A forum to note and discuss new developments in health services research, as well as other issues pertinent to academic health services research.
Thursday, December 1, 2011
The ACP Advocate Blog by Bob Doherty: Why is health care so costly? Hint: it’s not (mostly) how much care we get.
Tuesday, November 29, 2011
Monday, November 28, 2011
Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers — NEJM
Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers — NEJM
A grim diagnosis for our ailing U.S. health care system - The Washington Post
A grim diagnosis for our ailing U.S. health care system - The Washington Post
Friday, November 25, 2011
Seth's Blog: Pre digital
Tuesday, November 15, 2011
The ACP Advocate Blog by Bob Doherty: Doctors’ Rx for America: More government regulation*
Monday, November 14, 2011
Evidence-Based Performance Measures: Preventing Unintended Consequences of Quality Measurement
Evidence-Based Performance Measures: Preventing Unintended Consequences of Quality Measurement
Retainer Medicine: An Ethically Legitimate Form of Practice That Can Improve Primary Care
Retainer Medicine: An Ethically Legitimate Form of Practice That Can Improve Primary Care
Tuesday, November 8, 2011
Community Development Efforts Offer A Major Opportunity To Advance Americans’ Health
Despite Obstacles, Considerable Potential Exists For More Robust Federal Policy On Community Development And Health
Thursday, November 3, 2011
Geographic Variation in Physicians' Responses to a Reimbursement Change — NEJM
Geographic Variation in Physicians' Responses to a Reimbursement Change — NEJM
Monday, October 31, 2011
Tuesday, October 18, 2011
Improving the Rules for Hospital Participation in Medicare and Medicaid - — JAMA
Improving the Rules for Hospital Participation in Medicare and Medicaid - — JAMA
Abstract | Paucity of qualitative research in general medical and health services and policy research journals: analysis of publication rates
Abstract | Paucity of qualitative research in general medical and health services and policy research journals: analysis of publication rates
Thursday, October 13, 2011
Thursday, October 6, 2011
Review Article: Effectiveness of Patient Care Teams and the Role of Clinical Expertise and Coordination
Review Article: Effectiveness of Patient Care Teams and the Role of Clinical Expertise and Coordination
Wednesday, October 5, 2011
Wednesday, September 28, 2011
2011 Medical Home Summit West | Mind The Gap
2011 Medical Home Summit West | Mind The Gap
Tuesday, September 27, 2011
Complications After Prostate Biopsy: Data From SEER-Medicare
Complications After Prostate Biopsy: Data From SEER-Medicare
Arch Intern Med -- Abstract: Too Little? Too Much? Primary Care Physicians' Views on US Health Care: A Brief Report, September 26, 2011, Sirovich et al. 171 (17): 1582
Arch Intern Med -- Black/White Racial Disparities in Health: A Cross-Country Comparison of Canada and the United States, September 26, 2011, Lebrun and LaVeist 171 (17): 1591
Monday, September 26, 2011
Common Sense And Malpractice Reform – Health Affairs Blog
Common Sense And Malpractice Reform – Health Affairs Blog
Sunday, September 25, 2011
How One Small Group Sets Doctors' Pay - NYTimes.com
Saturday, September 24, 2011
Becoming Mindful Of Medical Decision Making
Becoming Mindful Of Medical Decision Making
Whether making life-or-death decisions — or simply choosing a drug — we're flooded with information and conflicting advice. Doctors, the media, statistics, guidelines, family members and Internet strangers can all weigh in on the best medications to take or the most effective treatment options.
So how do you pick the best one?
"There is no one right answer for everyone," says Harvard Medical School oncologist Jerome Groopman. "But it's very important for people to understand how the information applies to them as individuals and then to understand ... their own personal approach to making choices ... so that they're confident that what they chose is right for them."
