Peter P Budetti
Dados Biográficos
| ID | 4453393 |
|---|---|
| NOME | Peter P Budetti |
| PRENOMES | Peter P |
| SOBRENOME | Budetti |
| ASSINATURA | BUDETTI P P |
| AFILIAÇÕES | University of Oklahoma |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAÇÕES | 53 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1980 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2008 |
| ÍNDICE H | 5 |
Jump‐Starting Collaboration
Many policy problems require governmental leaders to forge vast networks beyond their own hierarchical institutions. This essay explores the challenges of implementation in a networked institutional setting and incentives to induce coordination between agencies and promote quality implementation. It describes the national evaluation of the Assuring Better Child Health and Development program, a state‐based program intended to increase and enhance…
The National Practitioner Data Bank
The National Practitioner Data Bank (NPDB) was established under the Health Care Quality Improvement Act of 1986 and began data collection September 1, 1990 The NPDB's goal is to improve medical care quality and safety by providing information that is useful in assessing the professional competence of health care practitioners. The NPDB receives and stores information on adverse disciplinary actions against physicians and payments made on physici…
Impact of the National Practitioner Data Bank on Resolution of Malpractice Claims
Policymakers and commentators are concerned that the National Practitioner Data Bank (NPDB) has influenced malpractice litigation dynamics. This study examines whether the introduction of the NPDB changed the outcomes, process, and equity of malpractice litigation. Using pre- and post-NPDB analyses, we examine rates of unpaid claims, trials, resolution time, physician defense costs, and payments on claims with a low/high probability of negligence…
The Ties That Bind
OBJECTIVES: To examine the association between the degree of alignment between physicians and health care systems, and interorganizational linkages between physician groups and health care systems. METHODS: The study used a cross sectional, comparative analysis using a sample of 1,279 physicians practicing in loosely affiliated arrangements and 1,781 physicians in 61 groups closely affiliated with 14 vertically integrated health systems. Measures…
Physician Commitment to Organized Delivery Systems
BACKGROUND: Health care systems have developed many types of contracting vehicles with physicians. The immediate aim of these vehicles has been to foster physician commitment and alignment to the system. The ultimate aim of these vehicles has been to garner managed care contracts, reduce costs, and improve quality. To date, most of these vehicles have failed to improve physician commitment. This may be one reason why the ultimate outcomes have no…
Physician-System Relationships
OBJECTIVES: To identify the barriers, facilitators, and potential better practices to achieving physician-system alignment. METHODS: Interviews using a semi-structured, open-ended protocol were conducted during a total of 18 site visits, each usually 2 days in length, covering multiple topics of physician group-system alignment. Interviews were conducted with members of the target physician group, key leaders of the health care system, and repres…
Implementing Evidence-Based Medicine
OBJECTIVES: To assess the extent to which market pressures, compensation incentives, and physician medical group culture are associated with the use of evidence-based medicine practices in physician organizations. METHODS: Cross-sectional exploratory study of 56 medical groups affiliated with 15 integrated health systems from across the United States, involving 1,797 physician respondents. Larger medical groups and multispecialty groups were over…
Risk Assumption and Physician Alignment With Health Care Organizations
OBJECTIVES: To examine the association between risk assumption by individual physicians and physician groups and the degree of alignment between physicians and health care systems. METHODS: A cross sectional comparative analysis using a sample of 1,279 physicians practicing in loosely affiliated arrangements and 1,781 physicians in 61 groups closely affiliated with 14 vertically integrated health systems. Measures of physician alignment were base…
Factors Associated With Physician Involvement in Care Management
Appropriate physician and management involvement, as well as financial incentives and useful management information systems may facilitate physician participation in CM activities. Physician involvement in implementation of CM practices appears to be important, whereas their involvement in the development phase may be negatively related to later attitudes and participation. The findings call for a more in-depth understanding of the timing of phys…
Physician-System Alignment
The papers in this Special Supplement are based on research funded by the participating members of the joint Center for Health Management Research (CHMR) and Center for Organized Delivery Systems (CODS), and supported by the National Science Foundation under its Industry-University Cooperative Research Center Program. This 3-year research initiative from 1996 through 1999 involved 69 physician organizations (primarily organized medical groups as …
Assessing the Impact of Total Quality Management and Organizational Culture on Multiple Outcomes of Care for Coronary Artery Bypass Graft Surgery Patients
