Article
Medicine, General & Internal
Atsushi Miyawaki, Ryo Ikesu, Yasuharu Tokuda, Rei Goto, Yasuki Kobayashi, Kazuaki Sano, Yusuke Tsugawa
Summary: This study aimed to investigate the use and factors associated with low-value care in Japan. The study utilized a multicentre observational design and claims data from 242 large acute care hospitals in Japan. The findings revealed that approximately 7.5% of patients received low-value care services based on the broader definition, while about 4.9% received such services based on the narrower definition. There was no significant change in the prevalence of low-value services between 2015 and 2019. Factors such as hospital size, age, sex, and comorbidities were associated with the likelihood of receiving low-value care.
Article
Medicine, General & Internal
Jeph Herrin, Huihui Yu, Arjun K. Venkatesh, Sunita M. Desai, Cassandra L. Thiel, Zhenqiu Lin, Susannah M. Bernheim, Leora Horwitz
Summary: This study aims to define hospital value and identify the characteristics of hospitals that provide high-value care. The findings suggest that there are high quality hospitals that may not be high value, and several factors are strongly associated with being low or high value.
Article
Medicine, General & Internal
Mende Mensa Sorato, Majid Davari, Abbas Kebriaeezadeh, Nizal Sarrafzadegan, Tamiru Shibru
Summary: This study aimed to determine the societal economic burden of hypertension in selected hospitals in Southern Ethiopia. The results showed that hypertension resulted in significant direct and indirect costs, and had a considerable impact on productivity and years of life lost.
Article
Medicine, General & Internal
Gintare Malisauskaite, Karen Jones, Stephen Allan, Daniel Roland, Yvonne Birks, Kate Baxter, Kate Gridley
Summary: The study shows that the Urgent and Emergency Care vanguards in England have significantly reduced delayed discharges from hospitals, leading to improved integration of health and social care.
Article
Medicine, General & Internal
Tyler P. Rasmussen, Danielle J. Riley, Mary Vaughan Sarazin, Paul S. Chan, Saket Girotra
Summary: Although survival rates for in-hospital cardiac arrest have improved over the past two decades, recent years have seen a plateau in these rates. This study analyzed data from 170 hospitals to determine the incidence of IHCA among Medicare beneficiaries, finding significant variation in incidence rates across hospitals. Hospitals with higher nurse staffing and teaching status were associated with lower IHCA incidence rates, indicating the importance of these factors in cardiac arrest prevention.
Article
Public, Environmental & Occupational Health
Matthew T. Schneider, Angela Y. Chang, Sawyer W. Crosby, Stephen Gloyd, Anton C. Harle, Stephen Lim, Rafael Lozano, Angela E. Micah, Golsum Tsakalos, Yanfang Su, Christopher J. L. Murray, Joseph L. Dieleman
Summary: Primary healthcare (PHC) expenditures increased in low-income and middle-income countries between 2000 and 2017, with a plateau in low-income countries after 2014. An increase in the fraction of health expenditures on PHC was associated with improvements in maternal and child health outcomes, but not with reductions in mortality or disease burdens for other causes, such as non-communicable diseases. It is important for policy-makers and health professionals to adapt primary healthcare to address emerging health challenges.
Article
Medicine, General & Internal
Linyan Li, George F. Chamoun, Nassib G. Chamoun, Daniel Sessler, Valerie Gopinath, Vikas Saini
Summary: The study found no consistent relationship between diagnostic frequency and mortality in inpatients, and adjusted mortality was instead positively correlated with socioeconomic risk factors. It suggests that diagnostic frequency in inpatients is more reflective of baseline population health status rather than coding practices.