Groopman and Pamela Hartzband, an endocrinologist at Harvard Medical School, have teamed up to write Your Medical Mind, a guidebook for patients trying to sift through medical choices and make the best decisions for themselves and their family members ...
to listen:
http://www.npr.org/2011/09/21/140438982/becoming-mindful-of-medical-decision-making
to read:
http://www.npr.org/templates/transcript/transcript.php?storyId=140438982
Thursday, September 22, 2011
Wednesday, September 21, 2011
Providing High-Value, Cost-Conscious Care: A Critical Seventh General Competency for Physicians
Providing High-Value, Cost-Conscious Care: A Critical Seventh General Competency for Physicians
Tuesday, September 20, 2011
The ACP Advocate Blog by Bob Doherty: Are doctors treated worse than everyone else?
The ACP Advocate Blog by Bob Doherty: Are doctors treated worse than everyone else?
Medicare Is More Efficient Than Private Insurance – Health Affairs Blog
Medicare Is More Efficient Than Private Insurance – Health Affairs Blog
Lessons from the Physician Group Practice Demonstration — A Sobering Reflection — NEJM
Lessons from the Physician Group Practice Demonstration — A Sobering Reflection — NEJM
Wednesday, September 14, 2011
The Growth In Cost Per Case Explains Far More Of US Health Spending Increases Than Rising Disease Prevalence
The Growth In Cost Per Case Explains Far More Of US Health Spending Increases Than Rising Disease Prevalence
Desperately Seeking Savings: States Shift More Medicaid Enrollees To Managed Care
Desperately Seeking Savings: States Shift More Medicaid Enrollees To Managed Care
A Decade Of Health Care Cost Growth Has Wiped Out Real Income Gains For An Average US Family
A Decade Of Health Care Cost Growth Has Wiped Out Real Income Gains For An Average US Family
Monday, September 12, 2011
Court Says Plaintiffs Have No Standing To Challenge Affordable Care Act – Health Affairs Blog
Court Says Plaintiffs Have No Standing To Challenge Affordable Care Act – Health Affairs Blog
Thursday, September 8, 2011
“July Effect”: Impact of the Academic Year-End Changeover on Patient Outcomes
“July Effect”: Impact of the Academic Year-End Changeover on Patient Outcomes
Wednesday, September 7, 2011
The Budget Act Control of 2011: Implications for Medicare - Kaiser Family Foundation
The Budget Act Control of 2011: Implications for Medicare - Kaiser Family Foundation
amednews: Hospitals hire doctors to control services and shore up market share, study says :: Sept. 6, 2011 ... American Medical News
amednews: Hospitals hire doctors to control services and shore up market share, study says :: Sept. 6, 2011 ... American Medical News
Informatics for Consumer Health Group News | LinkedIn
The Critical Role of Patient Trust In Their Doctor - Infographic - Check out the latest post on Mind the Gap
How much impact does this health service have? Do we know how to measure it to see how a health system is performing?
Informatics for Consumer Health Group News | LinkedIn
Heart Failure Program Has Reduced Readmissions by 30 Percent - NYTimes.com
Heart Failure Program Has Reduced Readmissions by 30 Percent - NYTimes.com
Tuesday, September 6, 2011
Why we should measure safety and not performance — db's Medical Rants
Thursday, August 25, 2011
Tuesday, August 9, 2011
Friday, August 5, 2011
The Colorado Health Symposium’s Debate Over Repealing and Replacing the ACA – GrantWatch Blog
Monday, August 1, 2011
Rethinking The Value Of Medical Services – Health Affairs Blog
Friday, July 29, 2011
Arch Intern Med -- Abstract: Defining Health Information Technology-Related Errors: New Developments Since To Err Is Human, July 25, 2011, Sittig and Singh 171 (14): 1281
Friday, July 22, 2011
Finland's Educational Success? The Anti–Tiger Mother Approach -- Printout -- TIME
Any implications for health care quality?
Finland's Educational Success? The Anti–Tiger Mother Approach -- Printout -- TIME
Tuesday, July 19, 2011
ACOs and the modern day leper | LinkedIn
ACOs and the modern day leper | LinkedIn
Dan Ariely » Blog Archive Teachers cheating and Incentives «
Dan Ariely » Blog Archive Teachers cheating and Incentives «
Saturday, July 16, 2011
New disparity research
Income-Related Inequity in Initiation of Evidence-Based Therapies Among Patients with Acute Myocardial Infarction
from Journal of General Internal Medicine (Online First™)
ABSTRACT
BACKGROUND
Previous research has shown a socioeconomic status (SES) gradient in the receipt of cardiac services following acute myocardial infarction (AMI), but much less is known about SES and the use of secondary preventive medicines following AMI.
