National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies Date
Topics
- Access to Care (2)
- Adverse Events (7)
- Alcohol Use (1)
- Antibiotics (2)
- Anxiety (2)
- Arthritis (8)
- Asthma (3)
- Autism (1)
- Back Health and Pain (1)
- Behavioral Health (20)
- Blood Pressure (1)
- Blood Thinners (1)
- Cancer (17)
- Cancer: Breast Cancer (3)
- Cancer: Colorectal Cancer (4)
- Cancer: Lung Cancer (1)
- Cancer: Prostate Cancer (4)
- Cancer: Skin Cancer (1)
- Cardiovascular Conditions (26)
- Care Coordination (1)
- Caregiving (2)
- Care Management (7)
- Case Study (1)
- Catheter-Associated Urinary Tract Infection (CAUTI) (2)
- Centers for Education and Research on Therapeutics (CERTs) (1)
- Children/Adolescents (27)
- Chronic Conditions (11)
- Clinical Decision Support (CDS) (1)
- Clinician-Patient Communication (4)
- Communication (4)
- Community-Acquired Infections (1)
- Comparative Effectiveness (40)
- Complementary and Alternative Medicine (2)
- Critical Care (3)
- Data (1)
- Decision Making (11)
- Dementia (1)
- Dental and Oral Health (1)
- Depression (7)
- Diabetes (1)
- Diagnostic Safety and Quality (4)
- Dialysis (2)
- Digestive Disease and Health (1)
- Disabilities (2)
- Disparities (9)
- Education: Continuing Medical Education (1)
- Education: Patient and Caregiver (4)
- Elderly (13)
- Electronic Health Records (EHRs) (8)
- Emergency Department (4)
- Emergency Medical Services (EMS) (1)
- Evidence-Based Practice (76)
- Family Health and History (4)
- Guidelines (6)
- Healthcare-Associated Infections (HAIs) (4)
- Healthcare Cost and Utilization Project (HCUP) (2)
- Healthcare Costs (7)
- Healthcare Delivery (8)
- Healthcare Utilization (3)
- Health Information Exchange (HIE) (1)
- Health Information Technology (HIT) (14)
- Health Literacy (2)
- Health Services Research (HSR) (8)
- Health Status (3)
- Health Systems (1)
- Heart Disease and Health (20)
- Hepatitis (1)
- Hospital Discharge (1)
- Hospitalization (7)
- Hospital Readmissions (5)
- Hospitals (9)
- Human Immunodeficiency Virus (HIV) (4)
- Imaging (3)
- Implementation (7)
- Infectious Diseases (1)
- Injuries and Wounds (8)
- Inpatient Care (7)
- Intensive Care Unit (ICU) (2)
- Kidney Disease and Health (7)
- Labor and Delivery (2)
- Learning Health Systems (2)
- Lifestyle Changes (2)
- Long-Term Care (1)
- Low-Income (2)
- Medicaid (1)
- Medical Devices (2)
- Medical Expenditure Panel Survey (MEPS) (1)
- Medicare (6)
- Medication (31)
- Medication: Safety (1)
- Men's Health (1)
- Mortality (13)
- Neurological Disorders (6)
- Newborns/Infants (4)
- Nursing Homes (4)
- Nutrition (2)
- Obesity (3)
- Obesity: Weight Management (1)
- Opioids (2)
- Orthopedics (8)
- Osteoporosis (1)
- Outcomes (72)
- Pain (6)
- Palliative Care (3)
- Patient-Centered Healthcare (15)
- (-) Patient-Centered Outcomes Research (196)
- Patient Adherence/Compliance (1)
- Patient and Family Engagement (8)
- Patient Safety (10)
- Patient Self-Management (2)
- Pneumonia (1)
- Policy (3)
- Practice Patterns (4)
- Pressure Ulcers (1)
- Prevention (9)
- Primary Care (10)
- Primary Care: Models of Care (2)
- Provider (3)
- Provider: Clinician (1)
- Provider: Physician (2)
- Provider Performance (2)
- Public Health (1)
- Quality Improvement (17)
- Quality Indicators (QIs) (5)
- Quality Measures (6)
- Quality of Care (17)
- Quality of Life (8)
- Racial and Ethnic Minorities (5)
- Registries (11)
- Rehabilitation (1)
- Research Methodologies (14)
- Respiratory Conditions (4)
- Risk (8)
- Screening (1)
- Sex Factors (4)
- Sexual Health (2)
- Sickle Cell Disease (2)
- Skin Conditions (1)
- Sleep Problems (1)
- Social Determinants of Health (4)
- Stroke (3)
- Substance Abuse (2)
- Surgery (38)
- Teams (1)
- Telehealth (2)
- Tobacco Use (1)
- Training (3)
- Transitions of Care (2)
- Transplantation (6)
- Trauma (3)
- Treatments (8)
- Urban Health (2)
- Urinary Tract Infection (UTI) (3)
- Vulnerable Populations (2)
- Women (8)
- Young Adults (3)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
176 to 196 of 196 Research Studies DisplayedKranz AM, Rozier RG, Preisser JS
Preventive services by medical and dental providers and treatment outcomes.