Article
Geriatrics & Gerontology
Nathan Sumarsono, Rebecca L. Sudore, Alexander K. Smith, Steven Z. Pantilat, Wendy G. Anderson, Anil N. Makam
Summary: The study examines the availability of palliative care programs in long-term acute care hospitals in the United States, finding that while a significant number of hospitals have such programs, there is still a shortage of palliative care physicians in these settings.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Medicine, General & Internal
Chen Chen, Xinrui Song, Junli Zhu
Summary: This study explored the relationship between slack resources and cost consumption index in tertiary and secondary hospitals, and provided targeted recommendations for healthcare resource utilization. The study found that there were differences in healthcare costs between tertiary and secondary hospitals, and the impact of slack resources on healthcare costs also varied. For tertiary hospitals, maintaining a reasonable range of slack resources is necessary to control excessive growth in healthcare costs. However, for secondary hospitals, keeping too many slack resources is not ideal, and managers should adopt strategies to improve competitiveness and service transformation.
Article
Clinical Neurology
Tarun K. Jella, Ansh Desai, Thomas B. Cwalina, Alexander J. Acuna, Christina Wright, James Wright
Summary: Despite the implementation of MACRA, the OP-8 scores have shown minimal change over the last four years, with national average staying around 40%. Factors such as critical access setting and governmental profit status have been found to positively impact OP-8 scores.
WORLD NEUROSURGERY
(2021)
Article
Critical Care Medicine
Kevin Duan, Maxwell Birger, David H. Au, Laura J. Spece, Laura C. Feemster, Joseph L. Dieleman
Summary: This study estimates healthcare spending for respiratory conditions in the United States from 1996 to 2016, and identifies factors contributing to spending growth. The findings indicate high spending on respiratory conditions, particularly for asthma and chronic obstructive pulmonary disease. The study highlights the importance of addressing service price and intensity, especially for pharmaceuticals, in reducing healthcare spending growth.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2023)
Article
Health Care Sciences & Services
Eric T. Roberts, Sunita M. Desai
Summary: The study assessed changes in physicians' provision of care to duals in response to a policy that required Medicaid to fully pay Medicare's cost sharing for office visits with these patients. The results showed that physicians' provision of care to low-income Medicare beneficiaries may not be responsive to short-run payment changes.
HEALTH SERVICES RESEARCH
(2021)
Article
Public, Environmental & Occupational Health
Leticia Xander Russo, Timothy Powell-Jackson, Jorge Otavio Maia Barreto, Josephine Borghi, Roxanne Kovacs, Garibaldi Dantas Gurgel Junior, Luciano Bezerra Gomes, Juliana Sampaio, Helena Eri Shimizu, Allan Nuno Alves de Sousa, Adriana Falangola Benjamin Bezerra, Airton Tetelbom Stein, Everton Nunes Silva
Summary: The study shows that there is a negative and significant association between PMAQ and hospitalization rates for ACSCs, with an increase in PMAQ participating leading to a decrease in hospitalization rates.
Article
Medicine, General & Internal
Tony Rosen, Yuhua Bao, Yiye Zhang, Sunday Clark, Katherine Wen, Alyssa Elman, Philip Jeng, Elizabeth Bloemen, Daniel Lindberg, Richard Krugman, Jacquelyn Campbell, Ronet Bachman, Terry Fulmer, Karl Pillemer, Mark Lachs
Summary: Physical elder abuse is a common yet under-recognised issue with serious health consequences. Preliminary research suggests that elder abuse victims have different patterns of healthcare utilisation, with increased rates of emergency department use, hospitalisation, and nursing home placement. However, there is still limited knowledge about the patterns of this increased utilisation and associated costs.
Article
Economics
Liran Einav, Amy Finkelstein, Neale Mahoney
Summary: There is substantial waste in U.S. healthcare with a lack of consensus on how to address it. Research reveals that long-term care hospitals (LTCHs) contribute to this waste. By analyzing the entry of LTCHs into hospital markets, it is found that most patients who are admitted to LTCHs could have received similar care at Skilled Nursing Facilities at a lower cost. The study suggests that Medicare could save around $4.6 billion annually by restricting discharges to LTCHs.
REVIEW OF ECONOMICS AND STATISTICS
(2023)
Article
Health Care Sciences & Services
Laurence C. Baker, Michael Pesko, Patricia Ramsay, Lawrence P. Casalino, Stephen M. Shortell
MEDICAL CARE RESEARCH AND REVIEW
(2020)
Article
Health Care Sciences & Services
Lisa M. Kern, Mangala Rajan, Harold A. Pincus, Lawrence P. Casalino, Susan S. Stuard
POPULATION HEALTH MANAGEMENT
(2020)
Article
Health Care Sciences & Services
Jing Li, Alice Chen, Moon Parks, Arnab Ghosh, Lawrence P. Casalino
Summary: The study found that there is a relationship between the unemployment rate and healthcare service utilization, with multispecialty practices responding by increasing certain tests and appointments while single-specialty practices increased diagnostic and screening examinations. Physicians adjusted their practice behavior during the Great Recession in response to changing economic conditions.
MEDICAL CARE RESEARCH AND REVIEW
(2021)
Editorial Material
Psychiatry
Benjamin Brown, Eloise O'Donnell, Lawrence P. Casalino
Article
Health Care Sciences & Services
Mark A. Unruh, Yongkang Zhang, Hye-Young Jung, Manyao Zhang, Jing Li, Eloise O'Donnell, Fabrizio Toscano, Lawrence P. Casalino
Article
Health Care Sciences & Services
Eloise May O'Donnell, Gary Joseph Lelli, Sami Bhidya, Lawrence P. Casalino
Article
Health Care Sciences & Services
Yongkang Zhang, Dhruv Khullar, Yiyuan Wu, Lawrence P. Casalino, Rainu Kaushal
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Article
Health Care Sciences & Services
Fabrizio Toscano, Eloise O'Donnell, Joan E. Broderick, Marcella May, Pippa Tucker, Mark A. Unruh, Gabriele Messina, Lawrence P. Casalino
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Letter
Health Care Sciences & Services
Mark Aaron Unruh, Yuting Qian, Lawrence P. Casalino, Paul R. Katz, Kira L. Ryskina, Hye-Young Jung
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Multidisciplinary Sciences
Jing Li, Lawrence P. Casalino, Raymond Fisman, Shachar Kariv, Daniel Markovits
Summary: Physicians are more altruistic in their social preferences compared to other groups, with a higher percentage placing a greater weight on others than on themselves. However, their preferences regarding equality-efficiency orientation are similar to those of the general population and elite subsamples, and less efficiency-oriented than medical students.
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA
(2022)
Article
Health Care Sciences & Services
Lawrence P. Casalino, Hye-Young Jung, Thomas Bodenheimer, Ivan Diaz, Melinda A. Chen, Rachel Willard-Grace, Manyao Zhang, Phyllis Johnson, Yuting Qian, Eloise M. O'Donnell, Mark A. Unruh
Summary: Most general internists and family physicians practice in teamlets or teams, but this does not lead to lower physician burnout, better patient outcomes, or lower Medicare spending.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Medicine, General & Internal
Amelia M. Bond, Lawrence P. Casalino, Ming Tai-Seale, Mark Aaron Unruh, Manyao Zhang, Yuting Qian, Richard Kronick
Summary: Medical groups are concerned about physician turnover and its impact on patient access and care quality. A study found that physician turnover rates increased from 2010 to 2014, stabilized in 2017, and slightly increased in 2018. There were also differences in turnover rates based on location, specialty, and patient characteristics. Data from the first 3 quarters of 2020 showed lower turnover rates compared to the same period in 2019. Rating: 8/10
ANNALS OF INTERNAL MEDICINE
(2023)
Meeting Abstract
Health Care Sciences & Services
Kira Ryskina, Mark Unruh, Yuting Qian, Lawrence P. Casalino, Hye-Young Jung
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Meeting Abstract
Health Care Sciences & Services
Lisa M. Kern, Mangala Rajan, Joanna Bryan, Lisandro Colantonio, Paul Muntner, Lawrence P. Casalino, Michael Pesko, Evgeniya Reshetnyak, Laura C. Pinheiro, Monika M. Safford
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Article
Computer Science, Information Systems
Joshua R. Vest, Mark A. Unruh, Lawrence P. Casalino, Jason S. Shapiro
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2020)