OBJECTIVES: To assess the impact of total quality management (TQM) and organizational culture on a comprehensive set of endpoints of care for coronary artery bypass graft surgery (CABG) patients, including risk-adjusted adverse outcomes, clinical efficiency, patient satisfaction, functional health status, and cost of care. METHODS: Prospective cohort study of 3,045 eligible CABG patients from 16 hospitals using risk-adjusted clinical outcomes, fu…
Ensuring Adequate Health Care Benefits for Children and Adolescents
A key element of any health care financing plan is the package of benefits which it covers. The nature of these benefits helps to determine both the value of a health plan to potential beneficiaries and the cost of that plan. Knowledge of the specific services included in a benefits package is not sufficient, however, to evaluate either the cost or the desirability of a health insurance program. Other key elements which help determine the cost an…
VIB. Research Agenda Development
Iiia. Examining Issues in Health Care Delivery for Asthma
There have been recent increases in asthma prevalence, morbidity, and mortality in the United States. There is substantial evidence that problems in health care delivery may be contributing to these recent trends. Because of these recent changes, a reduction in asthma-related morbidity has been identified as a new national health objective for the year 2000. This article reviews some of the key aspects of patterns of asthma care in the United Sta…
Trends in activity-limiting chronic conditions among children
Data from the National Health Interview Survey indicate that the prevalence of activity-limiting chronic conditions among children under age 17 years doubled between 1960 and 1981, from 1.8 to 3.8 per cent. Approximately 40 per cent of the overall rise in prevalence occurred before 1970. Most of the increase in prevalence during this early period can be attributed to changes in questionnaire design and aging of the child population following the …
Response from Newacheck, et al
Response from Newacheck, et al Paul W. Newacheck, Peter P. Budetti, and Neal Halfon CopyRight https://doi.org/10.2105/AJPH.76.10.1252-a Published Online: October 07, 2011
Response from Newacheck, et al
Response from Newacheck, et al Paul W. Newacheck, Peter P. Budetti, and Margaret A. McManus CopyRight https://doi.org/10.2105/AJPH.74.10.1168-a Published Online: October 07, 2011
Trends in childhood disability
This article summarizes and analyzes possible explanations for the near doubling, since 1960, of the proportion of children with limitations of activity due to chronic illness as reported in the National Health Interview Survey (NHIS). We examine several possible explanations for the upward trend in prevalence including: changes in survey design and procedures; changes in awareness of chronic illness on the part of parents and physicians; and cha…
Factors associated with birthweight
To assess the association with birthweight of prenatal medical care, length of gestation, and other prenatal factors, birth certificate data were studied for babies born in 1978 to mothers who were residents of Alameda or Contra Costa counties, California. Using multiple regression data analytic techniques, adequate prenatal care (defined by the number of prenatal care visits compared to length of gestation and month of start of care) was found t…
Assessing the Effectiveness of Neonatal Intensive Care
Although neonatal intensive care has been praised widely for individual successes, its effectiveness has not been established systematically or conclusively. The literature consists principally of reports from individual intensive care units with sample sizes too small for statistical validation or generalization. This study analyzes the results obtained by recalculating and pooling the isolated reports. In addition, the findings of the solitary …
The distribution and supply of Cuban medical personnel in Third World countries
More than 2,000 Cuban health care personnel are presently providing care in Third World nations; less than five years ago this number was fewer than 100. Some 1,500 of these are physicians, representing nearly 13% of Cuba's 12,000 health service physicians. Cuba dominates the health care delivery system of four small African nations and South Yemen, and Cubans are a major presence in a number of larger countries, such as Iraq
Factors associated with birthweight
To assess the association with birthweight of prenatal medical care, length of gestation, and other prenatal factors, birth certificate data were studied for babies born in 1978 to mothers who were residents of Alameda or Contra Costa counties, California. Using multiple regression data analytic techniques, adequate prenatal care (defined by the number of prenatal care visits compared to length of gestation and month of start of care) was found t…
Trends in childhood disability
This article summarizes and analyzes possible explanations for the near doubling, since 1960, of the proportion of children with limitations of activity due to chronic illness as reported in the National Health Interview Survey (NHIS). We examine several possible explanations for the upward trend in prevalence including: changes in survey design and procedures; changes in awareness of chronic illness on the part of parents and physicians; and cha…
Trends in activity-limiting chronic conditions among children
Data from the National Health Interview Survey indicate that the prevalence of activity-limiting chronic conditions among children under age 17 years doubled between 1960 and 1981, from 1.8 to 3.8 per cent. Approximately 40 per cent of the overall rise in prevalence occurred before 1970. Most of the increase in prevalence during this early period can be attributed to changes in questionnaire design and aging of the child population following the …
