fracture in group/staff HMOs and fee-for-service systems. Effective Clinical Practice 3(5): 229–239.

Coleman et al. (2000)

Coughlin, Teresa/Long, Sharon K. (2000): Effects of medicaid managed care on adults. Medical Care 38(4): 433–446.

Coughlin/Long (2000)

Davies, Allyson R./Ware, John E. Jr./Brook, Robert H./Peterson, Jane R./Newhouse, Joseph P. (1986): Consumer acceptance of prepaid and fee-for-service medical care: results from a randomized controlled trial. Health Services Research 21(3): 429–452.

Davies et al. (1986)

11

Deck, Dennis. D./McFarland, Bentson H./ Titus, Jessica M./Laws, Katherine E./ Gabriel, Roy M. (2000): Access to substance abuse treatment services under the Oregon Health Plan. JAMA 284(16): 2093–2099.

Deck et al. (2000)

Dellana, Scott A./Glascoff, David W. (2001): The impact of health insurance plan type on satisfaction with health care. Health Care Manage Review 26(2): 33–46.

Dellana/Glascoff (2001)

Epstein, Arnold M./Begg, Colin B./McNeil, Barbara, J. (1986): The use of ambulatory testing in prepaid and fee-for-service group practices. The New England Journal of Medicine 314(17): 1089-1094.

Epstein/Begg/McNeil (1986)

Escarce, José J./van Horn, R. Lawrence/ Pauly, Mark V./Williams, Sankey V./Chen, Shea/Chen, Wei (1999): Health maintenance organizations and hospital quality for coronary artery bypass surgery. Medical Care Research and Review 56(3): 340-362 und S.363-372.

Escarce et al. (1999)

Ettner, Susan L./Denmead, Gabrielle/ Dilonardo, Joan/Cao, Hui/Belanger, Albert J. (2003): The impact of managed care on the substance abuse treatment patterns and outcomes of Medicaid beneficiaries: Maryland's HealthChoice program. Journal of Behavioral Health Services and Research 30(1): 41–62.

Ettner et al. (2003)

Francis, Anita M./Polissar, L./Lorenz, Ann Browder (1984): Care of patients with colorectal cancer. A comparison of a health maintenance organization and fee-for-services practices. Medical Care 22(5): 418-429.

Francis/Polissar/Lorenz (1984)

Gazmararian, Julie A./Koplan, Jeffrey P. (1990): Length-of-stay after delivery: managed care versus fee-for-service, is managed care responsible for the trend toward shorter maternal lengths-of-stay? The answer may surprise you. Health Affairs 15(4): 74-80.

Gazmararian/Koplan (1990)

Goldzweig, Caroline Lubick/Mittman, Brian S./Carter, Grace M./Donyo T./Brook, Robert H./Lee, P./Mangione, Carol M. (1997): Variations in cataract extraction rates in medicare prepaid and fee-for-service settings. JAMA 277(22), S. 1765-1768.

Goldzweig et al. (1997)

Greenfield, S./Nelson, Eugene C./Zubkoff, M./Manning, W./Rogers, W./Kravitz, Richard L./Keller, A./Tarlov, Alvin R./Ware, John E. (1992): Variations in resource utilization among medical specialties and systems of care. JAMA 267(12): 1624-1630.

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12

Guadagnoli, E./Landrum, Mary B./Peterson, Eric A./Gahart, Martin T./Ryan, Thomas J./McNeil, Barbara J. (2000): Appropriateness of coronary angiography after myocardial infarction among medicare beneficiaries. The New England Journal of Medicine 343(20): 1460-1466.

Guadagnoli et al. (2000)

Gustin, Nina Jahn/Berman, William H./Hurt, Stephen W./Roff, M. (1995): The effect of utilization management on the treatment of schizophrenic inpatients. American Journal of Medical Quality 10(3): 138-140.

Gustin et al. (1995)

Hadley, J./Mitchell, Jean M. (1997): Breast cancer treatment choice and mastectomy length of stay: A comparison of HMO and other privately insured women. Inquiry 34: 288-301.

Hadley/Mitchell (1997)

Hughes, Susan L./Finkel, Sanford/Harter, Kathryne/Fulton, Bradley/Edelman, Perry/ Waters, Teresa (2003): Evaluation of the managed community care demonstration project. Journal of the Aging and Health 15(1): 246–268.

Hughes et al. (2003)

Kao, Audiey C./Green, Diane C./ Zaslavsky, Alan M./Koplan, Jeffrey P./ Cleary, Paul D. (1998): The relationship between method of physician payment and patient trust. JAMA 280(19): 1708–1714.

Kao et al. (1998)

Kasper, Judith D./Riley, Gerald (1992): Satisfaction with medical care among elderly people in fee-for-service care and an HMO. Journal of Aging and Health 4(2): 282–302.

Kasper/Riley (1992)

Kirschke, David L./Craig, Allen S./Schaffner, William/Daugherty, James R./ Narramore, Jerry/Griffin, Marie R. (2004): Childhood immunization rates before and after the implementation of Medicaid managed care. Archives of Pediatriatic and Adolescescent Medicine 158(3): 230–235.

Kirschke et al. (2004)

Krieger, James W./Connell, Frederick A./ LoGerfo, James P. (1992): Medicaid Prenatal Care: A Comparison of Use and Outcomes in Fee-for-Service and Managed Care. American Journal of Public Health 82(2): 185-190.

Krieger/Connell/LoGerfo (1992)

Kroll, Thilo/Neri, Melinda T. (2003): Experiences with care co-ordination among people with cerebral palsy, multiple sclerosis, or spinal cord injury. Disability and Rehabilitation 25(19): 1106–1114.

