D G Safran
Affiliation: Rhode Island Hospital
- Organizational and financial characteristics of health plans: are they related to primary care performance?D G Safran
Health Institute, New England Medical Center, Department of Medicine, Tufts University, Boston, Mass 02111, USA
Arch Intern Med 160:69-76. 2000..Pervasive changes in our nation's health care delivery systems, including the emergence of new forms of managed care, compel more current data...
- Switching doctors: predictors of voluntary disenrollment from a primary physician's practiceD G Safran
The Health Institute, Division of Clinical Care Research, New England Medical Center, Boston, Massachusetts, USA
J Fam Pract 50:130-6. 2001..Our objective was to evaluate 8 interpersonal and structural features of care as predictors of patients' voluntary disenrollment from their primary care physician's practice...
- Primary care quality in the Medicare Program: comparing the performance of Medicare health maintenance organizations and traditional fee-for-service medicareDana Gelb Safran
The Health Institute, 750 Washington St, Box 345, Boston, MA 02111, USA
Arch Intern Med 162:757-65. 2002..Little information exists to inform beneficiaries' choices between the traditional fee-for-service (FFS) Medicare program and an HMO...
- The quality of physician-patient relationships. Patients' experiences 1996-1999J Murphy
The Health Institute, Division of Clinical Care Research, New England Medical Center, Boston, Massachusetts 02111, USA
J Fam Pract 50:123-9. 2001..The quality of their relationship with their primary care physicians and their experience with organizational features of care were monitored over a 3-year period...
- Linking primary care performance to outcomes of careD G Safran
Health Institute, New England Medical Center, Boston, MA 02111, USA
J Fam Pract 47:213-20. 1998....
- Asian-American patient ratings of physician primary care performanceD A Taira
Health Institute, New England Medical Center, Boston, MA 02111, USA
J Gen Intern Med 12:237-42. 1997..Future research needs to focus on Asian-Americans to determine the generalizability of these findings and the extent to which they reflect differences in survey response tendencies or actual quality differences...
- Primary care performance in fee-for-service and prepaid health care systems. Results from the Medical Outcomes StudyD G Safran
Health Institute, New England Medical Center, Boston, MA 02111
JAMA 271:1579-86. 1994..To examine differences in the quality of primary care delivered in prepaid and fee-for-service (FFS) health care systems...
- Measuring patients' experiences with individual primary care physicians. Results of a statewide demonstration projectDana Gelb Safran
The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts-New England Medical Center, Boston, Mass, USA
J Gen Intern Med 21:13-21. 2006..The analytic findings underscore the validity and importance of looking beyond health plans to individual physicians and sites as we seek to improve health care quality...
- Cost-related skipping of medications and other treatments among Medicare beneficiaries between 1998 and 2000. Results of a national studyIra B Wilson
The Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
J Gen Intern Med 20:715-20. 2005..To report rates of cost-related skipping of medications and other treatments, assess correlates of skipping, examine changes in skipping between 1998 and 2000, and identify factors associated with changes in skipping...
- Prescription drug coverage and seniors: findings from a 2003 national surveyDana Gelb Safran
Health Institute at Tufts New England Medical Center, Boston, USA
Health Aff (Millwood) . 2005..We discuss MMA's potential to improve quality and the need to monitor performance...
- Patient samples for measuring primary care physician performance: who should be included?Hector P Rodriguez
Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, Washington 98195 7660, USA
Med Care 45:989-96. 2007..However, as large-scale initiatives seek the least costly approach to obtaining these data, little is known about the implications of expanding samples to include any patient who has seen the physician in the relevant time period...
- Race/ethnicity and nonadherence to prescription medications among seniors: results of a national studyWalid F Gellad
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02120 1613, USA
J Gen Intern Med 22:1572-8. 2007..Because of significant racial/ethnic disparities in the control of many chronic diseases, differences in the rates of and reasons for medication nonadherence should be studied...
- Providing patients web-based data to inform physician choice: if you build it, will they come?Gary Fanjiang
Massachusetts General Hospital for Children, Boston, MA, USA
J Gen Intern Med 22:1463-6. 2007..Despite growing emphasis on public reporting of health care quality data, available data are often ignored...
- Depression and cost-related medication nonadherence in Medicare beneficiariesKara Zivin Bambauer
Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
Arch Gen Psychiatry 64:602-8. 2007....
- The effects of primary care physician visit continuity on patients' experiences with careHector P Rodriguez
Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, 750 Washington Street, Box 345, Boston, MA 02111, USA
J Gen Intern Med 22:787-93. 2007..It remains unclear whether PCP visit discontinuity can be planned in a way that is least disruptive to patients' experiences with care...
- Primary care quality and addiction severity: a prospective cohort studyTheresa W Kim
Clinical Addiction Research and Education CARE Unit, Section General Internal Medicine, 91 E Concord Street, Suite 200, Boston University Medical Center, Boston, MA 02118, USA
Health Serv Res 42:755-72. 2007..The aim of this study was to prospectively examine if higher PCQ is associated with lower addiction severity among patients with substance use disorders...
- Physician-patient communication about prescription medication nonadherence: a 50-state study of America's seniorsIra B Wilson
Tufts New England Medical Center, Boston, MA 02111, USA
J Gen Intern Med 22:6-12. 2007..Understanding and improving the quality of medication management is particularly important in the context of the Medicare prescription drug benefit that took effect last January 2006...
- Multidisciplinary primary care teams: effects on the quality of clinician-patient interactions and organizational features of careHector P Rodriguez
Harvard University, Cambridge, Massachusetts, USA
Med Care 45:19-27. 2007..This study examined the influence of multidisciplinary teams on patients' assessments of primary care, including access, integration, and clinician-patient interaction quality...
- Cost-related medication nonadherence among elderly and disabled medicare beneficiaries: a national survey 1 year before the medicare drug benefitStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass, USA
Arch Intern Med 166:1829-35. 2006..Prior to implementation of the Medicare drug benefit, we estimated the prevalence of cost-related medication nonadherence (CRN) among Medicare enrollees, including elderly and nonelderly disabled beneficiaries...
- Evaluating patients' experiences with individual physicians: a randomized trial of mail, internet, and interactive voice response telephone administration of surveysHector P Rodriguez
Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts-New England Medical Center, Boston, Massachusetts 02111, USA
Med Care 44:167-74. 2006..However, the higher overall cost of web and IVR, as the result of the need for mailings to support these modes, suggests that they do not presently solve cost concerns related to obtaining physician-specific information from patients...
- Defining the future of primary care: what can we learn from patients?Dana Gelb Safran
Health Institute at Tufts New England Medical Center and Tufts University, Boston, Massachusetts, USA
Ann Intern Med 138:248-55. 2003..These three areas involve the use of teams in medicine, the establishment of meaningful primary care partnerships, and integration of care in a delivery system that patients experience as increasingly fragmented...
- Organizational dimensions of relationship-centered care. Theory, evidence, and practiceDana Gelb Safran
The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
J Gen Intern Med 21:S9-15. 2006....
- Primary care experiences of medicare beneficiaries, 1998 to 2000Jana E Montgomery
The Health Institute, Division of Clinical Care Research, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, MA, USA
J Gen Intern Med 19:991-8. 2004..In an era marked by substantial national investment in quality monitoring, measures of these elements of care are notably absent from the nation's portfolio of quality indicators...
- Physician performance and racial disparities in diabetes mellitus careThomas D Sequist
Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120, USA
Arch Intern Med 168:1145-51. 2008..Little information is available regarding variations in diabetes mellitus (DM) outcomes by race at the level of individual physicians...