Jump‐Starting Collaboration
Many policy problems require governmental leaders to forge vast networks beyond their own hierarchical institutions. This essay explores the challenges of implementation in a networked institutional setting and incentives to induce coordination between agencies and promote quality implementation. It describes the national evaluation of the Assuring Better Child Health and Development program, a state‐based program intended to increase and enhance…
The distribution and supply of Cuban medical personnel in Third World countries
More than 2,000 Cuban health care personnel are presently providing care in Third World nations; less than five years ago this number was fewer than 100. Some 1,500 of these are physicians, representing nearly 13% of Cuba's 12,000 health service physicians. Cuba dominates the health care delivery system of four small African nations and South Yemen, and Cubans are a major presence in a number of larger countries, such as Iraq
Response from Newacheck, et al
Response from Newacheck, et al Paul W. Newacheck, Peter P. Budetti, and Margaret A. McManus CopyRight https://doi.org/10.2105/AJPH.74.10.1168-a Published Online: October 07, 2011
The distribution and supply of Cuban medical personnel in Third World countries
More than 2,000 Cuban health care personnel are presently providing care in Third World nations; less than five years ago this number was fewer than 100. Some 1,500 of these are physicians, representing nearly 13% of Cuba's 12,000 health service physicians. Cuba dominates the health care delivery system of four small African nations and South Yemen, and Cubans are a major presence in a number of larger countries, such as Iraq
Assessing the Effectiveness of Neonatal Intensive Care
Although neonatal intensive care has been praised widely for individual successes, its effectiveness has not been established systematically or conclusively. The literature consists principally of reports from individual intensive care units with sample sizes too small for statistical validation or generalization. This study analyzes the results obtained by recalculating and pooling the isolated reports. In addition, the findings of the solitary …
Response from Newacheck, et al
Response from Newacheck, et al Paul W. Newacheck, Peter P. Budetti, and Margaret A. McManus CopyRight https://doi.org/10.2105/AJPH.74.10.1168-a Published Online: October 07, 2011
Trends in childhood disability
This article summarizes and analyzes possible explanations for the near doubling, since 1960, of the proportion of children with limitations of activity due to chronic illness as reported in the National Health Interview Survey (NHIS). We examine several possible explanations for the upward trend in prevalence including: changes in survey design and procedures; changes in awareness of chronic illness on the part of parents and physicians; and cha…
Factors associated with birthweight
To assess the association with birthweight of prenatal medical care, length of gestation, and other prenatal factors, birth certificate data were studied for babies born in 1978 to mothers who were residents of Alameda or Contra Costa counties, California. Using multiple regression data analytic techniques, adequate prenatal care (defined by the number of prenatal care visits compared to length of gestation and month of start of care) was found t…
Trends in activity-limiting chronic conditions among children
Data from the National Health Interview Survey indicate that the prevalence of activity-limiting chronic conditions among children under age 17 years doubled between 1960 and 1981, from 1.8 to 3.8 per cent. Approximately 40 per cent of the overall rise in prevalence occurred before 1970. Most of the increase in prevalence during this early period can be attributed to changes in questionnaire design and aging of the child population following the …
Response from Newacheck, et al
Response from Newacheck, et al Paul W. Newacheck, Peter P. Budetti, and Neal Halfon CopyRight https://doi.org/10.2105/AJPH.76.10.1252-a Published Online: October 07, 2011
Ensuring Adequate Health Care Benefits for Children and Adolescents
A key element of any health care financing plan is the package of benefits which it covers. The nature of these benefits helps to determine both the value of a health plan to potential beneficiaries and the cost of that plan. Knowledge of the specific services included in a benefits package is not sufficient, however, to evaluate either the cost or the desirability of a health insurance program. Other key elements which help determine the cost an…
VIB. Research Agenda Development
Iiia. Examining Issues in Health Care Delivery for Asthma
There have been recent increases in asthma prevalence, morbidity, and mortality in the United States. There is substantial evidence that problems in health care delivery may be contributing to these recent trends. Because of these recent changes, a reduction in asthma-related morbidity has been identified as a new national health objective for the year 2000. This article reviews some of the key aspects of patterns of asthma care in the United Sta…
Assessing the Impact of Total Quality Management and Organizational Culture on Multiple Outcomes of Care for Coronary Artery Bypass Graft Surgery Patients
