OBJECTIVE To determine whether aligning design characteristics of a pay-for-performance program with objectives of an asthma improvement collaborative builds improvement capability and accelerates improvement. DESIGN Interrupted time series analysis of the impact of pay for performance on results of an asthma improvement collaborative. SETTING Forty-four pediatric practices within greater C...

This major final rule with comment period addresses changes to the physician fee schedule, clinical laboratory fee schedule, and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule with comment period also includes a discussion in the Supplementary Information regarding v...

The Congress has indicated interest in modifying the system by which Medicare pays for physicians' services, and implementation of a Medicare fee schedule may be the most feasible change in the near term. In this article, the effects on physicians' Medicare receipts of a variety of fee schedules are simulated using 1984 Medicare claims data for a nationally representative sample of physician pr...

Background & Aims: Shift work is programmed in various schedules, each has its own advantages and disadvantages. The main purposes of this study were: a) to determine common shift schedules used in petrochemical industries, b) to compare shift work health-related problems among employees working in different shift schedules and c) to recommend appropriate shift schedule. Methods: This cross...

It is usually impossible to know if reported differences between cultures are due to cultural differences or due to a difference in the methods used to study the cultures. This paper describes a collaborative, multisite study using a shared methodology to study intra- and inter-cultural variation in beliefs. A series of standard interview schedules were used to study Latin American beliefs abou...

INTRODUCTION The process by which the jurisprudence course was restructured at the Canadian Memorial Chiropractic College is chronicled. METHOD A Delphi process used to restructure the course is described, and the results of a student satisfaction survey are presented. RESULTS When asked "I think this material was clinically relevant," over 81% of the 76 students who respondents strongly ag...

Although Canada and the United States have fundamentally different systems for financing health care, there are many similarities between the two countries in their approaches to physician payment. The similarities have increased recently with the adoption of the Medicare fee schedule. Canadian provinces have been using fee schedules for more than 20 years. This article provides an overview of ...

The present paper examines whether supplier inducement exists for primary physicians' services in Norway. Our model assumes optimization behavior of the physician. The research design is adapted to the institutional setting of Norwegian primary physician services, where there is a fixed fee schedule. According to our model, the physician has three choices: to rational services, to supply an opt...

BACKGROUND Bowel problems such as constipation, diarrhoea and faecal incontinence (FI) are prevalent conditions among nursing home residents and little is known about nursing management. This study aimed to elucidate how Norwegian registered nurses (RNs) manage bowel problems among nursing home residents. METHODS A mixed methods approach was used combining quantitative data from a population-...