Health Care Practice / Quality

The Quadruple Aim includes improving the experience of care, improving the health of populations, reducing per capita costs of care, and improving the work life of the care providers. We propose expanding a recently defined Fifth Aim of health equity to include health democracy, ensuring that that the health and health care wants, needs, and responsibilities of populations are being met, and also propose adding a Sixth Aim of preserving and improving the health of the environment to create the best health possible. More

A framework and analyses describing the variable relationships between LTSS-relevant environmental factors and person-reported care experiences. More

In this review paper, authors explore the crucial contribution of human values to complex interaction and change. In the form of “simple rules,” we offer some preliminary recommendations for a more contemporary and values-informed approach to complexity in health care. We invite a new generation of research to extend the existing evidence base. More

For years, telehealth has been touted as a potentially transformative technology that will increase health care access and efficiency. Although the use of telehealth already was growing, the pandemic drove a dramatic expansion. More

In 2019, US hospitals accounted for 36 million admissions and $1.2 trillion in spending (31% of national health expenditures). More

Despite recognizing the importance of the social determinants of health, the health policy and public health community have failed to recognize and reward the profession and practice of social work, say Harold Pollack, Jason Lerner, and Mary Beth Shapley of the University of Chicago Urban Labs. More

Although it may be premature to regard the United States as in a postpandemic world, the health care workforce is showing signs of returning to its… More

Choosing Wisely aims to reduce the use of unnecessary, low-value medical services through development of service-utilization recommendations. In this review, Betsy Q. Cliff of the University of Illinois Chicago School of Public Health and colleagues synthesized the literature on interventions identified as low value by Choosing Wisely. The authors found that health system interventions based on Choosing Wisely guidelines can reduce the use of low-value services. They also found that multicomponent interventions targeting clinicians are currently the most effective types of interventions. More

Alex Rushforth and Trisha Greenhalgh of the University of Oxford describe the role of clinical guidelines in a so-far unsuccessful attempt by academic researchers to radically change asthma management in the United Kingdom using a precision medicine biomarker. More