Choosing Wisely Campaign: Valuable For Providers Who Knew About It, But Awareness Remained Constant, 2014-17 [Web First]
Together with physician specialty societies, the Choosing Wisely® campaign has codified recommendations of which health care services’ use should be questioned and discussed with patients. The ABIM Foundation administered surveys in 2014 and 2017 to examine physicians’ attitudes toward and awareness of the use of low-value care. The surveys included questions on the factors driving that use, physicians’ comfort in having conversations with patients about that use, and physicians’ exposure to the Choosing Wisely campaign. Despite continued publicity and physician outreach efforts, there were no s...
Source: Health Affairs - October 24, 2017 Category: International Medicine & Public Health Authors: Colla, C. H., Mainor, A. J. Tags: Web First Source Type: research
Choosing Wisely: How To Fulfill The Promise In The Next 5 Years [Web First]
Low-value care—the use of unnecessary and potentially harmful health care services—accounted for roughly $200 billion in wasteful spending in the United States in 2011. In 2012 the ABIM Foundation and Consumer Reports launched the Choosing Wisely® campaign, inspired by the idea that professional societies and health care providers should take the lead in defining and motivating efforts to reduce the use of low-value care. But decreases in that use have been slow in coming. We discuss the campaign’s significant accomplishments in the past five years and summarize the work that is needed to fulfill...
Source: Health Affairs - October 24, 2017 Category: International Medicine & Public Health Authors: Kerr, E. A., Kullgren, J. T., Saini, S. D. Tags: Web First Source Type: research
Much Activity, Uncertainty Remains [Web First]
Bipartisan market stabilization negotiations gave way to a last-gasp attempt at repeal and replace; the ACA emerged intact but buffeted by uncertainty. (Source: Health Affairs)
Source: Health Affairs - October 10, 2017 Category: International Medicine & Public Health Authors: Jost, T. S. Tags: Web First Source Type: research
Statement of Ownership & Circulation [Statement of Ownership & Circulation]
(Source: Health Affairs)
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Tags: Statement of Ownership & amp; Circulation Source Type: research
New Insecticides And Vouchers [Letters]
(Source: Health Affairs)
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Joob, B., Wiwanitkit, V. Tags: Letters Source Type: research
Competitive Bidding In Medicare [Letters]
(Source: Health Affairs)
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Bernard, J. Tags: Letters Source Type: research
Errata [Errata]
(Source: Health Affairs)
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Tags: Errata Source Type: research
Primary Care: Foundations Aim To Improve Access And Quality [GrantWatch]
(Source: Health Affairs)
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Tags: GrantWatch Source Type: research
At The VA, Healing The Doctor-Patient Relationship [Narrative Matters]
In opening a dialogue with a veteran, a Syrian American physician is able to overcome prejudices and create a path toward healing. (Source: Health Affairs)
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Kheirbek, R. E. Tags: Narrative Matters Source Type: research
Health Benefits In 2017: Stable Coverage, Workers Faced Considerable Variation In Costs [Original Article]
The annual Kaiser Family Foundation/Health Research and Educational Trust Employer Health Benefits Survey found that in 2017, average annual premiums (employer and worker contributions combined) rose 4 percent for single coverage, to $6,690, and 3 percent for family coverage, to $18,764. Covered workers contributed 18 percent of the premium for single coverage and 31 percent for family coverage, on average, although there was considerable variation around these averages. For covered workers in small firms, 10 percent did not make a premium contribution for family coverage, while 36 percent mad...
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Claxton, G., Rae, M., Long, M., Damico, A., Whitmore, H., Foster, G. Tags: Original Article Source Type: research
Estimating The Effects Of Health Insurance And Other Social Programs On Poverty Under The Affordable Care Act [Original Article]
The effects of health insurance on poverty have been difficult to ascertain because US poverty measures have not taken into account the need for health care and the value of health benefits. We developed the first US poverty measure to include the need for health insurance and to count health insurance benefits as resources available to meet that need—in other words, a health-inclusive poverty measure. We estimated the direct effects of health insurance benefits on health-inclusive poverty for people younger than age sixty-five, comparing the impacts of different health insurance programs and of nonhealth means-teste...
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Remler, D. K., Korenman, S. D., Hyson, R. T. Tags: Original Article Source Type: research
Progress In Interoperability: Measuring US Hospitals Engagement In Sharing Patient Data [Original Article]
Achieving an interoperable health care system remains a top US policy priority. Despite substantial efforts to encourage interoperability, the first set of national data in 2014 suggested that hospitals’ engagement levels were low. With 2015 data now available, we examined the first national trends in engagement in four domains of interoperability: finding, sending, receiving, and integrating electronic patient information from outside providers. We found small gains, with 29.7 percent of hospitals engaging in all four domains in 2015 compared to 24.5 percent in 2014. The two domains with the most progress ...
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Holmgren, A. J., Patel, V., Adler-Milstein, J. Tags: Original Article Source Type: research
Health Of Americans Who Must Work Longer To Reach Social Security Retirement Age [DataWatch]
To receive full Social Security benefits, Americans born after 1937 must claim those benefits at an older age than earlier birth cohorts. Additionally, proposals to improve the fiscal position of Social Security typically include increasing the age at which workers can receive full benefits. Birth cohorts required to work longer are in worse health at ages 49–60, based on multiple measures of morbidity, than cohorts who could retire earlier. (Source: Health Affairs)
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Choi, H., Schoeni, R. F. Tags: DataWatch Source Type: research
Joy In Medical Practice: Clinician Satisfaction In The Healthy Work Place Trial [Original Article]
To better understand how clinicians’ job satisfaction relates to work conditions and outcomes for clinicians and patients, we examined data from the Healthy Work Place trial. Data were collected from physicians and advanced practice providers at baseline and approximately one year later. At baseline, 74 percent of respondents indicated job satisfaction. Satisfaction was associated with less chaos, more cohesion, better communication, and closer values alignment at work, but not with higher-quality care or fewer medical errors. At follow-up, the respondents with satisfaction data then and at baseline who indicate...
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Linzer, M., Sinsky, C. A., Poplau, S., Brown, R., Williams, E., the Healthy Work Place Investigators Tags: Original Article Source Type: research
Millennials Almost Twice As Likely To Be Registered Nurses As Baby Boomers Were [DataWatch]
Baby-boomer registered nurses (RNs), the largest segment of the RN workforce from 1981 to 2012, are now retiring. This would have led to nurse shortages but for the surprising embrace of the profession by millennials—who are entering the nurse workforce at nearly double the rate of the boomers. Still, the boomers’ retirement will reduce growth in the size of the RN workforce to 1.3 percent per year for the period 2015–30. (Source: Health Affairs)
Source: Health Affairs - October 2, 2017 Category: International Medicine & Public Health Authors: Auerbach, D. I., Buerhaus, P. I., Staiger, D. O. Tags: Nurses, Workforce Issues, Demography DataWatch Source Type: research
