Source:http://linkedlifedata.com/resource/pubmed/id/11126593
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2000-12-12
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pubmed:abstractText |
This study examined all Medicare beneficiary complaints about quality of care submitted to the California Peer Review Organization (PRO) over 18 months. The complaint rate was low, and a medical record review by the PRO only confirmed 13% of the complaints. Managed Care Organization (MCO) members filed significantly more complaints about denial and/or delays in receiving services and the failure to refer to specialists. Fee-for-service complaints focused on inpatient hospital services, particularly premature discharge, discharge planning, admission necessity, and unnecessary tests. The PRO review process took over 7 months, and the findings were generally not released to the complainants.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
1062-8606
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
241-50
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:11126593-Aged,
pubmed-meshheading:11126593-California,
pubmed-meshheading:11126593-Fee-for-Service Plans,
pubmed-meshheading:11126593-Female,
pubmed-meshheading:11126593-Health Services Accessibility,
pubmed-meshheading:11126593-Humans,
pubmed-meshheading:11126593-Male,
pubmed-meshheading:11126593-Managed Care Programs,
pubmed-meshheading:11126593-Medicare,
pubmed-meshheading:11126593-Patient Satisfaction,
pubmed-meshheading:11126593-Professional Review Organizations,
pubmed-meshheading:11126593-Quality of Health Care,
pubmed-meshheading:11126593-United States
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pubmed:articleTitle |
Medicare beneficiary complaints about quality of care.
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pubmed:affiliation |
Department of Social & Behavioral Sciences, University of California, San Francisco, Calif., USA.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, Non-P.H.S.
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