Arthur J Hartz
Dados Biográficos
| ID | 5539698 |
|---|---|
| NOME | Arthur J Hartz |
| PRENOMES | Arthur J |
| SOBRENOME | Hartz |
| ASSINATURA | HARTZ A J |
| AFILIAÇÕES | Medical College of Wisconsin |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 14 |
| TOTAL DE CITAÇÕES | 22 |
| TOTAL COMO AUTOR | 14 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1976 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2005 |
| ÍNDICE H | 2 |
The Limited Effect of Screening for Depressive Symptoms With the PHQ-9 in Rural Family Practices
CONTEXT: Previous studies have found that routine screening for depression does not improve patient outcome unless it is combined with case management. However, these studies were conducted before the widespread use of SSRIs or in settings other than traditional primary care. PURPOSE: This study investigated whether screening for depressive symptoms improves outcomes for depressed patients seen in rural fee-for-service primary care offices. METHO…
Applied Study of Affinities for Personal Attributes Using an Epidemiological Model
Relationship choices are critical to one's psychological and physical well-being. Yet prior investigations of factors that influence these choices have been determinedly nonutilitarian. Many studies have assessed the attractiveness of specific personal attributes, the benefits of having attractive or unattractive characteristics, and the influence of evolutionary pressures on the attractiveness of certain qualities. However, attributes have not b…
Illness Fears in the General Population
OBJECTIVES: Because relatively little is known about illness fears, we sought to estimate the prevalence, risk factors, and morbidity associated with such fears in the community. METHODS: We conducted a brief telephone survey of persons aged 40 to 65 years from randomly selected households in the Johnson County, Iowa, area. Respondents were asked whether a series of illness and medical care items made them no more nervous, somewhat more nervous, …
Prestige of Training Programs and Experience of Bypass Surgeons As Factors in Adjusted Patient Mortality Rates
OBJECTIVES: The relation of physician performance to physician training and experience is not well understood. The aim of this study was to examine whether indicators of physician background and experience were associated with an objective measure of physician performance. METHODS: Physician background information obtained from the Directory of Board-Certified Medical Specialists was linked to physician risk-adjusted mortality rates obtained from…
Hospitalization Costs Associated with Homelessness in New York City
BACKGROUND: Homelessness is believed to be a cause of health problems and high medical costs, but data supporting this association have been difficult to obtain. We compared lengths of stay and reasons for hospital admission among homeless and other low-income persons in New York City to estimate the hospitalization costs associated with homelessness. METHODS: We obtained hospital-discharge data on 18,864 admissions of homeless adults to New York…
Are the best coronary artery bypass surgeons identified by physician surveys
OBJECTIVES: This study assessed the validity of surveys for identifying the best coronary artery bypass surgeons. METHODS: Data on physicians who performed coronary artery bypass surgery were available from New York, Pennsylvania, and Wisconsin. Data on physicians' reputation were obtained from one national and five city surveys. The measure of surgical performance was the mortality ratio (MR), that is, the ratio of the observed to the predicted …
Comparing hospitals that perform coronary artery bypass surgery
OBJECTIVES. The relative quality of hospital care often is judged by comparing risk-adjusted rates of adverse outcomes. This study evaluated whether hospital quality comparisons are affected by the choice of outcome and the use of administrative data instead of clinical data. METHODS. The data were collected from 2687 coronary artery bypass surgery patients from 17 hospitals. All patients were on Medicare. For 10 hospitals with 94 to 713 patients…
The Relationship of Hospital Ownership and Teaching Status to 30- and 180-Day Adjusted Mortality Rates
Hospital characteristics have been shown previously to be associated with variations in the probability of death within 30 days of admission. In the current study, the authors extend the examination of the relationship between hospital type to both short-term and long-term adjusted mortality. Observed and predicted 1988 hospital mortality rates were obtained from the Health Care Financing Administration (HCFA). A total of 3,782 acute care hospita…
Severity of Illness Measures Derived From the Uniform Clinical Data Set (UCDSS)
The Health Care Financing Administration (HCFA) plans to use the Uniform Clinical Data Set System (UCDSS) to collect data on hospitalized Medicare patients. This study examined the value of UCDSS data for creating severity of illness measures. UCDSS data were obtained from a study hospital and from a national data set for patients with pneumonia (n = 528) and stroke (n = 565). Models to predict length of stay or an adverse event were derived for …
Assessing providers of coronary revascularization
