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Physicians

Journal Article

Clinicians, Staff at Safety-Net Medical Clinics Report Increasing Dissatisfaction with Workplace

Physicians, nurses and other staff members at medical clinics that care for people from lower-income communities are increasingly dissatisfied with their jobs, adding to evidence that the health care workforce is under stress.

Aug 11, 2017
Journal Article

Journal Article

Physician Breast Cancer Screening Recommendations Following Guideline Changes: Results of a National Survey

Physicians' recommendations for when to start and end breast cancer screening vary, depending on their level of trust with the guideline-issuing organization.

May 23, 2017
Research Brief

MACRA's Effects on Medicare Payment Policy and Spending

Estimates how sensitive physician behavior is to the design of alternative payment models under the Medicare Access and CHIP Reauthorization Act (MACRA).

May 3, 2017
Journal Article

Journal Article

The Medicare Access and CHIP Reauthorization Act: Effects on Medicare

The Medicare Access and Chip Reauthorization Act (MACRA) will decrease Medicare spending on physician services by an estimated -$35 to -$106 billion and change spending on hospital services by +$32 to -$250 billion between 2015 and 2030.

Apr 5, 2017
Journal Article

Journal Article

Leveraging Telehealth to Bring Volunteer Physicians Into Underserved Communities

Organizations that use telehealth to address safety net clinic needs by recruiting retired or semi-retired doctor volunteers can help improve access to physicians in underserved areas while enriching the professional lives of clinicians.

Mar 16, 2017
Journal Article

Journal Article

The Effects of Pay-for-Performance Programs on Health, Health Care Use, and Processes of Care: A Systematic Review

There is some evidence that pay-for-performance programs improve processes of care, but there is no clear evidence that they improve patient outcomes.

Mar 14, 2017
Journal Article

Journal Article

Attitudes, Practices, and Experiences with Implementing a Patient-Centered Medical Home for Women Veterans

Strengthening positive attitudes toward female veterans may matter more than changing women’s health practice characteristics alone.

Mar 14, 2017
Journal Article

Journal Article

Medical Oncologists' Experiences in Using Genomic Testing for Lung and Colorectal Cancer Care

More research is needed to determine whether the observed variation in genomic testing for lung and colorectal cancer reflects appropriate or inappropriate care.

Mar 13, 2017
Commentary

Should the Definition of Health Include a Measure of Tolerance?

Involving the medical community in helping to measure and increase tolerance could help make individuals and communities healthier. Since hate is both deadly and contagious, now is the time to engage the medical profession in eradicating it.

Feb 15, 2017
Journal Article

Journal Article

Feasibility and Pilot Efficacy of a Brief Smoking Cessation Intervention Delivered by Vascular Surgeons in the Vascular Physician Offer and Report (VAPOR) Trial

Surgeons successfully delivered a brief smoking cessation intervention to patients preparing for peripheral artery disease surgery; initial results suggest the pre-surgery period may be a “teachable moment” for encouraging patients to quit smoking.

Feb 9, 2017
Commentary

Responsible e-Prescribing Needs e-Discontinuation

Implementation of electronic prescribing has been a big success in health information technology. But most e-prescribing systems don't allow electronic cancellation of orders. Adding this feature could help reduce medication errors.

Feb 7, 2017
Report

Testing New Codes to Capture Post-Operative Care

This report summarizes RAND's pilot testing of a set of proposed nonpayment codes that physicians would use for post-operative visits. The goal of testing was to assess whether practitioners understood and could correctly apply the codes.

Jan 11, 2017
Journal Article

Journal Article

Fostering Evidence-Based Quality Improvement for Patient-Centered Medical Homes: Initiating Local Quality Councils to Transform Primary Care

Primary care quality councils – consisting of local leaders from medicine, nursing, administration, and a local Veteran patient representative – successfully cultivated quality improvement leadership in 6 VA patient-centered medical homes.

Jan 10, 2017
Journal Article

Journal Article

Optimizing Patients' Vital Interests Post-Discharge

While there is value in assessing risk for post-discharge adverse events at the end of a hospital stay, a better strategy might be to try to identify and address risks at admission.

Dec 12, 2016
Journal Article

Journal Article

Testing a Videogame Intervention to Recalibrate Physician Heuristics in Trauma Triage: Study Protocol for a Randomized Controlled Trial

A randomized controlled trial will test whether a game can help adjust the mental shortcuts physicians use to triage trauma patients, and thus improve accuracy.

Dec 9, 2016
Report

Lessons Learned from the MAVEN Project Pilot

The Medical Alumni Volunteer Expert Network (MAVEN) Project created a corps of experienced volunteer physicians to provide telehealth consults to providers in safety-net clinics. This evaluation of the program can inform quality-improvement efforts.

Dec 9, 2016
Journal Article

Journal Article

Gender and Physician Specialization and Practice Settings in Ecuador: A Qualitative Study

More women than men are now doctors in Ecuador, but gender norms still exert strong influence on female physicians' choice of specialty and practice setting.

Dec 8, 2016
Journal Article

Journal Article

Rating Communication in GP Consultations: The Association Between Ratings Made by Patients and Trained Clinical Raters

Patients are less likely than professional evaluators to rate physician communication as poor.

Oct 20, 2016
Journal Article

Physicians with Waivers to Prescribe Buprenorphine for Opioid Addiction Have Capacity to Treat More Patients

Many American physicians who prescribe buprenorphine to treat individuals addicted to opioids are prescribing substantially below the patient limits allowed by law. More than 20 percent of waivered physicians treated only three or fewer patients.

Sep 28, 2016
News Release

News Release

Physicians with Waivers to Prescribe Buprenorphine for Opioid Addiction Have Capacity to Treat More Patients

Many American physicians who prescribe buprenorphine to treat individuals addicted to opioids are prescribing substantially below the patient limits allowed by law. More than 20 percent of waivered physicians treated only three or fewer patients.

Sep 20, 2016

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RAND Topic:
Physicians

Topic Synonyms:
Doctors;
Surgeons

Research conducted by

RAND Health