The researchers compared the association between the provider of preventive services (PCP, dentist, or both) with Medicaid-enrolled children before their third birthday and subsequent dental caries-related treatment (CRT) and CRT payment. They concluded that, due to children's increased opportunity to receive multiple visits in medical offices during well-child visits, preventive oral health services provided by PCPs may lead to a greater reduction in CRT than dentist visits alone.
AHRQ-funded; HS000032.
Citation: Kranz AM, Rozier RG, Preisser JS .
Preventive services by medical and dental providers and treatment outcomes.
J Dent Res 2014 Jul;93(7):633-8. doi: 10.1177/0022034514536731.
.
.
Keywords: Children/Adolescents, Dental and Oral Health, Patient-Centered Outcomes Research, Prevention, Primary Care
Ohno-Machado L, Agha Z, Bell DS
pSCANNER: patient-centered Scalable National Network for Effectiveness Research.
The authors describe the patient-centered Scalable National Network for Effectiveness Research (pSCANNER), which is part of the recently formed Patient-Centered Outcomes Research net (PCORnet). It is designed to be a stakeholder-governed federated network that uses a distributed architecture to integrate data from 3 existing networks covering over 21 million patients in all 50 States.
AHRQ-funded; HS019913
Citation: Ohno-Machado L, Agha Z, Bell DS .
pSCANNER: patient-centered Scalable National Network for Effectiveness Research.
J Am Med Inform Assoc. 2014 Jul-Aug;21(4):621-6. doi: 10.1136/amiajnl-2014-002751..
Keywords: Comparative Effectiveness, Patient-Centered Outcomes Research, Health Information Technology (HIT)
Kaplan RM
AHRQ Author: Kaplan RM
Patient-centered outcome assessment may lead to different conclusions and different treatment decisions.
Over the last few decades, the Agency for Healthcare Research and Quality (AHRQ), clinicians, policy makers, and patient advocates have demonstrated a growing interest in measuring patient-reported outcomes. Most illnesses are now evaluated in terms of their effects on usual life activities. This article discusses Patient-Centered Outcomes Research and the measurement of outcomes from the patient perspective.
AHRQ-authored.
Citation: Kaplan RM .
Patient-centered outcome assessment may lead to different conclusions and different treatment decisions.
American Journal of Accountable Care 2014 Jun 20;2(2):14-15..
Keywords: Decision Making, Patient-Centered Outcomes Research
Bilimoria KY, Cella D, Butt Z
Current challenges in using patient-reported outcomes for surgical care and performance measurement: everybody wants to hear from the patient, but are we ready to listen?
This viewpoint article discussed patient-reported outcomes (PROs). It concludes that PROs undoubtedly capture some of the most important aspects of how successful an operation is, and PRO scores may be the best measure of patient-centered care, but considerable logistical and methodological issues must be addressed before PROs are ready for widespread national implementation.
AHRQ-funded; HS021857.
