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

Fisher ES, Shortell SM, O'Malley AJ, Fraze TK, Wood A, Palm M, Colla CH, Rosenthal MB, Rodriguez HP, Lewis VA, Woloshin S, Shah N, Meara E

2020 Aug;39(8):1302-1311doi: 10.1377/hlthaff.2019.01813

Health systems continue to grow in size. Financial integration-the ownership of hospitals or physician practices-often has anticompetitive effects that contribute to the higher prices for health care seen in the US. To determine whether the potential harms of financial integration are counterbalanced by improvements in quality, we surveyed nationally representative samples of hospitals ( = 739) and physician practices ( = 2,189), stratified according to whether they were independent or were owned by complex systems, simple systems, or medical groups. The surveys included nine scales measuring the level of adoption of diverse, quality-focused care delivery and payment reforms. Scores varied widely across hospitals and practices, but little of this variation was explained by ownership status. Quality scores favored financially integrated systems for four of nine hospital measures and one of nine practice measures, but in no case favored complex systems. Greater financial integration was generally not associated with better quality.

Health Aff (Millwood)|2020 Aug

Calderwood AH, Carter C, Durand MA, O'Connor S, Boardman M

2020 Jul 29;doi: 10.1097/MCG.0000000000001401

The authors aimed to characterize older adults' intentions for future surveillance colonoscopy, knowledge of polyps, and predictors of colonoscopy plans.

J Clin Gastroenterol|2020 Jul 29

Boone MD, Sites B, von Recklinghausen FM, Mueller A, Taenzer AH, Shaefi S

2020 Jul 1;3(7):e208931doi: 10.1001/jamanetworkopen.2020.8931

Postoperative neurocognitive disorders (PNDs) after surgical procedures are common and may be associated with increased health care expenditures.

JAMA Netw Open|2020 Jul 1

McLellan RK

2020 Jul 29;doi: 10.1002/ajim.23162

Am J Ind Med|2020 Jul 29

Lowry KP, Coley RY, Miglioretti DL, Kerlikowske K, Henderson LM, Onega T, Sprague BL, Lee JM, Herschorn S, Tosteson ANA, Rauscher G, Lee CI

2020 Jul 1;3(7):e2011792doi: 10.1001/jamanetworkopen.2020.11792

Digital mammography (DM) and digital breast tomosynthesis (DBT) are used for routine breast cancer screening. There is minimal evidence on performance outcomes by age, screening round, and breast density in community practice.

JAMA Netw Open|2020 Jul 1

Ganguli I, Lupo C, Mainor AJ, Orav EJ, Blanchfield BB, Lewis VA, Colla CH

2020 Jul 27;doi: 10.1111/1475-6773.13323

To determine if Medicare Shared Savings Program Accountable Care Organizations (ACOs) using cost reduction measures in specialist compensation demonstrated better performance.

Health Serv Res|2020 Jul 27

Adrian M, Coifman J, Pullmann MD, Blossom JB, Chandler C, Coppersmith G, Thompson P, Lyon AR

2020 Jul 20;7(7):e16338doi: 10.2196/16338

Technology-enabled services (TESs), which integrate human service and digital components, are popular strategies to increase the reach and impact of mental health interventions, but large-scale implementation of TESs has lagged behind their potential.

JMIR Ment Health|2020 Jul 20

Albright RH, Joseph RM, Wukich DK, Armstrong DG, Fleischer AE

2020 Jul 17;doi: 10.1097/CORR.0000000000001416

Charcot neuroarthropathy is a morbid and expensive complication of diabetes that can lead to lower extremity amputation. Current treatment of unstable midfoot deformity includes lifetime limb bracing, primary transtibial amputation, or surgical reconstruction of the deformity. In the absence of a widely adopted treatment algorithm, the decision to pursue more costly attempts at reconstruction in the United States continues to be driven by surgeon preference.

Clin Orthop Relat Res|2020 Jul 17

Chang CH, Mainor A, Colla C, Bynum J

2020 Jul 18;pii: S1525-8610(20)30481-3. doi: 10.1016/j.jamda.2020.05.055

Nursing home care is common and costly. Accountable care organization (ACO) payment models, which have incentives for care that is better coordinated and less reliant on acute settings, have the potential to improve care for this high-cost population. We examined the association between ACO attribution status and utilization and Medicare spending among long-term nursing home residents and hypothesized that attribution of nursing home residents to an ACO will be associated with lower total spending and acute care use.

J Am Med Dir Assoc|2020 Jul 18

Giustini AJ, Axelrod DM, Lucas BP, Schroeder AR

2020 Jul 1;3(7):e2010784doi: 10.1001/jamanetworkopen.2020.10784

JAMA Netw Open|2020 Jul 1


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