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On the Road to Universal Coverage: Impacts of Reform in Massachusetts at One Year

June 2, 2008 - A Commonwealth Fund-supported study published as a Health Affairs Web Exclusive finds dramatic improvements in insurance coverage in Massachusetts. In the first year after the state instituted its ambitious health care reform plan, the rate of uninsured working-age adults dropped by almost half.

In the Literature

Out of Touch: American Men and the Health Care System

March 3, 2000 - An alarming portion of American men fail to get the medical care they need to stay in good health. A significant number of men do not get routine checkups, preventive care, or health counseling, and many ignore symptoms or delay seeking medical attention when sick or in pain.

Fund Report

Overburdened and Overwhelmed: The Struggles of Communities with High Medical Cost Burdens

November 28, 2007 - This Commonwealth Fund study finds that the pervasiveness of high medical cost burdens within a community is driven by the number of people who are either uninsured or have high insurance premiums and out-of-pocket health costs relative to their income.

Issue Brief

Parental Depression Screening for Pediatric Clinicians: An Implementation Manual

April 18, 2007 - This new Fund online manual, based on the experiences of the Parental Well-Being Project at Dartmouth Medical School, provides background information, training materials, and office systems guidance to child care providers on screening parents for depression, as well as referral.

Fund Manual

Partnering with Parents to Promote the Healthy Development of Young Children Enrolled in Medicaid

September 1, 2002 - This report presents results from a survey assessing the quality of preventive and developmental services for young children enrolled in Medicaid in three states—Carolina, Vermont, and Washington.

Fund Report

Patient Centeredness, Cultural Competence, and Healthcare Quality

February 2, 2009 - A comparison of the histories of patient centeredness and cultural competence in health care delivery reveals that, despite some differences, these quality initiatives share many of the same core concepts.

In the Literature

Patient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race

December 1, 2003 - This study examines how race concordance affects patient–physician communication and patients' perceptions of the quality of their care.

In the Literature

Patient-Provider Communication About the Health Effects of Obesity

February 5, 2009 - A Commonwealth Fund-supported study of overweight and obese patients found disparities in how patients of different racial and ethnic backgrounds perceive the health effects of their weight. Health care providers can play an important role in helping patients understand the often serious implications.

In the Literature

Patients' Attitudes Toward Health Care Providers Collecting Information About Their Race and Ethnicity

January 6, 2006 - Most patients can see the importance of collecting and tracking data on race and ethnicity, but many are uncomfortable disclosing their information to administrators or clerks, a new Fund-supported study finds. Having doctors and nurses collect the information can help ease patients' concerns.

In the Literature

Pay-for-Performance in State Medicaid Programs: A Survey of State Medicaid Directors and Programs

April 12, 2007 - More than half of all state Medicaid programs offer health care providers financial incentives to deliver better quality of care, and nearly 85 percent of states plan to have pay-for-performance programs within five years, a new IPRO report for The Commonwealth Fund finds.

Fund Report

Pay-for-Performance Programs to Reduce Racial/Ethnic Disparities: What Might Different Designs Achieve?

April 9, 2012 - With Commonwealth Fund support, researchers used Hospital Quality Alliance data on more than 4 million patients at 4,500 hospitals to analyze the effects of different pay-for-performance designs on disparities in care between minority and white patients.

In Brief

Paying for Care Episodes and Care Coordination

March 15, 2007 - In an editorial published in the New England Journal of Medicine, Fund president Karen Davis explores alternatives to the current fee-for-service payment system, which she says is a barrier to effective, coordinated, and efficient care.


Pediatric Developmental Screening: Understanding and Selecting Screening Instruments

February 26, 2008 - The importance of surveillance and screening for developmental problems of young children is widely recognized by experts and reflected in pediatric practice guidelines. But many providers need guidance in choosing the screening instrument that is right for their practice. This new manual will inform practitioners' selection and application of screening instruments in a range of practice settings.

Fund Manual

Pediatricians' Roles in the Provision of Developmental Services: An International Study

September 21, 2009 - A Commonwealth Fund-supported 10-nation study examines how the provision of pediatric developmental services is apportioned among different types of health care providers--pediatricians, general practice physicians, and nurses. In doing so, the researchers shed light on the uniquely broad role that U.S. pediatricians play in delivering child health care.

In the Literature

Physician Effects on Racial and Ethnic Disparities in Patients’ Experiences of Primary Care

February 1, 2010 - A Commonwealth Fund–supported study published in the Journal of General Internal Medicine investigated the extent to which racial and ethnic disparities can be attributed to differences within physician practices—meaning they are potentially related to discrimination or differential treatment—or to differences between practices, an indication that minority patients tend to receive treatment in low-performing practices.

Literature Abstract