Kroll/Neri (2003)

Kulkarni, Pratibha R./Orth, D./Vernon, Sally W./Jackson, Gilchrist L./Lairson, David/Davis, Barry R. (1989): Stage at Diagnosis of Breast Cancer. Comparison in a Fee-For-Service and Health Maintenance Organization Practice. Medical Care 27(6): 608-622.

Kulkarni et al. (1989)

13

Lake, Timothy (1999-00): Do HMOs make a difference? Consumer assessments of health care. Inquiry 36(4): 411–418.

Lake (1999)

Lambert, E. Warren/Guthrie, Pamela R. (1996): Clinical outcomes of a children's mental health managed care demonstration. The Journal of Mental Health Administration 23(1): 51–68.

Lambert/Guthrie (1996)

Landon, Bruce E./Zaslavsky, Alan M./Bernard, Shulamit L./Cioffi, Matthew J./Cleary, Paul D. (2004): Comparison of performance of traditional medicare vs medicare managed care. JAMA 291(14): 1744-1752.

Landon et al. (2004)

Langa, Kenneth M./Sussman, Elliot, J. (1993): The effect of cost-containment policies on rates of coronary revascularization in California. The New England Journal of Medicine 329(24): 1-6.

Langa/Sussman (1993)

Leach, Linda S./Yip, Judy Y./Myrtle, Robert C./Wilber, Kathleen H. (2001): Outcomes among orthopedic patients in skilled nursing facilities: does managed care make a difference. Journal of Nursing Administration 31(11): 527–533.

Leach et al. (2001)

Lee-Feldstein, Anna/Feldstein, Paul J./ Buchmueller, Thomas/Katterhagen, Gale (2001): Breast cancer outcomes among older women: HMO, fee-for-service, and delivery system comparisons. Journal of General Internal Medicine 16(3): 189–199.

Lee-Feldstein et al. (2001)

Leigh, Wilhelmina A./Lillie-Blanton, Marsha/Martinez, Rose M./Collins, Karen S. (1999): Managed care in three states: experiences of low-income African Americans and Hispanics. Inquiry 36(3): 318–331.

Leigh et al. (1999)

Levinson, Arik/Ullman, Frank (1998): Medicaid managed care and infant health. Journal of Health Economics 17(3): 351–368.

Levinson/Ullman (1998)

LoGerfo, James P./Efird, Robert A./Diehr, Paula K./Richardson, William C. (1979): Rates of surgical care in prepaid group practices and the independent setting: what are the reasons for the differences. Medical Care 17(1): 1–10.

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Lurie, Nicole/Moscovice, Ira S./Finch, M./ Christianson, Jon B./Popkin, Michael K. (1992): Health of the Mentally III? Results from a randomized trial. JAMA 267(24): 3300-3304.

Lurie et al. (1992)

Mark, T./Mueller, C. (1996): Access to care in HMOs and traditional insurance plans. Health Affairs 15(4): 81-87.

Mark/Mueller (1996)

Mauldon, J./Leibowitz, A./Buchanan, J. L./Damberg, C./McGuigan, K.A. (1994): Rationing or rationalizing children's medical care: comparison of a Medicaid HMO with fee-for-service care. American Journal of Public Health 84(6): 899–904.

Mauldon et al. (1994)

14

Merill, Ray M./ Brown, Martin L./ Potosky, Arnold I./ Riley, G./Taplin, Stephen H./ Fireman, Bruce H. (1999): Survival and Treatment for Colorectal Cancer Medicare Patients in Two Group/Staff Health Maintenance Organizations and the Fee-for-Service Setting. Medical Care Research and Review 56(2): 177-196.

Merill et al. (1999)

Miller, Nancy A. (1992): An evaluation of substance misuse treatment providers used by an employee assistance program. International Journal of the Addictions 27(5): 533–559.

Miller (1992)

Mitchell, Jean M./Meehan, Kenneth R./ Kong, Janet/ Schulman, Kevin A. (1997): Access to Bone Marrow Transplantation for Leukemia and Lymphoma: The Role of Sociodemografic Factors. Journal of Clinical Oncology 15(7): 2644-2651.

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Morrissey, Joseph P./ Stroup, T.S./ Ellis, Alan R./ Merwin, Elizabeth (2002): Service Use and Health Status of Persons With Severe Mental Illness in Full-Risk and No-Risk Medicaid Programs. Psychiatric Services 53(3): 293-298.

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Murray, James P. (1988): A follow-up comparison of patient satisfaction among prepaid and fee-for-service patients. The Journal of Family Practice 26(5): 576–581.

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Murray, James P./Greenfield, Sheldon/ Kaplan, Sherrie H./Yano, Elizabeth M. (1992): Ambulatory Testing for Capitation and Fee-For-Service Patients in the Same Practice Setting: Relationship to Outcomes. Medical Care 30(3): 252-261.

Murray et al. (1992)

Nelson, Lyle/ Brown, Randall/ Gold, Marsha/ Ciemnecki, Anne/ Docteur, Elizabeth (1997): Access To Care In Medicare HMOs, 1996. Elderly Americans give Medicare managed care a mixed assessment: The vast majority are satisfied with their care, but one in four would not recommend their plan to someone with a serious or chronic health problem. Health Affairs 16(2): 148-156.

Nelson et al. (1997)

Newcomer, R./Preston, S./Harrington, C. (1996): Health plan satisfaction and risk of disenrollment among social/hmo and fee-for-service recipients. Inquiry 33: 144-154.

Newcomer/Preston/Harrington (1996)

Newsome, Britt/Retchin, Sheldon M./ Jurgensen, Michael/Rossiter, Lou/ Glasheen, William/ Colley, Lawrence (1999): Factors associated with changes in satisfaction with care. Clin Perform Qual Health Care 7(2): 56–62.

