Authors
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Low Clinical Utility of Folate Determinations in Primary Care SettingIt seems that folate determinations in patients without known risk factors for folate deficiency are of little clinical significance.
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Benzodiazepine and Unhealthy Alcohol Use Among Adult OutpatientsAmong outpatients who were screened for alcohol use, those with unhealthy alcohol use, women, and those who were older, white, and of lower socioeconomic status were more likely to use benzodiazepines.
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A Descriptive Study of Patients Receiving Foundational Financial Assistance Through Local Specialty PharmaciesLocal specialty pharmacies collaborated with a charitable assistance organization to provide a safety net and to facilitate care for patients with chronic illnesses, allowing them to focus on receiving and adhering to medication, rather than on financial toxicity.
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Assessing Medical Home Mechanisms: Certification, Asthma Education, and OutcomesUsing statewide quality data for medical home–eligible clinics, we tested asthma education as a clinical mechanism whereby medical homes achieve better asthma outcomes.
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Is Integration in Large Medical Groups Associated With Quality?Integrated care systems allegedly provide better care. This study of 97 large medical groups nationally provides suggestive evidence that this may be true.
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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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The Hidden Costs of Moving Care HomeAs home-based care utilization rises, an exploration of potential unintended consequences is necessary. The authors focus on support gaps, informal caregiving, and failure to meaningfully engage clinicians.
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Comorbidities and Cardiovascular Disease Risk in Older Breast Cancer SurvivorsEffective management of the comorbidities of diabetes and hypertension may increase survival in older breast cancer survivors.
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Variability in Resource Use: Diagnosing Colorectal CancerIn a cohort of 449 patients with colorectal cancer in the VA health system, diagnostic resource use varied with facility, patient age, and patient presentation.
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Revisiting the Role of Academic Medical Centers in Medicare Shared Savings Program ACOsAcademic medical centers should strongly consider partnering with community hospitals and independent primary care physicians to achieve success in the Medicare Shared Savings Program.
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Potential Misuse and Inappropriate Prescription Practices Involving Opioid AnalgesicsA quarter of opioid recipients with commercial insurance had at least 1 indicator of potential misuse by patients or inappropriate prescription practices by providers.
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Improving Adherence to Cardiovascular Disease Medications With Information TechnologyImproving adherence to long-term medication therapy remains a challenge. Health information technology interventions that leverage electronic medical records are promising, low-cost approaches for increasing adherence.
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Postacute Care Partnerships and Patient ProgressionPostacute care partners are required for successful patient transitions. Collaboration among multidisciplinary teams and community resources is critical for discharge planning and partnership alignment.
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Antiquated Tests Within the Clinical Pathology LaboratoryPhysicians and laboratorians must work to reduce use of antiquated clinical laboratory tests.
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Lipid Profile Changes Associated With Changing Available Formulary Statins: Removing Higher Potency AgentsWith the exception of high-density lipoprotein cholesterol, fasting lipid profiles were not significantly changed after higher potency statins were removed from prescription formularies.
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Impact of a Pharmacist-Managed Diabetes Clinic on Quality MeasuresThis study evaluated a pharmacist-managed diabetes clinic to determine its impact on diabetes-related quality measures.(For Tables and Figures, please access the PDF on last page.)
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Medicare Savings From Conservative Management of Low Back PainThis instrumental variables analysis estimates that Medicare would realize $362 million in annual savings if all patients with newly diagnosed low back pain were managed conservatively.
