Fifty-one years ago, president john f. Kennedy called on the United States to send a man safely to the moon within the decade. This year, Sen. Sheldon Whitehouse urged Rhode Island’s Healthcare Reform Commission to define its corresponding “moon shot” for transforming healthcare. We believe Rhode Island is uniquely positioned to help lead the nation toward a shared vision of that “healthcare mo...

Introduction. The prime role of the medical teacher of the future will be to provide his or her students with learning opportunity and to direct them to the proper resources rather than to teach, so the more presence of scientific board members in clinical wards can lead us to this goal. At this study we answer to this question that How will the quality of clinical education improve with increa...

No one's sure what health reform will bring. But the time for providers to get agile is now" (Deloitte 2010). As an active participant in the national healthcare reform debate for the past several years, I have been troubled by the continued lack of a meaningful dialogue about healthcare in this country. A great deal has been written about the challenges presented by the sweeping healthcare ref...

On March 21, 2010, the United States Congress passed the most comprehensive healthcare reform bill since the formation of Medicare. The legislation’s greatest impact will be to improve access for nearly 50 million Americans who are presently uninsured. Yet the bill does little to tackle the fundamental problems of the payment and delivery systems— problems that have resulted in major quality ga...

f healthcare reform is not a political activity, it's going to be an economic o n e , " predic ted James Bentley, American Hospi ta l Association (AHA) senior vice president for policy, in a conversation. A look at recent hospital trends and an analysis from Wall Street bears this out. As competitive economic pressures increase in the healthcare system, in large part fueled by the growth of man...

We evaluate the effect of tort reform on employer-sponsored health insurance premiums by exploiting state-level variation in the timing of reforms. Using a dataset of healthplans representing over 10 million Americans annually between 1998 and 2006, we find that caps on non-economic damages, collateral source reform, and joint and several liability reform reduce premiums by 1 to 2 percent each....

There are no uniform protocols in the United States for safe, environmentally acceptable disposal of controlled substances by patients. In addition, there are conflicting protocols used by various institutions for the disposal of narcotic medications. Although the US Drug Enforcement Administration oversees the prescribing, acquisition, and distribution of controlled substances and works to pre...

forest and colleagues have persuasively made the case that policy capacity is a fundamental prerequisite to health reform. they offer a comprehensive life-cycle definition of policy capacity and stress that it involves much more than problem identification and option development. i would like to offer a canadian perspective. if we define health reform as re-orienting the health system from acut...

Value-based healthcare delivery is being discussed in a variety of healthcare forums. This concept is of great importance in the reform of the US healthcare delivery system. Defining and applying the principles of value-based competition in healthcare delivery models will permit future evaluation of various delivery applications. However, there are relatively few examples of how to apply these ...