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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.