Most buprenorphine prescribers treat many fewer patients than allowed by the current patient limit. Increasing the limit above 100 would likely improve access only for patients of a few high prescribers.
In the 1970s it was assumed that physicians would not move into small towns as their numbers increased. RAND economists used software originally designed to estimate damages from a nuclear bomb drop to calculate the effects of placing doctors in specific locations.
Since 2010, RAND researchers have 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.
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.
Newly insured patients through the Affordable Care Act coverage expansion may change how civilian providers interact with the TRICARE program. Some physicians may face financial incentives to drop TRICARE patients for newly insured patients.
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.
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.
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.
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.
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.
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.
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.
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.