OBJECTIVES. Current methods to evaluate quality of care are usually limited to reviews of individual cases or comparisons of hospital mortality rates. We present an alternative method that compares complication rates adjusted for patient characteristics. METHODS. Detailed clinical data that were specifically designed for quality comparisons of providers of revascularization procedures were abstracted from the medical records of 1998 Medicare pati…
The Relationship of Hospital Characteristics and the Results of Peer Review in Six Large States
To determine which characteristics of hospitals may be related to a higher quality of care, the association of hospital characteristics with the outcomes of medical record review by state Peer Review Organizations (PROs) was studied. The two data sources were: 1) the AHA 1986 Annual Survey of Hospitals and 2) reviews completed between July 1987 through June 1988 from six large PROs. For each hospital the percentage of cases that failed physician …
Hospital Characteristics and Mortality Rates
The Health Care Financing Administration (HCFA) publishes hospital mortality rates each year. We undertook a study to identify characteristics of hospitals associated with variations in these rates. To do so, we obtained data on 3100 hospitals from the 1986 HCFA mortality study and the American Hospital Association's 1986 annual survey of hospitals. The mortality rates were adjusted for each hospital's case mix and other characteristics of its pa…
Natural history of obesity in 6,946 women between 50 and 59 years of age
A health survey of 6946 50-to-59 year-old women of TOPS, an organization for weight reduction, was used to study the natural history of obesity. Weight history was compared for four groups of women divided on the basis of their per cent above ideal body weight (IBW) in their 50s (less than 20%, 20-49%, 50-99% and 100+%). In each of the four groups, the majority of women were not obese by age 20. Sixteen per cent of the women who were 100+% overwe…
Authors' Response
Authors' Response Ilonna J. Rimm, Alfred A. Rimm, and Arthur Hartz CopyRight https://doi.org/10.2105/AJPH.66.9.906-b Published Online: October 07, 2011
Comparing hospitals that perform coronary artery bypass surgery
OBJECTIVES. The relative quality of hospital care often is judged by comparing risk-adjusted rates of adverse outcomes. This study evaluated whether hospital quality comparisons are affected by the choice of outcome and the use of administrative data instead of clinical data. METHODS. The data were collected from 2687 coronary artery bypass surgery patients from 17 hospitals. All patients were on Medicare. For 10 hospitals with 94 to 713 patients…
Natural history of obesity in 6,946 women between 50 and 59 years of age
A health survey of 6946 50-to-59 year-old women of TOPS, an organization for weight reduction, was used to study the natural history of obesity. Weight history was compared for four groups of women divided on the basis of their per cent above ideal body weight (IBW) in their 50s (less than 20%, 20-49%, 50-99% and 100+%). In each of the four groups, the majority of women were not obese by age 20. Sixteen per cent of the women who were 100+% overwe…
Are the best coronary artery bypass surgeons identified by physician surveys
OBJECTIVES: This study assessed the validity of surveys for identifying the best coronary artery bypass surgeons. METHODS: Data on physicians who performed coronary artery bypass surgery were available from New York, Pennsylvania, and Wisconsin. Data on physicians' reputation were obtained from one national and five city surveys. The measure of surgical performance was the mortality ratio (MR), that is, the ratio of the observed to the predicted …
Authors' Response
Authors' Response Ilonna J. Rimm, Alfred A. Rimm, and Arthur Hartz CopyRight https://doi.org/10.2105/AJPH.66.9.906-b Published Online: October 07, 2011
Natural history of obesity in 6,946 women between 50 and 59 years of age
A health survey of 6946 50-to-59 year-old women of TOPS, an organization for weight reduction, was used to study the natural history of obesity. Weight history was compared for four groups of women divided on the basis of their per cent above ideal body weight (IBW) in their 50s (less than 20%, 20-49%, 50-99% and 100+%). In each of the four groups, the majority of women were not obese by age 20. Sixteen per cent of the women who were 100+% overwe…
Hospital Characteristics and Mortality Rates
The Health Care Financing Administration (HCFA) publishes hospital mortality rates each year. We undertook a study to identify characteristics of hospitals associated with variations in these rates. To do so, we obtained data on 3100 hospitals from the 1986 HCFA mortality study and the American Hospital Association's 1986 annual survey of hospitals. The mortality rates were adjusted for each hospital's case mix and other characteristics of its pa…
The Relationship of Hospital Characteristics and the Results of Peer Review in Six Large States
To determine which characteristics of hospitals may be related to a higher quality of care, the association of hospital characteristics with the outcomes of medical record review by state Peer Review Organizations (PROs) was studied. The two data sources were: 1) the AHA 1986 Annual Survey of Hospitals and 2) reviews completed between July 1987 through June 1988 from six large PROs. For each hospital the percentage of cases that failed physician …
Assessing providers of coronary revascularization
