Journal of General Internal Medicine

http://link.springer.com/journal/11606

List of Papers (Total 1,675)

The CareFirst Patient-Centered Medical Home Program: Cost and Utilization Effects in Its First Three Years

Background Enhanced primary care models have diffused slowly and shown uneven results. Because their structural features are costly and challenging for small practices to implement, they offer modest rewards for improved performance, and improvement takes time. Objective To test whether a patient-centered medical home (PCMH) model that significantly rewarded cost savings and ...

Self-Reported Rationing Behavior Among US Physicians: A National Survey

Background Rationing is a controversial topic among US physicians. Understanding their attitudes and behaviors around rationing may be essential to a more open and sensible professional discourse on this important but controversial topic. Objective To describe rationing behavior and associated factors among US physicians. Design Survey mailed to US physicians in 2012 to evaluate ...

The Policy Argument for Healthcare Workforce Diversity

This perspectives article considers the potential implications an affirmative action ban would have on patient care in the US. A physician’s race and ethnicity are among the strongest predictors of specialty choice and whether or not a physician cares for Medicaid and uninsured populations. Taking this into account, research suggests that an affirmative action ban in university ...

Cost-Effectiveness of Primary HPV Testing, Cytology and Co-testing as Cervical Cancer Screening for Women Above Age 30 Years

Background Cervical cancer screening guidelines for women aged ≥30 years allow for co-testing or primary cytology testing. Our objective was to determine the test characteristics and costs associated with Cytology, HPV and Co-testing screening strategies. Main Methods Retrospective cohort study of women undergoing cervical cancer screening with both cytology and HPV (Hybrid Capture ...

Usability of Commercially Available Mobile Applications for Diverse Patients

BACKGROUND Mobile applications or ‘apps’ intended to help people manage their health and chronic conditions are widespread and gaining in popularity. However, little is known about their acceptability and usability for low-income, racially/ethnically diverse populations who experience a disproportionate burden of chronic disease and its complications. OBJECTIVE The objective of ...