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May 2023 Trisha Greenhalgh, Eivind Engebretsen, Roland Bal, Sofia Kjellström,
In this review paper, authors explore the crucial contribution of human values to complex interaction and change. In the form of “simple rules,” we offer some preliminary recommendations for a more contemporary and values-informed approach to complexity in health care. We invite a new generation of research to extend the existing evidence base. More
September 2022 Mitchell Tang, Michael E. Chernew, Ateev Mehrotra,
For years, telehealth has been touted as a potentially transformative technology that will increase health care access and efficiency. Although the use of telehealth already was growing, the pandemic drove a dramatic expansion. More
September 2022 Kushal T. Kadakia, Celynne A. Balatbat, Albert L. Siu, I. Glenn Cohen, Consuelo H. Wilkins, Victor J. Dzau, Anaeze C. Offodile,
In 2019, US hospitals accounted for 36 million admissions and $1.2 trillion in spending (31% of national health expenditures). More
May 2022 Harold A. Pollack, Jason Lerner, Mary Beth Shapley,
Despite recognizing the importance of the social determinants of health, the health policy and public health community have failed to recognize and reward the profession and practice of social work, say Harold Pollack, Jason Lerner, and Mary Beth Shapley of the University of Chicago Urban Labs. More
April 2022 Gail R. Wilensky,
Although it may be premature to regard the United States as in a postpandemic world, the health care workforce is showing signs of returning to its… More
August 2021 Betsy Q. Cliff, Anton L. V. Avanceña, Richard A. Hirth, Shoo-Yih Daniel Lee,
Choosing Wisely aims to reduce the use of unnecessary, low-value medical services through development of service-utilization recommendations. In this review, Betsy Q. Cliff of the University of Illinois Chicago School of Public Health and colleagues synthesized the literature on interventions identified as low value by Choosing Wisely. The authors found that health system interventions based on Choosing Wisely guidelines can reduce the use of low-value services. They also found that multicomponent interventions targeting clinicians are currently the most effective types of interventions. More
July 2021 Benjamin J. McMichael,
Context: As many parts of the United States continue to face physician shortages, the increased use of nurse practitioners (NPs) can improve access to… More
May 2020 Alex Rushforth, Trisha Greenhalgh,
Alex Rushforth and Trisha Greenhalgh of the University of Oxford describe the role of clinical guidelines in a so-far unsuccessful attempt by academic researchers to radically change asthma management in the United Kingdom using a precision medicine biomarker. More
May 2020 Gemma Hughes, Sara E. Shaw, Trisha Greenhalgh,
Context: Integrated care is a broad concept, used to describe a connected set of clinical, organizational, and policy changes aimed at improving… More
May 2020 Benjamin F. Crabtree, Jenna Howard, William L. Miller, DeAnn Cromp, Clarissa Hsu, Katie Coleman, Brian T. Austin, Margaret Flinter, Leah Tuzzio, Edward H. Wagner,
Context: Over the past several decades, health care in the United States has undergone substantial and rapid change. At the heart of this change is an… More
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, political, historical, legal, and ethical dimensions of health and health care policy.