OBJECTIVES. Current methods to evaluate quality of care are usually limited to reviews of individual cases or comparisons of hospital mortality rates. We present an alternative method that compares complication rates adjusted for patient characteristics. METHODS. Detailed clinical data that were specifically designed for quality comparisons of providers of revascularization procedures were abstracted from the medical records of 1998 Medicare pati…
Comparing hospitals that perform coronary artery bypass surgery
OBJECTIVES. The relative quality of hospital care often is judged by comparing risk-adjusted rates of adverse outcomes. This study evaluated whether hospital quality comparisons are affected by the choice of outcome and the use of administrative data instead of clinical data. METHODS. The data were collected from 2687 coronary artery bypass surgery patients from 17 hospitals. All patients were on Medicare. For 10 hospitals with 94 to 713 patients…
The Relationship of Hospital Ownership and Teaching Status to 30- and 180-Day Adjusted Mortality Rates
Hospital characteristics have been shown previously to be associated with variations in the probability of death within 30 days of admission. In the current study, the authors extend the examination of the relationship between hospital type to both short-term and long-term adjusted mortality. Observed and predicted 1988 hospital mortality rates were obtained from the Health Care Financing Administration (HCFA). A total of 3,782 acute care hospita…
Severity of Illness Measures Derived From the Uniform Clinical Data Set (UCDSS)
The Health Care Financing Administration (HCFA) plans to use the Uniform Clinical Data Set System (UCDSS) to collect data on hospitalized Medicare patients. This study examined the value of UCDSS data for creating severity of illness measures. UCDSS data were obtained from a study hospital and from a national data set for patients with pneumonia (n = 528) and stroke (n = 565). Models to predict length of stay or an adverse event were derived for …
Are the best coronary artery bypass surgeons identified by physician surveys
OBJECTIVES: This study assessed the validity of surveys for identifying the best coronary artery bypass surgeons. METHODS: Data on physicians who performed coronary artery bypass surgery were available from New York, Pennsylvania, and Wisconsin. Data on physicians' reputation were obtained from one national and five city surveys. The measure of surgical performance was the mortality ratio (MR), that is, the ratio of the observed to the predicted …
Hospitalization Costs Associated with Homelessness in New York City
BACKGROUND: Homelessness is believed to be a cause of health problems and high medical costs, but data supporting this association have been difficult to obtain. We compared lengths of stay and reasons for hospital admission among homeless and other low-income persons in New York City to estimate the hospitalization costs associated with homelessness. METHODS: We obtained hospital-discharge data on 18,864 admissions of homeless adults to New York…
Prestige of Training Programs and Experience of Bypass Surgeons As Factors in Adjusted Patient Mortality Rates
OBJECTIVES: The relation of physician performance to physician training and experience is not well understood. The aim of this study was to examine whether indicators of physician background and experience were associated with an objective measure of physician performance. METHODS: Physician background information obtained from the Directory of Board-Certified Medical Specialists was linked to physician risk-adjusted mortality rates obtained from…
Illness Fears in the General Population
OBJECTIVES: Because relatively little is known about illness fears, we sought to estimate the prevalence, risk factors, and morbidity associated with such fears in the community. METHODS: We conducted a brief telephone survey of persons aged 40 to 65 years from randomly selected households in the Johnson County, Iowa, area. Respondents were asked whether a series of illness and medical care items made them no more nervous, somewhat more nervous, …
The Limited Effect of Screening for Depressive Symptoms With the PHQ-9 in Rural Family Practices
CONTEXT: Previous studies have found that routine screening for depression does not improve patient outcome unless it is combined with case management. However, these studies were conducted before the widespread use of SSRIs or in settings other than traditional primary care. PURPOSE: This study investigated whether screening for depressive symptoms improves outcomes for depressed patients seen in rural fee-for-service primary care offices. METHO…
Applied Study of Affinities for Personal Attributes Using an Epidemiological Model
Relationship choices are critical to one's psychological and physical well-being. Yet prior investigations of factors that influence these choices have been determinedly nonutilitarian. Many studies have assessed the attractiveness of specific personal attributes, the benefits of having attractive or unattractive characteristics, and the influence of evolutionary pressures on the attractiveness of certain qualities. However, attributes have not b…
Medicine (13 obras) · Family medicine (6 obras) · Internal Medicine (6 obras) · Internal Medicine (6 obras) · Patient Satisfaction in Healthcare (6 obras) · Emergency Medicine (5 obras) · Gerontology (5 obras) · Health care (5 obras) · Demography (4 obras) · Emergency Medicine (4 obras)