Newsome et al.(1999)

Ni, Hanyu/Nauman, Deirdre J./ Hershberg, Ray E.(1998): Managed care and outcomes of hospitalization among elderly patients with congestive heart failure. Archives of Internal Medicine 158: 1231-1236.

Ni/Nauman/Hershberger(1998)

15

Oleske, Denise M./Branca, Marta L./ Schmidt, Julie B./ Ferguson, R./ Linn, Edward S. (1998): A comparison of capitated and fee-for-service medicaid reimbursement methods on pregnancy outcomes. Health Services Research 33(1): 55-73.

Oleske et al. (1998)

Paone, G./Higgins, Robert S./Spencer, T./Silverman, Norman A. (1995): Enrollment in the health alliance plan hmo is not an independent risk factor for coronary artery bypass graft surgery. Circulation 92(9): 69-72.

Paone et al. (1995)

Paramore, L. Clark/Elixhauser, Anne (1999): Assessment of quality of care for managed care and fee-for-service patients based on analysis of avoidable hospitalizations. Value in Health 2(4): 258–268.

Paramore/Elixhauser (1999)

Potosky, A./Breen, N./Graubard, B./ Parsons, E. (1998): The association between health care coverage and the use of cancer screening tests. Medical Care 36(3): 257-270.

Potosky et al. (1998)

Potosky, Arnold L./Merrill, Ray M./Riley, Gerald F./Taplin, Stephen H./Barlow, William/Fireman, Bruce H./Lubitz, James D. (1999): Prostate cancer treatment and ten-year survival among group/staff hmo and fee-for-service medicare patients. Health Services Research 34(2): 525-546.

Potosky et al. (1999)

Ramsey, Scott D./Hillman, Alan L./Pauly, Mark V. (1997): The effects of health insurance on access to new medical technologies. International Journal of Technology Assessment in Health Care 13(2): 357-367.

Ramsey/Hillman/Pauly (1997)

Renz, Ellen A./Chung, Richard/Fillman, T. Orvin/Mee-Lee, David/Sayama, Mike (1995): The effect of managed care on the treatment outcome of substance use disorders. General Hospital Psychiatry 17(4): 287–292.

Renz et al. (1995)

Retchin, Sheldon M./Brown, Barbara (1990): The quality of ambulatory care in Medicare health maintenance organizations. American Journal of Public Health 80( 4): 411 – 415.

Retchin/Brown (1990)

Retchin, Sheldon M./Clement, Dolores G./ Rossiter, Louis F./Brown, Barbara/Brown, Randall/Nelson, Lyle (1992): How the elderly fare in HMOs: outcomes from the Medicare competition demonstrations. Health Services Research 27(5): 651–669.

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Retchin, S.M./Brown, R.S./ Yeh, S.-C.J./Chu, D.M.L. (1997): Outcomes of Stroke Patients in Medicare Fee for Service and Managed Care. JAMA 278(2): 119-124.

Retchin et al. (1997)

16

Riley, G./Lubitz, J./Rabey, E. (1991): Enrollee health status under Medicare risk contracts: an analysis of mortality rates. Health Services Research 26(2): 137–163.

Riley/Lubitz/Rabey (1991)

Riley, Gerald/Potosky, Arnold/Lubnitz, James/Brown, Martin (1994): Stage of Cancer at Diagnosis for Medicare HMO and Fee-for-Service Enrollees. American Journal of Public Health 84(10): 1598-1604.

Riley et al. (1994)

Riley, Gerald/Potosky, Arnold/Klabunde, Carrie/Warren, Joan/Ballard-Barbash, Rachel (1999): Stage at Diagnosis and Treatment Patterns Among Older Women With Breast Cancer. An HMO and Fee-for-Service Comparison. JAMA 281(8): 720-726.

Riley et al. (1999)

Rocha, Cynthia J./ Kabalka, England L. (1999): A comparison study of access to health care under a medicaid managed care program. Health & Social Work 24(3): 169-179.

Rocha/Kabalka (1999)

Roemer, Milton I. (1982): Sickness absenteeism in members of health maintenance organizations and open-market health insurance plans. Medical Care 20(11): 1140–1146.

Roemer (1982)

Rogers, William H./ Wells, Kenneth B./ Meredith, Lisa S./ Sturm, Roland/ Burnam, Audrey M. (1993): Outcomes for adult outpatients with depression under prepaid or fee-for-service financing. Arch Gen Psychiatry 50: 517-525.

Rogers et al. (1993)

Roohan, Patrick J./Butch, Jacqueline M./Anarella, Joseph P./Gesten, Foster/Shure, Kathleen (2006): Quality measurement in medicaid managed care and fee-for-service: the New York State experience. American Journal of Medical Quality 21(3): 185–191.

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Rossiter, Louis F./Langwell, K./Wan, Thomas T.H./Rivnyak, M. (1989): Patient satisfaction among elderly enrollees and disenrollees in medicare health maintenance organizations. JAMA 262(1): 57-63.

Rossiter et al. (1989)

Rubin, Haya R./Gandek, Barbara/Rogers, William H./Kosinski, Mark/McHorney, Colleen A./Ware, John E. Jr. (1993): Patients' ratings of outpatient visits in different practice settings. Results from the Medical Outcomes Study. JAMA 270(7): 835–840.

Rubin et al. (1993)

Safran, Dana G./Tarlov, Alvin R./Rogers, William H. (1994): Primary care performance in fee-for-service and prepaid health care systems. JAMA 271(20): 1579-1586.

Safran/Tarlov/Rogers (1994)

Schneider, Eric C./Cleary, Paul D./ Zaslavsky, Alan M./Epstein, Arnold M. (2001): Racial disparity in influenza vaccination. Does managed care narrow the gap between African Americans and whites? In: JAMA 286(12) S. 1455-1460.

