Base de dados : MEDLINE
Pesquisa : N03.219.442.090 [Categoria DeCS]
Referências encontradas : 4154 [refinar]
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[PMID]:29360304
[Au] Autor:Seiler LW; Thomson Reuters Accelus.
[Ti] Título:Long-Term Care: End-of-Life Issues.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-96, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência de Longa Duração/organização & administração
Assistência Terminal/organização & administração
[Mh] Termos MeSH secundário: Diretivas Antecipadas
Afroamericanos
Moradias Assistidas
Canadá
Capitação
Ensaios de Uso Compassivo
Comportamento do Consumidor
Aconselhamento
Demência/terapia
Depressão
Europa (Continente)
Grupo com Ancestrais do Continente Europeu
Custos de Cuidados de Saúde
Hispano-Americanos
Cuidados Paliativos na Terminalidade da Vida
Seres Humanos
Reembolso de Seguro de Saúde
Maconha Medicinal
Medicare/economia
Musicoterapia
Enfermagem/recursos humanos
Casas de Saúde
Cuidados Paliativos
Planejamento de Assistência ao Paciente
Direitos do Paciente
Prisioneiros
Qualidade da Assistência à Saúde
Ordens quanto à Conduta (Ética Médica)
Cônjuges
Governo Estadual
Suicídio Assistido
Telemedicina
Doente Terminal
Obtenção de Tecidos e Órgãos
Estados Unidos
Veteranos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Medical Marijuana)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


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[PMID]:29360301
[Au] Autor:Berry MD; Thomson Reuters Accelus.
[Ti] Título:Healthcare Reform: State Specific Responses.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-32, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Reforma dos Serviços de Saúde/organização & administração
Governo Estadual
[Mh] Termos MeSH secundário: Capitação
Custo Compartilhado de Seguro
Revelação
Custos de Cuidados de Saúde
Trocas de Seguro de Saúde/organização & administração
Seres Humanos
Cobertura do Seguro
Fundos de Seguro
Seguro Saúde/organização & administração
Medicaid/organização & administração
Patient Protection and Affordable Care Act
Atenção Primária à Saúde
Estados Unidos
Cobertura Universal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


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[PMID]:29359895
[Au] Autor:Berry MD
[Ad] Endereço:Thomson Reuters Accelus.
[Ti] Título:Business of Health: Business of Health Insurance.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-105, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Reforma dos Serviços de Saúde/economia
Reforma dos Serviços de Saúde/legislação & jurisprudência
Cobertura do Seguro/economia
Cobertura do Seguro/legislação & jurisprudência
Seguro Saúde/economia
Seguro Saúde/legislação & jurisprudência
Patient Protection and Affordable Care Act/economia
Patient Protection and Affordable Care Act/legislação & jurisprudência
[Mh] Termos MeSH secundário: Capitação
Custo Compartilhado de Seguro
Governo Federal
Trocas de Seguro de Saúde
Seres Humanos
Programas de Assistência Gerenciada/economia
Programas de Assistência Gerenciada/legislação & jurisprudência
Medicaid/economia
Medicaid/legislação & jurisprudência
Pessoas sem Cobertura de Seguro de Saúde
Medicare/economia
Medicare/legislação & jurisprudência
Política
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  4 / 4154 MEDLINE  
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[PMID]:28472226
[Au] Autor:Bhatia J; Tobey R; Hochman M
[Ad] Endereço:The Keck School of Medicine, University of Southern California, Los Angeles.
[Ti] Título:Value-Based Payment Models for Community Health Centers: Time to (Cautiously) Take the Plunge?
[So] Source:JAMA;317(22):2275-2276, 2017 Jun 13.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Centros Comunitários de Saúde/economia
Medicaid/economia
Mecanismo de Reembolso/economia
Seguro Baseado em Valor/economia
[Mh] Termos MeSH secundário: California
Capitação
Centros Comunitários de Saúde/legislação & jurisprudência
Honorários Médicos
Seres Humanos
Oregon
Sistema de Pagamento Prospectivo
Estados Unidos
Seguro Baseado em Valor/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170706
[Lr] Data última revisão:
170706
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.5174


