Authors
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Do Health Systems Respond to the Quality of Their Competitors?The authors determined whether Minnesota health systems responded to competitors’ publicly reported performance. Low performers fell further behind high performers, suggesting that reporting was not associated with quality competition.
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Concentration of High-Cost Patients in Hospitals and MarketsHigh-cost patients are only modestly concentrated in specific hospitals and healthcare markets.
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Medicaid Beneficiaries With Congestive Heart Failure: Association of Medication Adherence With Healthcare Use and CostsHigher medication adherence among Medicaid beneficiaries with congestive heart failure was associated with lower healthcare utilization and lower costs, and the relationship to costs was graded.
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Patient-Centered Outcome Assessment May Lead to Different Conclusions and Different Treatment DecisionsMost illnesses today are measured in terms of their effects on daily activities, but who do not always consider the outcomes based on the patient's perspectives. Many clinical studies instead apply standardized measures that identify quality of life as an important outcome. Advancing research methodologies, including new approaches to clinical research, should inform this discussion by centering medical decision making on the preferences of the most important stakeholder-the patient.
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Clinical and Economic Outcomes After Introduction of Drug-Eluting StentsIntroduction of drug-eluting stents resulted in improved clinical outcomes for patients and reduced overall procedural costs.
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Inefficiencies in Osteoarthritis and Chronic Low Back Pain ManagementThis study identified inefficiencies in drug and medical service utilization related to pain management among Medicare members with osteoarthritis and chronic low back pain.
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Real-World Impact of Comparative Effectiveness Research Findings on Clinical PracticeThe authors found no consistent pattern in the concordance between CER evidence and subsequent utilization patterns.
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A Web-Based Clinical Decision Support System for Depression Care ManagementThis article describes the development and capabilities of a Webbased decision support system for care managers working in the context of the chronic care model.
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Use of Web-Based Shared Medical Records Among Patients With HIVUse of online shared records was higher among HIV patients who had indicators of recent increases in healthcare needs and lower among several vulnerable populations.
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Adherence to Statins and LDL-Cholesterol Goal AttainmentThis study examined adherence to statins and low-density lipoprotein cholesterol goal attainment in patients with coronary artery disease.
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Association of Decision Support for Hospital Discharge Disposition With OutcomesThe use of clinical decision support for hospital discharge disposition was associated with a reduction in spending and readmissions without negatively affecting emergency department use.
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Long-Acting Beta-Agonist Monotherapy Among Children and Adults With AsthmaLong-acting B-agonist (LABA) monotherapy among patients with asthma is rare. Of those with continued LABA monotherapy, most had missed opportunities for therapy change or education.
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Identifying High-risk Asthma With Utilization Data: A Revised HEDIS DefinitionA revised HEDIS definition of high-risk asthma more precisely identifies patients with functional impairment and higher healthcare utilization who might benefit from case management.
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Economic Assessment of Initial Maintenance Therapy for Chronic Obstructive Pulmonary DiseaseCompared with ipratropium alone, fluticasone/salmeterol combination therapy resulted in better clinical outcomes and similar or lower treatment costs in all COPD populations studied.
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Multipayer Primary Care Transformation: Impact for Medicaid Managed Care BeneficiariesThe Michigan Primary Care Transformation project generated cost savings among adults in Medicaid managed care, particularly high-risk adults, while largely maintaining quality of care.
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Long-term Cost Effects of Collaborative Care for Late-life DepressionOlder adults with depression and comorbidities who participated in a 12-month collaborative care program had lower total healthcare costs over 4 years than those in care as usual.
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The Correlation of Family Physician Work With Submitted Codes and FeesThis observational study shows that clinical work performed by family physicians correlates poorly with common codes and fees under the existing coding and billing rules.
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Comprehension and Choice of a Consumer-Directed Health Plan: An Experimental StudyThis study highlights the difficulty many consumers have in understanding comparative plan information. It also suggests that presentation strategies may help consumers understand choices better.
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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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Health Systems and Telemedicine Adoption for Diabetes and Hypertension CareSmall practices reduced their use of telemedicine during early stages of the COVID-19 pandemic. Technical support may help expand and maintain telemedicine in small practices.
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Electronic Health Records, Clinical Decision Support, and Blood Pressure ControlPhysician use of EHRs with CDS is associated with increased blood pressure control and lower mean systolic blood pressure across US primary care visits.