OBJECTIVES: To assess the impact of total quality management (TQM) and organizational culture on a comprehensive set of endpoints of care for coronary artery bypass graft surgery (CABG) patients, including risk-adjusted adverse outcomes, clinical efficiency, patient satisfaction, functional health status, and cost of care. METHODS: Prospective cohort study of 3,045 eligible CABG patients from 16 hospitals using risk-adjusted clinical outcomes, fu…
The Ties That Bind
OBJECTIVES: To examine the association between the degree of alignment between physicians and health care systems, and interorganizational linkages between physician groups and health care systems. METHODS: The study used a cross sectional, comparative analysis using a sample of 1,279 physicians practicing in loosely affiliated arrangements and 1,781 physicians in 61 groups closely affiliated with 14 vertically integrated health systems. Measures…
Physician Commitment to Organized Delivery Systems
BACKGROUND: Health care systems have developed many types of contracting vehicles with physicians. The immediate aim of these vehicles has been to foster physician commitment and alignment to the system. The ultimate aim of these vehicles has been to garner managed care contracts, reduce costs, and improve quality. To date, most of these vehicles have failed to improve physician commitment. This may be one reason why the ultimate outcomes have no…
Physician-System Relationships
OBJECTIVES: To identify the barriers, facilitators, and potential better practices to achieving physician-system alignment. METHODS: Interviews using a semi-structured, open-ended protocol were conducted during a total of 18 site visits, each usually 2 days in length, covering multiple topics of physician group-system alignment. Interviews were conducted with members of the target physician group, key leaders of the health care system, and repres…
Implementing Evidence-Based Medicine
OBJECTIVES: To assess the extent to which market pressures, compensation incentives, and physician medical group culture are associated with the use of evidence-based medicine practices in physician organizations. METHODS: Cross-sectional exploratory study of 56 medical groups affiliated with 15 integrated health systems from across the United States, involving 1,797 physician respondents. Larger medical groups and multispecialty groups were over…
Risk Assumption and Physician Alignment With Health Care Organizations
OBJECTIVES: To examine the association between risk assumption by individual physicians and physician groups and the degree of alignment between physicians and health care systems. METHODS: A cross sectional comparative analysis using a sample of 1,279 physicians practicing in loosely affiliated arrangements and 1,781 physicians in 61 groups closely affiliated with 14 vertically integrated health systems. Measures of physician alignment were base…
Factors Associated With Physician Involvement in Care Management
Appropriate physician and management involvement, as well as financial incentives and useful management information systems may facilitate physician participation in CM activities. Physician involvement in implementation of CM practices appears to be important, whereas their involvement in the development phase may be negatively related to later attitudes and participation. The findings call for a more in-depth understanding of the timing of phys…
Physician-System Alignment
The papers in this Special Supplement are based on research funded by the participating members of the joint Center for Health Management Research (CHMR) and Center for Organized Delivery Systems (CODS), and supported by the National Science Foundation under its Industry-University Cooperative Research Center Program. This 3-year research initiative from 1996 through 1999 involved 69 physician organizations (primarily organized medical groups as …
Impact of the National Practitioner Data Bank on Resolution of Malpractice Claims
Policymakers and commentators are concerned that the National Practitioner Data Bank (NPDB) has influenced malpractice litigation dynamics. This study examines whether the introduction of the NPDB changed the outcomes, process, and equity of malpractice litigation. Using pre- and post-NPDB analyses, we examine rates of unpaid claims, trials, resolution time, physician defense costs, and payments on claims with a low/high probability of negligence…
The National Practitioner Data Bank
The National Practitioner Data Bank (NPDB) was established under the Health Care Quality Improvement Act of 1986 and began data collection September 1, 1990 The NPDB's goal is to improve medical care quality and safety by providing information that is useful in assessing the professional competence of health care practitioners. The NPDB receives and stores information on adverse disciplinary actions against physicians and payments made on physici…
Jump‐Starting Collaboration
Many policy problems require governmental leaders to forge vast networks beyond their own hierarchical institutions. This essay explores the challenges of implementation in a networked institutional setting and incentives to induce coordination between agencies and promote quality implementation. It describes the national evaluation of the Assuring Better Child Health and Development program, a state‐based program intended to increase and enhance…
Medicine (15 obras) · Healthcare Policy and Management (12 obras) · Health care (9 obras) · Business (8 obras) · Environmental health (8 obras) · Family medicine (8 obras) · Political science (8 obras) · Primary Care and Health Outcomes (6 obras) · Economics (5 obras) · Finance (5 obras)