Publications

Publications

Michigan’s physicians and health care providers are burnt out: What can we do to help them navigate pandemic pressures?

Michigan’s latest COVID-19 surge is among the worst in the country, and if there’s one thing we know about COVID’s effect on our nation’s health care system, physician and health care provider burnout will soon follow.  Physician burnout is a concern for everyone. It’s tied to lower-quality care, reduced clinical productivity, and increased physician turnover. In the general population, we …

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Here’s the current state of programs supporting Michigan’s 1.7 million caregivers

Like most of the United States, Michigan’s population is aging. Accordingly, the number of unpaid family and informal caregivers—those who support others with tasks related to daily living, such as transportation, feeding, and bathing—has increased substantially over the last three decades. The AARP Public Policy Institute estimated the economic value of unpaid caregiving at $470 billion in 2017. For reference, …

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Children benefit from the integration of behavioral health consultants at pediatric clinics, but can practices bear the cost?

While a growing body of evidence demonstrates the health benefits of embedding behavioral health care consultants into medical practices, many providers–including pediatric practitioners–are rightfully cautious about embarking on integration initiatives. Integration is a complex process–one that requires a significant commitment of time and resources–and not all integration initiatives are economically sustainable. Here, we provide a simple tool for determining whether …

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The hidden cost of unpaid caregiving: The case for supporting unpaid caregivers across the state of Michigan

There are 1.4 million unpaid caregivers across Michigan. The work they do keeps residents from needing more costly forms of health care. But Michigan’s unpaid caregivers often do not receive the support they need. Unpaid caregivers help friends, family members, and neighbors in many ways, including activities that allow individuals to maintain their independence, like household chores, managing finances, and …

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Veteran health care

Michigan health care and mental health care providers need more training, support to serve the state’s aging veterans

Only 6.7 percent of Michigan health care and mental health providers are fully prepared to serve Michigan’s aging veteran population according to a new report by the Center for Health and Research Transformation (CHRT) at the University of Michigan. This finding is based on CHRT’s statewide assessment of the readiness and capacity of Michigan health care providers to serve older …

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Build support for COVID-19 contact tracing and other public health measures by working with trusted messengers

A new survey from the Center for Health and Research Transformation (CHRT) and Department of Learning Health Sciences (DLHS) at the University of Michigan finds that while more than two-thirds of Michiganders report that they would be willing to participate in some form of COVID-19 contact tracing, one-third report that they would not, and many express concerns about misinformation regarding …

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Health professionals are the most trusted sources of information on COVID-19: Findings from the Cover Michigan Survey

A new survey from the Center for Health and Research Transformation (CHRT) and Department of Learning Health Sciences (DLHS) at the University of Michigan finds that health care providers, public health agencies, and Michigan Governor Gretchen Whitmer are the most trusted and most frequently accessed COVID-19 information sources in the state of Michigan. The survey, conducted in late May, collected …

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Michiganders continue to report difficulty accessing mental health care, forgoing needed care.

The 2020 Cover Michigan Survey, an online survey fielded in early 2020 (before the COVID-19 pandemic began impacting Michigan), asked Michiganders about their ability to access mental health care. Across Michigan, 47 percent of survey respondents reporting needing mental health care before the COVID-19 pandemic, and the COVID-19 pandemic is thought to be exacerbating mental healthcare needs. Among these Michiganders, …

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Michigan Physician Survey–perspectives on opioid prescribing policies, medication assisted treatment

Whether opioid policy reforms and additional resources will have an impact on opioid use depends in part on physician support. Physicians need to be key partners in the implementation of changes in opioid prescribing and in providing supportive treatment approaches. In order to understand the likelihood that these policies will succeed, CHRT’s latest Michigan Physician Survey asked physicians about their …

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Michigan Physician Survey: Primary care physician perspectives and practice trends

CHRT has been surveying primary care physicians (PCPs) in Michigan since 2012—tracking key trends in practice patterns, capacity, payer mix and care team composition. Our 2019 Michigan Physician Survey also asked physicians about care continuity and Medicaid work requirements legislation. PCPs are a key component of a successful, high quality healthcare system. As the baby-boomer generation ages and the needs …

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