Citation: Bilimoria KY, Cella D, Butt Z .
Current challenges in using patient-reported outcomes for surgical care and performance measurement: everybody wants to hear from the patient, but are we ready to listen?
JAMA Surg 2014 Jun;149(6):505-6. doi: 10.1001/jamasurg.2013.5285.
.
.
Keywords: Patient-Centered Outcomes Research, Quality Measures, Surgery
Lavallee DC, Wicks P, Alfonso Cristancho R
Stakeholder engagement in patient-centered outcomes research: high-touch or high-tech?
In this article, the authors compared and contrasted high-tech and high-touch approaches to engaging stakeholders and suggested hybrid processes.
AHRQ-funded; HS022135; HS022959.
Citation: Lavallee DC, Wicks P, Alfonso Cristancho R .
Stakeholder engagement in patient-centered outcomes research: high-touch or high-tech?
Expert Rev Pharmacoecon Outcomes Res 2014 Jun;14(3):335-44. doi: 10.1586/14737167.2014.901890.
.
.
Keywords: Patient-Centered Outcomes Research, Evidence-Based Practice, Patient-Centered Healthcare, Patient and Family Engagement
Friedly JL, Bauer Z, Comstock BA
AHRQ Author: Zhan C, Hsia DC, Trontell A
Challenges conducting comparative effectiveness research: the Clinical and Health Outcomes Initiative in Comparative Effectiveness (CHOICE) experience.
This paper explores the collective experience of the Clinical and Health Outcomes Initiative in Comparative (CHOICE) program, which includes 12 ongoing comparative effectiveness research trials funded by AHRQ. It describes the common features of the CHOICE award studies to summarize the strategies undertaken to address the challenges in conducting comparative effectiveness pragmatic trials and observational studies from various perspectives.
AHRQ-authored; AHRQ-funded; HS019222
Citation: Friedly JL, Bauer Z, Comstock BA .
Challenges conducting comparative effectiveness research: the Clinical and Health Outcomes Initiative in Comparative Effectiveness (CHOICE) experience.
Comp Eff Res. 2014 May;4:1-12..
Keywords: Comparative Effectiveness, Patient-Centered Outcomes Research, Outcomes
Osterman MT, Haynes K, Delzell E
Comparative effectiveness of infliximab and adalimumab for Crohn's disease.
This study compared the effectiveness of infliximab and adalimumab, the two most commonly used anti-tumor necrosis factor agents in patients with Crohn’s disease (CD). It found that both drugs were of similar effectiveness with respect to surgical rates, hospitalization rates, and the percentage of patients remaining on the drugs after 26 weeks.
AHRQ-funded; HS018517
Citation: Osterman MT, Haynes K, Delzell E .
Comparative effectiveness of infliximab and adalimumab for Crohn's disease.
Clin Gastroenterol Hepatol. 2014 May;12(5):811-817.e3. doi: 10.1016/j.cgh.2013.06.010..
Keywords: Comparative Effectiveness, Outcomes, Patient-Centered Outcomes Research, Treatments
Band RA, Salhi RA, Holena DN
Severity-adjusted mortality in trauma patients transported by police.
Two decades ago, Philadelphia began allowing police transport of patients with penetrating trauma. In this retrospective cohort study, the investigators conduct a large, multiyear, citywide analysis of this policy. They examine the association between mode of out-of-hospital transport (police department versus emergency medical services [EMS]) and mortality among patients with penetrating trauma in Philadelphia.
AHRQ-funded; HS017960.
Citation: Band RA, Salhi RA, Holena DN .
Severity-adjusted mortality in trauma patients transported by police.
Ann Emerg Med 2014 May;63(5):608-14.e3. doi: 10.1016/j.annemergmed.2013.11.008..
Keywords: Injuries and Wounds, Mortality, Patient-Centered Outcomes Research, Trauma
Huo J, Lairson DR, Du XL
Survival and cost-effectiveness of hospice care for metastatic melanoma patients.
