United States Innovations in Healthcare Delivery

United States Innovations in Healthcare Delivery

Population aging, rapidly increasing costs of healthcare and the growing burden of chronic disease are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Within the context of healthcare reform initiatives, important innovations in delivery system organization in the United States ar...

Health System Reform in the United States

In 2010, the United States adopted its first-ever comprehensive set of health system reforms in the Affordable Care Act (ACA). Implementation of the law, though politically contentious and controversial, has now reached a stage where reversal of most elements of the law is no longer feasible. The controversial portions of the law that expand affordable health insurance coverage to most U.S. cit...

Primary care in the United States. Innovations in primary care in the United States.

activity recall questionnaire with a seven-day food intake and physical activity diary. Epidemiology 1991;2:296-9. 8 McHorney CA, Ware JE Jr, Raczek AE. The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care 1993;31: 247-63. 9 Lee IM, Skerrett PJ. Physical activity and all-cause mortality: wh...

Inequality in the United States Healthcare System

Primary cesarean delivery in the United States.

OBJECTIVES To characterize the indications for primary cesarean delivery in a large national cohort and to identify opportunities to lower the U.S. primary cesarean delivery rate. METHODS A retrospective cohort study of the 38,484 primary cesarean deliveries among the 228,562 deliveries at sites participating in the Consortium on Safe Labor from 2002 to 2008. RESULTS The primary cesarean de...