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Research Activities

May 2002, No. 261



Contents

About Research Activities

Feature Story

Patients who take beta blockers before heart bypass surgery have improved outcomes

Heart Disease

Non-aspirin, nonsteroidal antiinflammatory drugs do not protect individuals from the risk of heart attack
Doctors could do more to help adult patients with diabetes reduce their risk of cardiovascular disease
Communication/cultural barriers may affect receipt of cardiovascular procedures among Hispanics
Normalizing clinical practice for coronary bypass surgery could save money without worsening patient outcomes

HIV/AIDS Research

Black and Hispanic HIV patients are less likely than white patients to get experimental medications
Study links nonadherence to HIV treatment regimens and women's risky sexual behavior
Drug treatment and intensive case management programs are needed to reduce HIV risk among homeless women

Outcomes/Effectiveness Research

Mechanical ventilation of low birthweight newborns substantially increases the risk of disabling cerebral palsy
Adolescents who were born prematurely at a very low birthweight have self-esteem similar to other adolescents

Pharmaceutical Research

Researchers examine the impact of drug pricing and copayments on medication use among elderly Canadians
U.S. drug expenditures are expected to increase by 15 to 19 percent this year
Both patients and pharmacists view counseling as an important role for pharmacists

Health Care Decisionmaking

Family physicians value personal knowledge of specialists over all other factors when making referrals
Decision aids minimize conflict for patients regarding colorectal cancer screening decisions
Distinct communication modes used by deaf adults may be associated with health care use and health status
More than one in three seriously ill people who prefer comfort care over aggressive treatment don't get it
Elderly people's decisions about end-of-life medical treatment may change over time
Prediction models may help surrogates make end-of-life treatment decisions for incompetent elderly patients
Making pneumonia and influenza vaccinations more convenient may increase immunizations among elderly and at-risk people
Race and sex may play a role in a person's ability to give up smoking

Women's Health

Mammography increases early detection of breast cancer and the likelihood of breast conserving surgery among older women
Telecolposcopy may help reduce barriers to diagnosis of cervical cancer among rural women
Findings from hysterectomy study discount the link between estrogen deficiency and cognitive decline in older women
Timing of prenatal coverage affects initiation of prenatal care among low-income pregnant women
In vitro fertilization doubles the risk of preeclampsia during pregnancy for women expecting more than one child

Health Care Quality

Peer review organizations may need to reconsider the use of physician and nurse reviews of quality of care
Elderly blacks and whites enrolled in Medicare managed care plans do not receive the same quality of care
Characteristics of medical organizations have a substantial effect on physician satisfaction and well-being

Health Insurance

Employees use comparison data on health plans to avoid poorly rated plans and choose plans with lower out-of-pocket costs
Researchers examine the impact of health plan report cards on employee plan knowledge and choice
Subsidies of out-of-pocket health insurance premiums must be large to affect employee enrollment decisions

Market Forces

Merging hospitals in the early 1990s focused mainly on reducing nursing hours and less on converting to new service areas

Agency News and Notes

AHRQ's research networks link researchers with practitioners to ensure findings are responsive to user needs

Announcements

Government agencies launch new health care quality information Web site
Grant final reports now available from NTIS
Web conference on children's health scheduled for July

Research Briefs

Current as of May 2002
AHRQ Publication No. 02-0026


Internet Citation:

Research Activities newsletter. May 2002, No. 261. AHRQ Publication No. 02-0026. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/may02/


 

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