In other recent studies, Commonwealth Fund–supported researchers explored:
- The range of measures used to assess the quality of nursing home care (The Gerontologist). Most assessments of nursing home quality use a mixture of structural, process, and outcome measures. Based on their review, the authors conclude that improvements in nursing home quality have "likely occurred," but further improvements are needed.
- The duration and content of well-child care visits, based on direct observation (Academic Pediatrics). The researchers conclude that "much of what is recommended is not accomplished in well-child care visits and that certain recommended health supervision/anticipatory guidance topics are more consistently left unaddressed."
- Whether adherence to recommended medication lowers spending among Medicare beneficiaries with diabetes (Health Services Research). The authors conclude that appropriate utilization was marginally associated with net savings to Medicare.
- Progress toward the American Medical Informatics Association roadmap for action to guide the development, implementation, and use of clinical decision support throughout the U.S. health care system (Journal of the American Medical Informatics Association). The authors recommend several next steps to build on the momentum generated thus far through demonstrations and incentives for use of clinical decision support systems.