OBJECTIVES
To examine the role of income in initiation of treatment with ACE-inhibitors, beta-blockers and statins in the 120 days following discharge from hospital for first AMI.
DESIGN
A cross-sectional study with a population-based cohort.
PARTICIPANTS
First-time AMI patients between age 40 and 100 discharged alive from the hospital and surviving at least 120 days following discharge between January 1, 1999 and September 3, 2006.
MAIN MEASURES
Binary variables indicating whether the patient had filled at least one prescription for each of the medicines of interest.
KEY RESULTS
Our results reveal a significant and positive income gradient with initiation of the guideline-recommended medicines among male AMI patients. Men in the third income quintile and above were significantly more likely to initiate treatment with any of the medicines than those in the first quintile, with those in the fifth income quintile having 37%, 50% and 71% higher odds of initiating ACE-inhibitors, beta-blockers and statins, respectively, than men in the lowest income quintile [OR = 1.37 95% CI (1.24, 1.51); OR = 1.50 95% CI (1.35, 1.68); and OR = 1.71 95% CI (1.53, 190)]. The gradient was not present among women, although women in the fifth income quintile were more likely to initiate beta-blockers and statins than women in the lowest income quintile [OR = 1.25 95% CI (1.06, 1.47) and OR = 1.32 95% CI (1.12, 1.54)].
CONCLUSIONS
There were inequities in treatment following AMI in the form of a clear and often significant gradient between income and initiation of evidence-based pharmacologic therapies among male patients. This gradient persisted despite significant changes in coverage levels for the costs of these medicines.
Content Type Journal Article
Pages 1-7
DOI 10.1007/s11606-011-1799-1
Authors
Gillian E. Hanley, Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
Steve Morgan, Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
Robert J. Reid, Group Health Research Institute, Seattle, WA, USA
Journal Journal of General Internal Medicine
Online ISSN 1525-1497
Print ISSN 0884-8734
Using Skim with Scrivener for researching & writing your Thesis « Doctoral School blog
Friday, July 8, 2011
Monday, July 4, 2011
» Get it done AG Daws
Day 137: Axe Sharpening... - ASBO Allstar's Blog...
Thursday, June 23, 2011
AMA's Factions Leave Little Room for Compromise : Internal Medicine News
Monday, June 20, 2011
austin frakt interview on blogging health research and policy
Medical News: AMA: Delegates Sharply Divided on Individual Mandate - in Meeting Coverage, AMA from MedPage Today
Sunday, June 19, 2011
Thursday, June 16, 2011
Friday, June 10, 2011
The ACP Advocate Blog by Bob Doherty: Should taxpayers pay for unnecessary care?
Thursday, June 9, 2011
How Intermountain Trimmed Health Care Costs Through Robust Quality Improvement Efforts
Tuesday, May 31, 2011
Squandering Medicare’s Money - NYTimes.com
Friday, May 27, 2011
Wednesday, May 25, 2011
The tension between physicians and health policy experts | LinkedIn
Tuesday, May 24, 2011
Arch Intern Med -- Abstract: Electronic Health Records and Clinical Decision Support Systems: Impact on National Ambulatory Care Quality, May 23, 2011, Romano and Stafford 171 (10): 897
Monday, May 23, 2011
We should so blatantly do more randomised trials on policy – Bad Science
Thursday, May 19, 2011
The ACP Advocate Blog by Bob Doherty: When did support for primary care become a partisan issue?