The authors analyzed the association of hospice use with survival and health care costs among patients diagnosed with metastatic melanoma. They found that the median survival time was 6.1 months for patients with no hospice care, 6.5 months for patients enrolled in hospice for 1 to 3 days, and 10.2 months for patients enrolled for 4 or more days. Patients with 4 or more days of hospice care incurred lower end-of-life costs than the comparison groups.
AHRQ-funded; HS018956.
Citation: Huo J, Lairson DR, Du XL .
Survival and cost-effectiveness of hospice care for metastatic melanoma patients.
Am J Manag Care 2014 May;20(5):366-73.
.
.
Keywords: Cancer, Cancer: Skin Cancer, Healthcare Costs, Palliative Care, Patient-Centered Outcomes Research
Tugwell P, Boers M, D'Agostino MA
Updating the OMERACT filter: implications of filter 2.0 to select outcome instruments through assessment of "truth": content, face, and construct validity.
Two discussion groups critically reviewed the variety of ways in which five case studies of current OMERACT Working Groups complied with the ‘Truth’ component of the Filter and what issues remained to be resolved. The case studies showed that there is broad agreement on criteria for meeting the ‘Truth’ criteria through demonstration of content, face and construct validity; however several issues were identified that the Filter Working Group will need to address.
AHRQ-funded; HS013852
Citation: Tugwell P, Boers M, D'Agostino MA .
Updating the OMERACT filter: implications of filter 2.0 to select outcome instruments through assessment of "truth": content, face, and construct validity.
J Rheumatol. 2014 May;41(5):1000-4. doi: 10.3899/jrheum.131310..
Keywords: Evidence-Based Practice, Patient-Centered Outcomes Research, Research Methodologies
Bannuru RR, Flavin NE, Vaysbrot E
High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review.
Calcific and noncalcific tendinitis of the shoulder can be unresponsive to conventional therapies. Extracorporeal shock-wave therapy (ESWT) has been suggested as an alternative treatment. The purpose of this study was to assess the efficacy of ESWT in patients with calcific and noncalcific tendinitis. The investigators found that high-energy ESWT was effective for improving pain and shoulder function in chronic calcific shoulder tendinitis and can result in complete resolution of calcifications.
AHRQ-funded; HS017960.
Citation: Bannuru RR, Flavin NE, Vaysbrot E .
High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review.
Ann Intern Med 2014 Apr 15;160(8):542-9. doi: 10.7326/m13-1982..
Keywords: Chronic Conditions, Comparative Effectiveness, Complementary and Alternative Medicine, Patient-Centered Outcomes Research
Bannuru RR, Flavin NE, Vaysbrot E
High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review.
Calcific and noncalcific tendinitis of the shoulder can be unresponsive to conventional therapies. Extracorporeal shock-wave therapy (ESWT) has been suggested as an alternative treatment. The purpose of this study was to assess the efficacy of ESWT in patients with calcific and noncalcific tendinitis. The investigators found that high-energy ESWT was effective for improving pain and shoulder function in chronic calcific shoulder tendinitis and can result in complete resolution of calcifications.
AHRQ-funded; HS017960.
Citation: Bannuru RR, Flavin NE, Vaysbrot E .
High-energy extracorporeal shock-wave therapy for treating chronic calcific tendinitis of the shoulder: a systematic review.
Ann Intern Med 2014 Apr 15;160(8):542-9. doi: 10.7326/m13-1982..
Keywords: Chronic Conditions, Comparative Effectiveness, Complementary and Alternative Medicine, Patient-Centered Outcomes Research
Bressler B, Siegel CA
Beware of the swinging pendulum: anti-tumor necrosis factor monotherapy vs combination therapy for inflammatory bowel disease.
An editorial commenting on a study in the same issue by Osterman, et al. in the context of related studies concludes that it is more reasonable to consider slightly modifying the approach to anti-tumor necrosis factor combination therapy as opposed to a full pendulum swing back to monotherapy.
AHRQ-funded; HS021747
Citation: Bressler B, Siegel CA .
Beware of the swinging pendulum: anti-tumor necrosis factor monotherapy vs combination therapy for inflammatory bowel disease.
