Emily Aaronson,Kevin Host,Lisa Smith et al.
Emily Aaronson et al.
Fifteen years ago, a community pharmacist's role in the United States was dispensing medication. Five years ago, it expanded to include administering routine vaccines. Fifteen years from now, the authors posit that it will include minor acu...
Reem Hasan,Siouxzanna Downs,Rasha Nakhleh et al.
Reem Hasan et al.
Vitamin D testing is frequently overused across U.S. health systems, with much of it occurring outside the bounds of evidence-based clinical indications. Despite clear guidance from the Endocrine Society and the U.S. Centers for Medicare an...
Sadaf Charania,Angela F Bazzell,Lydia T Madsen et al.
Sadaf Charania et al.
For patients with cancer who experience treatment-related symptoms, emergency department (ED) visits to manage symptoms may occur frequently, contributing to long wait times, unplanned hospital admissions, and possible interruptions in canc...
Scaling Value-Based Care across the United States: Progress from Risant Health [0.03%]
美国价值型医疗的扩展：Risant Health 的进展
Jaewon Ryu,Marc Mora,Christopher Cable et al.
Jaewon Ryu et al.
Despite many advances in care, the U.S. health system continues to underperform in several important respects. Health outcomes are highly variable and often fall short of what is seen in other developed nations, yet we pay more for these su...
The Cardiac Direct Access Clinic: Improving Urgent Access while Reducing Unnecessary Emergency Department and Inpatient Utilization [0.03%]
心脏直接就诊诊所：改善紧急就医的同时减少不必要的急诊和住院需求
Mohan Sonu Chandra,Rishi Wadhera,Rebecca Angoff et al.
Mohan Sonu Chandra et al.
Emergency department (ED) crowding, constrained inpatient capacity, and long waits for outpatient cardiology delay care for patients with urgent cardiac symptoms. In 2016, the Beth Israel Deaconess Medical Center opened a non-ED-based, card...
Why Clinicians Hold the Key to Fixing Health Care's Complexity Problem [0.03%]
为什么医护人员掌握了解决医疗保健复杂性问题的关键
Alejandro Quiroga,Thomas H Lee
Alejandro Quiroga
Some of the most daunting challenges facing health care today are complex (as opposed to complicated), and leadership approaches developed for merely complicated work (emphasizing measurement, efficiency, and standardized practices) have li...
Greg Poulsen,Dan Liljenquist
Greg Poulsen
This article examines the paradox of value-based drug pricing, wherein lifesaving pharmaceuticals are increasingly priced based on perceived therapeutic value without regard to the development or production costs, with results that most obs...
Emma Kaplan-Lewis,Eunice Casey,Chika Onyia et al.
Emma Kaplan-Lewis et al.
Preexposure prophylaxis (PrEP) for human immunodeficiency virus (HIV) prevention is a highly effective tool, but it is underutilized, and significant inequities exist regarding which populations are able to access PrEP. Although most PrEP c...
An Optimized Heart Failure Triaging Protocol to Reduce Avoidable Hospitalizations and Total Costs of Care [0.03%]
一种优化的心力衰竭分诊方案，以减少可避免的住院和护理总成本
Brandon W Danz,Jessica Haag,James E Harvey et al.
Brandon W Danz et al.
Heart failure remains a leading cause of potentially avoidable hospital admissions throughout the United States and a significant driver of unnecessary, avoidable costs within value-based care programs. In a baseline population of 3233 hosp...