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  1. Article ; Online: Taking Stock of Care Delivery Transformation.

    Gondi, Suhas / Barnett, Michael L

    JAMA health forum

    2023  Volume 4, Issue 6, Page(s) e231684

    MeSH term(s) Delivery of Health Care
    Language English
    Publishing date 2023-06-02
    Publishing country United States
    Document type Journal Article
    ISSN 2689-0186
    ISSN (online) 2689-0186
    DOI 10.1001/jamahealthforum.2023.1684
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  2. Article ; Online: Changes in Physician Work Hours and Implications for Workforce Capacity and Work-Life Balance, 2001-2021.

    Goldman, Anna L / Barnett, Michael L

    JAMA internal medicine

    2023  Volume 183, Issue 2, Page(s) 106–114

    Abstract: Importance: Physician work hours are an underexplored facet of the physician workforce that can inform policy for the rapidly changing health care labor market.: Objective: To examine trends in individual physician work hours and their contribution ... ...

    Abstract Importance: Physician work hours are an underexplored facet of the physician workforce that can inform policy for the rapidly changing health care labor market.
    Objective: To examine trends in individual physician work hours and their contribution to clinical workforce changes over a 20-year period.
    Design, setting, and participants: This cross-sectional study focused on active US physicians between January 2001 and December 2021 who were included in the Current Population Survey. Outcomes for physicians, advanced practice professionals (APPs), and nonphysician holders of doctoral degrees were compared, and generalized linear models were used to estimate differences in time trends for weekly work hours across subgroups.
    Main outcomes and measures: Physician and APP workforce size, defined as the number of active clinicians, 3-year moving averages of weekly work hours by individual physicians, and weekly hours contributed by the physician and APP workforce per 100 000 US residents.
    Results: A total of 87 297 monthly surveys of physicians from 17 599 unique households were included in the analysis. The number of active physicians grew 32.9% from 2001 to 2021, peaking in 2019 at 989 684, then falling 6.7% to 923 419 by 2021, with disproportionate loss of physicians in rural areas. Average weekly work hours for individual physicians declined by 7.6% (95% CI, -9.1% to -6.1%), from 52.6 to 48.6 hours per week from 2001 to 2021. The downward trend was driven by decreasing hours among male physicians, particularly fathers (11.9% decline in work hours), rural physicians (-9.7%), and physicians aged 45 to 54 years (-9.8%). Physician mothers were the only examined subgroup to experience a statistically significant increase in work hours (3.0%). Total weekly hours contributed by the physician workforce per 10 000 US residents increased by 7.0%, from 13 006 hours in 2001 to 2003 to 13 920 hours in 2019 to 2021, compared with 16.6% growth in the US population over that time period. Weekly hours contributed by the APP workforce per 100 000 US residents grew 71.2% from 2010 through 2012 to 2019 through 2021.
    Conclusions and relevance: This cross-sectional study showed that physician work hours consistently declined in the past 20 years, such that physician workforce hours per capita lagged behind US population growth. This trend was offset by rapid growth in hours contributed by the APP workforce. The gap in physician work hours between men and women narrowed considerably, with diverging potential implications for gender equity. Increasing physician retirement combined with a drop in active physicians during the COVID-19 pandemic may further slow growth in physician workforce hours per capita in the US.
    MeSH term(s) Humans ; Male ; Female ; United States ; Work-Life Balance ; Cross-Sectional Studies ; Pandemics ; COVID-19 ; Physicians ; Workforce ; Surveys and Questionnaires
    Language English
    Publishing date 2023-01-30
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2699338-7
    ISSN 2168-6114 ; 2168-6106
    ISSN (online) 2168-6114
    ISSN 2168-6106
    DOI 10.1001/jamainternmed.2022.5792
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  3. Article ; Online: Changes in Physician Work Hours and Implications for Workforce Capacity, 2001 to 2021-Reply.

    Goldman, Anna L / Barnett, Michael L

    JAMA internal medicine

    2023  Volume 183, Issue 7, Page(s) 744

    MeSH term(s) Humans ; Physicians ; Workforce
    Language English
    Publishing date 2023-05-08
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 2699338-7
    ISSN 2168-6114 ; 2168-6106
    ISSN (online) 2168-6114
    ISSN 2168-6106
    DOI 10.1001/jamainternmed.2023.1166
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  4. Article ; Online: Are linchpin oncologists keeping the wheels from falling off cancer care?

    Manz, Christopher R / Barnett, Michael L

    Journal of the National Cancer Institute

    2023  Volume 116, Issue 2, Page(s) 180–182

    MeSH term(s) Aged ; Humans ; United States/epidemiology ; Medicare ; Neoplasms/therapy ; Oncologists ; Physicians
    Language English
    Publishing date 2023-11-09
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2992-0
    ISSN 1460-2105 ; 0027-8874 ; 0198-0157
    ISSN (online) 1460-2105
    ISSN 0027-8874 ; 0198-0157
    DOI 10.1093/jnci/djad216
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  5. Article ; Online: Opioid Prescribing in the Midst of Crisis - Myths and Realities.

    Barnett, Michael L

    The New England journal of medicine

    2020  Volume 382, Issue 12, Page(s) 1086–1088

    MeSH term(s) Acute Pain/drug therapy ; Analgesics, Opioid/adverse effects ; Analgesics, Opioid/therapeutic use ; Chronic Pain/drug therapy ; Government Regulation ; Humans ; Medical Overuse ; Mythology ; Practice Patterns, Physicians'/trends ; United States
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2020-03-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMp1914257
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  6. Article ; Online: Association of internet access and inability to access health care during the COVID-19 pandemic 2020-2021.