Schneider et al. (2001)

17

Shi, Leiyu/Starfield, Barbara/Xu, Jiahong/Politzer, Robert/Regan, Jerrilyn (2003): Primary care quality: community health center and health maintenance organization. Southern Medical Journal 96(8): 787–795.

Shi et al. (2003)

Singhal, Puneet K./Zuckerman, Ilene/Stuart, Bruce/Magder, Laurence/ Rubin, Haya (2007): Quality of drug treatment of childhood persistent asthma in Maryland medicaid recipients in transition from managed fee for service to managed capitation. Journal of Managed Care Pharmacy 13(4): 310–318.

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Skaggs, David L./Clemens, Samantha M./Vitale, Michael G./Femino, J. D./Kay, Robert M. (2001): Access to orthopedic care for children with medicaid versus private insurance in California. Pediatrics 107(6): 1405–1408.

Skaggs et al. (2001)

Soumerai, Stephen B./McLaughlin, Thomas J./Gurwitz, Jerry H./Pearson, S./ Christiansen, Cindy L./Borbas, C./Morris, N.; McLaughlin, B./Gao, X./Ross-Degnan, D. (1999): Timeliness and Quality of care for elderly patients with acute myocardial infarction under health maintenance organization vs fee-for-service. Archives of Internal Medicine 159: 2013-2020.

Soumerai et al. (1999)

Stern, Robert S./Juhn, Peter I./Gertler, Paul J./Epstein, Arnold M. (1989): A comparison of length of stay and costs for health maintenance organization and fee-for-service patients. Archives of Internal Medicine 149(5): 1185–1188.

Stern et al. (1989)

Stewart, Monica/Petri, Michelle (2000): Lupus nephritis outcomes: health maintenance organizations compared to non-health maintenance organizations. The Journal of Rheumatology 27(4): 900–902.

Stewart/Petri (2000)

Sung, Jimmy/Wessel, Mike/Gallagher, Scott F./Marcet, Jorge/Murr, Michel M. (2004): Failure of Medicare health maintenance organizations to control the cost of colon resections in elderly patients. Archives of Surgery 139(12): 1366–1370.

Sung et al. (2004)

Udvarhelyi, Steven I./Jennison, K./ Phillips, Russell S./Epstein, Arnold M. (1991): Comparison of the quality of ambulatory care for fee-for-service and prepaid patients. Annals of Internal Medicine 115(5): 394-400.

Udvarhelyi et al. (1991)

Valdez, R. Burciaga/Ware, John E. Jr./Manning, Willard G./Brook, Robert H./Rogers, William H./Goldberg, George A./Newhouse, Joseph P. (1989): Prepaid group practice effects on the utilization of medical services and health outcomes for children: results from a controlled trial. Pediatrics 83(2): 168–180.

Valdez et al. (1989)

18

Vernon, Sally W./ Heckel, V./Jackson, Gilchrist, L. (1995): Medical outcomes of care for breast cancer among health maintenance organization and fee-for-service patients. Clinical Cancer Research 179: 179-184.

Vernon/Heckel/Jackson (1995)

Vernon, Sally W./ Hughes, John I./ Heckel, Virginia M./Jackson, Gilchrist L. (1992): Quality of care for colorectal cancer in a fee-for-service and health maintenance organization practice. Cancer 69(10): 2418-2425.

Vernon et al. (1992)

Wagner, Edward H./Bledsoe, Turner (1990): The Rand Health Insurance Experiment and HMOs. Medical Care 28(3): 191–200.

Wagner/Bledsoe (1990)

Ward, Michael M./Lubeck, D./Leigh, Paul J. (1998): Longterm health outcomes of patients with rheumatoid arthritis treated in managed care and fee-for-service practice settings. J. Rheumatol 25: 641-649.

Ward/Lubeck/Leigh (1998)

Ware, John E./Bayliss, Martha S./ Rogers, William H./Kosinski, Mark/Tarlov, Alvin R. (1996): Differences in 4-Year Health Outcomes for Elderly and Poor, Chronically III Patients Treated in HMO and Fee-for-Service Systems. Results From the Medical Outcomes Study, in JAMA 276(13): 1039-1047.

Ware et al. (1996)

Ware, John L./ Rogers, William H./ Davies, Allyson Ross/ Goldberg, George A./ Brook, Robert H./ Keeler, Emmett B./ Sherbourne, Cathy/ Donald, Camp P./ Newhouse, Joseph P. (1986): Comparison of health outcomes at a health maintenance organisation with those of fee-for-service care. The Lancet(3) S.1017- 1022.

Ware et al. (1986)

Weinick, Robin M./Beauregard, Karen M. (1997): Women’s Use of Preventive Screening Services: A Comparison of HMO Versus Fee-for-Service Enrollees. Medical Care Research and Review 54(2): 176-199.

Weinick/Beauregard (1997)

Wells, K.B./Hays, R.D./Burnam, M.A./Rogers, W./Greenfield, S./Ware, J.E. (1989): Detection of Depressive Disorder for Patients Receiving Prepaid or Fee-for-Service Care. Results From the Medical Outcomes Study. JAMA 262(23): 3298-3302.

Wells et al. (1989)

Wilner, S./Schoenbaum, Stephen C./ Monson, Richard R./Winickoff, Richard N. (1981): A comparison of the Quality of maternity care between a health-maintenance organization and fee-for-service practices. The New England Journal of Medicine 304(13): 784-787

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19

Yelin, E.H./Henke, C.J./Kramer, J.S./Nevitt, M.C./Shearn, M./ Wallace, Epstein V. (1985): A comparison of the treatment of rheumatoid arthritis in health maintenance organizations and fee-for-service practices. The New England Journal of Medicine 312(15): 962-967.

