Clinical Decisionmaking
Women with chronic disease are less likely than other women to undergo screening for breast and cervical cancer
More checkpoints are needed to prevent overdosing errors in administering high-dose chemotherapy
Treating acute asthma attacks in special ER observation units is more effective and costs less than inpatient care
Carotid endarterectomy is being performed more often on asymptomatic patients to prevent stroke
Missed detection of depression in the elderly might be reduced by screening with a simple questionnaire
Pilot program leads to a healthier lifestyle for Mexican-American children at risk for type 2 diabetes
Outcomes/Effectiveness Research
Prostatitis is a common problem that is often treated unnecessarily with antibiotics
High rates of sexual, urinary, and bowel dysfunction follow treatment for early prostate cancer
Health Care Organization and Delivery
Employer-sponsored coverage for chiropractic care is now commonplace
Certain factors increase the likelihood that Medicaid HMO enrollees will visit the ER for nonurgent care
Model outpatient program helps keep high-risk elderly people out of the hospital at a reasonable cost
Most physicians are satisfied with their practices and income
Quality of Care
Hospitalization within 10 days of outpatient treatment for pneumonia may indicate less than optimal care
Clinical guidelines must be implemented with other approaches to substantially improve quality of care
Primary Care
Today's primary care physicians are being asked to approach their practices with a community perspective
Probable practice location and patient mix should inform medical students' primary care residency decisions
Managed Care
Workshop highlights pros and cons of carve-out contracts for specialty care
Health Care Costs and Financing
More than 4.5 million children lack insurance despite Medicaid eligibility
Organizational strategies, not physician incentives, may be the key to HMO outpatient cost savings
Some health care providers respond to reduced Medicare payments by changing the volume of procedures they perform
HIV/AIDS Research
Women with AIDS can cut their risk of death in half by seeking care from more experienced clinics
Largest study to date profiles HIV seropositive compared with high-risk seronegative women
Community-based programs for HIV-infected people need flexibility to respond to changes in functional status
Announcements
AHCPR funds new studies
New publications available from AHCPR
AHSR awards honor current and former AHCPR grantees
Research Briefs
The comparative effects of postoperative analgesic therapies on pulmonary outcome: Cumulative meta-analyses of randomized, controlled trials
Sample design of the 1996 Medical Expenditure Panel Survey Medical Provider Component
A healthy health sector is crucial for community economic development
Skepticism toward medical care and health care use
A new twist in U.S. health care data standards development: Adoption of electronic health care transactions standards for administrative simplification
Decision and cost-utility analyses of surgical versus transcatheter closure of patent ductus arteriosus: Should you let a smile be your umbrella?
Establishing the nurse-family relationship in the intensive care unit
Predicting the cost of illness: A comparison of alternative models applied to stroke
Use of medical informatics to implement and develop clinical practice guidelines
A Monte Carlo simulation of advanced HIV disease: Application to prevention of CMV infection
An international comparison of physicians' judgments of outcome rates of cardiac procedures and attitudes toward risk, uncertainty, justifiability, and regret
The demand for post-acute and chronic care in nursing homes
Nursing homes—Structure and selected characteristics, 1987 and 1996
Developing community partnerships to enhance care for rural families with low birth weight children
Predicting mortality after coronary artery bypass surgery: What do artificial neural network learn?
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