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Notes on Contributorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 7, 2009 Category: Health Management Tags: Notes on Contributors Source Type: journals

Columbia University's Axel Patents: Technology Transfer and Implications for the Bayh-Dole Actemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: This case study raises several important questions about the logic and future revisions of the Bayh-Dole Act: Are revenue generation and financial rewards for inventing valuable technologies legitimate goals for this act? If so, does the federal government need credible mechanisms for oversight of, or checks and balances on, the rights conferred? (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 7, 2009 Category: Health Management Authors: ALESSANDRA COLAIANNI, ROBERT COOK-DEEGAN Tags: Original Articles Source Type: journals

Responsive Consumerism: Empowerment in Markets for Health Plansemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: While much of the attention on consumerism has focused on prospective choice, understanding how consumers respond to problems is equally, if not more, important. Relying on consumers' responses as a means to protect individual consumers or influence the market for health plans is unlikely to be successful in its current form. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 7, 2009 Category: Health Management Authors: BRIAN ELBEL, MARK SCHLESINGER Tags: Original Articles Source Type: journals

The Revolution in Health Care Antitrust: New Methods and Provocative Implicationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: New methods for geographic market definition may fundamentally alter how courts will evaluate antitrust challenges. Although additional research is necessary to refine the predictions of these new methods, consolidating hospitals, as well as any other hospitals engaging in potentially anticompetitive conduct, can no longer anticipate a friendly reception in the courtroom. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 7, 2009 Category: Health Management Authors: DAVID DRANOVE, ANDREW SFEKAS Tags: Original Articles Source Type: journals

Comparative Effectiveness Research in Ontario, Canada: Producing Relevant and Timely Information for Health Care Decision Makersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: With the recent allocation of funds to support comparative effectiveness research from the American Recovery and Reinvestment Act, the United States should begin to construct an infrastructure that applies these features to make sure that evidence generated from this effort positively affects the quality of health care delivered to patients. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 7, 2009 Category: Health Management Authors: DANIELLE M. WHICHER, KALIPSO CHALKIDOU, IRFAN A. DHALLA, LESLIE LEVIN, SEAN TUNIS Tags: Original Articles Source Type: journals

Commentary: Public Health and Health Care Quality Assurance—Strange Bedfellows?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 7, 2009 Category: Health Management Authors: JONATHAN E. FIELDING Tags: Commentary Source Type: journals

Commentary: A Legal Perspective on Diabetes Surveillance—Privacy and the Police Poweremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 7, 2009 Category: Health Management Authors: MICHELLE M. MELLO, LAWRENCE O. GOSTIN Tags: Commentary Source Type: journals

Commentary: Beyond Historical Precedentemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 7, 2009 Category: Health Management Authors: AMY L. FAIRCHILD Tags: Commentary Source Type: journals

Tracking Diabetes: New York City's A1C Registryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Mandatory reporting has proven successful in helping combat other major epidemics. New York City's A1C Registry activities combine both traditional and novel public health approaches to reduce the burden of an epidemic chronic disease, diabetes. Despite criticism that mandatory reporting compromises individuals' right to privacy without clear benefit, the early feedback has been positive and suggests that the benefits will outweigh the potential harms. Further evaluation will provide additional information that other local health jurisdictions may use in designing their strategies to address chronic disease. (...
Source: The Milbank Quarterly - September 7, 2009 Category: Health Management Authors: SHADI CHAMANY, LYNN D. SILVER, MARY T. BASSETT, CYNTHIA R. DRIVER, DIANA K. BERGER, CHARLOTTE E. NEUHAUS, NAMRATA KUMAR, THOMAS R. FRIEDEN Tags: Original Articles Source Type: journals

In This Issueemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - August 31, 2009 Category: Health Management Authors: Bradford H. Gray Tags: In This Issue Source Type: journals

Notes on Contributorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - June 4, 2009 Category: Health Management Tags: Notes on Contributors Source Type: journals

