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Health Care Workforce

Journal Article

Social Networks in Health Care Teams: Evidence from the United States

Health care teams could use social network analysis study findings to adjust team structures to help facilitate information exchange, promote collaboration, and improve team performance and patient outcomes.

Sep 20, 2016
Research Brief

Expanding Nurse Practitioner Scope of Practice in Michigan: Effects on Health Care Delivery

Changing scope of practice regulations in Michigan to allow nurse practitioners to autonomously diagnose, treat, and prescribe medications could increase access to care, improve favorable utilization of care, and improve patient-centeredness.

Sep 15, 2016
Journal Article

Understanding Negative Feedback from South Asian Patients: An Experimental Vignette Study

Ethnic minority participants rated communication in simulated primary care visits substantially higher than White British participants, suggesting that lower scoring from minorities on the English GP Patient Survey reflects real quality differences.

Sep 15, 2016
Report

The Impact of Establishing a Full Scope of Practice for Nurse Practitioners in Michigan

RAND researchers examine the existing literature on the relationship between state scope-of-practice regulations for nurse practitioners and various health care delivery outcomes, then estimate the impact if Michigan expanded that scope of practice.

Sep 15, 2016
Journal Article

Patients Learning to Read Their Doctors' Notes: The Importance of Reminders

As patients gain access to clinicians' notes, explicit email invitations to review notes may foster patient engagement.

Sep 13, 2016
Journal Article

Mapping the Health Care Policy Landscape for Complementary and Alternative Medicine Professions Using Expert Panels and Literature Analysis

The policy environment related to complementary and alternative medicine (CAM) would benefit from a discussion involving a wide range of stakeholders about how to unify definitions of CAM as a collection of treatments vs. CAM as a professional field.

Sep 12, 2016
Journal Article

How Policy Can Help Develop and Sustain Workforce Capacity in UK Dementia Research: Insights from a Career Tracking Analysis and Stakeholder Interviews

This article attempts to identify research support strategies likely to be effective for strengthening the UK's dementia research landscape and ensuring a sustainable and competitive workforce.

Sep 6, 2016
Journal Article

The Impact of Using Mid-Level Providers in Face-To-Face Primary Care on Health Care Utilization

When working under a physician's supervision, nurse practitioners and physician assistants do not increase utilization and spending.

Aug 25, 2016
Journal Article

Opioid Analgesic and Benzodiazepine Prescribing Among Medicaid-enrollees with Opioid Use Disorders: The Influence of Provider Communities

A substantial number of Medicaid enrollees were able to fill prescriptions for opioid analgesics, benzodiazepines, or both in the year following diagnosis for an opioid use disorder.

Aug 23, 2016
Journal Article

Evaluation of the ProPublica Surgeon Scorecard "Adjusted Complication Rate" Measure Specifications

Researchers call into question the validity of ProPublica's Surgeon Scorecord, used to report on individual surgeon outcomes, based on an assessment of its outcome measure with ACS-NSQIP data.

Aug 23, 2016
Journal Article

Creating Unidimensional Global Measures of Physician Practice Quality Based on Health Insurance Claims Data

Physician practice quality indicators from HEDIS (Healthcare Effectiveness Data and Information) cannot be used to establish a uniform quality measure across clinical domains, but they can be used to create a small set of composite measures.

Aug 22, 2016
Report

Hepatitis C: Understanding factors that influence the physicians' treatment decisions

A study investigating the decisionmaking process undertaken by physicians when prescribing treatment for Hepatitis C and the comparative influence and importance of specific factors and combinations of factors.

Aug 19, 2016
Journal Article

Impact of a Risk Calculator on Risk Perception and Surgical Decision Making: A Randomized Trial

A surgical risk calculator could help surgeons make more accurate judgments of operative risks.

Jul 25, 2016
Journal Article

Surgeon Perception of Risk and Benefit in the Decision to Operate

When presented with four common clinical scenarios, surgeons' perceptions of treatment risks and benefits vary widely.

Jul 25, 2016
Journal Article

Patterns of Antipsychotic Prescribing by Physicians to Young Children

Prescribing antipsychotics for young children is relatively common, especially in rural areas.

Jul 25, 2016
Commentary

Can a Nurse Practitioner Replace a Physician?

The VA is considering expanding the role of nurse practitioners in order to provide veterans timely access to primary care services. Research has shown that nurse practitioners working in collaborative settings can provide high-quality care.

Jul 22, 2016
Journal Article

Measuring Moral Courage for Interns and Residents: Scale Development and Initial Psychometrics

The Moral Courage Scale for Physicians measures physicians' abilities to stand up for ethical beliefs in the context of patient care.

Jul 21, 2016
Dissertation

The Determinants of Job Satisfaction among Nurses, Midwives, and Auxiliary Nurses in Health Clinics: The Case of Bénin, West Africa

Using secondary data from a performance-based financing project in health facilities, this dissertation examines the concept of work satisfaction among health workers in Bénin.

Jul 13, 2016
Journal Article

Measuring Workplace Climate in Community Clinics and Health Centers

Combining items from existing survey sets would improve measurement of community clinic and health center workplace climates.

Jul 6, 2016
Report

Enhancing Military–Civilian Medical Synergies: The Role of Army Medical Practice in Civilian Facilities

RAND researchers assessed Army medical practice in U.S. Department of Veterans Affairs and non-Veterans Affairs civilian facilities and suggested opportunities for improving military-civilian synergies.

Jun 22, 2016

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