Yelin et al. (1985)

Yelin, E./Shearn, Martin A./Epstein, Wallace V. (1986): Health Outcomes for a Chronic Disease in Prepaid Group Practice and Fee for Service Settings. The Case of Rheumatoid Arthritis. Medical Care 24(3): 236-247.

Yelin/Shearn/Epstein (1986)

Yelin, E./Chriswell, Lindsey A./ Feigenbaum, Paul G. (1996): Health care utilization and outcomes among persons with rheumatoid arthritis in fee-for-service and prepaid group practice settings. JAMA 276(13): 1048-1053.

Yelin/ChriswellFeigenbaum (1996)

Yelin, E./Trupin, L./Katz, P./Chriswell, Lindsey A./Yazdany, J./Gillis, J./ Panopalis, P. (2007): Impact of health maintenance organizations and fee-for-service on healh care utilization among people with systemic lupus erythematosus. Arthritis & Rheumatism 57(3): 508-515.

Yelin et al. (2007)

Young, Gary J./Cohen, Bruce B. (1991): Inequities in hospital care, the Massachusetts experience. Inquiry 28(3): 255–262.

Young/Cohen (1991)

20

Anhang zu Kapitel 7.7.2.2; hier: Liste relevanter ausgewerteter Reviews (n=30)

Asch, Steve/Goldzweig, Caroline L./Lee, Paul (1997): Do we understand the Effects of „Managed Care“ in Ophthalmology? A Review and Analysis. Arch Ophthalmology 115: 531-536.

Berwick, Donald M. (1996): Quality of Health Care. Part 5: Payment by Capitation and the quality of care. Quality of Health Care 335(16): 1227- 1231.

Burns, Lawton R. (1995): Medical Organization Structures That Promote Quality and Efficiency: Past research and Future Considerations. Quality Management in Health Care 3(4): 10-18.

Cangialose, Charles B./Hoffman, Lynn H./Ballard, David J. (1997): Impact of Managed Care on Quality of Healthcare: Theory and Evidence. The American Journal of Managed Care 3(8): 1153-1170.

Fink, Raymond (1998): HMO Data Systems in Population Studies of Access to Care. HSR: Health Services Research 33(3): 741-759.

Giffin, Robert (1996): Can Managed Care Save Medicare? Achieving High Quality and Low Costs Through Managed Care. Managed Care Quarterly 4(4): 12-29.

Hellinger, Fred J. (1998): The effect of Managed Care on Quality. A Review of Recent Evidence. Archives of Internal Medicine Med 158: 833-841.

Hutchinson, Angela Blair/Foster, Michael E. (2003): The effect of Medicaid Managed Care on Mental Health Care for Children: A Review of the Literature. Mental Health Services Research 5(1): 39-54.

Jeffrey, Aimee E./Newacheck, Paul W. (2006): Role of Insurance for Children with special Health Care Needs: A Synthesis of the evidence. Pediatrics 118(4): 1027-1038.

Jones, Kenneth C. (1997): Consumer Satisfaction: A Key to Financial Success in the Managed Care Environment. Journal of Health Care Finance 23(4): 21 - 32.

Luft, Harold S. (1998): Medicare and Managed Care. Annu. Rev. Public Health 19, S. 459-475.

McClearly, Karl/Asubonteng, Patrick/Munchus, George (1995): The effect of financial incentives on physicians’ behaviour in health maintenance organizations. Journal of Management in Medicine 9(1): 8-26.

Miller, Edward Alan/Weissert, William G./Chernew, Michael (1998): Managed Care for Elderly People: A Compendium of Findings. American Journal of Medical Quality 13(3): 127 - 140.

Miller, Robert H./Luft, Harold S. (1993): Managed Care: Past Evidence and Potential Trends. Frontiers of Health services Management 9(3): 3-37.

Miller, Robert H./Luft, Harold S. (1994a): Managed Care Plan Performance since 1980 - A Literature Analysis, JAMA 271(19): 1512-1519.

Miller, Robert H./Luft, Harold S. (1994b): Managed Care Plans: Characteristics, Growth, and Premium Performance. Annual Review Public Health 15: 437-459.

Miller, Robert H./Luft, Harold S. (1997): Does Managed Care Lead to Better or Worse Quality of Care? A survey of recent studies shows mixed results on managed care plan performance. Health Affairs 16(5): 7-25.

21

Miller, Robert H./Luft, Harold S. (2002): HMO Plan Performance Update: An Analysis of the Literature, 1997-2001. Health Affairs 21(4): 63-86.

Oberlander, Jonathan B. (1997): Managed Care and Medicare Reform. Journal of Health Politics, Policy and Law 22(2): 595-691.

Reiter, Robert C. (1998): Managed Care and assessment of clinical outcomes. Current Opinion in Obstetrics and Gynecology 10(4): 335 -339.

Rice, Thomas (1997): Physician Payment Policies, impacts and Implications. Annu. Rev. Public Health 18: 549-565.

Roemer, Milton I./Shonick, William (1973): HMO Performance: The Recent Evidence. The Milbank Memorial Fund Quarterly. Health and Society 51(3): 271 - 317.

Seidman, Joshua J./Bass, Eric P./ Rubin, Haya R. (1998): Review of Studies That Compare the Quality of Cardiovascular Care in HMO Versus Non-HMO Settings. Medical Care 36(12): 1607-1625.

Silberman, Pam/James, Kerry (2000): Managed Care Regulations: Impact on Quality. Quality Management in Health Care 8(2): 21 - 39.

Simonet, Daniel (2003): Managed care and traditional insurance: Comparing quality of care. International Social Security Review 56(1): 95 - 114.

Simonet, Daniel (2005): Patient satisfaction under managed care. International Journal of Health Care Quality Assurance 18(6): 424 - 440.

Sisk, Jane E. (1998): Increased Competition and the Quality of Health Care. The Milbank Quarterly 76(4): 687-707.

