Health services research
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Health services research · Jun 2018
Payment Reform and Health Disparities: Changes in Dialysis Modality under the New Medicare Dialysis Payment System.
To evaluate the effect of the Medicare dialysis payment reform on potential disparities in the selection of peritoneal dialysis (PD) for the treatment of end-stage renal disease (ESRD). ⋯ Despite recent growth in PD, there may be ongoing disparities in access to PD that have largely not been mitigated by the payment reform. There is potential for modifying provider financial incentives to achieve policy goals related to cost and quality of care. However, even with a substantial shift in financial incentives, separate initiatives to reduce existing disparities in care may be needed.
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Health services research · Jun 2018
Hospital Variation in Utilization of Life-Sustaining Treatments among Patients with Do Not Resuscitate Orders.
To determine between-hospital variation in interventions provided to patients with do not resuscitate (DNR) orders. ⋯ Hospitals vary widely in the scope of invasive or organ-supporting treatments provided to patients with DNR orders.