Housing First for Homeless Persons with Active Addiction: Are We Overreaching?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: This article suggests that the current research data are not sufficient to identify an optimal housing and rehabilitation approach for an important homeless subgroup. The research regarding Housing First and linear approaches can be strengthened in several ways, and policymakers should be cautious about generalizing the results of available Housing First studies to persons with active addiction when they enter housing programs. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - June 4, 2009 Category: Health Management Authors: STEFAN G. KERTESZ, KIMBERLY CROUCH, JESSE B. MILBY, ROBERT E. CUSIMANO, JOSEPH E. SCHUMACHER Tags: Original Articles Source Type: journals

Health Consequences of Uninsurance among Adults in the United States: Recent Evidence and Implicationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Based on the evidence to date, the health consequences of uninsurance are real, vary in magnitude in a clinically consistent manner, strengthen the argument for universal coverage in the United States, and underscore the importance of evidence-based determinations in providing health care to a diverse population of adults. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - June 4, 2009 Category: Health Management Authors: J. MICHAEL McWILLIAMS Tags: Original Articles Source Type: journals

The Converged Experience of Risk and Diseaseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: The converged experience of risk and disease has led to some unsettling and generally underappreciated consequences that might be subjected to more clinical and policy reflection and response: (1) some puzzling trends in medical decision making, such as the steep and uniform increase in the numbers of women across a broad spectrum of risk/disease in breast cancer who have opted for prophylactic mastectomies; (2) a larger and highly mobilized disease/risk population, resulting in an expanded market for interventions and greater clout for disease advocates; (3) shifts in the perceived severity of the disease, wi...
Source: The Milbank Quarterly - June 4, 2009 Category: Health Management Authors: ROBERT A. ARONOWITZ Tags: Original Articles Source Type: journals

How Do You Modernize a Health Service? A Realist Evaluation of Whole-Scale Transformation in Londonemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: This study was one of the first applications of realist evaluation to a large-scale change effort in health care. Even when an ambitious change program shifts from its original goals and meets unforeseen challenges (indeed, precisely because the program morphs and adapts over time), realist evaluation can draw useful lessons about how particular preconditions make particular outcomes more likely, even though it cannot produce predictive guidance or a simple recipe for success. Noting recent calls by others for the greater use of realist evaluation in health care, this article considers some of the challenges a...
Source: The Milbank Quarterly - June 4, 2009 Category: Health Management Authors: TRISHA GREENHALGH, CHARLOTTE HUMPHREY, JANE HUGHES, FRASER MACFARLANE, CERI BUTLER, RAY PAWSON Tags: Original Articles Source Type: journals

Toward a Transdisciplinary Model of Evidence-Based Practiceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: A unified, transdisciplinary EBP model would address historical shortcomings by redefining the contents of each model circle, clarifying the practitioner's expertise and competencies, emphasizing shared decision making, and adding both environmental and organizational contexts. Implications for academia, practice, and policy also are discussed. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - June 4, 2009 Category: Health Management Authors: JASON M. SATTERFIELD, BONNIE SPRING, ROSS C. BROWNSON, EDWARD J. MULLEN, ROBIN P. NEWHOUSE, BARBARA B. WALKER, EVELYN P. WHITLOCK Tags: Original Articles Source Type: journals

Comparative Effectiveness Research and Evidence-Based Health Policy: Experience from Four Countriesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: While the CER entities evolved separately and have different responsibilities, they have adopted a set of core structural, technical, and procedural principles, including mechanisms for engaging with stakeholders, governance and oversight arrangements, and explicit methodologies for analyzing evidence, to ensure a high-quality product that is relevant to their system. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - June 4, 2009 Category: Health Management Authors: KALIPSO CHALKIDOU, SEAN TUNIS, RUTH LOPERT, LISE ROCHAIX, PETER T. SAWICKI, MONA NASSER, BERTRAND XERRI Tags: Original Articles Source Type: journals

In This Issueemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - June 1, 2009 Category: Health Management Authors: Bradford H. Gray Tags: In This Issue Source Type: journals

