Authors
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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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Medical Home Effects on Enrollees With Mental and Physical IllnessMedical home enrollment had mixed effects on acute care use and a large effect on outpatient care use. Effects on expenditures varied by mental illness.
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State of Emergency Preparedness for US Health Insurance PlansHealth insurance plans serve a critical role in public health emergencies. The authors queried plans about issues related to emergency preparedness: infrastructure, adaptability, connectedness, and best practices.
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Using Simulation to Identify and Resolve Threats to Patient SafetyThe same simulation methodology used in the aviation industry was able to uncover latent environmental threats to patient safety.
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Low-Value Services in Value-Based Insurance DesignBuilding negative incentives into value-based insurance design programs to discourage use of low-value care will involve a number of challenges.
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Advanced APMs and the Emerging Role of Immuno-Oncology Agents: Balancing Innovation and ValueThe shift to value-based care, concurrent with innovations in immune-based care, will create challenges in oncology. What should be the physician and manufacturer responsibility during these changing times?
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Does Telephone Scheduling Assistance Increase Mammography Screening Adherence?The authors describe a quality improvement intervention that focuses on directly scheduling mammogram appointments for women who lack adherence despite written outreach letters.
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A Team Approach to Systematic Behavioral Screening and InterventionExpanding primary care teams with trained and supported paraprofessionals enables systematic delivery of widely recommended, evidence-based, cost-saving alcohol, drug, and depression screening and intervention services.
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Review of Outcomes Associated With Restricted Access to Atypical AntipsychoticsThis literature review evaluates the impact of restricted access to atypical antipsychotic drugs in individuals with schizophrenia or bipolar disorder.
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Building Research Capacity in Primary Care Practices That Serve Predominantly Racial and Ethnic Minority PopulationsThe successful collaboration between a primary care–based network of practices and academic researchers demonstrates feasibility and the need for more funding for primary care research.
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Cost Savings in Inpatient Oncology Through an Integrative Medicine ApproachAn approach including yoga, holistic nursing, and a "healing environment" can decrease medication use, resulting in substantial cost savings in care of inpatient oncology patients.
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Preventing Patient Absenteeism: Validation of a Predictive Overbooking ModelElectronic health record data can be used to predict patient absenteeism accurately. Predictive overbooking of missed appointments can significantly increase service utilization.
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Optimal Approach to Improving Trauma Triage Decisions: A Cost-Effectiveness AnalysisTo set priorities for quality improvement in trauma triage, we compared the cost-effectiveness of current practice with interventions to improve physician adherence to clinical guidelines.
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The Need for a Serious Illness Digital Ecosystem (SIDE) to Improve Outcomes for Patients Receiving Palliative and Hospice CarePalliative and hospice care services produce well-known benefits for patients living with serious illness and for their families. Benefits include improved quality of life and reduced symptom burden, spiritual and emotional distress, and caregiver distress.
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Care Coordination in Primary Care: Mapping the TerritoryA survey completed by 100% of leaders of diverse care systems in Minnesota participating in an observational study showed little difference in approach to care coordination.
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Association of Part D Coverage Gap With COPD Medication AdherenceUsing longitudinal Medicare claims data, this study quantified the association of the Medicare Part D coverage gap with medication adherence among beneficiaries with chronic obstructive pulmonary disease.
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Factors Affecting Medication Adherence Trajectories for Patients With Heart FailureNonwhite race, smoking, and increasing body mass index were associated with the lowest adherence trajectories for patients with heart failure, with adherence dropping off within the first year.
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It Is Time to Ask Patients What Outcomes Are Important to ThemPatients with abdominal or back pain identified 21 outcomes important to them, but the reported outcomes are quite different from the symptom and function outcomes studied by researchers.
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Potential Benefits of Increased Access to Doula Support During ChildbirthIncreasing access to continuous labor support from a birth doula may facilitate decreases in non-indicated cesarean rates among women who desire doula care.
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Empirical Analysis of Domestic Medical Travel for Elective Cardiovascular ProceduresPromoting domestic medical travel to high-quality providers could improve clinical outcomes and reduce long-term healthcare costs.
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How Do Providers Prioritize Prevention? A Qualitative StudyPrimary care providers utilize many strategies for prioritizing preventive care during time-constrained clinical encounters, in addition to being prompted by clinical reminders.