  5 / 4154 MEDLINE  
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[PMID]:28264677
[Au] Autor:Hill H; Birch S; Tickle M; McDonald R; Donaldson M; O'Carolan D; Brocklehurst P
[Ad] Endereço:School of Dentistry, University of Manchester, Manchester, M13 9PL, UK. Harry.hill@manchester.ac.uk.
[Ti] Título:Does capitation affect the delivery of oral healthcare and access to services? Evidence from a pilot contact in Northern Ireland.
[So] Source:BMC Health Serv Res;17(1):175, 2017 Mar 06.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In May 2009, the Northern Ireland government introduced General Dental Services (GDS) contracts based on capitation in dental practices newly set up by a corporate dental provider to promote access to dental care in populations that had previously struggled to secure service provision. Dental service provision forms an important component of general health services for the population, but the implications of health system financing on care delivered and the financial cost of services has received relatively little attention in the research literature. The aim of this study is to evaluate the policy effect capitation payment in recently started corporate practices had on the delivery of primary oral healthcare in Northern Ireland and access to services. METHODS: We analysed the policy initiative in Northern Ireland as a natural experiment to find the impact on healthcare delivery of the newly set up corporate practices that use a prospective capitation system to remunerate primary care dentists. Data was collected from GDS claim forms submitted to the Business Services Organisation (BSO) between April 2011 and October 2014. Health and Social Care Board (HSCB) practices operating within a capitation system were matched to a control group, who were remunerated using a retrospective fee-for-service system. RESULTS: No evidence of patient selection was found in the HSCB practices set up by a corporate provider and operated under capitation. However, patients were less likely to visit the dentist and received less treatment when they did attend, compared to those belonging to the control group (P < 0.05). The extent of preventive activity offered and the patient payment charge revenue did not differ between the two practice groups. CONCLUSION: Although remunerating NHS primary care dentists in newly set up corporate practices using a prospective capitation system managed costs within healthcare, there is evidence that this policy may have reduced access to care of registered patients.
[Mh] Termos MeSH primário: Capitação
Assistência à Saúde/estatística & dados numéricos
Assistência Odontológica/economia
[Mh] Termos MeSH secundário: Assistência à Saúde/economia
Assistência Odontológica/utilização
Odontólogos/economia
Planos de Pagamento por Serviço Prestado
Honorários e Preços
Feminino
Gastos em Saúde
Acesso aos Serviços de Saúde/economia
Acesso aos Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Masculino
Irlanda do Norte
Projetos Piloto
Atenção Primária à Saúde
Estudos Prospectivos
Remuneração
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170308
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2117-3