Annals Podcast Home Page
Tuesday, May 10, 2011
Arch Intern Med -- Abstract: Medicare Expenditures Among Nursing Home Residents With Advanced Dementia, May 9, 2011, Goldfeld et al. 171 (9): 824
Monday, April 25, 2011
Closing the Quality Gap: Revisiting the State of the Science
Friday, April 15, 2011
AHRQ News and Numbers: Medication Side Effects, Injuries, Up Dramatically
Thursday, April 14, 2011
How CER Could Pay for Itself — Insights from Vertebral Fracture Treatments | Health Policy and Reform
Wednesday, April 13, 2011
Keeneland Conference: A Conversation with John Lumpkin | Public Health
Wednesday, March 30, 2011
County Health Rankings Show There is More to Health Than Health Care - RWJF
“It’s hard to lead a healthy life if you don’t live in a healthy community,” said Risa Lavizzo-Mourey, M.D., M.B.A. president and CEO of the Robert Wood Johnson Foundation. “The County Health Rankings are an annual check-up for communities to know how healthy they are and where they can improve. We hope that policymakers, businesses, educators, public health departments and community residents will use the Rankings to develop solutions to help people live healthier lives.”
County Health Rankings Show There is More to Health Than Health Care - RWJF
Tuesday, March 29, 2011
Tuesday, March 22, 2011
Thursday, March 10, 2011
Health Indicators warehouse
Health and Human Services Launches Health Indicators Warehouse to Support Innovation
WASHINGTON, D.C. - Today, the U.S. Department of Health and Human Services (HHS) launched a new web portal providing important health and health care indicator data to support innovations in information technology. The Health Indicators Warehouse represents a vast collection of health and health care indicators along with new web 2.0 technologies to support automated data services through application programming interfaces (APIs).
HHS Secretary Kathleen Sebelius said, “The Health Indicators Warehouse provides a new public resource needed to fuel development of innovative information technology applications needed to improve health and health care decision-making.”
HHS featured the resource as an important step toward addressing data transparency and the agency’s commitment to its Open Government Plan and the Community Health Data Initiative.
The Health Indicators Warehouse is a collection of health indicators from a wide array of HHS data sources that are maintained to support researchers, technology developers and policymakers. Health indicators are measurable characteristics that describe the health of a population (e.g., life expectancy, mortality, disease incidence or prevalence, or other health states); determinants of health (e.g., health behaviors, health risk factors, physical environments, and socioeconomic environments); and health care access, cost, quality, and use. Depending on the measure, a health indicator may be defined for a specific population, place, political jurisdiction, or geographic area. Currently, the Health Indicators Warehouse includes nearly 1200 health indicators derived from over 170 different data sources, with all being downloadable via APIs.
“This resource is equipped with modern information services for the purpose of enhancing the dissemination and use of these valuable collections to improve community-level health practices,” noted Dr. Edward Sondik, director, National Center for Health Statistics.
The health indicator data sets and the web tools provided by the warehouse are expected to support technology development leading to a wide array of applications (apps) and data services.
Todd Park, chief technology officer, HHS said, “We recognize that one of the keys to better health and health care is data-driven decision-making at all levels and the HHS warehouse lowers the barrier for development of technologies to achieve this goal.”
In 2010, HHS demonstrated the value of these data sets in creating a wide array of web apps as part of the Community Health Data Initiative. In the coming months, HHS anticipates additional activities and projects to promote innovative uses of data and apps development to improve health and health care performance at the community level.
For more information about the Health Indicators Warehouse, visit http://healthindicators.gov
Tuesday, March 1, 2011
Monday, February 21, 2011
Same Americans Who Made Taylor Swift Popular Polled On Constitutionality Of Health Care Reform | The Onion - America's Finest News Source
Same Americans Who Made Taylor Swift Popular Polled On Constitutionality Of Health Care Reform | The Onion - America's Finest News Source
Saturday, February 5, 2011
Monday, January 31, 2011
Another nail in the P4P coffin — db's Medical Rants
Another nail in the P4P coffin — db's Medical Rants
Tuesday, January 18, 2011
America's Health Rankings
Saturday, January 15, 2011
The End Of Internal Medicine As We Know It – Health Affairs Blog
The End Of Internal Medicine As We Know It – Health Affairs Blog
Monday, January 10, 2011
Dan Ariely » Blog Archive A gentler and more logical economics «
Dan Ariely » Blog Archive A gentler and more logical economics «