Steiner, Andrea/Robinson, Ray (1998): Managed care: US research evidence and its lesson for the NHS. Journal Health Serv Res Policy 3(3): 173-184.

Sullivan, Kip (1999): Health Policy and Ethics Forum. Managed Care Plan Performance Since 1980: Another Look at 2 Literature Reviews. American Journal of Public Health 89(7): 1003-1008.

Terris, Milton (1998): Lean and Mean: The Quality of care in the era of Managed Care. Journal of Public Health Policy 19(1): 5-14.

22

Anhang zu Kapitel 7.7.2.2; hier: nicht erhaltene Studien (n=8)

McGivney, W. T./Perkel, S. J. (1998): Oncology: practice guidelines and outcomes measurement. Ambulant Outreach: 17–19.

McGivney/Perkel (1998) Zeitschrift nicht zu identifizieren: Nicht erhalten

O.V. (1995): New surveys seek to measure managed care quality. Quality Letters for Healthcare Leaders 7(7): 19. o.V. (1995)

Jahrgang 1995 nicht erhalten

O.V. (1998): Looking for a benchmark? Try Southern states. Healthcare Benchmarks 5(4): 47–51.

o.V. (1998) Nicht erhalten

O.V. (2003): Research suggests more care, greater expense fails to produce outcome improvements. Capitation Rates Data 8(4): 40–43.


O.V. (2004): 2003 HEDIS data suggest growing quality gap between HMOs, other payers. Capitation Rates Data 9(10): 116–120.


O.V. (2005): States move to capitation to reduce costs, improve quality and increase access. Capitation Management Report 12(9): 103–106.


Regier, D. A. (1998): Mental health parity under managed care. Results to date and implications. Behavioral Healthcare Tomorrow 7(4): 29-31, 39.

Regier (1998) Nicht erhalten

Woodring, B. C. (1999): Medicaid and managed care changes. Has care for children really improved? In: Journal of Child and Family Nursery 2(6): 445–446.

Woodring (1999) Nicht erhalten

Die nicht erhaltenen Studien sind vorstehend aufgelistet: diese waren

• in der „Zentral-Bibliothek Medizin“ (ZBMed) in Köln nicht erhältlich, • vom Dokumentenlieferdienst „Subito“ als nicht lieferbar bezeichnet worden • und auch im Internet nicht verfügbar.

Dabei handelte es sich mehrfach um Treffer in der Zeitschrift „Capitation Rates and Data“, und überwiegend um die Darstellung von sekundärstatistischen Auswertungen.

23

Anhang zu Kapitel 7.7.2.2; hier: nach der Volltextanalyse ausgeschlossene Studien (n=50)

Publikation Kurzbeleg/Begründung

Acosta, Stephen C. (2001): Quality of care in the Veterans Health Administration. The New England Journal Medicine 344(15): 1168-1169.

Acosta (2001) Briefwechsel - Keine Primärstudie

Bentur, Netta/Gross, Revital (2001): The reform of the Israeli health care system: a comparison between older and younger consumers, one year and three years after its implementation. Journal of American Geriatrics Society 49(1): 56–64.

Bentur/Gross (2001) Keine ausreichend klar definierte

Kontrollgruppe

Berwick, Donald M. (1996): Quality of health care. Part 5: Payment by capitation and the quality of care. The New England Journal of Medicine 335(16): 1227–1231.

Berwick (1996) Allgemeiner Artikel - Keine Primärstudie

Blegen, Mary A./Reiter, Robert C./Goode, Colleen J./Murphy, Richard R. (1995): Outcomes of Hospital-Based Managed Care: A Multivariate Analysis of Cost and Quality. The American College of Obstetricians and Gynecologists 86(5).

Blegen et al. (1995) Vergleichsintervention nicht klar

Boyer, Laurent/Francois, Patrice/Fourny, Magali/ Ohrond, Celine/Chanut, Charles/Labarere, Jose/ Auquier, Pascal (2008): Managed care's clinical and economic impact on patients with type II diabetes in France: a controlled population-based study. International Journal of Health Care Quality Assurance 21(3): 297–307.

Boyer et al. (2008) Unklare Settings/Vergleichsinterventionen

Brook, Robert. H./Kosecoff, Jacqueline B. (1988): Competition and quality. Health Affairs 7(3): 150–161.

Brook/Kosecoff (1988) Kommentar - Keine Primärstudie

Brown, Randall S./Clement, Dolores Gurnick/Hill, Jerrold W./Retchin, Sheldon M./Bergeron, Jeanette W. (1993): Do health maintenance organizations work for Medicare. Health Care Financ Review 15(1): 7–23.

Brown et al. (1993) Summary - Keine Primärstudie

Bruno, Richard/Gilbert, Bradley P. (1998): In California, Medi-Cal Managed Care is superior to Medi-Cal Fee-for-Service. Managed Care Quarterly 6(4): 7–14.

Bruno/Gilbert (1998) Keine Primärstudie

Calvin, James E./Roe, Matthew T./Chen, Anita Y./ Mehta, Rajendra H./Brogan, Gerard X. Jr./Delong, Elizabeth R. et al. (2006): Insurance coverage and care of patients with non-ST-segment elevation acute coronary syndromes. Annales of Internal Medicine 145(10): 739–748.

Calvin et al. (2006) Keine ausreichend klar definierte

Kontrollgruppe in der Datendarstellung

24

Carey, Tim/Weis, Kathi/Homer, Charles (1990): Prepaid versus traditional Medicaid plans: effects on preventive health care. Journal of clinical epidemiology 43(11): 1213-1220.

Carey/Weis/Homer (1990) Keine eigene Studie (vgl. dieselben 1991)

Dymowski, Robert. J. (1997): Comparison of inpatient utilization to optimal standards. Managed Care Quarterly 5(1): 33–41.

