Prevention and Improving Health

Title Date

Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation

NIHCR Research Brief No. 17

While electronic health records (EHRs) can help standardize medication reconciliation for hospitalized patients, data quality, technical problems and workflow issues continue to pose challenges, according to a new qualitative study from the nonpartisan, nonprofit National Institute for Health Care Reform ...

Patient Engagement During Medical Visits and Smoking Cessation Counseling

JAMA Internal Medicine

Physicians who skip counseling patients to stop smoking are missing an opportunity to help their patients quit—even if those patients are less engaged during medical visits, according to a new study from the nonpartisan, nonprofit National Institute for Health Care Reform (NIHCR) published online ...

Matching Supply to Demand: Addressing the U.S. Primary Care Workforce Shortage

NIHCR Policy Analysis No. 7

While there is little debate about a growing primary care workforce shortage in the United States, precise estimates of current and projected need vary. A secondary problem contributing to addressing capacity shortfalls is that the distribution of primary care practitioners often is mismatched with patient ...

Policy Options to Encourage Patient-Physician Shared Decision Making

NIHCR Policy Analysis No. 5

While evidence suggests that patients’ medical decisions in the United States, even momentous ones, are seldom well informed, greater use of shared decision making between clinicians and patients might help bridge the gap between the care patients want and the care they actually receive, according ...

Key Findings from HSC’s 2010 Site Visits: Health Care Markets Weather Economic Downturn, Brace for Health Reform

HSC Issue Brief No. 135

Lingering fallout—loss of jobs and employer coverage—from the great recession slowed demand for health care services but did little to slow aggressive competition by dominant hospital systems for well-insured patients, according to key findings from the Center for Studying Health System Change’s ...

Comparative Effectiveness Research and Medical Innovation

NIHCR Policy Analysis No. 3

Determining what treatments work best for which patients in real-world settings—known as comparative effectiveness research (CER)—can help foster beneficial medical innovation, according to a new Policy Analysis from the National Institute for Health Care Reform (NIHCR).

Employer Wellness Initiatives Grow Rapidly, but Effectiveness Varies Widely

NIHCR Research Brief No. 1

While employer wellness programs have spread rapidly in recent years, few firms implement comprehensive programs likely to make a meaningful difference in employees’ health, according to a new study conducted by the Center for Studying Health System Change (HSC) for the nonpartisan, nonprofit National ...
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The National Institute for Health Care Reform (NIHCR) contracted with the Center for Studying Health System Change (HSC) between 2009 and 2013 to conduct health policy research and analyses to improve the organization, financing and delivery of health care in the United States. HSC ceased operations on Dec. 31, 2013, after merging with Mathematica Policy Research, which assumed the HSC contract to complete NIHCR projects.