Instructions to Authors and Publication Policiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Tags: Instructions to Authors and Publication Policies Source Type: journals

Notes on Contributorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Tags: Notes on Contributors Source Type: journals

The Politics of Obesity: A Current Assessment and Look Aheademail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Obesity politics is evolving toward a relatively stable state of equilibrium, which could make comprehensive reforms to limit rising obesity rates less feasible. Therefore, to achieve meaningful change, rapid-response research identifying a set of promising reforms, combined with concerted lobbying action, will be necessary. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: ROGAN KERSH Tags: Original Articles Source Type: journals

The Perils of Ignoring History: Big Tobacco Played Dirty and Millions Died. How Similar Is Big Food?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Food is obviously different from tobacco, and the food industry differs from tobacco companies in important ways, but there also are significant similarities in the actions that these industries have taken in response to concern that their products cause harm. Because obesity is now a major global problem, the world cannot afford a repeat of the tobacco history, in which industry talks about the moral high ground but does not occupy it. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: KELLY D. BROWNELL, KENNETH E. WARNER Tags: Original Articles Source Type: journals

Food Prices and Obesity: Evidence and Policy Implications for Taxes and Subsidiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: The limited existing evidence suggests that small taxes or subsidies are not likely to produce significant changes in BMI or obesity prevalence but that nontrivial pricing interventions may have some measurable effects on Americans' weight outcomes, particularly for children and adolescents, low-SES populations, and those most at risk for overweight. Additional research is needed to be able to draw strong policy conclusions regarding the effectiveness of fiscal-pricing interventions aimed at reducing obesity. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: LISA M. POWELL, FRANK J. CHALOUPKA Tags: Original Articles Source Type: journals

Public Health Law and the Prevention and Control of Obesityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Although public health[ndash]focused legal interventions are in an early stage and the direct and indirect impact they may have on the obesity epidemic is not yet understood, efforts such as the summit and white papers should help determine potentially viable legal interventions and assess their impact on population-level change. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: WILLIAM H. DIETZ, DONALD E. BENKEN, ALICIA S. HUNTER Tags: Original Articles Source Type: journals

Innovative Legal Approaches to Address Obesityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Legal solutions are immediately available to the government to address obesity and should be considered at the federal, state, and local levels. New and innovative legal solutions represent opportunities to take the law in creative directions and to link legal, nutrition, and public health communities in constructive ways. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: JENNIFER L. POMERANZ, STEPHEN P. TERET, STEPHEN D. SUGARMAN, LAINIE RUTKOW, KELLY D. BROWNELL Tags: Original Articles Source Type: journals

A Cross-Sectional Prevalence Study of Ethnically Targeted and General Audience Outdoor Obesity-Related Advertisingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: The potential health and economic implications of differential exposure to obesity-related advertising are substantial. Although substantive legal questions remain about the government's ability to regulate advertising, the success of limiting tobacco advertising offers lessons for reducing the marketing contribution to the obesigenicity of urban environments. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: ANTRONETTE K. YANCEY, BRIAN L. COLE, ROCHELLE BROWN, JEROME D. WILLIAMS, AMY HILLIER, RANDOLPH S. KLINE, MARICE ASHE, SONYA A. GRIER, DESIREE BACKMAN, WILLIAM J. McCARTHY Tags: Original Articles Source Type: journals

Physical Activity and Food Environments: Solutions to the Obesity Epidemicemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Environment, policy, and multilevel strategies for improving diet, physical activity, and obesity control are recommended based on a rapidly growing body of research and the collective wisdom of leading expert organizations. A public health imperative to identify and implement solutions to the obesity epidemic warrants the use of the most promising strategies while continuing to build the evidence base. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: JAMES F. SALLIS, KAREN GLANZ Tags: Original Articles Source Type: journals

