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Recent Scholarly Publications

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The Proposed Government Health Insurance Company -- No Substitute for Real Reform

May 2009

As pressure builds on the White House and Congress to deliver on their promise of health care reform, the idea of a government health insurance company to compete with for-profit and not-for-profit...

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.

Toward a 21st-Century Health Care System: Recommendations for Health Care Reform

April 2009

The coverage, cost, and quality problems of the U.S. health care system are evident.

Hospital Characteristics Associated with Timeliness of Care in Veterans with Lung Cancer

April 2009

Rationale: Timeliness is one of six important dimensions of health care quality recognized by the Institute of Medicine.

Are American Physicians more Satisfied? - Results from an International Study of Physicians in University Hospitals.

March 2009

Understanding the factors that affect physicians' job satisfaction is important not only to physicians themselves, but also to patients, health system managers, and policy makers.

The Effect of Medicaid Managed Care on Prenatal Care: The Case of "Puerto Rico"

March 2009

Objectives From 1994 to the year 2000 the government of Puerto Rico implemented a health care reform which included the mandatory enrollment of the entire Medicaid eligible population under...

Health Reform: Getting The Essentials Right

January 2009

Fuchs argues that health reform must encompass the Four Cs in order to succeed: coverage, cost control, coordinated care and choice.

Health-related Quality of Life in a Randomized Trial of Antiretroviral Therapy for Advanced HIV Disease

January 2009

OBJECTIVE: To assess and compare alternative approaches of measuring preference-based health-related quality of life (HRQoL) in treatment-experienced HIV patients and evaluate their association...

Patient Safety Climate in 92 US Hospitals: Differences by Work Area and Discipline

January 2009

BACKGROUND: Concern about patient safety has promoted efforts to improve safety climate.

Development, Testing, and Findings of a Pediatric- Focused Trigger Tool to Identify Medication Related Harm in US Children's Hospitals

December 2008

OBJECTIVES: The purposes of this study were to develop a pediatric-focused tool for adverse drug event detection and describe the incidence and characteristics of adverse drug events in children's...

An Intervention to Decrease Narcotic Related Adverse Drug Events in Children's Hospitals

December 2008

OBJECTIVES: Narcotic-related adverse drug events are the most common adverse drug events in hospitalized children.

Patient Safety Climate in US hospitals: Variation by Management Level

November 2008

BACKGROUND: Strengthening hospital safety culture offers promise for reducing adverse events, but efforts to improve culture may not succeed if hospital managers perceive safety differently from...

Front-line Staff Perspectives on Opportunities for Improving the Safety and Efficiency of Hospital Work Systems

October 2008

OBJECTIVE: To contrast the safety-related concerns raised by front-line staff about hospital work systems (operational failures) with national patient safety initiatives.

Health Care Reform Requires Accountable Care Systems

July 2008

A Menu Without Prices

June 2008

For the well-insured, obtaining health care in the United States is like dining in a sumptuous restaurant that has menus without prices.

An Overview of Patient Safety Climate in the VA

March 2008

Objective: To assess variation in safety climate across VA hospitals nationally.

Who Really Pays for Health Care? The Myth of "Shared Responsibility"

March 2008

When asked who pays for health care in the United States, the usual answer is "employers, government, and individuals." Most Americans believe that employers pay the bulk of workers' premiums and...

Variations in Hospital Resource Use for Medicare and Privately Insured Populations in California

February 2008

The amount of resources used in the care of chronically ill Medicare fee-for-service (FFS) patients varies widely across hospitals.

Health Care Reform -- Why So Much Talk and So Little Action?

January 2008

As promised during his campaign, and under pressure from many quarters, President-elect Barack Obama may seek badly needed changes in the way the United States finances and delivers health care....

Does quality improvement implementation affect hospital quality of care?

December 2007

Abstract The authors examined how the association between quality improvement (QI) implementation in hospitals and hospital clinical quality is moderated by hospital organizational and...

Race and Mortality after Acute Renal Failure

December 2007

Black patients receiving dialysis for end-stage renal disease in the United States have lower mortality rates than white patients.

Gender Difference in Hospital Mortality and Use of Percutaneous Coronary Intervention in Acute Myocardial Infarction: Microsimulation Analysis of the 1999 Nationwide French Hospitals Database

December 2007

Background: Women with acute myocardial infarction have a higher hospital mortality rate than men.

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...

Elective and Isolated Carotid Endarterectomy: Health Disparities in Utilization and Outcomes, but not Readmission

May 2007

Background: Carotid endarterectomy (CEA) has been shown to decrease future ischemic stroke risk in selected patients.