Take a deeper look into all the publications produced by researchers at The Dartmouth Institute.

Shortell SM, Gottlieb DJ, Martinez Camblor P, O'Malley AJ

2021 Jan 11;doi: 10.1111/1475-6773.13621

Building on the original taxonomy of hospital-based health systems from 20 years ago, we develop a new taxonomy to inform emerging public policy and practice developments.

Health Serv Res|2021 Jan 11

Sumner P, Schwartz L, Woloshin S, Bratton L, Chambers C

2021 Jan 8;11(1):e041385doi: 10.1136/bmjopen-2020-041385

To examine how often study funding and author conflicts of interest are stated in science and health press releases and in corresponding news; and whether disclosure in press releases is associated with disclosure in news. Second, to specifically examine disclosure rates in industry-funded studies.

BMJ Open|2021 Jan 8

Ouayogodé MH, Meara E, Ho K, Snyder CM, Colla CH

2021 Jan 4;9(1):100460doi: 10.1016/j.hjdsi.2020.100460

Medicare's accountable care organizations (ACOs)-designed to improve quality and lower spending-were associated with growing savings in previous studies. However, savings estimates may be biased by beneficiary sorting among providers based on healthcare needs and by providers opting into the program based on anticipated gains.

Healthc (Amst)|2021 Jan 4

Erekson E, Lane G, Mann J, Austin A, Carmichael D, Minassian VA, Grodstein F, Bynum JPW

2021 Jan 4;Publish Ahead of Printdoi: 10.1097/SPV.0000000000000984

We evaluated patterns of outpatient visits seen for urinary incontinence (UI) among women 65 years or older in the Nurses' Health Study and the general Medicare population. We were interested in understanding whether nurses, with high health literacy, may receive more care for UI than the general population.

Female Pelvic Med Reconstr Surg|2021 Jan 4

Spivack SB, Murray GF, Rodriguez HP, Lewis VA

2021 Jan;40(1):98-104doi: 10.1377/hlthaff.2020.00100

Primary care access for Medicaid patients is an ongoing area of concern. Most studies of providers' participation in Medicaid have focused on factors associated with the Medicaid program, such as reimbursement rates. Few studies have examined the characteristics of primary care practices associated with Medicaid participation. We used a nationally representative survey of primary care practices to compare practices with no, low, and high Medicaid revenue. Seventeen percent of practices received no Medicaid revenue; 38 percent and 45 percent were categorized as receiving low and high Medicaid revenue, respectively. Practices with no Medicaid revenue were more often small, independent, and located in urban areas with higher household income. These practices also have lower population health capabilities.

Health Aff (Millwood)|2021 Jan

Morales A, Murphy A, Fanning JB, Gao S, Schultz K, Hall DE, Barnato A

2020 Dec 31;:1-20doi: 10.1080/23294515.2020.1865476

This study introduces an empirical approach for studying the role of prudence in physician treatment of end-of-life (EOL) decision making.

AJOB Empir Bioeth|2020 Dec 31

Riblet NB, Stevens SP, Shiner B, Cornelius S, Forehand J, Scott RC, Watts BV

2020 Dec 30;pii: usaa559. doi: 10.1093/milmed/usaa559

There is emerging evidence to support that the COVID-19 pandemic and related public health measures may be associated with negative mental health sequelae. Rural populations in particular may fair worse because they share many unique characteristics that may put them at higher risk for adverse outcomes with the pandemic. Yet, rural populations may also be more resilient due to increased sense of community. Little is known about the impact of the pandemic on the mental health and well-being of a rural population pre- and post-pandemic, especially those with serious mental illness.

Mil Med|2020 Dec 30

Havidich JE, Weiss JE, Onega TL, Low YH, Goodrich ME, Davis MA, Sites BD

2020 Dec 28;doi: 10.1002/cncr.33285

Cancer is the second leading cause of death globally, and researchers seek to identify modifiable risk factors Over the past several decades, there has been ongoing debate whether opioids are associated with cancer development, metastasis, or recurrence. Basic science, clinical, and observational studies have produced conflicting results. The authors examined the association between prescription opioids and incident cancers using the Surveillance, Epidemiology, and End Results (SEER)-Medicare database. A complex relation was observed between prescription opioids and incident cancer, and cancer site may be an important determinant.

Cancer|2020 Dec 28

Emanuel EJ, Gudbranson E, Van Parys J, Gørtz M, Helgeland J, Skinner J

2020 Dec 28;doi: 10.1001/jamainternmed.2020.7484

The average health outcomes in the US are not as good as the average health outcomes in other developed countries. However, whether high-income US citizens have better health outcomes than average individuals in other developed countries is unknown.

JAMA Intern Med|2020 Dec 28

Elwyn G

2020 Dec 1;pii: S0738-3991(20)30656-X. doi: 10.1016/j.pec.2020.11.032

Cooperation has emerged as a fundamental characteristic of human society, and many argue that this ability is the basis for the phenomenal development in our capability as a species. When we focus our attention to the interactions that occur in healthcare, we inevitably notice power asymmetry due to unequal knowledge, experience, and status. However, as many have argued since the 1970s, there is an ethical imperative to respect the agency of individuals, offer information, collaborate, and support deliberation when difficult decisions arise. This process is particularly important when reasonable alternative courses of action exist and where the priorities and preferences of individuals would be expected to sway such decisions. This position article argues that this process, commonly described as shared decision making, involves work that is cognitive, emotional, and relational, and, particularly if people are ill, should have the underpinning goal of restoring autonomy. It covers the origin of the term and describes the core components; it describes how to do the cognitive, emotional, and relational work that is required, and offers a model to guide the process.

Patient Educ Couns|2020 Dec 1


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