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Beta blockers substantially improve survival in elderly heart attack patients, but few receive them
Patient Outcomes/Effectiveness Research New prediction method could cut hospital admissions and costs for pneumonia patients
Hospital Use/Quality of Care Areas with higher hospitalization rates do not necessarily have more inappropriate hospital admissions Severity of illness measures and length of stay found to be poor indicators of hospital quality of care
Patient Care/Clinical Decisionmaking Except for Medicare enrollees, private insurance does not seriously affect patients choice of physician type Certain findings on lung x-rays raise the probability of short-term death from pneumonia Interactive videos help heart disease patients choose the treatment that's right for them
Elderly/Long-term Care Does publicly provided home care substitute for family care? Having close family substantially reduces the risk of nursing home admission for the elderly
Women's and Family Health Rural physicians use fewer health resources than urban doctors to care for low-risk obstetric patients Delays in beginning prenatal care are unrelated to the number of available obstetricians Poor children are less likely than other children to receive needed mental health services
Minority Health Minority women with abnormal screening mammograms have later followup tests than white women South Central Los Angeles residents are much less likely to undergo surgery than other county residents Adult-onset diabetes occurs much more often among minorities than whites
HIV/AIDS Research Functional decline in persons with HIV disease is variable and episodic San Francisco's most successful HIV prevention programs emphasize the messenger more than the message Social, functional, and clinical factors affect hospitalization of persons with AIDS
AHCPR News and Notes Conference on smoking cessation focuses on implementing AHCPR-sponsored guideline in the medical community Institute of Medicine calls for fundamental changes in primary health care
Announcements AHCPR releases first evidence report on colorectal cancer screening AHCPR plans conference for summer '97 AHCPR funds studies to examine patient referral patterns and the use of computers in clinical decisionmaking Registration deadline nears for AAHP managed care conference New publications available from AHCPR and NTIS Former Surgeon General Koop to be honored AHCPR announces the availability of a workbook and audiotapes from the User Liaison Program Attention researchers: Proceedings available
Research Briefs The impact of financial incentives on physician behavior in managed care plans: A review of the evidence Prediction of the infarct-related artery in acute myocardial infarction by a scoring system using summary ST-segment and T-wave changes The ambulatory care medical audit demonstration project Predicting the duration of mechanical ventilation: The importance of disease and patient characteristics Evaluating the use of the appropriateness method in the Agency for Health Care Policy and Research clinical practice guideline development process An empirical Bayes method for studying variation in knee replacement rates
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