Jump to content

Choose locationCalifornia Pacific Medical Center
  • Sign in or Register
    • I want to choose my medical group or hospital
    • Clear my location
X Close Window

We've expanded your view

You are now viewing all services in the Sutter Health network. You can change your location above to narrow your view to a medical group, hospital, city or zip.
Sutter Health
  • Find Doctors
  • Find Locations
  • Treatments & Services
  • Locations
  • Sign in or Register
    • Find Doctors
    • Find Locations
    • Treatments & Services
    • Pay a Bill
    • Symptom Checker
    • Get Care Today
    • Diseases & Conditions
    • Health & Wellness
    • Classes & Events
    • Research & Clinical Trials
    • For Patients
    • About Sutter Health
    • Ways to Give
    • Careers
    • News
    • For Medical Professionals
    • Other Business Services
Close Search
  • Home
  • CPMC
  • Research
  • Health Policy
Content

From small area variations to accountable care organizations: how health services research can inform policy

Description

Luft HS., Annu Rev Public Health. 33:377-92. doi: 10.1146/annurev-publhealth-031811-124701. Epub 2012 Jan 3., 2012 Apr 01

Investigators

Harold (Hal) Luft, Ph.D., Senior Scientist

Abstract

Much of health services research seeks to inform particular policy choices and is best characterized as policy-driven research. The reverse, research-driven policy, occurs when studies alter how people perceive reality, which eventually leads to new policy. An example of the latter is nearly four decades of work by John Wennberg and colleagues. Observing variations in practice across small geographic areas led to the notion that some care is preference sensitive, whereas other care is supply constrained. For the former, patient, rather than physician, preferences should be honored, after acquiring and effectively communicating the best available information on the benefits and risks of treatment options. Finding that areas with high use of services have no better quality or outcomes than do areas with lower use led to the notion of accountable care organizations (ACOs). Eventually, both patient engagement and ACOs were written into the Affordable Care Act of 2010.

Pubmed Abstract

Pubmed AbstractOpens New Window

Associated Topics

  • Health Policy

Related Publications

Machine-based expert recommendations and insurance choices among Medicare Part D enrollees.

Bundorf MK, Polyakova M, Stults C, Meehan A, Klimke R, Pun T, Chan AS, Tai-Seale M.
Health Aff (Millwood). 38(3):482-490. doi: 10.1377/hlthaff.2018.05017.
2019 Mar 01

Determinants of generic drug substitution in the United States.

Segal JB, Onasanya O, Daubresse M, Lee CY, Moechtar M, Pu X, Dutcher SK, Romanelli RJ.
Ther Innov Regul Sci. 2168479018820050. doi: 10.1177/2168479018820050. [Epub ahead of print]
2019 Jan 13

Patient experience in selecting a Medicare Part D prescription drug plan.

Stults CD, Baskin AS, Bundorf MK, Tai-Seale M.
J Patient Exp. 5(2):147-152. doi: 10.1177/2374373517739413. Epub 2017 Nov 21.
2018 Jun 01

Medicare's policy not to pay for treating hospital-acquired conditions: the impact.

McNair PD, Luft HS, Bindman AB.
Health Aff (Millwood). 28(5):1485-93. doi: 10.1377/hlthaff.28.5.1485.
2009 Oct 01

CMS changes in reimbursement for HAIs: setting a research agenda

Stone PW, Glied SA, McNair PD, Matthes N, Cohen B, Landers TF, Larson EL.
Med Care. 48(5):433-9. doi: 10.1097/MLR.0b013e3181d5fb3f.
2010 May 01
The Sutter Health Network of Care
Expertise to fit your needs
Primary Care

Check-ups, screenings and sick visits for adults and children.

Specialty Care

Expertise and advanced technologies in all areas of medicine.

Emergency Care

For serious accidents, injuries and conditions that require immediate medical care.

Urgent Care

After-hours, weekend and holiday services.

Walk-In Care

Convenient walk-in care clinics for your non-urgent health needs.

About Sutter

  • About Our Network
  • Annual Report
  • Awards
  • Community Benefit
  • Contact Us
  • News Room
  • Ways to Give
  • Find Care

  • Birth Centers
  • Care Centers
  • Emergency Rooms
  • Hospitals
  • Imaging
  • Labs
  • Surgery Centers
  • Urgent Care
  • Walk-In Care
  • View All >
  • Featured Services

  • Behavioral Health
  • Cancer Services
  • Family Medicine
  • Home Health and Hospice
  • Orthopedics
  • Pediatrics
  • Pregnancy
  • Primary Care
  • Women's Health
  • View All >
  • Patient Resources

  • Accepted Health Plans
  • Classes and Events
  • Estimate Costs
  • Flu Resources
  • Health and Wellness
  • Medical Records
  • Medicare
  • My Health Online
  • Pay a Bill
  • Symptom Checker
  • Our Team

  • For Employees
  • Physician Careers
  • Recruiting Events
  • Sutter Careers
  • Vendors
  • Volunteers
    • ADA Accessibility
    • Contact
    • Privacy Policy
    • Terms of Use

    • LinkedIn Opens new window
    • YouTube Opens new window
    • Facebook Opens new window
    • Twitter Opens new window
    • Glassdoor Opens new window
    • Instagram Opens new window

    Copyright © 2019 Sutter Health. All rights reserved. Sutter Health is a registered trademark of Sutter Health ®, Reg. U.S. Patent & Trademark office.