Quality of Care
2011
Accountable Care Organizations and Community Empowerment — 2011
This commentary argues that involving communities in the formation of accountable care organizations would be a dramatic step toward more patient-centered care.
Advancing the Science of Patient Safety — 2011
This article describes findings from a group of experts assembled to help improve the science of patient safety.
The Association Between Care Experiences and Parent Ratings of Care for Different Racial, Ethnic, and Language Groups in a Medicaid Population — 2011
Communication-based interventions may improve experiences and ratings of care for all subgroups, although implementation of these interventions may need to consider preferences associated with race, ethnicity, and language.
Basing Drug Scheduling Decisions on Scientific Ranking of Harmfulness: False Promise from False Premises — 2011
Multiple dimensions of harm need to be displayed to inform human judgments of what drugs should be scheduled; recent efforts ignores drug interactions and mix aggregate and individual harms inappropriately.
Can the Patient-Centered Outcomes Research Institute Become Relevant to Controlling Medical Costs and Improving Value? — 2011
Research sponsored by the Patient Centered Outcomes Research Institute can help patients make better decisions by comparing the effectiveness of alternative therapies, but it is constrained from considering the costs of therapies it compares.
Care for Veterans with Mental and Substance Use Disorders: Good Performance, but Room to Improve on Many Measures — 2011
The 15 % of veterans with mental health illness accounted for about one-third of total VA costs, mostly for non-mental health conditions. VA quality of care was generally better than care in private plans, but quality varied across VA regions.
Clinical Decision Support and Malpractice Risk — 2011
Clinical decision support (CDS) refers to electronic technology used to enhance clinical decision making. The basic challenge for policymakers interested in promoting adoption of CDS is to ensure that liability concerns do not derail the clinical value of new CDS technology.
Clinical Quality Measures for Intraoperative and Perioperative Management in Carpal Tunnel Surgery — 2011
A panel of experts identified quality measures of preoperative or postoperative care for patients undergoing carpal tunnel surgery
Collection Of Race And Ethnicity Data By Health Plans Has Grown Substantially, But Opportunities Remain To Expand Efforts — 2011
Plans and other stakeholders should agree on uniform race and ethnicity categories, modify information systems to capture these data, and increase members' trust so that self-reported data can be gathered.
Communication with Families Facing Life-Threatening Illness: A Research-Based Model for Family Conferences — 2011
Communication is an ongoing challenge for clinicians working with people facing life-threatening illnesses and end of life. Family conferences offer patient-focused, family-oriented care that brings together patients, family members, and health care providers.
Comparative Effectiveness of Ductal Carcinoma in Situ Management and the Roles of Margins and Surgeons — 2011
This study examined variations in treatment of ductal carcinoma in situ, a common form of breast cancer, and compared the effectiveness of different treatments.
The Cost and Quality of VA Mental Health Services — 2011
The quality of mental health care delivered by the U.S. Department of Veterans Affairs (VA) is generally as good or better than care delivered by private health plans, although it falls short of the high standards set in VA guidelines.
Depression and Medication Adherence in the Treatment of Chronic Diseases in the United States: A Meta-Analysis — 2011
This analysis provides evidence that depression is associated with poor adherence to medication across a range of chronic diseases.
Depression and the Health Care Experiences of Medicare Beneficiaries — 2011
Depressed patients report poorer health care experiences and have less confidence that they can recognize their need for care.
Developing a Natural Language Processing Application for Measuring the Quality of Colonoscopy Procedures — 2011
The authors develop a natural language processing (NLP) application to measure colonoscopy quality.
Developing Medical Record-Based Performance Indicators to Measure the Quality of Mental Healthcare — 2011
This paper presents the methodology used to develop a comprehensive set of performance indicators in a national evaluation of the mental healthcare delivered by the Veterans Health Administration.
Development Quality Criteria to Evaluate Nontherapeutic Studies of Incidence, Prevalence, or Risk Factors of Chronic Diseases: Pilot Study of New Checklists — 2011
This article reports results from a systematic literature review designed to develop two checklists for the quality of observational studies of incidence or risk factors of diseases.
Diagnostics as Essential Tools for Containing Antibacterial Resistance — 2011
Appropriate use of existing diagnostic tests for infections, and development of better ones, could reduce overuse of antibacterial drugs.
Differential Item Functioning By Survey Language Among Older Hispanics Enrolled in Medicare Managed Care — 2011
Failure to account for language differences in CAHPS survey items may result in misleading conclusions about disparities in health care experiences between Spanish and English speakers.
Disorder-specific Impact of Coordinated Anxiety Learning and Management Treatment for Anxiety Disorders in Primary Care — 2011
Cognitive behavior therapy and pharmacotherapy medication is more effective than is usual care for principal anxiety disorders and, to a lesser extent, comorbid anxiety disorders that present in primary care.
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