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Are Benefits From Diabetes Self-Management Education Sustained?Conventional individualized diabetes self-management education resulted in sustained improvement in self-efficacy and diabetes distress. Short-term improvements in A1C, nutrition, and physical activity were not sustained.
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Team Functioning and Clinical Quality, Patient Satisfaction, and Patient Portal Implementation Among Patient-Centered Medical HomesPhysician- and nursing staff–reported team functioning was associated with patient satisfaction but not with clinical quality or patient portal implementation.
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Transforming Oncology Care: Payment and Delivery Reform for Person-Centered CareThe authors examine 4 alternative payment models for oncology care that shift away from fee-for-service and move progressively toward greater bundling, either across providers or across payments.
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Primary Care Moonshot: A Policy Proposal for Addressing Underinvestment in Primary CareA Primary Care Moonshot could reorient the US health care system to a system of wellness and prevention, with long-term savings in care expenditures and better health outcomes.
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Roles of Prices, Poverty, and Health in Medicare and Private Spending in TexasVariation in private spending reflects the ability of the local population to pay for healthcare, whereas variation in Medicare is more driven by health status.
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Eliminating a Barrier to Cancer Care through Universal Fair Access to Oral Chemotherapy MedicationsThe advocacy affiliate of the American Cancer Society, the American Cancer Society Cancer Action Network, is working across the country to pass and implement strong oral chemotherapy fairness laws to help ensure cancer patients have access to the recommended course of treatment without added out-of-pocket costs based on how their drug is administered.
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Well-Child Care Visits and Risk of Ambulatory Care-Sensitive HospitalizationsTimely well-child care visits may play a role in decreasing unnecessary hospitalizations in children in integrated healthcare delivery systems.
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How Pooling Fragmented Healthcare Encounter Data Affects Hospital ProfilingIncomplete records of patient history can bias hospital profiling. Completing health records for Medicare-covered patients in VA hospitals resulted in modest changes in hospital performance.
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Precision Medicine and Sharing Medical Data in Real Time: Opportunities and BarriersFacilitating real-time data sharing while protecting individual privacy, reducing the risk of data misuse, and enhancing public trust becomes critical as precision medicine moves forward.
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Overuse and Insurance Plan Type in a Privately Insured PopulationHealth insurance plan type may be an important lever for reducing low-value healthcare use among patients with commercial insurance.
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Factors Associated With Timeliness in Academic General Surgery Clinics: A Prospective Quality AssessmentThe participation of residents and physician assistants significantly increased patient wait time without reducing the attending surgeon’s consultation length in outpatient surgery clinics.
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“Lean” Improvement in the Quality of Patient Care in the Hospital Admissions ProcessThe objective of this work is to improve the quality of patient care in the admission office service of the University Hospital Virgen del Rocío (HUVR) by standardizing and systematizing its procedures using Lean methodology. The results have allowed HUVR to achieve continuous improvement in the process, eliminating the elements that do not add value.
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The Impact of Patient Assistance Programs and the 340B Drug Pricing Program on Medication CostExamining the financial impact that patient assistance programs and the 340B Drug Pricing Program have on improving medication cost.
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Physicians Respond to Pay-for-Performance Incentives: Larger Incentives Yield Greater ParticipationPhysician participation rates in a pay-for-performance program are related to the amount of rewards offered.
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Resource Utilization With Insulin Pump Therapy for Type 2 Diabetes MellitusA retrospective claims analysis of managed care enrollees with type 2 diabetes mellitus showed that insulin pump therapy reduced antidiabetic drug and healthcare resource use.
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One Size Does Not Always Fit All in Value AssessmentLaying a clear path for incorporating reliable evidence on heterogeneity in value assessments could improve their applicability for healthcare decision making.
