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Research roundup: Hospital emergency room HIV screenings; Medical device reviews; Health law impact on docs and hospitals

Physician Satisfaction With Chronic Care Processes: A Cluster-Randomized Trial Of Guided Care - The authors randomly assigned teams of physicians and their chronically ill older patients into groups that either provided Guided Care - an educated registered nurse works with a primary care practice team to enhance quality of care - or usual care. One year later, they measured "physicians' satisfaction with chronic care processes, time spent on chronic care, knowledge of their chronically ill older patients, and care coordination provided by physicians and office staff."

26 Jul 2010

Young women more likely to die in hospitals following heart attacks: Study

A new study by researchers at UMDNJ-Robert Wood Johnson Medical School has found that women between the ages of 35 and 54 were more likely to die in hospitals following heart attacks than men of a similar age. This finding from a sample of more than 423,000 patients can be seen as surprising, given that women, on average, develop their first acute myocardial infarction -- or heart attack -- about 10 years later than men, and are overall less likely to develop myocardial infarction than are men.

23 Jul 2010

Research Roundups: Health IT progress; Telecare and cancer pain; State exchanges; Adults with no medical care

eHealth/Commonwealth Fund: National Progress Report On eHealth - This extensive report examines changes in the adoption and use of health information technology (HIT) since 2007, as assessed by a group of more than 100 experts.

17 Jul 2010

Research roundup: Improving hospital processes can improve care; E-mailing the doctor; Medicaid savings with generic drugs

Public Reporting On Hospital Process Improvements Is Linked To Better Patient Outcomes - This study analyzed "data from 3,476 acute care, nonfederal U.S. hospitals that publicly reported quality information on the CMS Hospital Compare Web site from 2004 through 2006" and "evaluated the hospitals' performance every six months during the study period, using the ten original measures from Hospital Compare."

9 Jul 2010

Research Roundup: 'Pay-for-performance' unintended effects; Lessons from Mass.; End of life treatment

Archives of Internal Medicine: The Quality Of Care Provided To Hospitalized Patients At The End of Life - In this study, researchers used a set of quality indicators to assess the end-of-life care and pain management received by 496 patients who died three or more days after admission at the University of California-Los Angeles Medical Center. The authors found "pain assessments (94%) and treatments for pain (95%) and dyspnea [breathing problems] (87%) were performed with fidelity."

3 Jul 2010

Majority of German patients say public health system needs fundamental change

One patient in four in Germany is in favor of complete reform of the public health system. Most respondents in other nations are more satisfied.

30 Jun 2010

Research roundup: Docs' views of industry gifts; Chemotherapy payments; Health law and states

How Medicare's Payment Cuts For Cancer Chemotherapy Drugs Changed Patterns Of Treatment -- This study examines the impact that Medicare payment cuts for chemotherapy drugs had on treatment for Medicare beneficiaries with newly diagnosed lung cancer, before and after implementation of the June 2005 new payment system, focusing on five chemotherapy drugs "in common use singly or jointly for lung cancer..."

25 Jun 2010

U.S. ranks low again on health care quality, efficiency and equality, study finds

"Americans spend twice as much as residents of other developed countries on healthcare, but get lower quality, less efficiency and have the least equitable system, according to a report released on Wednesday. The United States ranked last when compared to six other countries -- Britain, Canada, Germany, Netherlands, Australia and New Zealand, the Commonwealth Fund report found. … Previous reports by the nonprofit Fund ... have been heavily used by policymakers and politicians pressing for healthcare reform."

24 Jun 2010

Americans spend more on health and get poorer care: Report

According to a Commonwealth Fund report released this Wednesday, Americans spend nearly twice as much as people from other developed countries on healthcare but get lower quality of care, less efficiency and have the least equitable health care system. The comparison was drawn with six other countries, Britain, Canada, Germany, Netherlands, Australia and New Zealand, and the United States ranked last. The report collected data from nationally representative patient and physician surveys in these seven countries in 2007, 2008, and 2009.

