Authors
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Cost Per Response Analysis of Strategies for Chronic Immune ThrombocytopeniaThis decision tree model estimates the cost per response and incremental cost per additional responder for romiplostim, eltrombopag, and “watch and rescue” for immune thrombocytopenia.
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Clinician Characteristics Associated With Fluoride Varnish Applications During Well-Child VisitsClinicians treating a higher percentage of patients insured by Medicaid and patients younger than 5 years were more likely to apply fluoride varnish.
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Medicaid Prior Authorization and Opioid Medication Abuse and OverdoseEnrollees in Medicaid plans employing prior authorization policies for opioid medications may have lower rates of opioid medication abuse and overdose.
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The Long-term Social Value of Granulocyte Colony-Stimulating FactorsAlthough currently underutilized, granulocyte colony-stimulating factor prophylaxis as supportive cancer care provides substantial value to society. Aligning utilization with clinical guidelines would increase this value considerably.
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Health Information Exchange and the Frequency of Repeat Medical ImagingUsage of a health information exchange system at the point of care reduced the occurrence of repeat imaging procedures in a multi-payer community sample.
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Does Telephone Care Management Help Medicaid Beneficiaries With Depression?Telephone care management increased mental health service use for Medicaid beneficiaries with depression but did not reduce depression severity. More intensive services may be needed.
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Care Models for Complex Patients Face Barriers to Wider AdoptionWhile care models are being designed to improve outcomes and reduce costs for complex needs patients, there is only modest evidence of their impact and there are a number of barriers to wider adoption of these care models in practice.
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Reframing the Unaffordability Debate: Patient Responsibility for Physician CareDespite concerns about rising patient costs for expensive care, we find that many patients face only moderately rising costs for physician care.
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Personalized Preventive Care Reduces Healthcare Expenditures Among Medicare Advantage BeneficiariesThis study investigated the impact of an enhanced preventive care delivery system on healthcare expenditure and utilization trends among Medicare Advantage beneficiaries.
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True "Meaningful Use": Technology Meets Both Patient and Provider NeedsA qualitative study of patient and provider perspectives regarding the after-visit summary and the patient portal features of the electronic health record.
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Does Comparing Cesarean Delivery Rates Influence Women’s Choice of Obstetric Hospital?This randomized controlled trial finds that a hospital cesarean delivery rate comparison tool affects women’s perceptions but not where they choose to deliver.
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Potentially Preventable Hospitalizations Among Older Adults With DiabetesA population-based data set was used to examine prevalence of and factors associated with acute and chronic potentially preventable hospitalizations among older adults with diabetes.
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Impact of Telephonic Comprehensive Medication Reviews on Patient OutcomesDiscussion of current literature regarding the impact of telephonically delivered comprehensive medication reviews on patient outcomes, including mortality rates, hospital readmission rates, and healthcare expenditures.
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Characterizing Patient Flow After an Academic Hospital Merger and AcquisitionThis study assessed health care utilization and patient flow after a recent merger of community practices, a community hospital, and an academic medical center.
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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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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.
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Impact of Positive Airway Pressure Among Obstructive Sleep Apnea PatientsThe hospitalization risks and costs of positive airway pressure were evaluated among patients with obstructive sleep apnea in a real-world setting.
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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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Impact of Expanded Carrier Screening on Health Care UtilizationThis study shows little evidence of harms or increased health care utilization for people receiving negative (normal) results of expanded carrier screening through genome sequencing.
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Catheter Management After Benign Transurethral Prostate Surgery: RAND/UCLA Appropriateness CriteriaThis manuscript synthesizes findings from a multidisciplinary panel following the RAND/UCLA Appropriateness Method to guide standardization of urinary catheter use after transurethral prostate surgery.