Addressing Obesity in the Workplace: The Role of Employersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Public and private employers can serve their own economic interests by addressing obesity. Health care organizations, particularly hospitals, as well as public employers can be important role models. Policy development is needed to accelerate change, especially for smaller employers (those with fewer than 500 employees), which represent the majority of U.S. employers and are far less likely to offer health promotion programs. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: LUANN HEINEN, HELEN DARLING Tags: Original Articles Source Type: journals

Schools and Obesity Prevention: Creating School Environments and Policies to Promote Healthy Eating and Physical Activityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Studies show that schools have been making some progress in improving the school food and physical activity environments but that much more work is needed. Stronger policies are needed to provide healthier meals to students at schools; limit their access to low-nutrient, energy-dense foods during the school day; and increase the frequency, intensity, and duration of physical activity at school. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: MARY STORY, MARILYN S. NANNEY, MARLENE B. SCHWARTZ Tags: Original Articles Source Type: journals

Reducing Obesity: Motivating Action While Not Blaming the Victimemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: A social justice perspective facilitates a synthesis of both models. This article proposes the concept of "behavioral justice" to convey the principle that individuals are responsible for engaging in health-promoting behaviors but should be held accountable only when they have adequate resources to do so. This perspective maintains both individuals' control and accountability for behaviors and society's responsibility to provide health-promoting environments. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: NANCY E. ADLER, JUDITH STEWART Tags: Original Articles Source Type: journals

Obesity Metaphors: How Beliefs about the Causes of Obesity Affect Support for Public Policyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Over the last five years, the United States has begun to grapple with the implications of dramatically escalating rates of obesity. Individuals use metaphors to better understand increasing rates of obesity, and obesity metaphors are independent and powerful predictors of support for public policies to curb obesity. Metaphorical reasoning also offers a potential framework for using strategic issue framing to shift support for obesity policies. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 11, 2009 Category: Health Management Authors: COLLEEN L. BARRY, VICTORIA L. BRESCOLL, KELLY D. BROWNELL, MARK SCHLESINGER Tags: Original Articles Source Type: journals

In This Issueemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - March 1, 2009 Category: Health Management Authors: Bradford H. Gray Tags: In This Issue Source Type: journals

Instructions to Authors and Publication Policiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Tags: Instructions to Authors and Publication Policies Source Type: journals

Subject Indexemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Tags: Subject Index Source Type: journals

Title Indexemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Tags: Title Index Source Type: journals

Author Indexemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Tags: Author Index Source Type: journals

Acknowledgmentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Tags: Acknowledgments Source Type: journals

Notes on Contributorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Tags: Notes on Contributors Source Type: journals

Waste in the U.S. Health Care System: A Conceptual Frameworkemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Classifying, identifying, and measuring waste elucidate its causes, clarify systemic goals, and specify potential health care reforms that[mdash]by improving the market for health insurance and health care[mdash]will generate incentives for better efficiency and thus ultimately decrease waste in the U.S. health care system. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Authors: TANYA G.K. BENTLEY, RACHEL M. EFFROS, KARTIKA PALAR, EMMETT B. KEELER Tags: Original Articles Source Type: journals

Helping Smokers Quit: Understanding the Barriers to Utilization of Smoking Cessation Servicesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Public policy efforts should assume greater social responsibility for smoking cessation, including more aggressive leadership at the state and federal levels, as well as through advocacy, public health, and clinician organizations. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Authors: SARAH E. GOLLUST, STEVEN A. SCHROEDER, KENNETH E. WARNER Tags: Original Articles Source Type: journals

Revisiting Rose: Comparing the Benefits and Costs of Population-Wide and Targeted Interventionsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: These simulations empirically evaluate some of Rose's original arguments. They can be replicated for particular interventions being considered and may be useful in helping public health decision makers assess potential intervention strategies. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Authors: JENNIFER AHERN, MATTHEW R. JONES, ERIN BAKSHIS, SANDRO GALEA Tags: Original Articles Source Type: journals

