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http://dx.doi.org/10.1080/15265161.2025.2526759 | DOI Listing |
Health Policy
August 2025
Institue of Management & Management and Healthcare Lab, Sant'Anna School of Advanced Studies, Pisa, Piazza Martiri della Libertà 33 56127 Pisa, Italy. Electronic address:
Background: Prescription is a complex act that reflects the physician's expertise and authority. While some factors affecting prescription decisions have been studied, empirical findings often conflict, leaving our understanding of prescription behaviors limited and fragmented.
Objective: To assess the factors influencing physicians' drug prescribing habits by applying Strong Structuration Theory.
JAMA Health Forum
June 2025
Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles.
Importance: Evidence is limited regarding the physician characteristics associated with the provision of low-value services in primary care, especially outside of the US.
Objective: To measure physician-level use of 10 low-value care services that provide no net clinical benefit and to investigate the characteristics of primary care physicians who frequently provide low-value care in Japan.
Design, Setting, And Participants: This cross-sectional analysis used a nationwide electronic health record database linked with claims data in Japan to assess visits by adult patients (age ≥18 years) to a solo-practice primary care physician from October 1, 2022, through September 30, 2023.
NPJ Digit Med
May 2025
MedStar Health National Center for Human Factors in Healthcare, Washington, DC, USA.
Despite widespread adoption of electronic medical records (EMRs), concerns persist regarding their usability and implications for patient safety. This national cross-sectional survey assessed physicians' perceptions of EMR usability across safety-relevant domains. Among 1933 respondents from diverse care settings, 56% reported that their EMR did not enhance patient safety, and 50% perceived their system as inefficient.
View Article and Find Full Text PDFHealth Care Manag Sci
June 2025
Heller School, Brandeis University, Waltham, MA, USA.
This study examines the inpatient service efficiency of safety-net and non-safety-net hospitals using a two-stage approach at both the hospital and physician levels. For the hospital-level analysis, we conducted 430 Data Envelopment Analysis (DEA) models at the first stage to measure efficiency at the Diagnosis-Related Groups (DRG) level. In the second stage, Tobit and logistic regression models were applied to compare safety-net hospitals to non-safety-net hospitals.
View Article and Find Full Text PDF