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Payment Reform to Transform Primary Care: What More Is Needed?

right thing….^ because we certainly seem to have B… exhausted every other possibility.^ Corresponding Author: Eugene C. Rich, MD; Center on Health Care Effectiveness Mathematica Policy Research, 1100

Measuring Comprehensiveness of Primary Care: Challenges and Opportunities

Comprehensiveness of primary care (the extent to which the clinician, as part of the primary care team, recognizes and meets the majority of each patient’s physical and mental health care needs) is an important element of primary care, but seems to be declining in the U.S. This is concerning, because more comprehensive primary care is associated with greater equity and efficiency...

Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs

Primary care plays a central role in the provision of health care, and is an organizing feature for health care delivery systems in most Western industrialized democracies. For a variety of reasons, however, the practice of primary care has been in decline in the U.S. This paper reviews key primary care concepts and their definitions, notes the increasingly complex interplay...

The Policy Debate over Public Investment in Comparative Effectiveness Research

Eugene C. Rich ) 0 FACP 0 0 Professor of Medicine, Creighton University School of Medicine , Omaha, NE, USA BACKGROUND: Policy makers across the political spectrum, as well as many clinicians and

The Results Are Only as Good as the Sample: Assessing Three National Physician Sampling Frames

BACKGROUND Databases of practicing physicians are important for studies that require sampling physicians or counting the physician population in a given area. However, little is known about how the three main sampling frames differ from each other. OBJECTIVE Our purpose was to compare the National Provider and Plan Enumeration System (NPPES), the American Medical Association...

Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home

Bruce E. Landon James M. Gill Richard C. Antonelli MS Eugene C. Rich - A to be near unanimity around the fact that a reformed US midst the debate about health care reform, there appears health care