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[PMID]:28253540
[Au] Autor:Yuan B; He L; Meng Q; Jia L
[Ad] Endereço:China Center for Health Development Studies (CCHDS), Peking University, 38 Xueyuan Road, Beijing, Beijing, China, 100191.
[Ti] Título:Payment methods for outpatient care facilities.
[So] Source:Cochrane Database Syst Rev;3:CD011153, 2017 Mar 03.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Outpatient care facilities provide a variety of basic healthcare services to individuals who do not require hospitalisation or institutionalisation, and are usually the patient's first contact. The provision of outpatient care contributes to immediate and large gains in health status, and a large portion of total health expenditure goes to outpatient healthcare services. Payment method is one of the most important incentive methods applied by purchasers to guide the performance of outpatient care providers. OBJECTIVES: To assess the impact of different payment methods on the performance of outpatient care facilities and to analyse the differences in impact of payment methods in different settings. SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), 2016, Issue 3, part of the Cochrane Library (searched 8 March 2016); MEDLINE, OvidSP (searched 8 March 2016); Embase, OvidSP (searched 24 April 2014); PubMed (NCBI) (searched 8 March 2016); Dissertations and Theses Database, ProQuest (searched 8 March 2016); Conference Proceedings Citation Index (ISI Web of Science) (searched 8 March 2016); IDEAS (searched 8 March 2016); EconLit, ProQuest (searched 8 March 2016); POPLINE, K4Health (searched 8 March 2016); China National Knowledge Infrastructure (searched 8 March 2016); Chinese Medicine Premier (searched 8 March 2016); OpenGrey (searched 8 March 2016); ClinicalTrials.gov, US National Institutes of Health (NIH) (searched 8 March 2016); World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (searched 8 March 2016); and the website of the World Bank (searched 8 March 2016).In addition, we searched the reference lists of included studies and carried out a citation search for the included studies via ISI Web of Science to find other potentially relevant studies. We also contacted authors of the main included studies regarding any further published or unpublished work. SELECTION CRITERIA: Randomised trials, non-randomised trials, controlled before-after studies, interrupted time series, and repeated measures studies that compared different payment methods for outpatient health facilities. We defined outpatient care facilities in this review as facilities that provide health services to individuals who do not require hospitalisation or institutionalisation. We only included methods used to transfer funds from the purchaser of healthcare services to health facilities (including groups of individual professionals). These include global budgets, line-item budgets, capitation, fee-for-service (fixed and unconstrained), pay for performance, and mixed payment. The primary outcomes were service provision outcomes, patient outcomes, healthcare provider outcomes, costs for providers, and any adverse effects. DATA COLLECTION AND ANALYSIS: At least two review authors independently extracted data and assessed the risk of bias. We conducted a structured synthesis. We first categorised the comparisons and outcomes and then described the effects of different types of payment methods on different categories of outcomes. We used a fixed-effect model for meta-analysis within a study if a study included more than one indicator in the same category of outcomes. We used a random-effects model for meta-analysis across studies. If the data for meta-analysis were not available in some studies, we calculated the median and interquartile range. We reported the risk ratio (RR) for dichotomous outcomes and the relative change for continuous outcomes. MAIN RESULTS: We included 21 studies from Afghanistan, Burundi, China, Democratic Republic of Congo, Rwanda, Tanzania, the United Kingdom, and the United States of health facilities providing primary health care and mental health care. There were three kinds of payment comparisons. 1) Pay for performance (P4P) combined with some existing payment method (capitation or different kinds of input-based payment) compared to the existing payment methodWe included 18 studies in this comparison, however we did not include five studies in the effects analysis due to high risk of bias. From the 13 studies, we found that the extra P4P incentives probably slightly improved the health professionals' use of some tests and treatments (adjusted RR median = 1.095, range 1.01 to 1.17; moderate-certainty evidence), and probably led to little or no difference in adherence to quality assurance criteria (adjusted percentage change median = -1.345%, range -8.49% to 5.8%; moderate-certainty evidence). We also found that P4P incentives may have led to little or no difference in patients' utilisation of health services (adjusted RR median = 1.01, range 0.96 to 1.15; low-certainty evidence) and may have led to little or no difference in the control of blood pressure or cholesterol (adjusted RR = 1.01, range 0.98 to 1.04; low-certainty evidence). 2) Capitation combined with P4P compared to fee-for-service (FFS)One study found that compared with FFS, a capitated budget combined with payment based on providers' performance on antibiotic prescriptions and patient satisfaction probably slightly reduced antibiotic prescriptions in primary health facilities (adjusted RR 0.84, 95% confidence interval 0.74 to 0.96; moderate-certainty evidence). 3) Capitation compared to FFSTwo studies compared capitation to FFS in mental health centres in the United States. Based on these studies, the effects of capitation compared to FFS on the utilisation and costs of services were uncertain (very low-certainty evidence). AUTHORS' CONCLUSIONS: Our review found that if policymakers intend to apply P4P incentives to pay health facilities providing outpatient services, this intervention will probably lead to a slight improvement in health professionals' use of tests or treatments, particularly for chronic diseases. However, it may lead to little or no improvement in patients' utilisation of health services or health outcomes. When considering using P4P to improve the performance of health facilities, policymakers should carefully consider each component of their P4P design, including the choice of performance measures, the performance target, payment frequency, if there will be additional funding, whether the payment level is sufficient to change the behaviours of health providers, and whether the payment to facilities will be allocated to individual professionals. Unfortunately, the studies included in this review did not help to inform those considerations.Well-designed comparisons of different payment methods for outpatient health facilities in low- and middle-income countries and studies directly comparing different designs (e.g. different payment levels) of the same payment method (e.g. P4P or FFS) are needed.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial/economia
Mecanismo de Reembolso
[Mh] Termos MeSH secundário: Orçamentos
Capitação
Custos e Análise de Custo
Planos de Pagamento por Serviço Prestado
Serviços de Saúde/utilização
Seres Humanos
Avaliação de Resultados da Assistência ao Paciente
Reembolso de Incentivo
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170720
[Lr] Data última revisão:
170720
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170303
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD011153.pub2


