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Community Pharmacy Automatic Refill Program Improves Adherence to Maintenance Therapy and Reduces Wasted MedicationEvaluation of a national retail pharmacy automatic refill program for patients on medication for chronic disease demonstrated significantly improved patient adherence and reduced medication oversupply.
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Adherence to Osteoporosis Medications After Patient and Physician Brief Education: Post Hoc Analysis of a Randomized Controlled TrialPost hoc analysis of a randomized controlled trial found that a 1-session educational intervention targeted at patients and primary care physicians did not improve osteoporosis medication adherence.
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Molecular Testing Patterns in Metastatic Non—Small Cell Lung CancerAssessment of the timing of histologic and molecular testing indicates that testing occurred prior to treatment initiation for most patients with metastatic non—small cell lung cancer.
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Health Equity in the Era of Large Language ModelsThis article presents challenges and solutions regarding health care–focused large language models (LLMs) and summarizes key recommendations from major regulatory and governance bodies for LLM development, implementation, and maintenance.
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Economic Evaluation of Plerixafor for Stem Cell MobilizationUse of granulocyte colony-stimulating factor plus plerixafor for stem cell mobilization is cost-effective in pretreated patients with non-Hodgkin lymphoma.
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Multi-Payer Advanced Primary Care Practice Demonstration on Quality of CareAn evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration found mixed results in terms of quality of care provided to Medicare and Medicaid beneficiaries.
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Real-World Economic Value of a 21-Gene Assay in Early-Stage Breast CancerUniversal gene expression profiling of patients with stage II breast cancer resulted in outpatient savings of $11,000 (inclusive of testing costs) within 6 months of initiation of medical therapy.
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Preventive Care and Health Behaviors Among Overweight/Obese Men in HMOsHealthcare organizations may reduce weight-related health risks and disparities in care among overweight/obese patients through promoting cancer screening exams, healthier diets, and physical activity.
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The Relationship Between Adherence and Total Spending Among Medicare Beneficiaries With Type 2 DiabetesThis study describes a widespread variation in medication adherence, pharmacy cost sharing, and medical spending. Increased cost sharing may decrease adherence and increase total diabetes spending.
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Impact of MMRV Combination Vaccine on Childhood Vaccination ComplianceAlthough vaccination compliance increased slightly following use of combination MMRV instead of separate MMR and varicella vaccines, additional barriers to improved compliance warrant future evaluation.
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Implementing Effective Care Management in the Patient-Centered Medical HomeA positive deviance approach was used to identify best practices in embedding care management in patient-centered medical home team-based care processes.
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Cervical Cancer Screening Overuse and Underuse: Patient and Physician FactorsCervical cancer screening underuse and overuse occur commonly in clinical practice and identifiable patient and physician factors can be targeted for quality improvement.
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Antihypertensive Medication Adherence and Subsequent Healthcare Utilization and CostsRetrospective analysis of antihypertensive medication adherence and subsequent total healthcare costs demonstrated a significant, continuous, and inversely proportional effect of adherence on total healthcare costs.
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Patients' Adoption of and Feature Access Within Electronic Patient PortalsWe found race and age disparities not only in who adopted patient portal technology but also in which features were accessed by those who were adopters.
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Value-Based Insurance Design in Louisiana: Blue Cross Blue Shield’s Zero Dollar Co-pay ProgramEnrollment in a value-based insurance design program that eliminated pharmacy co-pays for 4 chronic disease drug classes was associated with a large decline in health care spending.
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Delayed Radiotherapy for Breast Cancer Patients in Integrated Delivery SystemsAmong older women in 5 integrated delivery systems, 14% experienced delayed radiotherapy for breast cancer, even though they had insurance and access to care.
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Hypertension Control in Ambulatory Care Patients With DiabetesThis paper explores hypertension control among patients with diabetes in a variety of ambulatory care settings. We also consider the role of sociodemographic factors.
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Providers' Perspective on Diabetes Case Management: A Descriptive StudyProviders do not consider nurse case managers as professional identity threats in co-managing patients with diabetes and cardiovascular risk factors.
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US Hospital Engagement in Core Domains of InteroperabilityA national assessment of hospital engagement in key domains of interoperability, characteristics associated with engagement in interoperability, and the relationship between interoperability and provider access to clinical data.
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Medicaid Managed Care Reduces Readmissions for Youths With Type 1 DiabetesAn analysis of the largest cohort available reveals that youths with type 1 diabetes, on a Medicaid managed care plan, are less likely to be readmitted within 90 days of discharge.
