Authors
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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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The Personal Financial Burden of Cancer for the Working-Aged PopulationBeing actively treated for cancer increases the mean annual out-of-pocket medical expenditures by $1170 compared with not having cancer.
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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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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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Impact of Trained Oncology Financial Navigators on Patient Out-of-Pocket SpendingHospitals that used trained financial navigators were able to provide financial assistance for their patients with cancer, providing access to care that would otherwise be unaffordable.
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Annual Diabetic Eye Examinations in a Managed Care Medicaid PopulationWe assessed challenges and barriers to annual diabetic eye examinations for a managed care Medicaid population and make recommendations to improve population-level screening.
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Evaluation of Electronic Medical Record Administrative Data Linked Database (EMRALD)The combination of electronic medical record data and administrative data provides the fullest picture of patient health histories.
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CHAPTER 3. Guideline for Detection and Management of Diabetes in PregnancyFrom the Adult Diabetes and Clinical Research sections, Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts
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Oral Anticoagulant Discontinuation in Patients With Nonvalvular Atrial FibrillationThe risk of discontinuation of oral anticoagulant therapy (both warfarin and direct oral anticoagulant therapies [DOACs]) among nonvalvular atrial fibrillation patients was high. Although the hazard ratio for discontinuation favors DOACs, it is unlikely that the small difference in discontinuation relative to warfarin is clinically meaningful.
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Toward Tailored Disease Management for Type 2 DiabetesThe heterogeneous nature of care processes and patients should be taken into account in both the design and evaluation of disease management programs for diabetes.
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Toward Tailored Disease Management for Type 2 DiabetesThe heterogeneous nature of care processes and patients should be taken into account in both the design and evaluation of disease management programs for diabetes.
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Direct Oral Anticoagulant Prescription Trends, Switching Patterns, and Adherence in Texas MedicaidDirect oral anticoagulants (DOACs) are associated with increased prescription costs. Actual practice data show a high switch rate and poor adherence among DOAC initiators that need to be addressed.
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Medical Home Transformation and Breast Cancer ScreeningBreast cancer screening may not improve in early medical home implementation.
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Hospital Cancer Pain Management by Electronic Health Record–Based Automatic ScreeningA cancer pain control program for inpatients based on electronic health record–based automatic screening provided effective pain relief and achieved high satisfaction among patients and physicians.
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Evaluation of Value-Based Insurance Design for Primary CareThe removal of cost sharing increased primary care access and did not negatively affect total cost of care.
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Benchmarking Health-Related Quality-of-Life Data From a Clinical SettingHealth-related quality-of-life data are often collected during routine clinical care. We present a method to create nationally representative benchmarks for clinical subspecialties.
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Managed Care and Cancer Outcomes for Medicare Beneficiaries With DisabilitiesThis study showed better outcomes for disabled Medicare patients with breast cancer but not those with lung cancer when they were enrolled in HMOs.
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Adaptation of an Asthma Management Program to a Small ClinicThe authors adapted a successful large-scale, specialist-run asthma management program to an existing multi-specialty clinic utilizing existing resources and achieving similar outcomes.
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Which Components of Health Information Technology Will Drive Financial Value?This framework suggests new meaningful use measures and guidance for prioritizing implementation of different health information technology functionalities, based on their expected financial effects.
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Time to Fecal Immunochemical Test Completion for Colorectal CancerTargeted interventions by patient characteristics to improve fecal immunochemical test completion could reduce disparities in colorectal cancer screening and improve overall compliance with screening recommendations.
