Archive | health care RSS feed for this section
multiracial-hospital-team-stock

Hospitalists, Medical Education, and U.S. Health Care Costs

  Hospitalists are general internists whose full-time practice is to treat hospitalized patients. They are the fastest-growing medical specialty in the United States. They increased in number from 4000 in the year 2000 to 50,000 in 20161 and now are the largest subspecialty in internal medicine. By 2016, nearly all teaching hospitals and 75% of all […]

Read more
blurred-hospital-hallway-stock

National and Regional Trends in Deep Vein Thrombosis Hospitalization Rates, Discharge Disposition, and Outcomes for Medicare Beneficiaries

Older adults are at increased risk of developing deep vein thrombosis. Little is known about national trends of deep vein thrombosis hospitalizations in the context of primary and secondary prevention efforts. Methods Medicare standard analytic files were analyzed from 2015-2017 to identify Fee-For-Service patients aged ≥65 years who had a principal discharge diagnosis for deep […]

Read more
money-stethoscope-stock

Learning to De-Adopt Ineffective Healthcare Practices

With rapidly rising healthcare costs constraining US wages and forcing difficult policy decisions, there is increasing pressure to identify means to decrease spending. One attractive target is the de-adoption of medical practices found to be ineffective or harmful. Just as emerging scientific evidence can support novel practices that improve health, it can also reverse beliefs […]

Read more
elder-couple-speaking-w-doctor-stock

Social Determinants of Treatment Response

Socioeconomic status is consistently linked to population health and specifically to the finding that there is decreasing health associated with decreasing social position. Despite the substantial literature, an analogous literature that is focused on clinical practice, and especially consideration of the individual, is almost nonexistent. Even in the absence of these data, physicians routinely incorporate […]

Read more
Proportion of patients with at least one unnecessary test based on chart review, frequency with which testing led to a change in patient management and the overall outcome of testing on patients.

The Frequency of Unnecessary Testing in Hospitalized Patients

Testing is an important part of medicine across all specialties and settings. As a result, the volume of testing is enormous, with an estimated 4-5 billion tests performed in the United States each year.1 Unnecessary laboratory testing and diagnostic imaging is believed to be common. Studies looking at testing of patients have found 40%-60% of tests […]

Read more
nurse showing an elderly woman something on a tablet in office

Implications of Medicare’s Value-Based Payment Initiative for Specialty Health Systems

Despite the current uncertainty about the direction of health care reform in the United States, the Centers for Medicare and Medicaid Services (CMS) appears poised to transition from standard fee-for-service reimbursement to value-based payments in the coming years. These new models, which were codified in the Medicare Access and CHIP [Children’s Health Insurance Program] Reauthorization […]

Read more
UA-42320404-1