Primary Care

Research conducted by: RAND Health

All Items (182)

Journal Article

Assessment and Management of Patients with Cognitive Impairment and Dementia in Primary Care — Jan 1, 2012

Findings from this small study should be replicated in larger studies to stimulate interventions that will improve the initial and ongoing treatment of older persons with cognitive impairment.

Journal Article

CBT Competence in Novice Therapists Improves Anxiety Outcomes — Jan 1, 2012

This study explores the relationships between therapist variables (cognitive behavioral therapy [CBT] competence, and CBT adherence) and clinical outcomes of computer-assisted CBT for anxiety disorders delivered by novice therapists in a primary care setting.

Journal Article

Trauma Exposure in Anxious Primary Care Patients — Jan 1, 2012

The present study examined rates of trauma exposure, clinical characteristics associated with trauma exposure, and the effect of trauma exposure on treatment outcome in a large sample of primary care patients without posttraumatic stress disorder (PTSD).

Journal Article

Trends in Retail Clinic Use Among the Commercially Insured — Nov 1, 2011

Retail clinic use increased 10-fold from 2007 to 2009. By 2009, roughly 7 percent of all visits by commercially insured patients for 11 common acute-care conditions were to a retail clinic. Increased use was especially dramatic among young, healthy, and higher-income individuals.

Journal Article

Quality of and Patient Satisfaction with Primary Health Care for Anxiety Disorders — Jul 1, 2011

Most patients with anxiety disorders receive their care from primary care practitioners, but fewer than half receive high-quality care.

Journal Article

Disorder-specific Impact of Coordinated Anxiety Learning and Management Treatment for Anxiety Disorders in Primary Care — Apr 1, 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.

Journal Article

Incremental Benefits and Cost of Coordinated Anxiety Learning and Management for Anxiety Treatment in Primary Care — Jan 1, 2011

An approach to anxiety treatment in primary care integrates research interventions into real-world practice settings. Patients benefit but costs are modestly increased.

Research Brief

Where Do Americans Get Acute Care? Not at Their Doctor's Office — Sep 2, 2010

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

Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents — Aug 1, 2010

Adolescents and parents reported that the most effective way to encourage preventive care utilization among teens was to directly address provider-level barriers related to the timeliness, privacy, confidentiality, comprehensiveness, and continuity of their preventive care.

News Release

Performance-Based Payments for Primary Care Providers May Worsen Disparities in Medical Care — May 4, 2010

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.

Journal Article

Performance-Based Payments for Primary Care Providers May Worsen Disparities in Medical Care — May 4, 2010

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.

Journal Article

Primary Care: A Critical Review of the Evidence on Quality and Costs of Health Care — May 1, 2010

Despite contentious debate over the new national health care reform law, there is an emerging consensus that strengthening primary care will improve health outcomes and restrain the growth of health care spending.

Journal Article

Meta-analysis: Effect of Interactive Communication Between Collaborating Primary Care Physicians and Specialists — Feb 16, 2010

Assesses the effects of interactive communication between collaborating primary care physicians and key specialists on outcomes for patients receiving ambulatory care.

Journal Article

Reducing Disparities and Improving Quality: Understanding the Needs of Small Primary Care Practices — Jan 1, 2010

Small primary care practices have limited staff and fewer resources than larger group practices, making it difficult to improve care for minority patients on their own. Other challenges include language barriers and lack of information systems.

Journal Article

Reliability of Medical Group and Physician Performance Measurement in the Primary Care Setting — Jan 1, 2010

In a multipayer collaborative, sample sizes were adequate to assess clinical processes and outcomes at practice sites; for individual physicians, samples were adequate to assess preventive care, but may not be feasible for chronic care assessment.

Journal Article

A Survey of Primary Care Physician Practices in the Diagnosis and Management of Women with Interstitial Cystitis/Painful Bladder Syndrome — Jan 1, 2010

Education can help primary care physicians improve care for patients with interstitial cystitis/painful bladder syndrome.

Journal Article

Financial Barriers to the Adoption of Combination Vaccines By Pediatricians — Jan 1, 2010

One in 5 pediatricians reported that inadequate reimbursement prevented their using 1 or more combination vaccines. Vaccination was less likely in smaller practices, and those with a lower proportion of publicly insured patients.

Journal Article

Meta-analysis: Effect of Interactive Communication Between Collaborating Primary Care Physicians and Specialists — Jan 1, 2010

Assesses the effects of interactive communication between collaborating primary care physicians and key specialists on outcomes for patients receiving ambulatory care.

Research Brief

Electronic Health Records are Associated with Higher Quality in Primary Care Practices — Oct 27, 2009

Demonstrating a link between use of electronic health records in community-based primary care practices and higher-quality care, this study encourages prioritization of such technologies and their advanced functionalities.

Journal Article

Electronic Health Records Linked to Improved Quality in Primary Care Practices — Oct 5, 2009

Routine use of electronic health records may improve the quality of care provided in community-based primary care practices more than other common strategies intended to raise the quality of medical care.

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