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Physicians

Journal Article

Feasibility of Report Cards for Measuring Anesthesiologist Quality for Cardiac Surgery

We conducted a study of 55,436 patients undergoing cardiac surgery between 2009 and 2012. Hierarchical logistic regression modeling was used to examine the variation in in-hospital mortality or major complications.

Dec 30, 2020
Journal Article

Association Between Surgical Resident Involvement and Blood Use in Noncardiac Surgery

Senior surgery resident participation in noncardiac surgery is associated with a 56% to 78% higher risk of receiving a blood transfusion intraoperatively.

Dec 16, 2020
Commentary

Can Primary Care Networks and Models of Vertical Integration Coexist in the NHS?

Vertical integration with a hospital helps primary care practices that might otherwise have closed to remain in operation. It thereby creates the opportunity for the continued development and improvement of local primary care for patients.

Dec 7, 2020
Dissertation

Accumulation, Autonomy, and Expectations: Three Essays on the Impact of U.S. Health Care Industry Consolidation

Aims to augment the existing evidence base on the consequences of and policy remedies for health care consolidation in three essays.

Dec 4, 2020
Commentary

How Hospitals Could Step in to Help Manage GP Practices

The supply of doctors in primary care, known as 'GPs' in the UK, is falling behind a growing demand for their services, as GPs leave general practice in large numbers. One way to help struggling GP practices could be vertical integration—combining health care organizations operating at different stages along the patient pathway.

Dec 1, 2020
Journal Article

Effects of Opting-Out from Federal Nurse Anesthetists' Supervision Requirements on Anesthesiologist Work Patterns

In response to California opting out of a supervision requirement for CRNAs, anesthesiologists' did not change time spent working, or time spent supervising CRNAs. They did decrease direct care clinical work hours and worked more in intraoperative care and less in postoperative care.

Nov 25, 2020
Journal Article

The Surgical and Anesthesia Workforce and Provision of Surgical Services in Rural Communities: A Mixed-Methods Examination

This mixed-methods study describes the distribution of the surgical and anesthesia workforce and qualitatively explores how such workforce and other factors influence rural hospitals' provision of surgical services.

Nov 24, 2020
Journal Article

A Framework for Conceptualizing How Narratives from Health-Care Consumers Might Improve or Impede the Use of Information About Provider Quality

This paper describes a conceptual framework for examining mechanisms by which narrative information might influence consumer judgments and decisions about providers.

Sep 16, 2020
Commentary

Moving on from Telehealth-by-Desperation: What Will Make Telehealth Stick

During the COVID-19 pandemic telehealth has helped to maintain continuity of care for millions of Americans, preserve personal protective equipment, and facilitate social distancing. But that does not mean that telehealth will be embraced by patients and providers in the long run.

Aug 18, 2020
Commentary

The Link Between Workplace Diversity and the Gender Pay Gap

Many factors explain the gender earnings gap, including workplace biases, differences in how credit is attributed, and differences in how men and women negotiate. But another factor could influence the pay women receive: the number of men in their workplace.

Aug 15, 2020
Journal Article

Factors Influencing Physician Practices' Adoption of Behavioral Health Integration in the United States: A Qualitative Study

Practices currently using behavioral health integration face barriers to implementing and sustaining behavioral health integration. Tailored, context-specific technical support to guide practices' implementation and payment models that improve the business case for practices may enhance the dissemination and long-term sustainability of behavioral health integration.

Aug 5, 2020
Journal Article

Differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey Scores by Recency of the Last Visit: Implications for Comparability of Periodic and Continuous Sampling

Patient experiences an be collected by sampling patients periodically (visits over a 1-year period)or continuously (any visit in a monthly interval). We explored differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group scores using both sampling methods.

Mar 18, 2020
Journal Article

Association Between Opioid Prescribing in Medicare and Pharmaceutical Company Gifts by Physician Specialty

The value of opioid-related gifts given to physicians varies substantially by provider specialty, as does the relationship between payment amounts and prescriber behavior in the following year.

Mar 13, 2020
Dissertation

Physician Professional Satisfaction, Job Role and Income in the United States

Three papers covering different aspects of physicians' working lives: factors related to professional satisfaction; perceptions about administrative work; and physician job roles; and an analysis of sex differences in income.

Jan 14, 2020
Report

Responses to Comments on RAND Global Services Reports

RAND researchers respond to comments on three earlier reports related to post-operative visits bundled into Medicare payments for many procedures.

Dec 19, 2019
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

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
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

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RAND Topic:
Physicians

Topic Synonyms:
Doctors;
Surgeons

Research conducted by

RAND Health Care