  7 / 4154 MEDLINE  
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[PMID]:28114540
[Au] Autor:Bai G; Anderson GF
[Ad] Endereço:Johns Hopkins Carey Business School, Baltimore, Maryland.
[Ti] Título:Variation in the Ratio of Physician Charges to Medicare Payments by Specialty and Region.
[So] Source:JAMA;317(3):315-318, 2017 01 17.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Capitação
Economia Médica
Honorários e Preços
Medicare/economia
[Mh] Termos MeSH secundário: Honorários Médicos
Seres Humanos
Distribuições Estatísticas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170628
[Lr] Data última revisão:
170628
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2016.16230


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[PMID]:27916434
[Au] Autor:Brekke KR; Straume OR
[Ad] Endereço:Department of Economics, NHH Norwegian School of Economics, Helleveien 30, N-5045, Bergen, Norway. Electronic address: kurt.brekke@nhh.no.
[Ti] Título:Competition policy for health care provision in Norway.
[So] Source:Health Policy;121(2):134-140, 2017 Feb.
[Is] ISSN:1872-6054
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:Competition policy has played a very limited role for health care provision in Norway. The main reason is that Norway has a National Health Service (NHS) with extensive public provision and a wide set of sector-specific regulations that limit the scope for competition. However, the last two decades, several reforms have deregulated health care provision and opened up for provider competition along some dimensions. For specialised care, the government has introduced patient choice and (partly) activity (DRG) based funding, but also corporatised public hospitals and allowed for more private provision. For primary care, a reform changed the payment scheme to capitation and (a higher share of) fee-for-service, inducing almost all GPs on fixed salary contracts to become self-employed. While these reforms have the potential for generating competition in the Norwegian NHS, the empirical evidence is quite limited and the findings are mixed. We identify a set of possible caveats that may weaken the incentives for provider competition - such as the partial implementation of DRG pricing, the dual purchaser-provider role of regional health authorities, and the extensive consolidation of public hospitals - and argue that there is great scope for competition policy measures that could stimulate provider competition within the Norwegian NHS.
[Mh] Termos MeSH primário: Grupos Diagnósticos Relacionados/economia
Competição Econômica
Reforma dos Serviços de Saúde
Política de Saúde
Programas Nacionais de Saúde
[Mh] Termos MeSH secundário: Capitação
Comportamento de Escolha
Planos de Pagamento por Serviço Prestado
Gastos em Saúde
Hospitais Privados/economia
Hospitais Públicos/economia
Seres Humanos
Noruega
Atenção Primária à Saúde/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:161206
[St] Status:MEDLINE


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[PMID]:27959479
[Au] Autor:Rosenbaum S; Schmucker S; Rothenberg S; Gunsalus R
[Ad] Endereço:Department of Health Policy and Management, Milken Institute School of Public Health, George Washington University, USA. sarar@gwi/edu
[Ti] Título:What Would Block Grants or Limits on Per Capita Spending Mean for Medicaid?
[So] Source:Issue Brief (Commonw Fund);39:1-10, 2016 11.
[Is] ISSN:1558-6847
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Issue: President-elect Trump and some in Congress have called for establishing absolute limits on the federal government's spending on Medicaid, not only for the population covered through the Affordable Care Act's eligibility expansion but for the program overall. Such a change would effectively reverse a 50-year trend of expanding Medicaid in order to protect the most vulnerable Americans. Goal: To explore the two most common proposals for reengineering federal funding of Medicaid: block grants that set limits on total annual spending regardless of enrollment, and caps that limit average spending per enrollee. Methods: Review of existing policy proposals and other documents. Key findings and conclusions: Current proposals for dramatically reducing federal spending on Medicaid would achieve this goal by creating fixed-funding formulas divorced from the actual costs of providing care. As such, they would create funding gaps for states to either absorb or, more likely, offset through new limits placed on their programs. As a result, block-granting Medicaid or instituting "per capita caps" would most likely reduce the number of Americans eligible for Medicaid and narrow coverage for remaining enrollees. The latter approach would, however, allow for population growth, though its desirability to the new president and Congress is unclear. The full extent of funding and benefit reductions is as yet unknown.
[Mh] Termos MeSH primário: Capitação
Financiamento Governamental/economia
Medicaid/economia
[Mh] Termos MeSH secundário: Controle de Custos
Custo Compartilhado de Seguro
Definição da Elegibilidade
Governo Federal
Seres Humanos
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:161214
[St] Status:MEDLINE


