Pular para o conteúdo principal

ETHNOS_APP

Início • Busca • Periódicos • Lista 0

Carol M Ashton

Dados Biográficos

ID1734902
NOMECarol M Ashton
PRENOMESCarol M
SOBRENOMEAshton
ASSINATURAASHTON C M
AFILIAÇÕESBaylor College of Medicine
VERIFICADONão
TOTAL DE OBRAS34
TOTAL DE CITAÇÕES41
TOTAL COMO AUTOR34
TOTAL COMO EDITOR0
PRIMEIRO ANO DE PUBLICAÇÃO1987
ANO MAIS RECENTE DE PUBLICAÇÃO2016
ÍNDICE H3
  • Outcomes and Resource Use of Sepsis-associated Stays by Presence on Admission, Severity, and Hospital Type

    Sarah-Louise Jones, Stephen L Jones et al.•ARTICLE•Medical Care•2016•Referências: 13

    Greater emphasis is needed on public awareness of sepsis and the detection of sepsis in the prehospitalization and early hospitalization period. Hospital characteristics and case mix should be accounted for in cross-hospital comparisons of sepsis outcomes and costs

  • An Interview with Ronald Andersen, PhD

    Carol M Ashton•ARTICLE•Medical Care•2008

    From the University of Alabama School of Medicine, Birmingham, Alabama. Reprints: Carol M. Ashton, MD, MPH, Professor of Medicine, University of Alabama School of Medicine, 642 Medical Towers, 1530 3rd Avenue South, Birmingham, AL 35294-4410. E-mail: [email protected]

  • Announcing a New Occasional Feature of Medical Care

    Carol M Ashton, Jeroan J Allison et al.•ARTICLE•Medical Care•2007•Referências: 4

    Medical Care: August 2007 - Volume 45 - Issue 8 - p 697-698 doi: 10.1097/MLR.0b013e318074cebd

  • Response to Letter From Dr. Bindman

    Carol M Ashton, Kenneth Pietz•ARTICLE•Medical Care•2005•Referências: 5

    Houston Center for Quality of Care and Utilization StudiesVA Medical CenterDepartment of MedicineBaylor College of MedicineHouston, Texas

  • Predicting Healthcare Costs in a Population of Veterans Affairs Beneficiaries Using Diagnosis-Based Risk Adjustment and Self-Reported Health Status

    Kenneth Pietz, Carol M Ashton et al.•ARTICLE•Medical Care•2004•Referências: 17

    BACKGROUND: Many healthcare organizations use diagnosis-based risk adjustment systems for predicting costs. Health self-report may add information not contained in a diagnosis-based system but is subject to incomplete response. OBJECTIVE: The objective of this study was to evaluate the added predictive power of health self-report in combination with a diagnosis-based risk adjustment system in concurrent and prospective models of healthcare cost. …

  • Racial and ethnic disparities in the use of health services

    Carol M Ashton, Paul Haidet et al.•ARTICLE•Journal of General Internal…•2003

  • The ABCs of Empowered Communication

    Open Access•Derrel Zeno, Coreen Domingo et al.•ARTICLE•The AMA Journal of Ethic•2003

    Community education about how patients can best communicate with their physicians has been successful in various communities, particularly when working with an ethnically diverse patient population. Virtual Mentor is a monthly bioethics journal published by the American Medical Association

  • Medical Care

    Colleen A Mchorney, Carol M Ashton•ARTICLE•Medical Care•2003

  • Process of Care in Hispanic, Black, and White VA Beneficiaries

    H Scott Gordon, Michael L Johnson et al.•ARTICLE•Medical Care•2002•Referências: 30

    OBJECTIVE: To examine whether process of hospital care differs among Hispanic, black, and white VA beneficiaries. SUBJECTS: Two thousand eight-hundred fifty-two Hispanic, black, and white male VA beneficiaries from a case-control study discharged alive from one of twelve southern veterans hospitals with one of three diagnoses, diabetes mellitus (DM), congestive heart failure (CHF), or chronic obstructive pulmonary disease (COPD). METHODS: We appl…

