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Physicians

Journal Article

Journal Article

Medical Practice Consolidation and Physician Shared Patient Network Size, Strength, and Stability

Practice consolidation can increase the stability of physician networks, which may have positive implications for organizational effectiveness.

Aug 20, 2019
News Release

California Rules to Limit Surprise Medical Bills Are Working, but Influence Insurer-Provider Bargaining

A California law that limits the size of bills from out-of-network physicians for care delivered in hospitals appears to be protecting patients' financial liability. But it has shifted bargaining leverage in favor of insurance plans and had potential unintended consequences.

Aug 12, 2019
Report

Using Claims-Based Estimates of Post-Operative Visits to Revalue Procedures with 10- and 90-Day Global Periods

This report describes how CMS could use new claims-based data on post-operative visits to adjust the valuations of surgical procedures with 10- and 90-day global periods.

Jul 31, 2019
Report

Claims-Based Reporting of Post-Operative Visits for Procedures with 10- or 90-Day Global Periods: Final Report

The authors of this report summarize patterns of post-operative visits where Medicare bundles payment for post-operative care into payment for surgical procedures. The results suggest fewer visits occur than Medicare assumes in its payment rates.

Jul 31, 2019
Report

Survey-Based Reporting of Post-Operative Visits for Select Procedures with 10- or 90-Day Global Periods: Final Report

For many surgeries and procedures, Medicare and most other insurers cover a bundle of services, including post-operative visits, during the global period. This survey was designed to capture the level of post-operative visits during this period.

Jul 31, 2019
News Release

The 'Telephone First' Approach by GPs Does Not Work for All Patients

The 'telephone first' approach in general practice does not work for all patients and can lead to challenges for primary care staff. The system clearly suited some patients, avoiding the need to visit the surgery, but was difficult for others.

May 8, 2019
Essay

A New Way to Capture the Patient Experience

Researchers have developed a more effective and reliable way for patients to provide narrative feedback about the care they receive. When the right questions are asked, patients' answers can help health care providers better understand the patient experience and learn how they could improve.

May 2, 2019
Report

Rural Physicians' Perspectives on the Medicare Quality Payment Program

The Centers for Medicare & Medicaid Services recently launched its Quality Payment Program (QPP), which changes how physicians are paid under Medicare. Researchers interviewed rural physicians to determine if their practices could successfully participate and how the program could be modified to support small rural practices.

Mar 5, 2019
Report

Identification of Alternative Physician Assistant Recertification Models: An Analysis of the Landscape and Evidence Surrounding Approaches to Recertification in the Health Professions

Health professional recertification is meant to demonstrate and foster knowledge and competence. This report assesses recertification requirements for physician assistants, physicians, and advanced practice nurses in the U.S. and elsewhere.

Oct 3, 2018
Journal Article

Journal Article

Perceptual and Structural Facilitators and Barriers to Becoming a Surgeon: A Qualitative Study of African-American and Latino Surgeons

The path to a surgical career for African-Americans and Latinos is heavily influenced by mentors who can help mediate their integration into surgical culture and engender a sense of belonging.

Jun 29, 2018
Commentary

Getting Doctors to Make Better Decisions Will Take More than Money and Nudges

While monetary incentives and behavioral nudges both have their strengths, neither is enough to reliably change clinician behavior and improve quality of care. Organizational culture provides another important lens to understand why clinicians are practicing in a certain way and to put forth more comprehensive, long-term solutions.

Jun 21, 2018
Dissertation

Dissertation

Three Essays on Value in Health Care: Workplace Wellness Program Return on Investment, Effectiveness of Monetary Penalties for Tobacco Cessation Non-Participation, and Physician Perceptions of Their Use of Time and Appropriateness of Care Provided

This dissertation, in a three paper format, examines three policy levers for improving health care value.

Jun 12, 2018
Journal Article

Differences in Physician Income by Gender

About half of medical school matriculants are women. But male physicians have significantly higher incomes than their female counterparts. After adjusting for many factors, including hours worked, 30 percent of this disparity remains unexplained.

May 15, 2018
Report

Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Kurdish-language version)

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Apr 19, 2018
Journal Article

Journal Article

Care Experiences Among Medicare Beneficiaries With and Without a Personal Physician

Medicare patients without a personal physician reported worse patient experiences, and were 3 times more likely than those with a physician not to have seen any health care provider in the last 6 months.

Apr 12, 2018
Report

Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Arabic-language version)

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Mar 14, 2018
Journal Article

Journal Article

Choosing Doctors Wisely: Can Assisted Choice Enhance Patients' Selection of Clinicians?

Deploying trained navigators - who can support and evaluate a patient's choice of a clinician-is a promising strategy for equitably promoting higher quality decision-making about provider choices.

Jan 24, 2018
Journal Article

Journal Article

Specialty Societies and Breast Cancer Screening Recommendations--Reply

Gynecologists order twice as many mammograms as family medicine and/or general practice physicians; physician specialty society guidelines may account for this wide variation.

Jan 24, 2018
Journal Article

Journal Article

Recruiting Rural Healthcare Providers Today: A Systematic Review of Training Program Success and Determinants of Geographic Choices

Exposing medical students and residents to rural practice during their training is a promising approach to addressing the shortfall of providers in rural communities.

Jan 24, 2018
Report

Report

Physician Reporting Requirements for Injured Workers in California: A Review of Reporting Processes and Payment Policies

This report assesses California workers' compensation-required reports -- including the structure and content, level of effort, and allowances -- and compares the elements and processes with other systems to inform potential improvements.

Dec 19, 2017

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RAND Topic:
Physicians

Topic Synonyms:
Doctors;
Surgeons

Research conducted by

RAND Health Care