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Organizational Structure for Chronic Heart Failure and Chronic Obstructive Pulmonary DiseaseIn a nationwide cross-sectional comparison of organizational structure for chronic disease management, less attention was given to chronic obstructive pulmonary disease than chronic heart failure.
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Does Care Consultation Affect Use of VHA Versus Non-VHA Care?Uncoordinated multisystem use is problematic for Veterans Health Administration (VHA) patients with dementia. The Partners in Dementia Care intervention is successful in changing the pattern of VHA versus non-VHA use.
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Real-World Outcomes of Ledipasvir/Sofosbuvir in Treatment-Naïve Patients With Hepatitis CIn the treatment of hepatitis C virus, the gap between efficacy and real-world effectiveness narrows with improved tolerability and ease of use.
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Predictive Index for 90-Day Postoperative Outcomes Following Gynecologic SurgeryIncreasing LACE+ index score is a significant predictor of greater risk of unplanned readmission, emergency department visits, and reoperation after gynecologic surgery.
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Beyond Satisfaction Scores: Exploring Emotionally Adverse Patient ExperiencesThis study explores the causes of emotionally adverse patient experiences in cancer care and presents a taxonomy for analyzing free-text patient data.
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Clinical Outcomes and Healthcare Use Associated With Optimal ESRD StartsOptimal end-stage renal disease (ESRD) starts were associated with lower 12-month morbidity, mortality, and inpatient and outpatient utilization in an integrated healthcare delivery system.
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Medication, Diagnostic, and Cost Information as Predictors of High-Risk Patients in Need of Care ManagementPredictive models from diagnostic or medication data identify care management candidates who are more amenable to clinical interventions than groups identified using prior cost alone.
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Cost Variation and Savings Opportunities in the Oncology Care ModelGeographic variation in cancer treatment spending reveals that chemotherapy and hospital inpatient care may offer opportunities for savings for practices participating in the Oncology Care Model.
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Factors Associated With Persistent High Health Care Utilization in Managed MedicaidSchizophrenia, chronic pain, and multiple medical diagnoses at enrollment into a large managed Medicaid system are associated with long-term high health care utilization.
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Health Information Technology Adoption in California Community Health CentersThis study examined the adoption of health information technology-electronic health records, health information exchange, and patient engagement-by California state community health centers.
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Adherence to Inhaled Corticosteroid Use and Local Adverse Events in Persistent AsthmaThis study evaluated the association between patient-reported and medical record–abstracted local adverse events and patient-reported and claims-based adherence to inhaled corticosteroid therapy.
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Effect of Multiple Chronic Conditions Among Working-Age AdultsMultiple chronic conditions among working-age adults lead to high costs over many years. Understanding how to effectively manage such patients is an important challenge.
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Impact of Compliance With Proton Pump Inhibitors on NSAID TreatmentPatients with gastroesophageal reflux disease who are compliant with proton pump inhibitor therapy stay on NSAIDs longer than noncompliant patients.
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Diabetes Care Quality: Insurance, Health Plan, and Physician Group ContributionsReporting physician group performance in addition to health plan performance may stimulate greater improvement in diabetes care.
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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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Managing Inappropriate Requests of Laboratory Tests: From Detection to MonitoringThis study shows automatic, practical, simple, and effective strategies designed in the laboratory, in consensus with requesting clinicians, to improve laboratory test appropriateness.
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Testing of a Tethered Personal Health Record Framework for Early End-of-Life DiscussionsPilot testing demonstrates the use of a novel, personal health record—based framework used in primary care settings may improve presence and quality of advance care planning documentation in the electronic health record.
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Evaluation of the Quality Blue Primary Care Program on Health OutcomesImplementation of the Quality Blue Primary Care program in Louisiana was associated with a shift in primary care delivery and reductions in overall cost.
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Reconsidering the Economic Value of Multiple Sclerosis TherapiesAvailability of multiple sclerosis (MS) therapies provides substantial value to the currently healthy (who may contract MS in the future), particularly when treatment is fully covered by insurance.
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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.