  • Looking Forward, Looking Back

    Carol M Ashton•ARTICLE•Medical Care•2002

    The activity centered around the TX-2 computer at Lincoln Laboratory in the 1960’s laid the foundation for much of HCI. Through the use of archival film footage, and live presentations by some of the key protagonists, this panel is intended to contribute to a more general awareness of this work, its historical importance to HCI, and its relevance to research today

  • A Remarkable Legacy of Science

    William M Tierney, Morris Weinberger et al.•ARTICLE•Medical Care•2002•Referências: 79

    Tierney, William M. MD; Weinberger, Morris PhD; Ashton, Carol M. MD, MPH; McHorney, Colleen A. PhD Author Information

  • A psychometric analysis of the measurement level of the rating scale, time trade-off, and standard gamble

    Open Access•K F Cook, Carol M Ashton et al.•ARTICLE•Social Science & Medicine•2001•Citada por: 1•Referências: 17

  • A Trial for Comparing Methods for Eliciting Treatment Preferences From Men With Advanced Prostate Cancer

    Julianne Souchek, James R Stacks et al.•ARTICLE•Medical Care•2000•Referências: 23

    OBJECTIVE: The objective of this study was to evaluate the convergent validity of 3 types of utility measures: standard gamble, time tradeoff, and rating scale. RESEARCH DESIGN: A prospective cohort of 120 men with advanced prostate cancer were first asked to rank order 8 health states, and then utility values were obtained from each participant for each of the 8 health states through 2 of the 3 techniques evaluated (standard gamble, time tradeof…

  • Veterans Affairs Quality Enhancement Research Initiative in Chronic Heart Failure

    Carol M Ashton, Biykem Bozkurt et al.•ARTICLE•Medical Care•2000•Referências: 49

    Chronic heart failure (CHF) is a highly prevalent condition associated with serious morbidity, intense levels of health services use, and shortened survival. It is also a condition for which ameliorative therapies exist. The evidence indicates that there is substantial need to change clinical practice and health care delivery for people with CHF and thereby improve their outcomes. The goal of the Veterans Affairs (VA) Quality Enhancement Research…

  • Assessing the Performance of Utility Techniques in the Absence of a Gold Standard

    R Brian Giesler, Carol M Ashton et al.•ARTICLE•Medical Care•1999•Referências: 25

    BACKGROUND: Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE: To introduce and demonstrate two methods that can be used to evaluate how well utility techniques measure patients' preferences. SUBJECTS AND DESIGN: Patients treated for advanced pros…

  • The Association of Quality of Care and Occurrence of In-Hospital, Treatment-Related Complications

    Jane M Geraci, Carol M Ashton et al.•ARTICLE•Medical Care•1999•Referências: 18

    BACKGROUND: Little data exist supporting the association of quality of care and nonfatal adverse outcomes in hospitalized patients, yet those outcomes are routinely scrutinized in quality assessment efforts. OBJECTIVE: To determine whether measurable differences in quality of care are associated with the occurrence of non-fatal, in-hospital, and treatment-related complications. DESIGN: Retrospective cohort study. SUBJECTS: A total of 2,268 patien…

  • An Empirical Assessment of the Validity of Explicit and Implicit Process-of-Care Criteria for Quality Assessment

    Carol M Ashton, David H Kuykendall et al.•ARTICLE•Medical Care•1999•Referências: 17

    OBJECTIVE: To evaluate the validity of three criteria-based methods of quality assessment: unit weighted explicit process-of-care criteria; differentially weighted explicit process-of-care criteria; and structured implicit process-of-care criteria. METHODS: The three methods were applied to records of index hospitalizations in a study of unplanned readmission involving roughly 2,500 patients with one of three diagnoses treated at 12 Veterans Affa…

  • Impact of an All-Inclusive Diagnosis-Related Group Payment System on Inpatient Utilization

    Terri J Menke, Terri Menke et al.•ARTICLE•Medical Care•1998•Referências: 13

    OBJECTIVES: Although case-based payment is one of the main reimbursement mechanisms for hospitals, little is known about its effects in the general population. Prior studies have focused on Medicare or on all-payer systems in particular states. This study estimates the effect of a prospective payment system based on diagnosis-related groups (DRGs) nationwide in the Department of Veterans Affairs. METHODS: Multiple regression analysis was used to …

