Mary E. Vaiana
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View article: Urine drug testing in the context of opioid analgesic prescribing for chronic pain: a content analysis of U.S. state laws in 2022
Urine drug testing in the context of opioid analgesic prescribing for chronic pain: a content analysis of U.S. state laws in 2022 Open
Background In response to the opioid crisis, U.S. states have passed laws requiring urine drug testing (UDT) when opioid analgesics are prescribed for chronic pain. We sought to identify state law UDT requirements. Methods We searched Nexi…
View article: America's Opioid Ecosystem: How Leveraging System Interactions Can Help Curb Addiction, Overdose, and Other Harms
America's Opioid Ecosystem: How Leveraging System Interactions Can Help Curb Addiction, Overdose, and Other Harms Open
Opioids play an outsized role in America's drug problems, but they also play a critically important role in medicine. Thus, they deserve special attention. Illegally manufactured opioids (such as fentanyl) are involved in a majority of U.S…
View article: Systematic Identification and Categorization of Opioid Prescribing and Dispensing Policies in 16 States and Washington, DC
Systematic Identification and Categorization of Opioid Prescribing and Dispensing Policies in 16 States and Washington, DC Open
Objectives State policies can impact opioid prescribing or dispensing. Some state opioid policies have been widely examined in empirical studies, including prescription drug monitoring programs and pain clinic licensure requirements. Other…
View article: Change in Per Capita Opioid Prescriptions Filled at Retail Pharmacies, 2008–2009 to 2017–2018
Change in Per Capita Opioid Prescriptions Filled at Retail Pharmacies, 2008–2009 to 2017–2018 Open
LettersFebruary 2022Change in Per Capita Opioid Prescriptions Filled at Retail Pharmacies, 2008–2009 to 2017–2018Bradley D. Stein, MD, PhD, Erin A. Taylor, PhD, MSPH, Flora Sheng, MPH, Andrew W. Dick, PhD, Mary Vaiana, PhD, Mark Sorbero, M…
View article: Barriers to Price and Quality Transparency in Health Care Markets
Barriers to Price and Quality Transparency in Health Care Markets Open
Consumers of health care in the United States often lack information on the actual prices of the care they receive and can also lack access to information about the quality of their care. RAND researchers gathered information on how health…
View article: The importance of understanding and measuring health system structural, functional, and clinical integration
The importance of understanding and measuring health system structural, functional, and clinical integration Open
Objective We explore if there are ways to characterize health systems—not already revealed by secondary data—that could provide new insights into differences in health system performance. We sought to collect rich qualitative data to revea…
View article: What Are the Determinants of Health System Performance? Findings from the Literature and a Technical Expert Panel
What Are the Determinants of Health System Performance? Findings from the Literature and a Technical Expert Panel Open
View article: Understanding U.S. Health Systems: Using Mixed Methods to Unpack Organizational Complexity
Understanding U.S. Health Systems: Using Mixed Methods to Unpack Organizational Complexity Open
Introduction: As hospitals and physician organizations increasingly vertically integrate, there is an important opportunity to use health systems to improve performance. Prior research has largely relied on secondary data sources, but litt…
View article: Are value-based incentives driving behavior change to improve value?
Are value-based incentives driving behavior change to improve value? Open
Transformation could be advanced by strengthening financial incentives for value; engaging specialists in care redesign and delivering value; enhancing partnerships among POs, hospitals, and payers to align quality and cost actions; streng…
View article: Using the Knowledge Base of Health Services Research to Redefine Health Care Systems
Using the Knowledge Base of Health Services Research to Redefine Health Care Systems Open