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May/June 2000
ORIGINAL ARTICLES
Failure of a Continuous Quality Improvement Intervention To Increase the Delivery of Preventive Services
A Randomized Trial
Leif I. Solberg, Thomas E. Kottke, Milo L. Brekke, Sanne Magnan, Gestur Davidson, Carolyn A. Calomeni, Shirley A. Conn, Gail M. Amundson, and Andrew F. Nelson
Despite the enthusiasm for continuous quality improvement (CQI) spurred by its reported success in other industries, in this study CQI methods did not result in important increases in preventive service delivery rates. This disappointing outcome may have resulted from use of atypical clinics in the study, inadequate evaluation or implementation of the intervention, or inadequacy of CQI.
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Breast-Feeding Education and Support: Association with the Decision To Breast-Feed
Anjali D. Deshpande and Julie A. Gazmararian
Breast-feeding education, access to a lactation consultant, and other postpartum support may improve a woman's chances of starting and continuing to breast-feed her newborn. With an increasing number of women enrolled in managed care organizations, there may be potential for increasing breast-feeding rates.
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Telephone Care as an Adjunct to Routine Medical Follow-up
A Negative Randomized Trial
H. Gilbert Welch, Deborah J. Johnson, and Robert Edson
A previous randomized trial showed that making telephone appointments part of routine care can save money and reduce hospitalizations. However, in this study, telephone care showed minimal benefit and merely became an additional service.
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PATTERNS OF PRACTICE
The Burdens of Uninsured Hospitalizations in an Urban County
Patrick L. F. Zuber, Timothy A Dignam, M. Blake Caldwell, and Paul J. Weisner
In DeKalb County, Georgia, a disproportionate share of uninsured hospitalizations falls on the public sector. Policy initiatives are needed for more even distribution of these hospitalizations between public and for-profit hospitals.
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EDITORIALS
Linking Experimental Research Methods and Health Services Research: Everything is Possible
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Should All Mothers Breast-Feed?
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Endnote
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Primer on Probability and Odds and Interpreting Their Ratios
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POLICY MATTERS
Does Risk Adjustment for Medicare Patients Reward Caring for Sick Patients or Liberal Admission Practices?
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INVITED COMMENTARY
Improving Prevention Is Difficult
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LETTER TO THE EDITOR
Do Report Cards Make the Grade?
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Introducing ACP Clinical Shorts - Expert Education on Your Schedule
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10-minute videos give you answers to challenging clinical dilemmas seen in practice and are a terrific way to earn CME credit on-the-go. See more. |
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