Research Topics
| Elizabeth A McGlynnSummaryAffiliation: RAND Corporation Country: USA Publications
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Detail Information
Publications
The quality of health care delivered to adults in the United StatesElizabeth A McGlynn
RAND, Santa Monica, Calif 90407, USA
N Engl J Med 348:2635-45. 2003..We have little systematic information about the extent to which standard processes involved in health care--a key element of quality--are delivered in the United States...- The effect of different attribution rules on individual physician cost profilesAteev Mehrotra
RAND Corporation, Santa Monica, CA, USA
Ann Intern Med 152:649-54. 2010..Physician organizations have questioned whether the rules used to attribute costs to a physician affect the cost category to which that physician is assigned... - Quality of health care for women: a demonstration of the quality assessment tools systemElizabeth A McGlynn
RAND, Santa Monica, California 90401, USA
Med Care 41:616-25. 2003..Consumers, purchasers, and regulators are seeking information on quality for a variety of purposes. To address these demands, methods are required that are flexible in meeting the information needs of different audiences... - Efficiency and its measurement: what practitioners need to knowJohn A Romley
RAND Corporation, Santa Monica, CA 90407 2138, USA
Am J Manag Care 15:842-5. 2009..To help health professionals understand and evaluate the concept of efficiency and its measurement in practice... - A systematic review of health care efficiency measuresPeter S Hussey
RAND, Arlington, VA 22202, USA
Health Serv Res 44:784-805. 2009..To review and characterize existing health care efficiency measures in order to facilitate a common understanding about the adequacy of these methods... - Who is at greatest risk for receiving poor-quality health care?Steven M Asch
RAND Health, Santa Monica, Calif, USA
N Engl J Med 354:1147-56. 2006..Quality-improvement programs that focus solely on reducing disparities among sociodemographic subgroups may miss larger opportunities to improve care... - Establishing national goals for quality improvementElizabeth A McGlynn
RAND Health, Santa Monica, California 90401, USA
Med Care 41:I16-29. 2003..To make the problems of suboptimal quality more concrete and potential solutions more compelling, the Strategic Framework Board (SFB) recommended developing a set of national goals for quality improvement... - Why do patients seek care at retail clinics, and what alternatives did they consider?Margaret C Wang
RAND Health, Santa Monica, CA, USA
Am J Med Qual 25:128-34. 2010..If retail clinics had not been available, a quarter of patients report they would have gone to the emergency department. Retail clinics appear to be responding to the need for convenient, affordable, and consumer-centered care... - Could we have covered more people at less cost? Technically, yes; politically, probably notElizabeth A McGlynn
RAND Health, Santa Monica, California, USA
Health Aff (Millwood) 29:1142-6. 2010..However, these are characterized by design options that seemed political untenable, such as higher penalties, lower subsidies, or less generous Medicaid expansion... - The challenge of measuring quality of care from the electronic health recordCarol P Roth
RAND Health, Santa Monica, California 90407 2138, USA
Am J Med Qual 24:385-94. 2009.... - Massachusetts health reform: beauty is in the eye of the beholderElizabeth A McGlynn
RAND Health, Santa Monica, California, USA
Health Aff (Millwood) 25:w447-9. 2006..In addition to these lessons, we argue that objective analysis and a comprehensive framework for evaluating alternative policy options are needed for similar reforms to be enacted elsewhere... - Retail clinics, primary care physicians, and emergency departments: a comparison of patients' visitsAteev Mehrotra
RAND in Pittsburgh, Pennsylvania, USA
Health Aff (Millwood) 27:1272-82. 2008..These same ten clinical problems make up 13 percent of adult PCP visits, 30 percent of pediatric PCP visits, and 12 percent of ED visits. Whether there will be a future shift of care from EDs or PCPs to retail clinics is unknown... - Quality of care for hypertension in the United StatesSteven M Asch
West LA VA, Mail Code 111G, 11301 Wilshire Bl, Los Angeles, CA 90073, USA
BMC Cardiovasc Disord 5:1. 2005..While access and adherence to therapy certainly play a role, another potential explanation is poor quality of essential care processes (QC). Yet little is known about the relationship between QC and BP control... - Comparing costs and quality of care at retail clinics with that of other medical settings for 3 common illnessesAteev Mehrotra
RAND Health, Santa Monica, California, USA
