Increasingly common insurance plans that encourage patients to receive care from physicians who keep medical costs lower are based on unreliable estimates of doctor performance and may not achieve the intended savings.
Most Massachusetts physician groups are using results from a statewide patient survey to help improve patient experiences, but a significant number are not making use of the information or are making relatively limited efforts.
Features focus on stabilization missions, grade retention, health financing, and RAND's president; other items discuss the European Union, sodium, health insurance, retail medical clinics, energy efficiency, disaster recovery, and alcohol pricing.
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.
In 2006, Massachusetts passed landmark legislation ensuring near-universal health insurance coverage to its residents, but rising costs threaten the initiative; this policy brief assesses 21 options for controlling health care spending in the state.
In this Congressional Briefing held on August 17, 2009, economist Christine Eibner presents findings about which strategies to reduce health care spending in Massachusetts are most (and least) promising. Lessons learned in this Massachusetts study are broadly applicable and could help Congress navigate cost containment proposals in the ongoing health reform debate.
Researchers evaluated more than 20 options to identify promising opportunities for controlling health care costs in Massachusetts. Long-term solutions will require significant investments in information infrastructure and primary care capacity and fundamental change in health care delivery.
The RAND Corporation has released a report prepared for the Division of Health Care Finance and Policy of the Massachusetts Department of Health and Human Services outlining promising measures the state may pursue to help curb the cost of health care.
The authors studied how health information exchange systems are established by examining the decisions of key stakeholders participating in a health information exchange pilot project in 3 Massachusetts communities.
RAND has opened an office in Boston as part of a strategic effort to expand and strengthen its portfolio of health-related work and to foster collaborative opportunities with scientists affiliated with universities, private research groups and government in Eastern Massachusetts.
To describe practice patterns of primary care physicians (PCPs) for the diagnosis, treatment and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), the authors surveyed 556 PCPs in Boston, Chicago, and Los Angeles (RR=52%). Only 62% reported ever seeing a patient like the one described in the vignette. In all, 16% were 'not at all' familiar with CP/CPPS, and 48% were 'not at all' familiar with the National Institutes of Health classification scheme. PCPs reported practice patterns regarding CP/CPPS, which are not supported by evidence.
Hospital policies and practices related to breastfeeding may have long-term health effects. The Ten Steps to Successful Breastfeeding provide an evidence-based standard, which may be used to assess individual hospitals.
This report evaluates the Nursing Home Connection, a demonstration project that tested the use of nurse practitioners (NPs) and physician assistants (PAs) to improve quality of care in nursing homes. The section on methods describes the matched sampl...