D Meltzer

....

..The authors conclude that minimal modeling approaches to VOI can be readily applied in some instances to estimate the expected benefits of clinical research...

..Our work suggests that additional research to increase the precision of comparisons of the effectiveness of antipsychotics would be well worth the cost...

....

....

....

..In older populations, current methods overstate the cost-effectiveness of interventions which extend life compared to interventions which improve the quality of life...

..We conclude that competition and PPS selectively reduced spending among the most expensive patients and that careful assessment of these patients' outcomes is important...

..Hospitalists may decrease costs and improve outcomes in hospitalized patients, but existing evidence is limited and has not identified mechanisms for such effects...

..This can be corrected by including total consumption minus production in added life-years among costs...

..This study analyzed prostate cancer treatment rates by age and clinical stage and contrasted these with rates by most accurate stage...

..These approaches suggest methods by which the vast cost-effectiveness literature may help inform priorities for medical research...

..This article examines the effect of including future costs on the cost-effectiveness of intensive therapy for type 1 diabetes mellitus among young adults...

..However, little is known about patient perceptions of these risks...

..001). CONCLUSIONS: Educational interventions in the corporate workplace setting can be effective in increasing organ donation intention, family notification, and recruitment of family members as potential organ donors...

..Limitations in both sources have fueled interest in using patient self-report as an alternative. However, little data exist on whether self-reported Charlson Indices predict mortality...

....

..This is precisely the motivation for calls for greater attention to the potential use of risk-management plans in drug evaluation...

..The accuracy of information transferred during hand-offs is uncertain...

..The authors compared these 3 models for predicting joint-state utilities from single-state utilities in men at the time of prostate biopsies...

..Further validation of this function for joint health states in other clinical scenarios is warranted...

....

..However, the effect of mental and physical functional status on acute care resource use is unknown...

..To compare the proportion of antimicrobial-resistant strains among bacterial isolates from younger and older hospital patients and to quantify changes in the proportion of antimicrobial-resistant strains in both groups over time...

..This study aimed to assess preparedness to quit smoking and quit behaviors...

..Cost-effectiveness analyses may better reflect the full costs and benefits of medical interventions if they incorporate the effects of patients' health on their family members...

..0% in a cohort of all ages). Trial data were integrated into a simulation model of type 1 diabetes complications. The main outcome was the cost per quality-adjusted life-year (QALY) gained...

..One potential source of error is when joint health state (JS) utilities are rated higher than the embedded single state (SS) utilities. Knowing when and in whom this occurs can improve cost-effectiveness analyses...

..The aim of CHAMP is to increase the quantity and quality of teaching of geriatric medicine pertinent to the inpatient setting...

..To develop and validate a prognostic index for 1-year mortality of hospitalized older adults using standard administrative data readily available after discharge...

..However, there may be considerable value in identifying when treatments are cost-effective for individual patients given their preferences or other personal attributes...

..We studied the prevalence of pain and satisfaction with pain control in a general medicine inpatient service to determine if this population was at low risk for pain...

..Many years after therapy for localized disease, anxiety levels were lower after prostatectomy (23%) compared with the levels after watchful waiting (31%)...

..However, concerns about equity present a dilemma for the practice of CEA from the societal perspective...

..57). Anxiety levels were not correlated with PSA levels, and there were minor differences in the validation findings by race. The validity of the MAX-PC-PCAS extends to men without cancer undergoing biopsy and to African-Americans...

..Naps during extended work shifts are effective in reducing fatigue in other industries, but the use of a nap as a countermeasure to prevent fatigue in residents is uncertain...

..Entry into general internal medicine (GIM) has declined. The effect of the inpatient general medicine rotation on medical student career choices is uncertain...

..To develop a prioritized list of individual drugs for which future research regarding off-label uses is warranted...

..To determine whether professional interpreter services increase the delivery of health care to limited-English-proficient patients...

..Hence, the present study provides evidence supporting the hypothesis that relative income and income inequality affect obesity and hypertension, but no evidence that the effects on hypertension operated through effects on obesity...

..The purpose of this paper is to describe both the results of the study and the statistical foundations of the mixed-effects multinomial logistic regression model that led to the committee's conclusions...

..We describe discontinuities in antibiotic therapy in patients with community-acquired pneumonia admitted from the emergency department (ED) to an inpatient unit...

..8. Create a health coverage board with broad stakeholder representation to determine and periodically update the affordable standard benefit package available through state or regional insurance exchanges...

..Instructional advance directives (ADs) are traditionally written to apply in terminal illness. As such, they do not readily capture patient preferences for care in acute and chronic illness...

..However, many investigators have questioned the scientific basis of this rule, and it has not been updated...

..Previous research suggests that these costs are associated with medication nonadherence and considerable economic burden among some patients. Little is known about patient-physician communication regarding these costs...

..Though many patients and physicians believe that they should discuss out-of-pocket costs, research suggests that they infrequently do...

..Physicians often do not communicate with patients about out-of-pocket costs, although research indicates that physicians and patients value such discussion...

..We quantify patients' utilities (a measure of preference) for the full array of diabetes-related complications and treatments...

....

..Older persons with diabetes are heterogeneous with respect to life expectancy and frailty, and new guidelines recommend individualizing care...

..Hospitalists are caring for this population with increasing frequency...

..To assess the quality of care for hospitalized vulnerable elders using measures based on Assessing Care of Vulnerable Elders (ACOVE) quality indicators (QIs)...

..However, these analyses have had limited data on patient preferences concerning diabetic health states. We examined how the cost- effectiveness of intensive glucose control changes with the incorporation of patient preferences...

..Further restrictions in resident duty hours are being considered, and it is important to understand the association between workload, sleep loss, shift duration, and the educational time of on-call medical interns...

..To estimate the incremental cost-effectiveness of improving diabetes care with the Health Disparities Collaborative (HDC), a national collaborative quality improvement (QI) program conducted in community health centers (HCs)...

..Physicians are uncertain about when to pursue intensive glucose control among older patients with diabetes...

..To assess whether patient perceptions of treatments for diabetes mellitus differ according to clinical criteria such as limited life expectancy and functional decline (i.e., vulnerability)...

..To determine if resident interactions that occur during rotations may influence resident learning and help explain practice styles in a residency program...

..Drug therapy recommendation also decreasedwith greater NCEP risk. Despite improvements, underscreening and undertreatment of hypercholesterolemia persists in outpatient visits...

..abstract_text> ..

..The Hospital Medicine and Economics CERT will also gain national scope and impact through an important partnership with the Society of Hospital Medicine, and through affiliation with the National Opinion Research Center (NORC). ..

....

....

..abstract_text> ..

..3. To assess how the cost-effectiveness of prostate cancer screening and treatment will be affected by the appropriate inclusion of future medical and non-medical costs in cost- effectiveness analysis. ..

..Specific Aim number 3- To assess the effects of hospitalists on housestaff and medical student education and satisfaction. This will be accomplished by surveys administered to medical students and housestaff. ..