  • The Veterans Affairs Medical Care System

    Carol M Ashton, Nancy J Petersen et al.•ARTICLE•Medical Care•1998•Referências: 16

    OBJECTIVES: The authors describe the role the Veterans Affairs (VA) medical system plays as a provider of clinic and hospital services by examining utilization levels and users' characteristics. METHODS: The Veterans Affairs hospital discharge database, the Veterans Affairs outpatient clinic files, and the veteran population files were used to estimate the number of persons using the Veterans Affairs medical care system in 1994 and the intensity …

  • Application of an Analytic Model to Early Readmission Rates Within the Department of Veterans Affairs

    Naomi R Wray, Nelda P Wray Nelda P Wray et al.•ARTICLE•Medical Care•1997•Referências: 19

    OBJECTIVES: Adverse outcome rates are increasingly used as yardsticks for the quality of hospital care. However, the validity of many outcome studies has been undermined by the application of one outcome to all patients in large, diagnostically diverse populations, many of which lack evidence of a link between antecedent process of care and the rate of the outcome, the underlying assumption of the analysis. METHODS: To address this analytic probl…

  • International Classification of Diseases, 9th Revision, Clinical Modification Codes in Discharge Abstracts Are Poor Measures of Complication Occurrence in Medical Inpatients

    Jane M Geraci, Carol M Ashton et al.•ARTICLE•Medical Care•1997•Referências: 19

    OBJECTIVES: The authors tested the ability of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes in discharge abstracts to identify medical inpatients who experienced an in-hospital complication, using complications identified through chart review as the gold standard. METHODS: Two sets of ICD-9-CM codes were used: an inclusive set including many medical diagnoses that may also be coexistent complicatin…

  • The Association Between the Quality of Inpatient Care and Early Readmission

    Carol M Ashton, Carol M Ashton Carol M Ashton et al.•ARTICLE•Medical Care•1997•Referências: 27

    OBJECTIVES: To help resolve the current controversy over the validity of early readmission as an indicator of the quality of care, the authors critically reviewed the literature using meta-analysis to derive summary estimates of effect and evaluate inter-study heterogeneity. METHODS: The authors selected reports meeting five criteria: (1) presentation of new data on medical-surgical hospitalization of adults; (2) measurement of outcome as a perso…

  • Dimensions of quality of life expressed by men treated for metastatic prostate cancer

    Open Access•Jack A Clark, Naomi R Wray et al.•ARTICLE•Social Science & Medicine•1997•Citada por: 13•Referências: 24

  • A State-of-the-Art Conference on Databases Pertaining to Veterans' Health

    Carol M Ashton, Terri J Menke et al.•ARTICLE•Medical Care•1996•Referências: 15

    ASHTON, CAROL; MENKE, TERRI; DEYKIN, DANIEL; CAMBERG, LOIS; CHARNS, MARTIN Author Information

  • Research Organizations in the Department of Veterans Affairs that Focus on Database Analysis

    Terri J Menke, Terri Menke et al.•ARTICLE•Medical Care•1996

    The Department of Veterans Affairs (VA) established several internal research organizations to analyze the many VA and non-VA databases. The information obtained assists VA in achieving its objective of providing cost-effective, high quality health care for veterans. Each group has a unique and well-defined function. All major informational inputs needed for VA planning are covered by the groups: resource allocation, workload requirements, popula…

Próximo
  • A conceptual framework for the study of early readmission as an indicator of quality of care

    Open Access•Carol M Ashton, Naomi R Wray et al.•ARTICLE•Social Science & Medicine•1996•Citada por: 15•Referências: 22

  • Dimensions of quality of life expressed by men treated for metastatic prostate cancer

    Open Access•Jack A Clark, Naomi R Wray et al.•ARTICLE•Social Science & Medicine•1997•Citada por: 13•Referências: 24

  • Using administrative databases to evaluate the quality of medical care

    Open Access•Naomi R Wray, Nelda P Wray et al.•ARTICLE•Social Science & Medicine•1995•Citada por: 12•Referências: 39

  • A psychometric analysis of the measurement level of the rating scale, time trade-off, and standard gamble

    Open Access•K F Cook, Carol M Ashton et al.•ARTICLE•Social Science & Medicine•2001•Citada por: 1•Referências: 17