The Relative Merits of Population-Based and Targeted Prevention Strategiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: A population-based prevention strategy can be an excellent option if an intervention has almost no adverse effects. But if the intervention has even a small degree of disutility, a targeted approach using multivariable risk prediction can prevent more morbidity and mortality while treating many fewer people. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Authors: DONNA M. ZULMAN, SANDEEP VIJAN, GILBERT S. OMENN, RODNEY A. HAYWARD Tags: Original Articles Source Type: journals

What Ever Happened to N-of-1 Trials? Insiders' Perspectives and a Look to the Futureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: N-of-1 trials offer a unique opportunity to individualize clinical care and enrich clinical research. While ongoing changes in drug discovery, manufacture, and marketing may ultimately spur pharmaceutical makers and health care payers to support n-of-1 trials, at present the most promising resuscitation strategy is stripping n-of-1 trials to their essentials and marketing them directly to patients. In order to optimize statistical inference from these trials, empirical Bayes methods can be used to combine individual patient data with aggregate data from comparable patients. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - November 21, 2008 Category: Health Management Authors: RICHARD L. KRAVITZ, NAIHUA DUAN, EDMUND J. NIEDZINSKI, M. CAMERON HAY, SASKIA K. SUBRAMANIAN, THOMAS S. WEISNER Tags: Original Articles Source Type: journals

Instructions to Authors and Publication Policiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 15, 2008 Category: Health Management Tags: Instructions to Authors Source Type: journals

Notes on Contributorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 15, 2008 Category: Health Management Tags: Notes on Contributors Source Type: journals

Message Design Strategies to Raise Public Awareness of Social Determinants of Health and Population Health Disparitiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: The field of communication science offers valuable insights into ways that population health advocates and researchers might develop better messages to shape public opinion and debate about the social conditions that shape the health and well-being of populations. The time has arrived to begin thinking systematically about issues in communicating about SDH and health disparities. This article offers a broad framework for these efforts and concludes with an agenda for future research to refine message strategies to raise awareness of SDH and health disparities. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 15, 2008 Category: Health Management Authors: JEFF NIEDERDEPPE, Q. LISA BU, PORISMITA BORAH, DAVID A. KINDIG, STEPHANIE A. ROBERT Tags: Original Articles Source Type: journals

Local Access to Care Programs (LACPs): New Developments in the Access to Care for the Uninsuredemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: New, locally based health access programs are being developed to meet the health care needs of the growing number of uninsured adults. These programs offer an alternative to traditional health insurance and build on the tradition of county-based care for the indigent. It is important that these locally based, alternative paths to health care services be documented and monitored, as the number of uninsured adults is continuing to grow and these programs are becoming a larger component of the U.S. health care safety net. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 15, 2008 Category: Health Management Authors: LYNN A. BLEWETT, JEANETTE ZIEGENFUSS, MICHAEL E. DAVERN Tags: Original Articles Source Type: journals

Getting Real Performance Out of Pay-for-Performanceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: This article concludes that in three general situations, P4P will have a different impact on quality and costs and so should be structured differently. When information about patients' health and the health production function is incomplete, as is currently the case, P4P payments should be kept small, should be based on outcomes rather than processes, and should target physicians' practices and health systems. As information improves, P4P incentive payments could be increased, and P4P may become more powerful. Ironically, once information becomes complete, P4P can be replaced entirely by "optimal fee-for-servi...
Source: The Milbank Quarterly - September 15, 2008 Category: Health Management Authors: SEAN NICHOLSON, MARK V. PAULY, ANITA YA JUNG WU, JAMES F. MURRAY, STEVEN M. TEUTSCH, MARC L. BERGER Tags: Original Articles Source Type: journals

Hospital-Physician Collaboration: Landscape of Economic Integration and Impact on Clinical Integrationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Successful HPRs may require better financial conditions for physicians, internal changes to clinical operations, application of behavioral skills to the management of HPRs, changes in how providers are paid, and systemic changes encompassing several types of integration simultaneously. (Source: The Milbank Quarterly)
Source: The Milbank Quarterly - September 15, 2008 Category: Health Management Authors: LAWTON ROBERT BURNS, RALPH W. MULLER Tags: Original Articles Source Type: journals