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Retail Clinic Versus Office Setting: Do Patients Choose Appropriate Providers?Care episodes treated in retail clinics appeared to be less complex than those treated in office settings.
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Evaluation of a Packaging Approach to Improve Cholesterol Medication AdherenceA 7.6% improvement in 12-month cholesterol refill was observed among US military veterans randomized to an adherence blister packaging intervention versus an education-only intervention.
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Effects of an Integrated Medication Therapy Management Program in a Pioneer ACOThis article reports that an integrated medication management program in a Pioneer Accountable Care Organization was associated with decreases in all-cause hospitalization and Medicare costs.
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Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management ProgramHigher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients.
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Assessing Electronic Health Record Implementation Challenges Using Item Response TheoryIt is unclear which barriers cause the greatest threats to the successful implementation of an electronic health record (EHR). This paper prioritizes the potential threats to EHR adoption using a novel analytic strategy: item response theory.
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Did Medicare Part D Reduce Disparities?This study examined the impact of the Medicare Part D coverage gap on medication use by Hispanics, blacks, and whites with diabetes.
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Specialty Care Access for Medicaid Enrollees in Expansion StatesIn a survey of community health center medical directors in 9 Medicaid expansion states and DC, nearly 60% reported difficulty obtaining new specialist visits and multiple access barriers on behalf of their patients.
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Personalized Preventive Care Reduces Healthcare Expenditures Among Medicare Advantage BeneficiariesThis study investigated the impact of an enhanced preventive care delivery system on healthcare expenditure and utilization trends among Medicare Advantage beneficiaries.
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Time to Fecal Immunochemical Test Completion for Colorectal CancerTargeted interventions by patient characteristics to improve fecal immunochemical test completion could reduce disparities in colorectal cancer screening and improve overall compliance with screening recommendations.
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Disease-Modifying Antirheumatic Drug Initiation Among Patients Newly Diagnosed With Rheumatoid ArthritisOnly slightly more than half of patients with newly diagnosed rheumatoid arthritis initiated therapy within 1 year.
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Hospitalized Patients' and Family Members' Preferences for Real-Time, Transparent Access to Their Hospital RecordsThis mixed-methods study evaluated hospitalized patients’ and family members’ perceived communications mismatches and their calls for transparent real-time information and potential 21st-century solutions.
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Optimal Management of Diabetes Among Overweight and Obese AdultsThis study explores potential weight-related disparities in the quality of care for adults with diabetes in a large health plan according to recommended quality indicators.
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Continuous Glucose Monitoring: An Emerging Standard of CareThe potential value of continuous monitoring of blood glucose and the enzyme-based electrode that underlies continuous glucose monitoring (CGM) in the subcutaneous tissue were described in the 1960s. In 1999, the FDA approved the first “professional” CGM system, which stored data over 3 days for later retrieval and analysis. However, many patients (even volunteers in CGM-based clinical trials) found early-generation systems uncomfortable and difficult to wear. By contrast, current systems are more accurate, provide customizable alerts and alarms, are easier to use and less likely to cause skin irritation, resist interference from acetaminophen, allow for real-time data to be shared and remotely monitored, and are stable enough so as not to require periodic calibrations with SMBG values.
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Characterizing Patient Flow After an Academic Hospital Merger and AcquisitionThis study assessed health care utilization and patient flow after a recent merger of community practices, a community hospital, and an academic medical center.
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Welcome to the Future: Telemedicine and Value-Based PaymentBy using telemedicine and relocating the center of care to where a person lives, we have an opportunity to address more unmet demand for palliative care, while giving more control to the seriously ill to meet their stated needs.
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Prevalence of Osteoporosis in Men in a VA Rehabilitation CenterMen in a VA rehabilitation unit who had osteoporosis were older and thinner, but otherwise similar (metabolic and functional status) to control subjects.
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Statin Therapy for Elevated hsCRP: More Evidence Is NeededThe new indication for rosuvastatin is unlikely to have any significant impact on clinical practices because of questions about its clinical utility.
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Potential Inequities in Access to In-Person SHIP Counseling ServicesThe federal State Health Insurance Assistance Program (SHIP) provides counseling and education on Medicare coverage options. This article highlights potential inequities in in-person SHIP service access.
