Explore the latest in health care quality, including evaluations of quality measures and incentives, value-based purchasing, and more.
This Viewpoint explores the historical drivers of deimplementation and proposes ways to further reduce the amount of low-value care delivered to children.
This Viewpoint discusses the risks associated with database research and outlines measures that can improve the use of database research in developing clinical guidelines, making patient care decisions, and shaping health care policy.
This Viewpoint discusses points of consideration in developing consensus statements for best practices.
This quality improvement study examines the use of the Agency for Healthcare Research and Quality Safety Program for antibiotic stewardship across US hospitals.
This Viewpoint describes the crisis of care in the treatment of anorexia nervosa in the US and proposes potential solutions.
This Viewpoint discusses the unexpected large billing that can occur when a patient receives care from an out-of-network physician or center (surprise billing)—its root causes and recent legislation that will provide some patients with protection, but not all.
This cohort study investigates the association of including Medicare Advantage patients in hospital risk-standardized readmission rates with hospital readmission performance metrics and incursion of financial penalties under the Hospital Readmissions Reduction Program.
This cross-sectional study examines changes in low-value care use and spending from 2014 to 2018 among the fee-for-service Medicare population.
This Viewpoint discusses ways the US Preventive Services Task Force (USPSTF) is working to identify contributions of systemic racism to differences in health outcomes, and to develop evidence-based recommendations to mitigate the effects of social, economic, and structural disadvantage on disease and its related sequelae.
This randomized clinical trial examines the effect of a multifaceted team intervention vs usual care on systolic blood pressure (SBP) among patients with stroke or transient ischemic attack (TIA) in safety-net settings.
This cohort study examines changes in use of nonrecommended tests and treatments among children with bronchiolitis after publication of the American Academy of Pediatrics Clinical Practice Guideline.
This cohort study examines the associations between surgical technique as reviewed by peers on video and outcomes in laparoscopic sleeve gastrectomy performed on patients with morbid obesity.
This Viewpoint discusses residual questions about virtual health care as a substitute for in-person visits during the COVID-19 pandemic and proposes principles of safety, effectiveness, efficiency, patient-centeredness, and equitability to guide the growth of telehealth care in the future.
This systematic review and individual patient meta-analysis of randomized clinical trials compares surgical decompression with medical care for space-occupying hemispheric infarction and whether patient characteristics are associated with treatment outcomes.
This qualitative study of online vouchers for discounted DTC imaging services reveals consumerization of medicine and calls for regulations to balance convenience and cost with patient safety and physician oversight.
This cohort study uses nationally representative 2008-2017 Medicare billing claims to examine changes in health care use and outcomes among patients whose primary care physician exited the workforce and to directly measure the association of primary care turnover with patients’ health care use and outcomes.
This comparative effectiveness review uses pooled clinical trial data to evaluate the similarity in the cause of bacterial conjunctivitis and in the treatment response between neonates and older children and adults.
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