RESEARCH BRIEF
Vaccine-preventable diseases take a heavy toll on U.S. adults despite the widespread availability of vaccines. Office-based providers can do more to promote adult vaccinations but need clearer guidance and a better business case to offer them.
NEWS RELEASE
Promoting immunizations as a part of routine office-based medical practice is needed to improve adult vaccination rates, a highly effective way to curb the spread of diseases across communities, prevent needless illness and deaths, and lower health care costs.
REPORT
Promoting immunizations as a part of routine office-based medical practice is needed to improve adult vaccination rates, a highly effective way to curb the spread of diseases across communities, prevent needless illness and deaths, and lower health care costs.
PROJECT
A new online tool, called the "Unintended Consequences Guide," is available from the U.S. Agency for Healthcare Research and Quality to help hospitals and other health care organizations anticipate, avoid, and address problems that can occur when adopting and using electronic health records.
RESEARCH BRIEF
The most comprehensive analysis of the risk of malpractice claims by physician specialty in more than two decades finds that U.S. physicians have a greater than 75% career-long risk of facing litigation. In some specialties, doctors can be virtually certain of a lawsuit over the course of their careers. However, the vast majority of those claims will not result in payment to a plaintiff.
JOURNAL ARTICLE
The likelihood of malpractice suits and the size of indemnity payments vary across specialties, but by age 65, 75% of physicians in low-risk specialties had faced a malpractice claim, as compared with 99% of physicians in high-risk specialties.
JOURNAL ARTICLE
This commentary argues that physicians must take the lead in identifying and eliminating waste in US health care.
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
New National Institutes of Health policies call for expansion of practice-based research to improve the clinical research enterprise and facilitate dissemination of evidence-based medicine. This paper describes organizational strategies that influence clinicians' decisions to participate in clinical research.
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 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.
RAND® is a registered trademark. Copyright © 1994-2012 RAND Corporation. Last Modified: September 15, 2010 Site Feedback »