Ann Intern Med 151:321-8. 2009..Retail clinics are an increasingly popular source for medical care. Concerns have been raised about the effect of these clinics on the cost, quality, and delivery of preventive care... - Selecting common measures of quality and system performanceElizabeth A McGlynn
RAND Health, Santa Monica, California 90401, USA
Med Care 41:I39-47. 2003..Simultaneous consideration of top-down and bottom-up design requirements are likely to produce a set of measures that will serve policy and front-line information needs... - Incorporating statistical uncertainty in the use of physician cost profilesJohn L Adams
RAND, Santa Monica, CA, USA
BMC Health Serv Res 10:57. 2010..In this paper we compare the percentile cut-off method to another method, using statistical testing, for identifying high-cost or low-cost physicians... - Physician cost profiling--reliability and risk of misclassificationJohn L Adams
RAND, Santa Monica, CA, USA
N Engl J Med 362:1014-21. 2010..However, no rigorous evaluation has been undertaken to determine whether these tools can accurately distinguish higher-cost physicians from lower-cost physicians... - Cost profiles: should the focus be on individual physicians or physician groups?Ateev Mehrotra
RAND, Pittsburgh, Pennsylvania, USA
Health Aff (Millwood) 29:1532-8. 2010..Better methods for creating provider cost profiles are needed... - An evidence-based national quality measurement and reporting systemElizabeth A McGlynn
RAND Health, Santa Monica, California 90401, USA
Med Care 41:I8-15. 2003..Insufficient attention has been given to using the concepts of evidence-based practice in the selection of measures, diffusion of innovations, and adoption of quality improvement (QI) techniques... - There is no perfect health systemElizabeth A McGlynn
RAND Health, Santa Monica, California, USA
Health Aff (Millwood) 23:100-2. 2004..Investments in the quality measurement and reporting systems in all countries would substantially increase the opportunities to learn from cross-national comparisons... - Electronic health record adoption and quality improvement in US hospitalsSpencer S Jones
RAND Corporation, Santa Monica, CA 90407, USA
Am J Manag Care 16:SP64-71. 2010..To estimate the relationship between quality improvement and electronic health record (EHR) adoption in US hospitals... - Quality-of-care indicators for the neurodevelopmental follow-up of very low birth weight children: results of an expert panel processC Jason Wang
RAND Health, Santa Monica, California, USA
Pediatrics 117:2080-92. 2006..To develop a set of quality indicators for the neurodevelopmental follow-up care of very low birth weight (VLBW; <1500 g) children... - Modeling health care policy alternativesJeanne S Ringel
RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407, USA
Health Serv Res 45:1541-58. 2010..For each type of model, we discuss data requirements and other factors that may affect its scope. We also discuss how to improve models by changing data collection and data access procedures... - What cognitive science tells us about the design of reports for consumersMary E Vaiana
RAND, USA
Med Care Res Rev 59:3-35. 2002..Based on their review, the authors develop some general principles for presenting information and demonstrate their utility by assessing three Web sites that report performance data... - Introduction and overview of the conceptual framework for a national quality measurement and reporting systemElizabeth A McGlynn
RAND Health, Santa Monica, California 90401, USA
Med Care 41:I1-7. 2003..Most studies find significant deficits in quality, but without systematic information on quality at all levels in the health care system, substantial improvements in care delivery are unlikely... - The relationship between multimorbidity and patients' ratings of communicationConstance H Fung
Zynx Health, Incorporated, Los Angeles, CA, USA
J Gen Intern Med 23:788-93. 2008..Few data are available on how multimorbidity affects common performance metrics... - Population-based assessments of ophthalmologic and audiologic follow-up in children with very low birth weight enrolled in Medicaid: a quality-of-care studyC Jason Wang
Department of Pediatrics, Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts 02118, USA
Pediatrics 121:e278-85. 2008.... - How good is the quality of health care in the United States? 1998Mark A Schuster
Milbank Q 83:843-95. 2005 - Profiling the quality of care in twelve communities: results from the CQI studyEve A Kerr
Ann Arbor Veterans Affairs Center for Practice Management and Outcomes Research, USA
Health Aff (Millwood) 23:247-56. 2004..Having concrete estimates of the extent of the gap in performance should stimulate community-based quality improvement efforts... - Using performance measurement to drive improvement: a road map for changeRobert S Galvin
Global Health Care Division, General Electric Company, Fairfield, Connecticut, USA