  • Predicting Readmission in Veterans With Chronic Disease

    Carol M Ashton, Nelda P Wray et al.•ARTICLE•Medical Care•1987

    Ashton, Carol M. MD; Wray, Nelda P. MD; Dunn, J Kay PhD; Scheurich, James W. MD; DeBehnke, Richard D. MD; Friedland, Joan A. MD Author Information

  • Characteristics of the Recurrently Hospitalized Adult

    Nelda P Wray, Richard D DeBehnke et al.•ARTICLE•Medical Care•1988

    Hospital use in the US is concentrated in the approximately 2% of the population that is repeatedly hospitalized. Using the research integration technique of information synthesis, empirical studies of readmission were assembled and analyzed to determine the demographic and clinical characteristics of the repeatedly hospitalized adult. The authors' synthesis of articles that met preset criteria of relevance and validity indicated that clinical va…

  • The Impact of Economic Considerations on Clinical Decisionmaking

    Baruch A Brody, Baruch Brody et al.•ARTICLE•Medical Care•1991

    This study examines the intravenous use of two thrombolytic agents [streptokinase (SK) and tissue plasminogen activator (tPA)] in the acute phase of myocardial infarction (MI). These two agents have very different costs and offer an excellent opportunity to study both the impact of economic factors on clinical decisionmaking and the potential for cost savings by limiting the use of expensive new therapeutic agents. A nationwide survey of the 5,79…

  • A Method of Developing and Weighting Explicit Process of Care Criteria for Quality Assessment

    Carol M Ashton, David H Kuykendall et al.•ARTICLE•Medical Care•1994

    The use of explicit criteria to evaluate how well processes of care conform to accepted standards is a key method of quality assessment. Synthesizing four decades of literature, we devised an inexpensive, 6-step method of developing reliable, content-valid, explicit process criteria. This paper describes the method using a set of congestive heart failure criteria. In step 1 of the Criteria Development Method, criteria are derived from state-of-th…

  • Changes in VA Hospital Use 1980-1990

    Carol M Ashton, Thomas W Weiss et al.•ARTICLE•Medical Care•1994

    During the 1980s several changes occurred within and outside the Veterans Affairs medical system which may have affected levels of Veterans Affairs (VA) hospital use. We performed a secondary analysis of the 1980-1990 national VA hospital discharge database and Veteran Population Files to examine trends in VA hospital use and to assess effects of the aging of the veteran population. Between 1980 and 1990 discharges increased by 7% despite a 6% dr…

  • Misclassification of Patients Can Affect Group Quality of Care Scores

    Carol M Ashton, David H Kuykendall et al.•ARTICLE•Medical Care•1994

    Ashton, Carol M. MD, MPH; Kuykendall, David H. PHD; Wray, Nelda P. MD, MPH Author Information

  • Selecting Disease-Outcome Pairs for Monitoring the Quality of Hospital Care

    Nelda P Wray, Carol M Ashton et al.•ARTICLE•Medical Care•1995

    Health care payors and providers are increasingly monitoring hospital discharge data bases for adverse events as markers for quality of care. The principal criticisms of these analyses have focused on the impediments to risk adjustment posed by the incompleteness and inaccuracy of the data bases. However, efforts to address the inadequacies of the data bases will not correct deficiencies of the analytic process. These deficiencies arise from the …

  • Using administrative databases to evaluate the quality of medical care

    Open Access•Naomi R Wray, Nelda P Wray et al.•ARTICLE•Social Science & Medicine•1995•Citada por: 12•Referências: 39

  • A State-of-the-Art Conference on Databases Pertaining to Veterans' Health

    Carol M Ashton, Terri J Menke et al.•ARTICLE•Medical Care•1996•Referências: 15

    ASHTON, CAROL; MENKE, TERRI; DEYKIN, DANIEL; CAMBERG, LOIS; CHARNS, MARTIN Author Information

  • Research Organizations in the Department of Veterans Affairs that Focus on Database Analysis

