Journal Article
A paradigm shift involving acknowledgement of the value of clinicians in the context of community research, establishment of a stable infrastructure to support a cohort of clinicians across time and research studies, and realignment of incentives to encourage participation in clinical research is required.
Journal Article
This paper identifies several approaches that healthcare organizations can use to overcome barriers to clinician participation in research studies.
Journal Article
This paper presents a model for the reorganization of clinical research to foster long-term participation by community clinicians.
Journal Article
Although most physicians qualify for federal incentives to promote adoption of electronic health records, eligibility varies substantially by specialty and practice size.
Journal Article
This study highlights the difference between collective and individual equipoise and their impact upon surgical trials.
Journal Article
This commentary argues that it is timely to reengage physicians in the discussion of international comparative data about health care and to ask why the United States is so provincial in designing the systems by which care is delivered.
Journal Article
Most Massachusetts physician groups are using results from a statewide patient survey to help improve patient experiences, but a significant number are not making use of the information or are making relatively limited efforts.
News Release
Most Massachusetts physician groups are using results from a statewide patient survey to help improve patient experiences, but a significant number are not making use of the information or are making relatively limited efforts.
Journal Article
Uptake of new cervical cancer screening protocols can occur quickly among traditionally underserved groups and may be aided by early adoption by specialists.
Journal Article
When looking for a new physician, patients are often encouraged to select those who are board certified or who have not made payments on malpractice claims—characteristics that are not always a good predictor of which physicians will provide the highest quality medical care.
Research Brief
Less than half of acute care visits in the United States involve a patient's personal physician. Emergency physicians, who comprise only 4 percent of doctors, handle 28 percent of all acute care encounters and nearly all after-hours and weekend care.
Journal Article
Only 42 percent of the 354 million annual visits in the U.S. for acute care—treatment for newly arising health problems—are made to patients' personal physicians. The rest are made to emergency departments (28 percent), specialists (20 percent), or outpatient departments (7 percent).
Journal Article
Cost profiles of physician groups are statistically more reliable than profiles of individual physicians but they don't predict individual physician performance within the group.
News Release
Profiles created for physicians based on the cost of the care they provide can vary widely depending upon the methods used by insurance companies to create the profiles.
Journal Article
The choice of attribution rule affects how costs are assigned to a physician and can substantially affect the cost category to which a physician is assigned.
News Release
Rewarding primary care physicians for providing better care to patients could end up widening medical disparities experienced by poorer people and by minorities. Increasing the number of primary care physicians is also not enough to boost U.S. health care quality and lower costs.
News Release
Increasingly common insurance plans that encourage patients to receive care from physicians who keep medical costs lower are based on unreliable estimates of doctor performance and may not achieve the intended savings.
Journal Article
The authors examine the potential conflicts between pay for performance and medical professionalism and conclude that properly designed pay-for-performance models can support professional objectives.
Journal Article
Certain categories of physicians may need more tailored incentives to adopt SEP.
Journal Article
Assesses the effects of interactive communication between collaborating primary care physicians and key specialists on outcomes for patients receiving ambulatory care.