Michael K Chapko
Datos Biográficos
| ID | 3574172 |
|---|---|
| NOMBRE | Michael K Chapko |
| NOMBRES | Michael K |
| APELLIDO | Chapko |
| FIRMA | CHAPKO M K |
| AFILIACIONES | University of Washington |
| VERIFICADO | No |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAS | 10 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1973 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2009 |
| ÍNDICE H | 2 |
Assisted Living Pilot Program
Objectives. The Department of Veterans Affairs (VA) funded assisted living (AL), adult family home (AFH), and residential care for the first time in the Assisted Living Pilot Program (ALPP). This article describes the background and methods of the ALPP evaluation and the characteristics and experiences of the facilities. Method. Facility data were collected from the contracting/inspection process and a survey of ALPP facilities and those contacte…
Assisted Living Pilot Program
Objective. The Department of Veterans Affairs funded assisted living, adult family home, and adult residential care for the first time in the Assisted Living Pilot Program (ALPP). This article compares the use and cost for individuals that entered ALPP and a comparison group. Method. This was a nonrandomized study. The comparison group consisted of VA patients who were eligible but did not enter an ALPP facility. The ALPP (n = 393) and comparison…
Assisted Living Pilot Program
Objectives. Assisted living programs demonstrate variation in structure and services. The Department of Veterans Affairs funded this care for the first time in the Assisted Living Pilot Program (ALPP). This article presents resident health outcomes and the relationship between facility characteristics and outcomes. Method. This article presents results on 393 ALPP residents followed for 12 months after admission to 95 facilities. Results. A total…
Randomized Trial of Onsite Versus Referral Primary Medical Care for Veterans in Addictions Treatment
BACKGROUND: Patients presenting for treatment of substance use disorders (SUDs) often exhibit medical comorbidities that affect functional health status and healthcare costs. Providing primary care within addictions clinics (onsite care) may improve medical and SUD treatment outcomes in this population. OBJECTIVE: The objective of this study was to compare outcomes among Veterans' Administration (VA) patients who receive medical care within the S…
VA Community-Based Outpatient Clinics
BACKGROUND: The Veterans Health Administration (VHA) recently initiated a system of Community-Based Outpatient Clinics (CBOCs) to enhance delivery of primary care to veterans. OBJECTIVE: The objective of this study was to compare quality of care provided to veterans at CBOCs and at traditional hospital-based VA Medical Center (VAMC) clinics. RESEARCH DESIGN: Quality of care was assessed using medical record data abstracted at CBOCs and VAMCs. The…
VA Community-Based Outpatient Clinics
OBJECTIVES: The purpose of this study was to compare access and utilization performance measures between Community-Based Outpatient Clinics (CBOC) and primary care clinics at parent VA Medical Centers (VAMC) and between VA-staff CBOCs and contract CBOCs. METHODS: The study design was cross-sectional and retrospective. Performance measures were based on data routinely collected for administrative and research purposes by the VA. The sample include…
VA Community-Based Outpatient Clinics
OBJECTIVE: To examine the direct costs of treating veterans in Community-Based Outpatient Clinics (CBOC) and primary care clinics operated by VA medical centers (VAMCs) between April 1998 and September 1998. RESEARCH DESIGN: In a retrospective observational study of patients in eighteen CBOCs and fourteen VAMCs, direct costs were compared. In addition, the costs of treating patients in new and established CBOCs were also examined. MEASURES: The t…
Evaluation of the Department of Veterans Affairs Community-Based Outpatient Clinics
OBJECTIVE: This paper describes the history of the Department of Veterans Affairs (VA) Community-Based Outpatient Clinics (CBOCs), CBOC Performance Evaluation Project, and characteristics of CBOCs within the VA, and summarizes the findings and implications of the CBOC Performance Evaluation Project. SUBJECTS: There were 139 CBOCs in operation at the end of fiscal year 1998. Ninety-eight percent of CBOCs offered primary health care, and 28% offere…
VA Community-Based Outpatient Clinics
BACKGROUND: The Department of Veterans Affairs (VA) recently initiated a system of Community- Based Outpatient Clinics (CBOCs) to enhance delivery of primary care to veterans. OBJECTIVE: The objective of this study was to determine the effect of CBOCs on patients' perceptions of care. RESEARCH DESIGN: The study design is a cross-sectional survey. SUBJECTS: This study compares 4,980 patients from 44 geographically diverse CBOCs to 4,159 patients f…
Predictors of Rape in the Central African Republic
This is a study of women in the Central African Republic (CAR) whose first sexual encounter was the result of rape. The analyses presented here are based on a national HIV/AIDS survey conducted in 1989. Respondents were selected through multistage cluster sampling, where census districts and households within districts were randomly selected. A total of 1307 females responded to the question regarding the circumstances of their first intercourse.…
Cost As a Study Outcome
OBJECTIVES: The analyses presented here are intended to provide empirical guidance to two questions faced by researchers performing clinical trials which include a cost component: Which health care services should we track? Should we use facility specific costs or national average costs for individual services in estimating total costs? METHODS: We reanalyzed cost data from the Department of Veterans Affairs (VA) multisite clinical trial which co…
Willingness to pay for child survival
Time to Adoption of an Innovation by Dentists in Private Practice
Dentists can be divided into five adoption categories based upon their time of adoption of pit and fissure sealants: innovators, early adopters, early majority, late majority, and laggards. The differences among dentists in the five adoption categories were examined for four classes of variables: practice characteristics, dentist characteristics, communication of information, and practice environment. Questionnaires were mailed in September 1984 …
Costs of hospital care in Niger for hypertension and cardiovascular disease
Hypertension in Africa is potentially a serious problem and is expected to become even more so with time. This study examines the cost of hospitalization for complications associated with hyptertension (heart disease, stroke, retinopathy, renal insufficiency) in the medicine-cardiology service at the University Hospital Centre, University of Niamey, Niger, from October 1988 to September 1989. All 53 patients admitted for one or more of these comp…
A Model for Reducing the Cost of Care in VA Medical Centers that Offer Adult Day Health Care
One approach to providing cost-effective adult day health care (ADHC) services is to guide both the inputs to ADHC services and the provision of other services so that substitution for institutional services can realistically take place. This approach has been used in a randomized clinical trial to evaluate the medical efficacy and cost of ADHC in the Department of Veterans Affairs (DVA). This article describes the strategies that were used to im…
A Study of the Intentional Use of Pit and Fissure Sealants over Carious Lesions
This article reports data on the intentional use by dentists of pit and fissure sealants over carious lesions. In early 1985 a random sample of 127 dentists in general practice and 20 pedodontists from Washington State were interviewed by phone. Completed interviews were obtained from 81.9 percent (N = 104) of the general practitioners and 60.0 percent (N = 12) of the pedodontists. Eighteen percent of the dentists who offer sealants in their prac…
Delegation of expanded functions to dental assistants and hygienists
One hundred and twenty-six dental offices in Washington State kept a record of each time an expanded function was performed by the dentist, hygienist, or assistant. There were five two-week recording periods starting in February 1979 and ending in February 1981. Consistent with increasing productivity, dentists most frequently delegate tasks to dental assistants rather than dental hygienists and delegate an individual task consistently if it is d…
Development and Validation of a Measure of Dental Patient Satisfaction
As part of the Washington State Dental Auxiliaries Project, a 42-item measure of patient satisfaction with dental care was developed. The measure is comprised of 13 subscales: dentist-patient relations, technical quality of care, access, patient waiting time, cost, facilities, availability, continuity, pain, auxiliaries performing expanded duties, staff-patient relations, staff technical quality of care, and office atmosphere. The measure was dev…
Black Ads Are Getting Blacker
Contagion in a crowd
On Cartwright's "Determinants of scientific progress."
Self-Other Discrepancy in Ethical Risk Taking
There is a body of literature which shows a change in the amount of S's risk taking from an individual to a group situation. A currently popular explanation for the risky shift is Brown's (1) view that there is a norm in our society to be risky. Upon entering a group, one or more of the individuals in the group find that they are not as risky as the other members and change their judgments accordingly. If Brown's cultural value of risk exists, th…
Willingness to pay for child survival
Contagion in a crowd
Assisted Living Pilot Program
Objective. The Department of Veterans Affairs funded assisted living, adult family home, and adult residential care for the first time in the Assisted Living Pilot Program (ALPP). This article compares the use and cost for individuals that entered ALPP and a comparison group. Method. This was a nonrandomized study. The comparison group consisted of VA patients who were eligible but did not enter an ALPP facility. The ALPP (n = 393) and comparison…
Assisted Living Pilot Program
Objectives. Assisted living programs demonstrate variation in structure and services. The Department of Veterans Affairs funded this care for the first time in the Assisted Living Pilot Program (ALPP). This article presents resident health outcomes and the relationship between facility characteristics and outcomes. Method. This article presents results on 393 ALPP residents followed for 12 months after admission to 95 facilities. Results. A total…
On Cartwright's "Determinants of scientific progress."
Self-Other Discrepancy in Ethical Risk Taking
There is a body of literature which shows a change in the amount of S's risk taking from an individual to a group situation. A currently popular explanation for the risky shift is Brown's (1) view that there is a norm in our society to be risky. Upon entering a group, one or more of the individuals in the group find that they are not as risky as the other members and change their judgments accordingly. If Brown's cultural value of risk exists, th…
Black Ads Are Getting Blacker
Contagion in a crowd
Delegation of expanded functions to dental assistants and hygienists
One hundred and twenty-six dental offices in Washington State kept a record of each time an expanded function was performed by the dentist, hygienist, or assistant. There were five two-week recording periods starting in February 1979 and ending in February 1981. Consistent with increasing productivity, dentists most frequently delegate tasks to dental assistants rather than dental hygienists and delegate an individual task consistently if it is d…
Development and Validation of a Measure of Dental Patient Satisfaction
As part of the Washington State Dental Auxiliaries Project, a 42-item measure of patient satisfaction with dental care was developed. The measure is comprised of 13 subscales: dentist-patient relations, technical quality of care, access, patient waiting time, cost, facilities, availability, continuity, pain, auxiliaries performing expanded duties, staff-patient relations, staff technical quality of care, and office atmosphere. The measure was dev…
A Study of the Intentional Use of Pit and Fissure Sealants over Carious Lesions
This article reports data on the intentional use by dentists of pit and fissure sealants over carious lesions. In early 1985 a random sample of 127 dentists in general practice and 20 pedodontists from Washington State were interviewed by phone. Completed interviews were obtained from 81.9 percent (N = 104) of the general practitioners and 60.0 percent (N = 12) of the pedodontists. Eighteen percent of the dentists who offer sealants in their prac…
A Model for Reducing the Cost of Care in VA Medical Centers that Offer Adult Day Health Care
One approach to providing cost-effective adult day health care (ADHC) services is to guide both the inputs to ADHC services and the provision of other services so that substitution for institutional services can realistically take place. This approach has been used in a randomized clinical trial to evaluate the medical efficacy and cost of ADHC in the Department of Veterans Affairs (DVA). This article describes the strategies that were used to im…
Time to Adoption of an Innovation by Dentists in Private Practice
Dentists can be divided into five adoption categories based upon their time of adoption of pit and fissure sealants: innovators, early adopters, early majority, late majority, and laggards. The differences among dentists in the five adoption categories were examined for four classes of variables: practice characteristics, dentist characteristics, communication of information, and practice environment. Questionnaires were mailed in September 1984 …
Costs of hospital care in Niger for hypertension and cardiovascular disease
Hypertension in Africa is potentially a serious problem and is expected to become even more so with time. This study examines the cost of hospitalization for complications associated with hyptertension (heart disease, stroke, retinopathy, renal insufficiency) in the medicine-cardiology service at the University Hospital Centre, University of Niamey, Niger, from October 1988 to September 1989. All 53 patients admitted for one or more of these comp…
Willingness to pay for child survival
Predictors of Rape in the Central African Republic
This is a study of women in the Central African Republic (CAR) whose first sexual encounter was the result of rape. The analyses presented here are based on a national HIV/AIDS survey conducted in 1989. Respondents were selected through multistage cluster sampling, where census districts and households within districts were randomly selected. A total of 1307 females responded to the question regarding the circumstances of their first intercourse.…
Cost As a Study Outcome
OBJECTIVES: The analyses presented here are intended to provide empirical guidance to two questions faced by researchers performing clinical trials which include a cost component: Which health care services should we track? Should we use facility specific costs or national average costs for individual services in estimating total costs? METHODS: We reanalyzed cost data from the Department of Veterans Affairs (VA) multisite clinical trial which co…
VA Community-Based Outpatient Clinics
BACKGROUND: The Veterans Health Administration (VHA) recently initiated a system of Community-Based Outpatient Clinics (CBOCs) to enhance delivery of primary care to veterans. OBJECTIVE: The objective of this study was to compare quality of care provided to veterans at CBOCs and at traditional hospital-based VA Medical Center (VAMC) clinics. RESEARCH DESIGN: Quality of care was assessed using medical record data abstracted at CBOCs and VAMCs. The…
VA Community-Based Outpatient Clinics
OBJECTIVES: The purpose of this study was to compare access and utilization performance measures between Community-Based Outpatient Clinics (CBOC) and primary care clinics at parent VA Medical Centers (VAMC) and between VA-staff CBOCs and contract CBOCs. METHODS: The study design was cross-sectional and retrospective. Performance measures were based on data routinely collected for administrative and research purposes by the VA. The sample include…
VA Community-Based Outpatient Clinics
OBJECTIVE: To examine the direct costs of treating veterans in Community-Based Outpatient Clinics (CBOC) and primary care clinics operated by VA medical centers (VAMCs) between April 1998 and September 1998. RESEARCH DESIGN: In a retrospective observational study of patients in eighteen CBOCs and fourteen VAMCs, direct costs were compared. In addition, the costs of treating patients in new and established CBOCs were also examined. MEASURES: The t…
Evaluation of the Department of Veterans Affairs Community-Based Outpatient Clinics
OBJECTIVE: This paper describes the history of the Department of Veterans Affairs (VA) Community-Based Outpatient Clinics (CBOCs), CBOC Performance Evaluation Project, and characteristics of CBOCs within the VA, and summarizes the findings and implications of the CBOC Performance Evaluation Project. SUBJECTS: There were 139 CBOCs in operation at the end of fiscal year 1998. Ninety-eight percent of CBOCs offered primary health care, and 28% offere…
VA Community-Based Outpatient Clinics
BACKGROUND: The Department of Veterans Affairs (VA) recently initiated a system of Community- Based Outpatient Clinics (CBOCs) to enhance delivery of primary care to veterans. OBJECTIVE: The objective of this study was to determine the effect of CBOCs on patients' perceptions of care. RESEARCH DESIGN: The study design is a cross-sectional survey. SUBJECTS: This study compares 4,980 patients from 44 geographically diverse CBOCs to 4,159 patients f…
Randomized Trial of Onsite Versus Referral Primary Medical Care for Veterans in Addictions Treatment
BACKGROUND: Patients presenting for treatment of substance use disorders (SUDs) often exhibit medical comorbidities that affect functional health status and healthcare costs. Providing primary care within addictions clinics (onsite care) may improve medical and SUD treatment outcomes in this population. OBJECTIVE: The objective of this study was to compare outcomes among Veterans' Administration (VA) patients who receive medical care within the S…
Assisted Living Pilot Program
Objectives. Assisted living programs demonstrate variation in structure and services. The Department of Veterans Affairs funded this care for the first time in the Assisted Living Pilot Program (ALPP). This article presents resident health outcomes and the relationship between facility characteristics and outcomes. Method. This article presents results on 393 ALPP residents followed for 12 months after admission to 95 facilities. Results. A total…
Assisted Living Pilot Program
Objectives. The Department of Veterans Affairs (VA) funded assisted living (AL), adult family home (AFH), and residential care for the first time in the Assisted Living Pilot Program (ALPP). This article describes the background and methods of the ALPP evaluation and the characteristics and experiences of the facilities. Method. Facility data were collected from the contracting/inspection process and a survey of ALPP facilities and those contacte…
Assisted Living Pilot Program
Objective. The Department of Veterans Affairs funded assisted living, adult family home, and adult residential care for the first time in the Assisted Living Pilot Program (ALPP). This article compares the use and cost for individuals that entered ALPP and a comparison group. Method. This was a nonrandomized study. The comparison group consisted of VA patients who were eligible but did not enter an ALPP facility. The ALPP (n = 393) and comparison…
Medicine (18 obras) · Health care (9 obras) · Family medicine (8 obras) · Business (7 obras) · Nursing (7 obras) · Veterans Affairs (7 obras) · Geriatric Care and Nursing Homes (5 obras) · Internal Medicine (5 obras) · Internal Medicine (5 obras) · Outpatient clinic (5 obras)