Authors
Latest:
Benefits and Risks of Live Attenuated Influenza Vaccine in Young ChildrenUse of live attenuated influenza vaccine in young children has a favorable benefit-risk profile.
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Geographic Variation in Surgical Outcomes and Cost Between the United States and JapanCompared with Japan, the United States has substantially less geographic variation in surgical outcomes, but it has higher variation in cost.
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Impact of Emergency Physician–Provided Patient Education About Alternative Care VenuesPostvisit phone education from an emergency physician and/or mailed information about alternative venues of care reduced subsequent emergency department (ED) utilization for low-acuity treat-and-release adult ED patients.
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Physician Practice Variation Under Orthopedic Bundled PaymentThis study demonstrates that variation reduction is an important, but not requisite, component of organizational success under orthopedic bundled payment.
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Compliance, Persistence, and Switching Patterns for ACE Inhibitors and ARBsThis drug-utilization study in a prescription database of more than 50,000 patients analyzed compliance, persistence, and switching behavior for ACE inhibitors and ARBs.
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Referrals and the PCMH: How Well Do We Know Our Neighborhood?A descriptive analysis of specialty referral patterns in an academic, internal medicine patient-centered medical home (PCMH).
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An Intervention for VA Patients With Congestive Heart FailureAn intervention of variable intensity for congestive heart failure showed some improvements but no survival effect, suggesting a tradeoff between intervention cost and intensity and survival benefit.
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The Impact of Electronic Health Records and Teamwork on Diabetes Care QualityPatients with diabetes that are cared for by primary care teams with higher cohesion experienced greater EHR-related outcome improvements, compared with patients cared for by lower cohesion teams.
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Economics of Genomic Testing for Women With Breast CancerAll the economic studies of genomic tests for breast cancer rely on modeling rather than randomized controlled trials or other direct trial data.
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Analyzing Admission Rates for Multiple Ambulatory Care–Sensitive ConditionsAmbulatory care–sensitive conditions can be systematically assessed in a large electronic medical database to describe admission rates by year, catchment area, and hospital affiliation.
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The Association Between Insurance Type and Cost-Related Delay in Care: A SurveyIn a survey of patients and visitors to a large academic medical center, middle-income respondents with private insurance reported more cost-related delays in care than those with public insurance.
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Increasing Access to Specialty Care: Patient Discharges From a Gastroenterology ClinicThe authors used a modified Delphi process involving primary care providers and gastroenterologists to identify safe patient discharges from gastroenterology clinics to primary care.
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Cost of Care for Malignant and Benign Renal MassesMethods for better identifying malignant versus benign disease before nephrectomy could provide significant benefits to patients and payers.
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Progress of Diabetes Severity Associated With Severe Hypoglycemia in TaiwanRapid progression of diabetes complications was associated with higher risk of severe hypoglycemia.
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Step-Up Care Improves Impairment in Uncontrolled Asthma: An Administrative Data StudySignificant clinically meaningful improvements in asthma impairment are documented by administrative data for 1 year after initiation of step-up care in patients with uncontrolled asthma.
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Patient and Supporter Factors Affecting Engagement With Diabetes TelehealthFamily support with medication management and recent urgent self-management concerns are 2 novel factors, among others, that predict completion of diabetes telehealth calls.
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Primary Care Physician Practice Styles and Quality, Cost, and ProductivityPrimary care physicians who address multiple problems during acute care visits achieve better clinical scores, comparable patient experience, and lower annual cost.
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'All-or-None' (Bundled) Process and Outcome Indicators of Diabetes CareIn this study, providers were more likely to achieve processes-ofcare goals when diabetes care was bundled at the indicator level than at the patient level.