    Behr, Caroline L / Barnett, Michael L

    Healthcare (Amsterdam, Netherlands)

    2022  Volume 10, Issue 4, Page(s) 100655

    MeSH term(s) Humans ; COVID-19 ; Pandemics ; Internet Access ; SARS-CoV-2 ; Delivery of Health Care
    Language English
    Publishing date 2022-08-31
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2724773-9
    ISSN 2213-0772 ; 2213-0764 ; 2213-0772
    ISSN (online) 2213-0772 ; 2213-0764
    ISSN 2213-0772
    DOI 10.1016/j.hjdsi.2022.100655
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  7. Article ; Online: Long-term Follow-up After Critical COVID-19: REMAP-CAP Revisited.

    Barnett, Michael L / Sax, Paul E

    JAMA

    2022  Volume 329, Issue 1, Page(s) 25–27

    MeSH term(s) Humans ; COVID-19 ; Follow-Up Studies ; SARS-CoV-2
    Language English
    Publishing date 2022-12-16
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2022.23700
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  8. Article ; Online: Improving Network Science in Health Services Research.

    Barnett, Michael L

    Journal of general internal medicine

    2019  Volume 34, Issue 10, Page(s) 1952–1953

    MeSH term(s) Health Services Research ; Humans
    Language English
    Publishing date 2019-08-14
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-019-05264-4
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    Zs.A 2205: Show issues Location:
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  9. Article ; Online: Dental Services Use: Medicare Beneficiaries Experience Immediate And Long-Term Reductions After Enrollment.

    Simon, Lisa / Song, Zirui / Barnett, Michael L

    Health affairs (Project Hope)

    2023  Volume 42, Issue 2, Page(s) 286–295

    Abstract: Traditional Medicare does not cover routine dental care, but little is known about transitions in dental outcomes upon reaching Medicare eligibility at age sixty-five. Using data from the 2010-19 Medical Expenditure Panel Surveys, we examined dental ... ...

    Abstract Traditional Medicare does not cover routine dental care, but little is known about transitions in dental outcomes upon reaching Medicare eligibility at age sixty-five. Using data from the 2010-19 Medical Expenditure Panel Surveys, we examined dental insurance, utilization, and outcomes among US adults before and after age sixty-five, using a regression discontinuity design and segmented regression analysis. Among 97,108 US adults representing a weighted population of 104,787,300 people, complete edentulism, or the loss of all teeth, increased by 4.8 percentage points at age sixty-five, and the percentage of people receiving restorative dental care decreased by 8.7 percentage points. Enrollment in Medicare Advantage, which may offer a dental benefit, was not associated with greater use of dental services relative to traditional Medicare, and Medicare Advantage enrollees had a significantly larger drop in dental spending from private insurance at age sixty-five than traditional Medicare enrollees. Expanding Medicare to cover dental services may help counteract these effects among all enrollees.
    MeSH term(s) Aged ; Humans ; Medicare Part C ; United States ; Dental Care
    Language English
    Publishing date 2023-02-06
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 632712-6
    ISSN 1544-5208 ; 0278-2715
    ISSN (online) 1544-5208
    ISSN 0278-2715
    DOI 10.1377/hlthaff.2021.01899
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    Zs.A 2118: Show issues Location:
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  10. Article ; Online: Spatiotemporal Trends in Group A Streptococcal Pharyngitis in the United States.

    Kline, Madeleine C / Kissler, Stephen M / Whittles, Lilith K / Barnett, Michael L / Grad, Yonatan H

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2024  

    Abstract: Background: Group A Streptococcus (GAS) causes an estimated 5.2 million outpatient visits for pharyngitis annually in the United States (U.S.) with incidence peaking in winter, but the annual spatiotemporal pattern of GAS pharyngitis across the U.S. is ... ...

    Abstract Background: Group A Streptococcus (GAS) causes an estimated 5.2 million outpatient visits for pharyngitis annually in the United States (U.S.) with incidence peaking in winter, but the annual spatiotemporal pattern of GAS pharyngitis across the U.S. is poorly characterized.
    Methods: We used outpatient claims data from individuals with private medical insurance between 2010-2018 to quantify GAS pharyngitis visit rates across U.S. census regions, subregions, and states. We evaluated seasonal and age-based patterns of geographic spread and the association between school start dates and the summertime upward inflection in GAS visits.
    Results: The South had the most visits per person (yearly average 39.11 visits per 1000 people, 95% CI: 36.21-42.01), and the West had the fewest (yearly average 17.63 visits per 1000 people, 95% CI: 16.76-18.49). Visits increased earliest in the South and in school-age children. Differences in visits between the South and other regions were most pronounced in the late summer through early winter. Visits peaked earliest in central southern states, in December to January, and latest on the coasts, in March. The onset of the rise in GAS pharyngitis visits correlated with, but preceded, average school start times.
    Conclusions: The burden and timing of GAS pharyngitis varied across the continental U.S., with the South experiencing the highest overall rates and earliest onset and peak in outpatient visits. Understanding the drivers of these regional differences in GAS pharyngitis will help in identifying and targeting prevention measures.
    Language English
    Publishing date 2024-02-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciae083
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