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Issue Date: January 2004


Specialized Hospitals Spark Debate on Quality
This editorial discusses the increase in the number of specialty hospitals and the debate this trend is triggering, particularly among traditional hospitals, about economic, quality, and risk-sharing health care issues.


Study: Collaboration Improves Care
This article discusses the results of a study on the care given to patients discharged from the hospital with a diagnosis of heart failure; specifically, the study examined three types of care: generalist care only, cardiologist care only, and collaborative care by both a generalist and a cardiologist.


Act Will Foster Pay for Performance
This article discusses the Medicare Prescription Drug Improvement and Modernization Act and how physicians stand to benefit from some of its provisions.


Reports Raise Concerns About Physician-Owned Specialty Hospitals
This article discusses two reports that focus on physician-owned specialty hospitals and the economic and quality impact of these facilities on the health care system.


Steps for Improving Health Literacy
This article discusses how the low-literacy skills of many patients increases the likelihood that they do not understand the health care instructions and other information given to them by their physicians. It also discusses some tools that are being used to address this problem.


Five Developing Trends Offer Physicians More Options in 2004
This article suggests that five trends will affect physicians over the next few years: hospitals will expand capacity; consumer-driven health systems will continue to grow; focused fatories will take market share from acute-care general hospitals; physicians will continue to use new technology to boost productivity; and the shortage of nurses and physicians will boost their salaries.




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