Explore the latest in health care quality, including evaluations of quality measures and incentives, value-based purchasing, and more.
This Viewpoint discusses differences that complicate cross-country comparisons of health and social services and proposes a framework for assessing the appropriateness of those comparisons to help researchers improve their investigations and help readers critically appraise them.
This quality improvement study evaluates the effectiveness of a program in which clinicians at Veterans Affairs (VA) clinics receive ongoing feedback on their attention to patient contextual factors via patient-collected, audio-recorded sessions.
This Viewpoint discusses how the Surgical Outcomes Club can adapt to meet the needs of the surgical research community and emphasizes its continued relevance in today’s research and health care environment.
This Viewpoint discusses deficiencies in existing approaches to measuring health care quality and safety exposed by the coronavirus disease 2019 (COVID-19) pandemic and proposes process improvements, including reducing the need for manual data extraction, reducing delays between measures and reporting, and better standardizing the measures.
This cross-sectional study compares observed performance scores measured using medical record abstraction and electronic health record–generated reports with misclassification-adjusted performance scores obtained using bayesian latent class analysis among patients treated in primary care practices.
In the context of loosening criteria allowing veterans cared for within the Veterans Health Administration (VHA) health system to seek and receive nonurgent care in community settings, this Viewpoint discusses comparative access and timeliness, quality, and costs associated with the VHA vs outside facility care, and potential ramifications for the US Department of Veterans Affairs (VA) budget.
This Viewpoint uses US News & World Report’s annual hospital rankings to discuss how such efforts typically disadvantage hospitals caring for patients of lower socioeconomic status (SES) in regions with poorer population health, and argues for transparent and accurate ratings methods that use patient-centric quality measures and account for population SES.
This cohort study of participants in the Women’s Health Initiative assesses whether a second bone mineral density measurement approximately 3 years after an initial assessment is associated with improved estimates of hip fracture or major osteoporotic fracture risks in postmenopausal women.
This Teachable Moment discusses potential problems arising from interpretation of routine daily chest radiographs that are ordered without specific clinical indication for patients requiring mechanical ventilators.
This survey study assesses primary care physicians’ prioritization of preventive services.
This quality improvement study describes the cancer types, treatments, and services often targeted in the recommendations generated by oncology societies for the Choosing Wisely campaign.
This cohort study identifies patient and hospital factors associated with increased mortality after emergency general surgery among patients who are readmitted within 30 days of discharge to a nonindex hospital.
This qualitative study examines how patient race and gender are associated with clinician recommendations for allocation of advanced heart failure therapies.
This cohort study examines regional patterns in end-of-life health care use among Medicare beneficiaries with chronic diseases treated at US hospitals, intensive care units, and hospice facilities from 2010 to 2016.
This cohort study examines the prescribing rates and duration of antibiotic therapy in patients with possible pneumonia whose clinical signs are within the reference ranges.
This review evaluates the reporting and definition of minimal clinically important differences in randomized clinical trials.
This Viewpoint summarizes recommendations from a 2020 National Academies of Sciences, Engineering, and Medicine (NASEM) report on transforming the infrastructure, funding, and methods of public health emergency preparedness and response (PHEPR) research to ensure it is grounded in the best science about what works where, why, and for whom.
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