Gastroenterolog.y 2014 Apr;146(4):884-7. doi: 10.1053/j.gastro.2014.02.018..
Keywords: Comparative Effectiveness, Outcomes, Patient-Centered Outcomes Research, Medication, Chronic Conditions
Rowland M, Peterson-Besse J, Dobbertin K
Health outcome disparities among subgroups of people with disabilities: a scoping review.
The authors described recent research activity that has examined health outcome disparities within populations of people with disabilities. They found that the health outcomes most frequently examined were diabetes and heart disease, and the most frequently examined disparity factors were the type of disabling condition and gender. Identifying that there are significant gaps in available research, they concluded that building a body of research that identifies disparities and potentially vulnerable subgroups may improve understanding of the causes of disparities and contribute to efforts to improve quality of life and health outcomes for individuals with disabilities.
AHRQ-funded.
Citation: Rowland M, Peterson-Besse J, Dobbertin K .
Health outcome disparities among subgroups of people with disabilities: a scoping review.
Disabil Health J 2014 Apr;7(2):136-50. doi: 10.1016/j.dhjo.2013.09.003.
.
.
Keywords: Disabilities, Disparities, Health Status, Patient-Centered Outcomes Research
O'Brien EC, Holmes DN, Ansell JE
Physician practices regarding contraindications to oral anticoagulation in atrial fibrillation: findings from the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) registry.
This study describes the frequencies of and factors associated with oral anticoagulation (OAC) contraindications in clinical practice for patients with atrial fibrillation (AF). Contraindications to OAC therapy among patients with AF are common but subjective. Many patients with reported contraindications were receiving OAC, suggesting that the perceived benefits outweighed the potential harm posed by the relative contraindication.
AHRQ-funded; HS021092
Citation: O'Brien EC, Holmes DN, Ansell JE .
Physician practices regarding contraindications to oral anticoagulation in atrial fibrillation: findings from the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) registry.
Am Heart J. 2014 Apr;167(4):601-609.e1. doi: 10.1016/j.ahj.2013.12.014..
Keywords: Heart Disease and Health, Blood Thinners, Medication, Registries, Cardiovascular Conditions, Patient-Centered Outcomes Research, Evidence-Based Practice, Practice Patterns
Meddings J, Rogers MA, Krein SL
Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review.
The authors updated a prior systematic review and a meta-analysis regarding interventions prompting urinary catheter (UC) removal by reminders or stop orders. They found that UC reminders and stop orders appear to reduce catheter-associated urinary tract infection rates and should be used to improve patient safety.
AHRQ-funded; 290200710062I; HS019767; HS018344.
Citation: Meddings J, Rogers MA, Krein SL .
Reducing unnecessary urinary catheter use and other strategies to prevent catheter-associated urinary tract infection: an integrative review.
BMJ Qual Saf 2014 Apr;23(4):277-89. doi: 10.1136/bmjqs-2012-001774.
.
.
Keywords: Catheter-Associated Urinary Tract Infection (CAUTI), Healthcare-Associated Infections (HAIs), Patient Safety, Patient-Centered Outcomes Research, Prevention, Quality Improvement, Urinary Tract Infection (UTI)
Buckley DI, Ansari MT, Butler M
AHRQ Author: Chang CS
The refinement of topics for systematic reviews: lessons and recommendations from the Effective Health Care Program.
AHRQ convened a work group to assess approaches and develop recommendations for topic refinement for the Effective Health Care Program. They concluded that accurate, rigorous, and useful systematic reviews require well-refined topics, and the work group's guiding principles and methodological recommendations may help investigators refine topics for reviews.
AHRQ-authored.
Citation: Buckley DI, Ansari MT, Butler M .
The refinement of topics for systematic reviews: lessons and recommendations from the Effective Health Care Program.
J Clin Epidemiol 2014 Apr;67(4):425-32. doi: 10.1016/j.jclinepi.2013.10.023.
.
.
