Friday, November 25, 2011

Seth's Blog: Pre digital

the "modernization" of healthcare is going to happen, but I get the sense no one really knows how to do it. Great need for quality health services research.

Seth's Blog: Pre digital

Tuesday, October 18, 2011

Why Not the Best? Results from the National Scorecard on U.S. Health System Performance, 2011 - The Commonwealth Fund

latest data on the US health care system


Why Not the Best? Results from the National Scorecard on U.S. Health System Performance, 2011 - The Commonwealth Fund

Going Home on the Right Medications, August 24/31, 2011, Kahn and Angus 306 (8): 878 — JAMA

nicely done hsr!

Going Home on the Right Medications, August 24/31, 2011, Kahn and Angus 306 (8): 878 — JAMA

The Continuing Paradoxes of Nursing Home Policy - — JAMA

the dilemma of long term care

The Continuing Paradoxes of Nursing Home Policy - — JAMA

Improving the Rules for Hospital Participation in Medicare and Medicaid - — JAMA

Should we vote/comment on this proposal?


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

Nice followup to our methods discussion Monday

Abstract | Paucity of qualitative research in general medical and health services and policy research journals: analysis of publication rates

Medical Spending and the Health of the Elderly - Hadley - 2011 - Health Services Research - Wiley Online Library

Maybe you really do get what you pay for.


Medical Spending and the Health of the Elderly - Hadley - 2011 - Health Services Research - Wiley Online Library

Tuesday, September 27, 2011

Complications After Prostate Biopsy: Data From SEER-Medicare

Good example of "bread and butter" HSR generating new information that could (?should) influence practice & policy.

Complications After Prostate Biopsy: Data From SEER-Medicare

Arch Intern Med -- Reasons for Overtreatment: Comment on "Too Little? Too Much? Primary Care Physicians' Views on US Health Care", September 26, 2011, Grady 171 (17): 1586

Arch Intern Med -- Reasons for Overtreatment: Comment on "Too Little? Too Much? Primary Care Physicians' Views on US Health Care", September 26, 2011, Grady 171 (17): 1586

Arch Intern Med -- Nice Work If You Can Get It: Comment on "Too Little? Too Much? Primary Care Physicians' Views on US Health Care", September 26, 2011, Chou 171 (17): 1585

Arch Intern Med -- Nice Work If You Can Get It: Comment on "Too Little? Too Much? Primary Care Physicians' Views on US Health Care", September 26, 2011, Chou 171 (17): 1585

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

nice followup to an earlier post about excess US spending per patient relative to some other countries. Also an example of survey-based HSR.


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

Brand new research on health disparities - Timely for our discussions this week!


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

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 ...

for the full interview ---

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

Wednesday, September 7, 2011

Physician Payment Reform: An Opportunity To Bolster Primary Care – Health Affairs Blog

Physician Payment Reform: An Opportunity To Bolster Primary Care – Health Affairs Blog

The Budget Act Control of 2011: Implications for Medicare - Kaiser Family Foundation

Possible scenario for the future of the US health care system


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

Followup to the hospitalist article we talked about last week.


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

Long hospital wait times can be deadly - Vital Signs - MarketWatch

Article submitted by Mark.

Long hospital wait times can be deadly - Vital Signs - MarketWatch

Heart Failure Program Has Reduced Readmissions by 30 Percent - NYTimes.com

apparently successful new health service at one hospital. Why does it work? Will it work as well elsewhere? Has it been thoroughly evaluated? What are the challenges for dissemination elsewhere?


Heart Failure Program Has Reduced Readmissions by 30 Percent - NYTimes.com

Saturday, July 16, 2011

New disparity research

some new healthcare 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

some more PhD workflow information plus an interesting virtual meeting via twitter.


Using Skim with Scrivener for researching & writing your Thesis « Doctoral School blog

Monday, July 4, 2011

» Get it done AG Daws

Good advice from a writer about how to write productively. Note the Scrivener references are optional, you can do much the same with any word processor/writing set up including pen and paper.



» Get it done AG Daws

Day 137: Axe Sharpening... - ASBO Allstar's Blog...

Nice blog by a new PhD student on some workflow issues. Unfortunately Mac-based but you can do the same thing using the Scrivener for Windows beta program.

enjoy!

Day 137: Axe Sharpening... - ASBO Allstar's Blog...

Monday, May 23, 2011

We should so blatantly do more randomised trials on policy – Bad Science

Should we start doing more randomized trials of policy alternatives?

How about health system reforms?

Is there a need for a new science of health services research epidemiology?


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?

US politics Washington style is either fascinating or frightening, perhaps both.


The ACP Advocate Blog by Bob Doherty: When did support for primary care become a partisan issue?

Annals Podcast Home Page

check out the comments from Peter Orszag (a key player in the Obama health reform effort) about the future of health care in the US from the May 3, 2011 podcast. Great perspective for planning health services research.

Annals Podcast Home Page

Monday, April 25, 2011

Closing the Quality Gap: Revisiting the State of the Science

New series of quality reports forthcoming from AHRQ.

An overview is available, as well as protocols regarding the patient centered medical home and how to address health disparities.

Closing the Quality Gap: Revisiting the State of the Science

Wednesday, April 13, 2011

Keeneland Conference: A Conversation with John Lumpkin | Public Health

good agenda for hsr: read more by following the link

"Clearly, the number one research question that state and local health departments have is how they maximize available resources in the faces of budget cuts. More than half have had layoffs and other budget restrictions. So PHSSR, first and foremost, needs to help these agencies figure out how best to use their limited workforce to carry out essential services, and then look further—at what are their priorities if they have limited funds, what are the public health returns on public dollars that are being invested in the public health system."



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

Newly released county by county health rankings.

“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

Thursday, March 10, 2011

Health Affairs March 2011, 30 (3)

Interesting issue on innovations in medical practice.


Table of Contents — March 2011, 30 (3)

Health Indicators warehouse

New source of HSR data!

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, January 18, 2011

America's Health Rankings

This is a great visual site to compare different health statistics and rankings among states. Take note that you can look at different years as well by changing bar along the bottom of the screen.

Saturday, January 15, 2011

The End Of Internal Medicine As We Know It – Health Affairs Blog

Change is interesting. Here is another discussion that reflects different viewpoints on current attempts to improve our health care system.


The End Of Internal Medicine As We Know It – Health Affairs Blog