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In a survey of community health center medical directors in 9 Medicaid expansion states and DC, nearly 60% reported difficulty obtaining new specialist visits and multiple access barriers on behalf of their patients.
Nov 27, 2019
Justin W. Timbie, Ashley M. Kranz, Ammarah Mahmud, Cheryl L. Damberg
Researchers need qualitative data to understand how health systems actually work and influence clinical practice.
Nov 26, 2019
M. Susan Ridgely, Erin L. Duffy, Laura J. Wolf, Mary E. Vaiana, Dennis P. Scanlon, Christine Buttorff, Brigitt Leitzell, Sangeeta C. Ahluwalia, Lara Hilton, Denis Agniel, Amelia Haviland, Cheryl L. Damberg
This Perspective describes the limits of Russia's strategy in the Middle East, including the challenges from Russia's own political and economic systems, limitations from regional actors in the Middle East, and challenges from the United States.
The authors examine resources available to military-affiliated victims and perpetrators of child abuse/neglect and domestic abuse, barriers to utilization, and challenges faced in addressing these issues, and recommend ways to improve services.
Nov 25, 2019
Coreen Farris, Margaret Tankard, Praise O. Iyiewuare, Lynn Rosenthal, Angela Clague, Laura L. Miller, Peter Glick, Katharine Sieck, Radha Iyengar Plumb
This article estimates the impact on hospital utilisation and costs of a multi-faceted primary care intervention for older people identified as being at risk of avoidable hospitalisation. It concludes the intervention was not cost saving.
Nov 22, 2019
Josephine Exley, Gary A. Abel, Jose-Luis Fernandez, Emma Pitchforth, Silvia C. Mendonca, Miaoqing Yang, Martin Roland, Alistair McGuire
This article's objective is to illustrate how to use an online modified-Delphi approach to engage patients and their representatives during different stages of clinical practice guidelines development.
Nov 21, 2019
Dmitry Khodyakov, Sean Grant, Brian Denger, Kathi Kinnett, Ann Martin, Holly Peay, Ian D. Coulter
This report explores the ways in which consular services to citizens abroad have been organised in seven countries (France, Germany, Estonia, Ireland, United Kingdom, United States and Australia) and identifies insights for the Netherlands.
Nov 21, 2019
Stijn Hoorens, Fook Nederveen, Tuure-Eerik Niemi, Victoria Jordan, Kate Cox, Marc Bentinck
Researchers examined the current impacts of AMR on Canada's healthcare system, the future impact on Canada's GDP, and how widespread resistance could influence the day-to-day lives of Canadians.
Nov 21, 2019
B. Brett Finlay, John Conly, Peter C. Coyte, Jo-Anne R. Dillon, Greg Douglas, Ellen Goddard, Louisa Greco, Lindsay E. Nicolle, David Patrick, John F. Prescott, Amelie Quesnel-Vallee, Richard Smith, Gerard D. Wright, Marco Hafner, Jirka Taylor, Erez Yerushalmi
A paper explores options for modifying or replacing peer review in the research funding system, including lotteries; self-review; open peer review; broadening participation; innovation prizes; and new technologies.
In support of U.S. Department of Defense (DoD) efforts to improve mission effectiveness and efficiency, this report identifies DoD government functions for procurement and acquisition, estimating their costs at between $29 billion and $38 billion.
Nov 20, 2019
Philip S. Anton, Tim Conley, Irv Blickstein, Austin Lewis, William Shelton, Sarah Harting
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