The National Institute for Health Research is now ten years old. What benefits has it had on the health research landscape in the UK since its formation?
This report celebrates 100 examples of positive change arising from the National Institute for Health Research (NIHR)'s support of research over the last 10 years, highlighting how it has transformed R&D in and for the NHS and the people it serves.
Q is an initiative, led by the Health Foundation and supported by NHS England, designed to connect people skilled in quality improvement across the UK. We carried out an embedded evaluation of its first phase, co-design with the founding cohort.
High levels of physician professional satisfaction were found across multiple specialties and primary care in the closed, integrated practice setting of Southern California Permanente Medical Group.
An episode-based framework of health care quality measurement could provide a more complete picture of care than current methods. Existing quality measures could be used, but new ones would need to be developed to fill gaps in the framework.
Involving stakeholders in comparative-effectiveness research is important. But competing demands for their time can make this a challenge. Why do stakeholders get involved in this research, or not?
Americans spend billions of dollars out of pocket seeking relief from chronic conditions in alternative schools of health, such as acupuncture or chiropractic. What would it take to more fully integrate such practices into the mainstream?
Clinicians are more likely to prescribe antibiotics inappropriately when they are feeling rushed, don't feel strongly that antibiotics are overused, and don't think patient demand for antibiotics is a problem in their practice.
Anesthesia and operating room (OR) times can be used to estimate surgical time, thereby improving the payment for surgical procedures in the Medicare fee schedule.
Medicare enrollees with standalone prescription coverage reported less positive experience with their plans than their counterparts in Medicare Advantage plans.
To support efforts at the recently opened Martin Luther King, Jr. Community Hospital in Los Angeles to develop a culture of quality, a team of scholars identified best practices based on interviews with high-performing hospital systems.
This study examines the association between hospital nurse staffing and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores.
We investigated whether the incorporation of team-based game mechanics into an evidence-based online learning platform could increase resident participation in a QI curriculum.
Developing an episode-based framework of health care quality measurement would allow for more comprehensive assessments of care quality than currently available methods.
Health system leaders should view regular and detailed assessment of physician professional satisfaction as an invaluable early warning system for potential threats to quality and safety. But simply surveying doctors on their overall levels of job satisfaction isn't enough.
The policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research may prevent complementary and alternative medicine professionals from practicing to the full extent of their capabilities.
Process improvement stresses the importance of engaging frontline staff in implementing new processes and methods. Yet questions remain on how to incorporate these activities into the workday of hospital staff or how to create and maintain its commitment.
The Department of Veterans Affairs provides timely and high-quality care to most, but not all, patients. Meeting veterans' needs over the next five years will require additional capacity.
Increasing the number of physicians who can prescribe buprenorphine for opioid abuse and supporting their ability to treat more patients may be the fastest approach to enhancing capacity for treatment, particularly in less populated counties.
This Perspective revisits an earlier critique of ProPublica's Surgeon Scorecard and explains in detail why ProPublica's subsequent rebuttal of our work fails to address our methodological concerns about the Surgeon Scorecard.