Dymowski (1997) Zusammenfassung; Keine Primärstudie

Eddy, David M. (1997): Balancing Cost And Quality In Fee-For-Service Versus Managed Care. Society has placed a totally unrealistic demand on the health care system to maximize quality while minimizing costs - without considering costs. Health Affairs 16(3): 162-173.

Eddy (1997) Kommentar - Keine Primärstudie

Fairman, Kathleen, A./Teitelbaum, Fred/Drevets, Wayne C./Engquist, Gretchen/Kreisman, Jerold J./ Norusis, Marija J. (1997): Course of Antidepressant Treatment with Tricyclic Versus Selective Serotonin Reuptake Inhibitor Agents: A Comparison in Managed Care and Fee-For-Service Environments. The American Journal of Managed Care 3(3): 453-465.

Fairman et al. (1997) Unklarer Endpunkt: Im Mittelpunkt

Arzneimittelverbrauch

Feachem, Richard G. A./Sekhri, Neelam K./White, Karen L. (2002): Getting more for their dollar: a comparison of the NHS with California's Kaiser Permanente. British Medical Journal 324(7330): 135–141.

Feachem/Sekhri/White (2002) Vergleichsintervention nicht brauchbar: National Health Service (U.K.) versus

Kaiser Permanente (non-profit HMO) in Californien

Fox, Harriette B./Wicks, Lori B./Newacheck, Paul W. (1993): Health maintenance organizations and children with special health needs. A suitable match. American Journal of the Disabled Child, 147(5): 546–552.

Fox/Wicks/Newcheck (1993) Keine ausreichend klar definierte

Kontrollgruppe (Nur HMOs)

Fromberg, Robert (1997): Measuring up under managed care. Healthcare Executive 12(1): 6–11.

Fromberg (1997) Keine Primärstudie

Garnick, Deborah, W./Luft, Harold, S./Gardner, Laura, B./Morrison, Ellen, M./Barrett, Marguerite/ O’Neil, Anne/Harvey, Birt (1990): Services and Charges by PPO Physicians for PPO and Indemnity Patients. An Episode of Care Comparison. Medical Care 28(10): 894-906.

Garwick et al. (1990) Vergleichsintervention nicht deutlich abgrenzbar, und daher Bezug zur

Versorgungsqualität unklar

Greely, Henry T. (1996): Direct financial incentives in managed care: unanswered questions. Health Matrix Clevel 6(1): 53–88.

Greely (1996) Keine Primärstudie

Jollis, James, G./DeLong, Elizabeth, R./Peterson, Eric, D./Muhlbaier, Lawrence, H./Fortin, Donald, F./Califf Robert, M./ Mark, Daniel, B. (1996): Outcome of acute myocardial infarction according to the specialty of the admitting physician. The New England Journal of Medicine 335(25): 1880-1887.

Jollis et al. (1996) Keine Vergleichsintervention

25

Kemper, Peter/Reschovsky, James D./Tu, Ha T. (1999): Do HMOs make a difference? Summary and implications. Inquiry 36(4): 419–425.

Kemper/Reschovsky/Tu (1999) Summary (zu Lake 1999)

Kertesz, Louise (2005): Driving positive change through programs that reward quality performance. AHIP Cover 46(3): 30–38.

Kertesz (2005) Vergleichsintervention und Endpunkt unklar

Lambert, E. Warren/Guthrie, Pamela R. (1996): Clinical outcomes of a children's mental health managed care demonstration. The Journal of Mental Health Admistration 23(1): 51–68.

Lambert/Guthrie (1996) Keine Intervention, die klar genug

abgegrenzt ist: eher QI Initiative, kein populationsbezogenes MC

Lee-Feldstein, Anna/Feldstein, Paul J./ Buchmueller, Thomas/Katterhagen, Gale (2000): The relationship of HMOs, health insurance, and delivery systems to breast cancer outcomes. Medical Care 38(7): 705–718.

Lee-Feldstein et al. (2000) Gleiche Datengrundlage wie bei Lee-

Feldstein et al. 2001 (Subanalyse), aber schwächerer Endpunkt

Lee-Feldstein, Anna/Anton-Culver, Hoda/Feldstein, Paul J. (1994): Treatment Differences and Other Prognostic Factors to Breast Cancer Survival. Delivery Systems and Medical Outcomes. JAMA 271(15): 1163-1168.

Lee-Feldstein/Anton-Culver/Feldstein (1994)

Keine adäquate Vergleichsintervention

LoGerfo, James P. (1982): Organizational and financial influences on patterns of surgical care. Surgical Clinics of North America 62(4): 677–684.

LoGerfo (1982) Keine Primärstudie: Beschreibung anderer Studien (u.a. auch die von LoGerfo 1979)

Luft, H. S. (1988): HMOs and the quality of care. Inquiry 25(1): 147–156.

Luft (1988) Keine Primärstudie

Lurie, Nicole/Christianson, Jon B./Gray, Donald Z./Manning, Willard G. Jr./ Popkin, Michael K. (1998): The effect of the Utah Prepaid Mental Health Plan on structure, process, and outcomes of care. New Directions for Mental Health Services 78: 99–106.

Lurie et al. (1998) Keine Kontrollintervention: untersucht

werden die Utah community health centers (CMHCs)

Manning, W.G./Wells, K.B./Benjamin, B. (1986): Use of outpatient mental health care. Trial of a prepaid group practice versus fee-for-service. The Rand Publication Series, Santa Monica.

Manning/Wells/Benjamin (1986) multiple Endpunkte allein zu Nutzweisen

McCart, P. Michael (1998): Rearranging the deck chairs on the Titanic. American Journal of Surgery 176(2): 88–91.