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[PMID]:27783000
[Au] Autor:Sears ED; Swiatek PR; Hou H; Chung KC
[Ad] Endereço:Ann Arbor, Mich. From the Department of Surgery, Section of Plastic Surgery, University of Michigan Health System and VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Department of Surgery, Section of Plastic Surgery, University of Michigan Medical School, and the University of Michigan Health System.
[Ti] Título:The Influence of Insurance Type on Management of Carpal Tunnel Syndrome: An Analysis of Nationwide Practice Trends.
[So] Source:Plast Reconstr Surg;138(5):1041-1049, 2016 Nov.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The purpose of this study was to evaluate the impact of insurance type on use of diagnostic testing, treatments, and the efficiency of care for patients with carpal tunnel syndrome. METHODS: The 2009 to 2013 Truven MarketScan Databases were used to identify adult patients with carpal tunnel syndrome. Insurance type was categorized as fee-for-service versus capitated managed care. Multivariable regression models were created to evaluate the relationship between insurance type and costs, number of visits, treatment, and electrodiagnostic study use, and controlling for demographic characteristics and comorbidities. RESULTS: The cohort included 233,572 patients, of which 86 percent carried fee-for-service insurance. Predicted probabilities were clinically similar between the capitated and fee-for-service insurance types for therapy (0.23 versus 0.24), steroid injection (0.07 versus 0.09), and electrodiagnostic study use (0.44 versus 0.47). The difference in predicted probabilities between the insurance groups was greatest for surgery use (0.22 versus 0.28 for managed care and fee-for-service, respectively). The mean number of visits was similar between the two groups (2.1 versus 2.0 visits). In the controlled analysis, managed care was associated with a 10 percent decrease in cost compared to patients with fee-for-service (p < 0.001). CONCLUSIONS: Managed care was associated with a lower probability of surgery than fee-for-service, but similar use of less costly services. These data may be used to predict future practice trends with increased implementation of bundled payment reimbursement. Routine collection of validated patient outcomes measures is critical to assess patient outcomes associated with anticipated reduction of surgical services. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II.
[Mh] Termos MeSH primário: Síndrome do Túnel Carpal/economia
Custos de Cuidados de Saúde
Seguro Saúde
Padrões de Prática Médica/estatística & dados numéricos
Mecanismo de Reembolso
[Mh] Termos MeSH secundário: Corticosteroides/uso terapêutico
Adulto
Idoso
Capitação/estatística & dados numéricos
Síndrome do Túnel Carpal/diagnóstico
Síndrome do Túnel Carpal/cirurgia
Síndrome do Túnel Carpal/terapia
Redução de Custos
Descompressão Cirúrgica/economia
Descompressão Cirúrgica/utilização
Assistência à Saúde/economia
Gerenciamento Clínico
Eletrodiagnóstico/economia
Eletrodiagnóstico/utilização
Planos de Pagamento por Serviço Prestado/estatística & dados numéricos
Feminino
Custos de Cuidados de Saúde/estatística & dados numéricos
Seres Humanos
Injeções
Masculino
Programas de Assistência Gerenciada/estatística & dados numéricos
Meia-Idade
Visita a Consultório Médico/estatística & dados numéricos
Modalidades de Fisioterapia/economia
Modalidades de Fisioterapia/utilização
Probabilidade
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161027
[St] Status:MEDLINE



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