Physicians

Research conducted by: RAND Health

Journal Articles (141)

Impact of Socioeconomic Adjustment on Physicians' Relative Cost of Care — Apr 26, 2013

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).

Insomnia: Can't Sleep, Can't Get Diagnosed — Apr 15, 2013

insomnia

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.

Shared Decision Making Between Patients and Doctors Will Require Investment by Health Systems — Feb 4, 2013

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.

On Average, Physicians Spend Nearly 11 Percent of Their 40-Year Careers with an Open, Unresolved Malpractice Claim — Jan 1, 2013

The average physician spends nearly 11 percent of an assumed forty-year career with an unresolved, open malpractice claim. The long time it takes for a case is resolved is distressing for both doctor and patient.

Physician-Patient Communication About Dietary Supplements — Jan 1, 2013

Physicians could more frequently address topics that may influence patient dietary supplement use, such as the risks, effectiveness, and costs of supplements.

Lessons from Boston — Jan 1, 2013

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.

Less-Experienced Physicians Spend More Money Caring for Patients Than More-Experienced Physicians — Nov 5, 2012

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.

Trends in the Earnings of Health Care Professionals in the United States, 1987-2010 — Nov 1, 2012

This research letter examines growth in physician earnings compared with other health professionals.

Evidence About Whether Retail Medical Clinics Disrupt Doctor-Patient Relationships Is Mixed — Oct 31, 2012

People who visit retail medical clinics are less likely to return to a primary care physician for future illnesses and have less continuity of care. However, no evidence suggests that retail medical clinics disrupt preventive care or management of diabetes, two important measures of quality of primary care.

A Field Experiment on the Impact of Physician-Level Performace Data on Consumers' Choice of Physician — Oct 29, 2012

Health plan members can be encouraged successfully to access physician-level quality data using an inexpensive letter and automated phone call.

The Appropriateness of Recommendations for Hysterectomy — Jun 19, 2012

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.

Outcomes of Medical Malpractice Litigation Against US Physicians — Jun 1, 2012

The risk of medical malpractice varies substantially according to physician specialty.

Provider Views About Responsibility for Medication Adherence and Content of Physician-Older Patient Discussions — Jun 1, 2012

This article explores provider opinions about responsibility for medication adherence and examine physician--patient interactions to illustrate how adherence discussions are initiated.

Do Physician Organizations Located in Lower Socioeconomic Status Areas Score Lower on Pay-for-Performance Measures? — May 1, 2012

Physician organizations (POs)—independent practice associations and medical groups—located in lower socioeconomic status (SES) areas may score poorly in pay-for-performance (P4P) programs.

Can Quality-Adjusted Life-Years and Subgroups Help Us Decide Whether to Treat Late-Arriving Stroke Patients with Tissue Plasminogen Activator? — Jan 1, 2012

Treatment of stroke patients is highly time-sensitive. The risk of death or disability caused by intracranial hemorrhage may increase with both stroke size and time.

Vision and Persistence: Changing the Education of Physicians Is Possible — Jan 1, 2012

In the 1960s, a new paradigm for training physicians emerged: one that combined clinical training and its focus on individual patients with a research training focused on studying the health of populations.

Pediatric Residents' Perspectives on Reducing Work Hours and Lengthening Residency: A National Survey — Jan 1, 2012

Pediatric residents who support further reductions in work-hours believe reductions have positive effects on patient care, education, and quality of life.

The Changing Landscape of America's Health Care System and the Value of Emergency Medicine — Jan 1, 2012

Emergency medicine is poised as a specialty to respond to health care changes and to lead the charge in transforming a disconnected, inefficient, and costly system.

Malpractice Risk According to Physician Specialty — Aug 18, 2011

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.

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