Med Care 41:I48-60. 2003..Leadership and coordination are necessary to ensure these steps are taken and that they work in concert with one another... - The quality of obstructive lung disease care for adults in the United States as measured by adherence to recommended processesRichard A Mularski
Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate, WIN 1060, Portland, OR 97227, USA
Chest 130:1844-50. 2006..The extent to which patients with obstructive lung disease receive recommended processes of care is largely unknown. We assessed the quality of care delivered to a national sample of the US population... - Relationship between number of medical conditions and quality of careTakahiro Higashi
Kyoto University, Kyoto, Japan
N Engl J Med 356:2496-504. 2007..We therefore sought to study the relationship between the quality of care and the number of medical conditions a patient has... - Quality by any other name?: a comparison of three profiling systems for assessing health care qualityEve A Kerr
Center for Practice Management and Outcomes Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA
Health Serv Res 42:2070-87. 2007..To examine this question, we used three different measurement approaches to assess quality of care delivered in veteran affairs (VA) facilities... - Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sampleSteven M Asch
Veterans Affairs Greater Los Angeles Healthcare System and David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, USA
Ann Intern Med 141:938-45. 2004..Recent comparisons with other delivery systems have been limited to a small set of indicators... - Paying for performance: Medicare should leadDonald M Berwick
Health Aff (Millwood) 22:8-10. 2003 - An observational study of antibiotic prescribing behavior and the Hawthorne effectRita Mangione-Smith
UCLA, Department of Pediatrics, Los Angeles, CA 90095-1752, USA
Health Serv Res 37:1603-23. 2002..Future interventions aimed at decreasing inappropriate antibiotic prescribing should consider "harnessing" the Hawthorne effect through performance feedback to participating physicians... - Racial/ethnic variation in parent expectations for antibiotics: implications for public health campaignsRita Mangione-Smith
Department of Pediatrics, University of California, Los Angeles, California 90095 1752, USA
Pediatrics 113:e385-94. 2004..Widespread overuse and inappropriate use of antibiotics are a major public health concern. Little is known about racial/ethnic differences in parents seeking antibiotics for their children's upper respiratory illnesses... - The quality of pharmacologic care for adults in the United StatesWilliam H Shrank
Harvard Medical School, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, Boston, MA 02120, USA
Med Care 44:936-45. 2006..We evaluated how frequently appropriate pharmacologic care is ordered in a national sample of U.S. residents... - Patients' preferences for technical versus interpersonal quality when selecting a primary care physicianConstance H Fung
Greater Los Angeles VA Healthcare Systems, Los Angeles, CA, USA
Health Serv Res 40:957-77. 2005..Individual physician report cards should contain ample information in both domains to be most useful to patients... - The quality of ambulatory care delivered to children in the United StatesRita Mangione-Smith
Department of Pediatrics, University of Washington, Child Health Institute, and Children s Hospital and Regional Medical Center, Seattle, WA 98115 8160, USA
N Engl J Med 357:1515-23. 2007..Little is known about the magnitude of deficits in the quality of care delivered to children, since comprehensive studies have been lacking... - Funding for biomedical researchMichael Seid
JAMA 295:1000; author reply 1000-1. 2006 - Intended and unintended consequences: what should we really worry about?Elizabeth A McGlynn
Med Care 45:3-5. 2007 - Assessment of the scientific soundness of clinical performance measures: a field test of the National Committee for Quality Assurance's colorectal cancer screening measureEric C Schneider
Department of Health Policy and Management, Harvard School of Public Health, and Division of General Medicine, Brigham and Women s Hospital, 677 Huntington Ave, Room 406, Boston, Massachusetts 02115, USA
Arch Intern Med 168:876-82. 2008..This study evaluated quality measures by describing a field test of the colorectal cancer screening measure included in the Health Plan Employer Data and Information Set of the National Committee for Quality Assurance... - A research agenda to advance quality measurement and improvementSheila T Leatherman
School of Public Health, University of North Carolina, Chapel Hill, North Carolina, USA
Med Care 41:I80-6. 2003..In developing a conceptual framework for the design of a national quality measurement and reporting system (NQMRS), the Strategic Framework Board (SFB) recommends that such a system be built on a strong evidence base...