McCart (1998) Artikel; Keine Primärstudie

McLaughlin, Catherine G./Ginsburg, Paul B. (1998): Competition, quality of care, and the role of consumers. The Milbank Quarterly 76(4): 737–743.

McLaughlin/Ginsburg (1998) Keine Primärdaten/ -studie (Comment)

Mehrotra, Ateev/Epstein, Arnold M./ Rosenthal, Meredith B. (2006): Do integrated medical groups provide higher-quality medical care than individual practice associations. Annals of Internal Medicine 145(11): 826–833.

Mehrotra/Epstein/Rosenthal (2006) Keine klare Vergleichsintervention (kein

Komparator)

Newhouse, Joseph P. (1986): Capitation and Medicare, The RAND Publication Series, October 1986 (R-3455-HCFA)

Newhouse (1986) Keine Primärstudie mit dem Fokus auf

Versorgungsqualität

26

O.V. (1973): HMO's. The New England Journal of Medicine 288(21): 1130–1133.

o.V. (1973) Keine Studie

O.V. (1979): Health-maintenance organizations versus fee for service. The New England Journal of Medicine 300(7): 374–376.


O.V. (1980): HMO study assesses cost, quality, access to care. American Medicial News 23(30): 14.


Raetzo, Marc André (2000): Continuing education, motivation for cost control, a Swiss experiment. Gesundheitswesen 62(3): 143–147.

Raetzo (2000) Endpunkt Qualität unklar, gemessen wird die Wirkung von „Qualitätssitzungen“ der

beteiligten Ärzte in Ärztenetzen

Retchin, Sheldon M. (1997): Heterogeneity of health maintenance organizations and quality of care. Journal of the National Cancer Institute 89(22): 1654–1655.

Retchin (1997) Keine Primärdaten /-studie (Editorials)

Rowland, Lewis P. (1997): The quality of neurological care, 1997. Archives of Neurology 54(11): 1327–1328.

Rowland (1997) Keine Primärdaten /-studie (Editorial)

Schlenker, Robert E./Shaughnessy, Peter W./Hittle, David F. (1995): Patient-level cost of home health care under capitated and fee-for-service payment. Inquiry 32: 252-270.

Schlenker/Shaughnessy/Hittle (1995) Endpunkt ungeeignet: “examines costs for

a sample of Medicare patients”

Schneider, Eric C./Zaslavsky, Alan M./Epstein, Arnold M. (2005): Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries. American Journal of Medicine 118(12): 1392–1400.

Schneider (2005) keine Vergleichsintervention: Vergleich von

‚non for Profit MC“ mit ‚for Profit MC“

Soh, G. (1987): HMO: Doing better and feeling better? Some findings from a regional health survey. Singapore Medical Journal 28(2): 126-133.

Soh (1987) keine Primärstudie (Auswertung eines Survey zu Demonstrationszwecken)

Spragins, Ellyn (1996): Does your HMO stack up. Newsweek 127(26): 56–63.

Spragins (1996) Ranking; keine Primärdaten

Spragins, Ellyn (1998): Does managed care work. Newsweek 132(13): 60-66.

Spragins (1998) Keine (Primär-) Studie, Bericht

Swartz, Katherine (1998): Risk selection and Medicare+Choice: beware. Inquiry 35(2): 101–103.

Swartz (1998) Keine (Primär-) Studie: Editiorial

Tu, H.T./Reschovsky, James D. (2002): Assessments of medical care by enrollees in for-profit and nonprofit health maintenance organizations. The New England Journal of Medicine 346(17): 1288-1293.

Tu-Reschovsky (2002) Keine Vergleichsintervention, Vergleich nur

unter HMOs (profit und non-profit)

Valk, Gerlof D./Renders, Carry M./Kriegsman, Didi M. W./Newton, Katherine M./Twisk, Jos W. R./van Eijk, Jacques Thomas M./van der Wal, Gerrit/Wagner, Edward H. (2004): Quality of care for patients with type 2 diabetes mellitus in the Netherlands and the United States: a comparison of two quality improvement programs. Health Services Research 39: 709–725.

Valk et al. (2004) Vergleichsintervention unklar: „both

programs included (…)“

27

Ware, John E./Brook, Robert H./Rogers, William H./ Keeler, Emmett B./Davies, Allyson Ross/ Sherbourne, Cathy Donald/ Goldberg, George A./ Camp, P./Newhouse, Joseph P. (1987): Health outcomes for adults in prepaid and fee-for-service systems of care. The Rand Publication Series, Santa Monica.

Ware et al. (1987) Endpunkte unklar

Wells, Kenneth B./Hosek, Susann D./Marquis, M. Susan (1992): The Effects of Preferred Provider Options in Fee-For-Service Plans on Use of Outpatient Mental Health Services by Three Employee Groups. Medical Care 30(5): 412-427.

Wells/Hosek/Marquis (1992) Endpunkt nicht Qualität der Versorgung:

“This Study did not evaluate mental health outcomes(…)”

Yanos, P. T./Garcia, C. I./ Hansell, S./Rosato, M. G./Minsky, S. (2003): Managed Care and clinical Decision-Making in child and adolescent behaviour-al health: provider perceptions. Administration and Policy in Mental Health 30(4): 307 - 321.

Yanos et al. (2003) Provider Perceptions: keine Qualität der

Versorgung

Young, A.S./Sullivan, G./Burnam, M.A./Brook, R.H. (1998): Measuring the Quality of Outpatient Treatment for Schizophrenia. Archives of general psychiatry 55: 611-617.

Young et al (1998) Keine Vergleichsintervention: Case

Management als MCI in beiden Kliniken

anhang i : verwendeter suchalgorithmus und suchstrategie...anhang zu kapitel 7.7.2.2; hier:...

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