    Terri J Menke, Terri Menke et al.•ARTICLE•Medical Care•1996

    The Department of Veterans Affairs (VA) established several internal research organizations to analyze the many VA and non-VA databases. The information obtained assists VA in achieving its objective of providing cost-effective, high quality health care for veterans. Each group has a unique and well-defined function. All major informational inputs needed for VA planning are covered by the groups: resource allocation, workload requirements, popula…

  • A conceptual framework for the study of early readmission as an indicator of quality of care

    Open Access•Carol M Ashton, Naomi R Wray et al.•ARTICLE•Social Science & Medicine•1996•Citada por: 15•Referências: 22

  • Application of an Analytic Model to Early Readmission Rates Within the Department of Veterans Affairs

    Naomi R Wray, Nelda P Wray Nelda P Wray et al.•ARTICLE•Medical Care•1997•Referências: 19

    OBJECTIVES: Adverse outcome rates are increasingly used as yardsticks for the quality of hospital care. However, the validity of many outcome studies has been undermined by the application of one outcome to all patients in large, diagnostically diverse populations, many of which lack evidence of a link between antecedent process of care and the rate of the outcome, the underlying assumption of the analysis. METHODS: To address this analytic probl…

  • International Classification of Diseases, 9th Revision, Clinical Modification Codes in Discharge Abstracts Are Poor Measures of Complication Occurrence in Medical Inpatients

    Jane M Geraci, Carol M Ashton et al.•ARTICLE•Medical Care•1997•Referências: 19

    OBJECTIVES: The authors tested the ability of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes in discharge abstracts to identify medical inpatients who experienced an in-hospital complication, using complications identified through chart review as the gold standard. METHODS: Two sets of ICD-9-CM codes were used: an inclusive set including many medical diagnoses that may also be coexistent complicatin…

  • The Association Between the Quality of Inpatient Care and Early Readmission

    Carol M Ashton, Carol M Ashton Carol M Ashton et al.•ARTICLE•Medical Care•1997•Referências: 27

    OBJECTIVES: To help resolve the current controversy over the validity of early readmission as an indicator of the quality of care, the authors critically reviewed the literature using meta-analysis to derive summary estimates of effect and evaluate inter-study heterogeneity. METHODS: The authors selected reports meeting five criteria: (1) presentation of new data on medical-surgical hospitalization of adults; (2) measurement of outcome as a perso…

  • Dimensions of quality of life expressed by men treated for metastatic prostate cancer

    Open Access•Jack A Clark, Naomi R Wray et al.•ARTICLE•Social Science & Medicine•1997•Citada por: 13•Referências: 24

  • Impact of an All-Inclusive Diagnosis-Related Group Payment System on Inpatient Utilization

    Terri J Menke, Terri Menke et al.•ARTICLE•Medical Care•1998•Referências: 13

    OBJECTIVES: Although case-based payment is one of the main reimbursement mechanisms for hospitals, little is known about its effects in the general population. Prior studies have focused on Medicare or on all-payer systems in particular states. This study estimates the effect of a prospective payment system based on diagnosis-related groups (DRGs) nationwide in the Department of Veterans Affairs. METHODS: Multiple regression analysis was used to …

  • The Veterans Affairs Medical Care System

    Carol M Ashton, Nancy J Petersen et al.•ARTICLE•Medical Care•1998•Referências: 16

    OBJECTIVES: The authors describe the role the Veterans Affairs (VA) medical system plays as a provider of clinic and hospital services by examining utilization levels and users' characteristics. METHODS: The Veterans Affairs hospital discharge database, the Veterans Affairs outpatient clinic files, and the veteran population files were used to estimate the number of persons using the Veterans Affairs medical care system in 1994 and the intensity …

  • Assessing the Performance of Utility Techniques in the Absence of a Gold Standard

    R Brian Giesler, Carol M Ashton et al.•ARTICLE•Medical Care•1999•Referências: 25

    BACKGROUND: Utility techniques are the most commonly used means to assess patient preferences for health outcomes. However, whether utility techniques produce valid measures of preference has been difficult to determine in the absence of a gold standard. OBJECTIVE: To introduce and demonstrate two methods that can be used to evaluate how well utility techniques measure patients' preferences. SUBJECTS AND DESIGN: Patients treated for advanced pros…

  • The Association of Quality of Care and Occurrence of In-Hospital, Treatment-Related Complications