23 Jun 2010

US lags in health system performance

Despite having the most expensive health care system, the United States ranks last overall compared to six other industrialized countries-Australia, Canada, Germany, the Netherlands, New Zealand, and the United Kingdom-on measures of health system performance in five areas: quality, efficiency, access to care, equity and the ability to lead long, healthy, productive lives, according to a new Commonwealth Fund report.

23 Jun 2010

Reform law gives major boost to community health centers, medical homes

The Washington Post: "The health-care legislation signed into law in March provides a major boost to community health centers: $11 billion over five years. The first of these federally supported primary-care clinics opened in 1965." The law also provides funding designed to increase the supply of primary-care providers. And, "[o]n Wednesday, Secretary of Health and Human Services Kathleen Sebelius announced that the federal government will spend $250 million in programs to increase the number of doctors, nurses and other care providers.

21 Jun 2010

Research roundup: Medical homes working in poor areas, designing insurance exchanges, health law's effects

Moving Forward On Health Reform - This edition explores the issues relating to the implementation of the Patient Protection and Affordable Care Act of 2010, including the impact of the law on health insurance as well as state and federal governments, large employers and public opinion and opportunities for small physician practices to pool resources in order support medical homes, among others (June 2010).

19 Jun 2010

Patients' relationship with primary care physician improves health care quality: Study

Patients who report having a regular doctor either at a community health center or at the physician's office report receiving better quality health care, and have a better health care experience, than patients who have a regular place of care, but lack an established physician relationship. The findings are part of a study published in the May Journal of Health Care for the Poor and Underserved, and authored by Anne Beal, MD, MPH, head of the Aetna Foundation, and Susan Hernandez, MPA, formerly of The Commonwealth Fund.

19 Jun 2010

States, Feds look to expand ACOs and medical homes

Crain's New York Business, on ACOs in New York: "Authorized by the Patient Protection and Affordable Care Act signed into law by President Barack Obama in March, ACOs are intended to reward providers that shift their focus to preventive care and presumably reduce the need for expensive procedures.

15 Jun 2010

QI initiatives in U.S. hospitals need to be overseen to ensure implementation of ethical issues: Johns Hopkins study

New findings from Johns Hopkins suggest that most quality-improvement (QI) initiatives in U.S. hospitals are reviewed internally before they are conducted, but there is not routine consideration of the ethical issues associated with them.

11 Jun 2010

Research project to transform primary care practices into patient-centered medical homes concludes

An unprecedented research project into how to transform primary care practices into patient-centered medical homes has concluded with the release of a new eight-paper supplement to the May/June issue of Annals of Family Medicine.

8 Jun 2010

CMI must implement payment initiatives to improve health care delivery, reduce spending: New article

The new Center for Medicare and Medicaid Innovation must be inclusive and flexible in developing and implementing payment initiatives, continuously monitor their impact, and rapidly disseminate them if they appear to be successful, in order to realize the potential for improved health care delivery and reduced spending, according to a new Health Affairs article by Commonwealth Fund researchers.

8 Jun 2010

Research roundup: Evidence-based medicine consumer/expert divide; Pay for performance limitations; Improving community health centers

Health Affairs: Evidence That Consumers Are Skeptical About Evidence-Based Health Care - This survey of more than 1,500 patients with employer-based insurance found "there is a fundamental disconnect between the central tenets of evidence-based health care and the knowledge, values, and beliefs held by many consumers."

5 Jun 2010

Research roundup: Reform's impact on health spending; Cultural/Racial differences in medicine; Swine flu lessons

The Impact Of Health Reform On Health Spending - This issue brief "projects the effect of national reform on total national health expenditures and the insurance premiums that American families would likely pay. We estimate that, on net, the combination of provisions in the new law will reduce health care spending by $590 billion over 2010-2019 and lower premiums by nearly $2,000 per family.

29 May 2010

Research roundup: Lessons from Medicare Part D; Evaluating medical homes; Insuring young adults

Lessons Learned: Who Didn't Enroll In Medicare Drug Coverage In 2006, And Why? - With data from the 2005 and 2006 Medicare Current Beneficiary Survey, this study examines enrollment of those who were previously without either public or private sources of prescription drug coverage. The authors report "63 percent of all eligible seniors and 69 percent of low-income beneficiaries were enrolled in Part D in 2006.

24 May 2010