Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants.
Foreign-educated and foreign-born health workers constitute a sizable and important portion of the US health care workforce. We review the distribution of these workers and their countries of origin, and we summarize the literature concerning their contributions to US health care.
Regions of the United States where doctors and hospitals are consolidated into large networks are more likely to have accountable care organizations, medical practice structures intended to improve medical care and cut costs.
Early death after emergency department (ED) discharge may signal opportunities to improve care.
While there has been interest in using utilization measures to profile physicians, examinations of these measures are rare. This study found only a small number of commonly used utilization measures reliably capture real differences in utilization among physicians.
Ongoing efforts to profile physicians on their relative cost of care have been criticized because they do not account for differences in patients' socioeconomic status (SES).
More physician-patient discussions about dietary supplements could help inform patient decisions. Physicians should address the risks, effectiveness, and costs of supplements.
Insomnia is very common, but most of its sufferers don't receive a diagnosis or treatment. However, educating primary care providers and other professionals about insomnia can help.
The authors examined physician adoption of second-generation antipsychotic medications and identified physician-level factors associated with early adoption.
Health care providers are encouraged to implement “shared decision making” in which patients and doctors together choose the treatment that is best for each patient. However, doctors need more instruction on how to engage patients and better information systems to make sure patients know their options and receive individualized care.
The U.S. malpractice system is widely regarded as inefficient, in part because of how long cases take to resolve. Malpractice reforms should be assessed by how well they reduce litigation time without undermining patients' needs.
This commentary explores the reasons why Boston's emergency response to the Marathon bombings was so effective and draws implications for other cities' preparedness efforts.
A doctor's ability to communicate effectively is key to establishing and maintaining positive doctor–patient relationships.
In this paper, we provide some of the first estimates of the impact of raising health workers salaries on migration.
Researchers determine that retail clinics may disrupt whether patients see a primary care physician first for new conditions, as well as continuity of care. However, retail clinics do not negatively impact preventive care or diabetes management.
Despite widespread enthusiasm about the potential impact of new investments in comparative effectiveness research, recent history suggests that scientific evidence may be slow to change clinical practice.
Commercial health plans and Medicare are using cost profiles to identify which physicians account for more health care spending than others, while devising strategies to reward those who provide quality care at a lower cost. Doctors with less than 10 years of experience had 13.2 percent higher overall costs than those with 40 or more years of experience.
This research letter examines growth in physician earnings compared with other health professionals.
Health plan members can be encouraged successfully to access physician-level quality data using an inexpensive letter and automated phone call.
The authors assessed the appropriateness of recommendations for hysterectomies done for nonemergency and nononcologic indications for 497 California women. Seventy percent of the hysterectomies were judged to have been recommended inappropriately.