    Jane M Geraci, Carol M Ashton et al.•ARTICLE•Medical Care•1999•Referências: 18

    BACKGROUND: Little data exist supporting the association of quality of care and nonfatal adverse outcomes in hospitalized patients, yet those outcomes are routinely scrutinized in quality assessment efforts. OBJECTIVE: To determine whether measurable differences in quality of care are associated with the occurrence of non-fatal, in-hospital, and treatment-related complications. DESIGN: Retrospective cohort study. SUBJECTS: A total of 2,268 patien…

  • An Empirical Assessment of the Validity of Explicit and Implicit Process-of-Care Criteria for Quality Assessment

    Carol M Ashton, David H Kuykendall et al.•ARTICLE•Medical Care•1999•Referências: 17

    OBJECTIVE: To evaluate the validity of three criteria-based methods of quality assessment: unit weighted explicit process-of-care criteria; differentially weighted explicit process-of-care criteria; and structured implicit process-of-care criteria. METHODS: The three methods were applied to records of index hospitalizations in a study of unplanned readmission involving roughly 2,500 patients with one of three diagnoses treated at 12 Veterans Affa…

  • A Trial for Comparing Methods for Eliciting Treatment Preferences From Men With Advanced Prostate Cancer

    Julianne Souchek, James R Stacks et al.•ARTICLE•Medical Care•2000•Referências: 23

    OBJECTIVE: The objective of this study was to evaluate the convergent validity of 3 types of utility measures: standard gamble, time tradeoff, and rating scale. RESEARCH DESIGN: A prospective cohort of 120 men with advanced prostate cancer were first asked to rank order 8 health states, and then utility values were obtained from each participant for each of the 8 health states through 2 of the 3 techniques evaluated (standard gamble, time tradeof…

  • Veterans Affairs Quality Enhancement Research Initiative in Chronic Heart Failure

    Carol M Ashton, Biykem Bozkurt et al.•ARTICLE•Medical Care•2000•Referências: 49

    Chronic heart failure (CHF) is a highly prevalent condition associated with serious morbidity, intense levels of health services use, and shortened survival. It is also a condition for which ameliorative therapies exist. The evidence indicates that there is substantial need to change clinical practice and health care delivery for people with CHF and thereby improve their outcomes. The goal of the Veterans Affairs (VA) Quality Enhancement Research…

  • A psychometric analysis of the measurement level of the rating scale, time trade-off, and standard gamble

    Open Access•K F Cook, Carol M Ashton et al.•ARTICLE•Social Science & Medicine•2001•Citada por: 1•Referências: 17

  • Process of Care in Hispanic, Black, and White VA Beneficiaries

    H Scott Gordon, Michael L Johnson et al.•ARTICLE•Medical Care•2002•Referências: 30

    OBJECTIVE: To examine whether process of hospital care differs among Hispanic, black, and white VA beneficiaries. SUBJECTS: Two thousand eight-hundred fifty-two Hispanic, black, and white male VA beneficiaries from a case-control study discharged alive from one of twelve southern veterans hospitals with one of three diagnoses, diabetes mellitus (DM), congestive heart failure (CHF), or chronic obstructive pulmonary disease (COPD). METHODS: We appl…

  • Looking Forward, Looking Back

    Carol M Ashton•ARTICLE•Medical Care•2002

    The activity centered around the TX-2 computer at Lincoln Laboratory in the 1960’s laid the foundation for much of HCI. Through the use of archival film footage, and live presentations by some of the key protagonists, this panel is intended to contribute to a more general awareness of this work, its historical importance to HCI, and its relevance to research today

Medicine (29 obras) · Healthcare Policy and Management (14 obras) · Primary Care and Health Outcomes (14 obras) · Health care (13 obras) · Internal Medicine (12 obras) · Psychology (12 obras) · Internal Medicine (11 obras) · Computer Science (10 obras) · Veterans Affairs (10 obras) · Family medicine (8 obras)

Ethnos_APP • Projeto Open Source • Licença MIT • Frontend v2.0.0 • Privacidade e Cookies • Documentação da API: api.ethnos.app/docs • Código da API: GitHub • DOI: 10.5281/zenodo.17049435 • Código do Frontend: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae