Stanford Health Policy is a joint effort of the Freeman Spogli Institute for International Studies and the Stanford School of Medicine
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Cost Implications of Reduced Work Hours and Workloads for Resident Physicians
May 2009
Background Although the Accreditation Council for Graduate Medical Education (ACGME) limits the work hours of residents, concerns about fatigue persist.
Persistence of Maternal Depressive Symptoms throughout the Early Years of Childhood.
May 2009
AIMS: The purpose of these analyses was to examine the persistence and predictors of elevated depressive symptoms in 884 women over their children's preschool years.
Documentation Status and Parental Concerns About Development in Young US Children of Mexican Origin
April 2009
OBJECTIVE: To examine parent concerns about development, learning, and behavior for young children of Mexican origin, and to identify whether these reports differ by families' citizenship...
Patient Education and Provider Decision Support to Control Blood Pressure in Primary Care: A Cluster Randomized Trial
March 2009
BACKGROUND: Less than one third of the 65 million Americans with hypertension have adequate blood pressure (BP) control.
Frequency of HIV Screening in the Veterans Health Administrations: Implications for Early Diagnosis of HIV Infection
December 2008
We evaluated the frequency of HIV testing across the Department of Veterans Affairs (VA), the largest provider of HIV care in the United States.
Job Satisfaction and Motivation Among Physicians in Academic Medical Centers: Insights from a Cross-national Study
December 2008
Our study assesses how work-related monetary and nonmonetary factors affect physicians' job satisfaction at three academic medical centers in Germany and the United States, two countries whose...
Simple counts of ADL dependencies do not adequately reflect older adults' preferences toward states of functional impairment.
December 2008
OBJECTIVE: To use unweighted counts of dependencies in activities of daily living (ADLs) to assess the impact of functional impairment requires an assumption of equal preferences for each ADL...
Implementing Effective Hypertension Quality Improvement Strategies: Barriers and Potential Solutions
April 2008
Many quality improvement strategies have focused on improving blood pressure control, and these strategies can target the patient, the provider, and/or the system.
Ongoing physical activity advice by humans versus computers: The community health advice by telephone (CHAT) trial
December 2007
Abstract PURPOSE: Given the prevalence of physical inactivity among American adults, convenient, low-cost interventions are strongly indicated.
Women's Awareness and Knowledge of Hormone Therapy Post-Women's Health Initiative
September 2007
Objective: Findings from the Women's Health Initiative (WHI) failed to confirm previous expectations about the net benefits of menopausal hormone therapy and have resulted in reduced use of these...
Changes in Hospital Mortality Associated with Residency Work-Hour Regulations
July 2007
Background: In 2002, the Accreditation Council on Graduate Medical Education enacted regulations, effective 1 July 2003, that limited work hours for all residency programs in the United States...
Personal and Treatment-Related Predictors of Abstinence Self-Efficacy
January 2007
Objective: To understand better the relationship between substance-use disorder treatment and abstinence self-efficacy, more information is needed about what factors predict greater abstinence self...
Substance Use Disorder Treatment Programs in Switzerland and the USA: Program Characteristics and 1-Year Outcomes
January 2007
Aim: This study compared matched samples of substance use disorder (SUD) patients in Swiss and United States (US) residential treatment programs and examined the relationship of program...
Closing the Quality Gap: A Crtical Analysis of Quality Improvement Strategies, Vol. 6: Healthcare-Associated Infections
January 2007
Objective: To determine the effects of quality improvement strategies on promoting adherence to interventions for prevention of selected (surgical site infections (SSI), central line-associated...
Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies, Vol. 5: Asthma
January 2007
Objectives:Despite the availability of evidence-based guidelines for the management of pediatric and adult asthma, there remains a significant gap between accepted best practices for asthma care...
Data withholding and the next generation of scientists: Results of a national survey
December 2006
Abstract PURPOSE: To provide the first national data on the nature, extent, and consequences of withholding among life science trainees.
Definition of Metabolic Syndrome in Preadolescent Girls
December 2006
Objective: To compare and contrast proposed definitions of metabolic syndrome in pediatrics, and to determine prevalence of metabolic syndrome in preadolescent females when applying different...
Leveraging Change: Educational Opportunities in Information Technology Implementation
July 2006
Objective: To describe an academic medical center's experience with housestaff involvement in the implementation of a new clinical information system, with particular emphasis on resident...
Quality Improvement Strategies for Hypertension Management: A Systematic Review
July 2006
Background: Care remains suboptimal for many patients with hypertension.Purpose: The purpose of this study was to assess the effectiveness of quality improvement (QI) strategies in lowering blood...
Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies, Vol. 4: Antibiotic Prescribing Behavior
January 2006
Objective: Unnecessary prescribing of antibiotics is a major problem in the U.S. and worldwide, contributing to the problem of antimicrobial resistance (AMR).
Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 3: Hypertension Care)
December 2005
OBJECTIVE: Hypertension affects more than 50 million people in the United States alone.
Improving Adherence to Guidelines for Hypertension Drug Prescribing: Cluster-randomized Controlled Trial of General versus Patient-Specific Recommendations
November 2005
OBJECTIVE: To determine whether an intervention focusing clinician attention on drug choice for hypertension treatment improves concordance between drug regimens and guidelines.
Internet use and stigmatized illness
October 2005
People with stigmatized illnesses often avoid seeking health care and education. The internet may be a useful health education and outreach tool for this group.