Keywords: Comparative Effectiveness, Evidence-Based Practice, Patient-Centered Outcomes Research, Research Methodologies
Bettger JP, Zhao X, Bushnell C
The association between socioeconomic status and disability after stroke: findings from the Adherence eValuation After Ischemic stroke Longitudinal (AVAIL) registry.
The authors examined the association of three indicators of SES--educational attainment, working status, and perceived adequacy of household income--with disability 3-months following an acute ischemic stroke. They found that 58% of the Adherence eValuation After Ischemic stroke--Longitudinal study patients had a high school or less education, 61% were not working, and 27% perceived their household income as inadequate prior to their stroke. Thirty five percent of patients were disabled at 3-months. They concluded that, in this cohort of stroke survivors, socioeconomic status was associated with disability following acute ischemic stroke.
AHRQ-funded; HS019479; HS016964.
Citation: Bettger JP, Zhao X, Bushnell C .
The association between socioeconomic status and disability after stroke: findings from the Adherence eValuation After Ischemic stroke Longitudinal (AVAIL) registry.
BMC Public Health 2014 Mar 26;14:281. doi: 10.1186/1471-2458-14-281.
.
.
Keywords: Disabilities, Patient-Centered Outcomes Research, Social Determinants of Health, Stroke
Leroy L, Bayliss E, Domino M
AHRQ Author: Miller T
The Agency for Healthcare Research and Quality Multiple Chronic Conditions Research Network: overview of research contributions and future priorities.
HHS developed the HHS Strategic Framework on Multiple Chronic Conditions (MCC), and AHRQ contributed by funding the MCC Research Network over 45 diverse grants. This paper described a subset of research contributions made in each topic area and made 3 recommendations for future MCC research: (1) include person-centered and person-driven measures and outcomes, (2) consider the person in the context of their relationships and community, and (3) include mental healthcare as an essential part of overall healthcare.
AHRQ-authored; AHRQ-funded; HS022444.
Citation: Leroy L, Bayliss E, Domino M .
The Agency for Healthcare Research and Quality Multiple Chronic Conditions Research Network: overview of research contributions and future priorities.
Med Care 2014 Mar;52 Suppl 3:S15-22. doi: 10.1097/mlr.0000000000000095.
.
.
Keywords: Chronic Conditions, Healthcare Delivery, Health Services Research (HSR), Patient-Centered Outcomes Research, Quality Measures
Stineman MG, Xie D, Kurichi JE
Comprehensive versus consultative rehabilitation services postacute stroke: outcomes differ.
The researchers compared outcomes of veteran patients provided with comprehensive rehabilitation with those provided with consultative rehabilitation services after acute stroke using propensity scores. They found that comprehensive rehabilitation services are associated with greater recovery of physical and cognitive independence, improved home discharge likelihood, and improved 1 yr. survival.
AHRQ-funded; HS018540.
Citation: Stineman MG, Xie D, Kurichi JE .
Comprehensive versus consultative rehabilitation services postacute stroke: outcomes differ.
J Rehabil Res Dev 2014;51(7):1143-54. doi: 10.1682/jrrd.2014.03.0084..
Keywords: Comparative Effectiveness, Rehabilitation, Stroke, Patient-Centered Outcomes Research
Mooney TK, Gibbons MB, Gallop R
Psychotherapy credibility ratings: patient predictors of credibility and the relation of credibility to therapy outcome.
The researchers examined the relation between credibility ratings for adult psychotherapies and various patient factors as well as the relation between credibility ratings and subsequent symptom change. Their findings indicate that patient beliefs after a brief exposure to treatment may influence symptom improvement. Age and education may influence the patient’s beliefs about the credibility of a treatment.
AHRQ-funded; HS022124.
Citation: Mooney TK, Gibbons MB, Gallop R .
Psychotherapy credibility ratings: patient predictors of credibility and the relation of credibility to therapy outcome.
Psychother Res 2014;24(5):565-77. doi: 10.1080/10503307.2013.847988..
Keywords: Anxiety, Depression, Behavioral Health, Outcomes, Patient-Centered Outcomes Research