Authors
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High-Deductible Health Plans and Costs and Utilization of Maternity CareHigh-deductible benefit design was associated with increased out-of-pocket costs for maternity care, but had no adverse impacts on receipt of recommended prenatal and postpartum care.
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Measuring Concurrent Adherence to Multiple Related MedicationsThis study compares the performance of several definitions of concurrent adherence to related medications.
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Chronic Pain as a Driver of Cost in ACO ArrangementsA discussion of chronic pain prevalence, care obstacles, and potential opportunities for care improvement within the accountable care organization context at University of California, San Francisco Health.
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Are Primary Care Physicians Ready to Practice in a Consumer-Driven Environment?National survey reveals primary care physicians have low knowledge of consumer-directed health plans and limited readiness to engage patients on issues of cost and quality.
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BOOK REVIEW: One Oncologist's Journey With a Patient to the Outcome We All FaceEditor's Note: A book by Kashyap Patel, MD, reviewed in the April issue of Evidence-Based Oncology™, was previously titled, Dying Without Fear. Due to a change by the publisher, Penguin Random House India, the book is now titled Between Life and Death: From Despair to Hope. The book is available August 1, 2020 This review has been updated to reflect the change in the book's title.
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Primary Care Strength Linked to Prevention Programs for Cardiovascular DiseaseAn observational study of 42 successful programs to improve primary care management of cardiovascular risk showed the impact of a strong primary care system.
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Bill Addressing Sickle Cell Disease/Heritable Blood Disorders Signed Into LawThe Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2018, which reauthorizes a sickle cell disease prevention and treatment program and provides grants for research, surveillance, prevention, and treatment of heritable blood disorders, has passed Congress and been signed into law.
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Partnering With Patients to Rapidly Develop a Quality-of-Life Measure in Mycosis Fungoides/Sézary Syndrome Type Cutaneous T-cell LymphomaThe field of measurement in Mycosis Fungoides/Sézary syndrome type cutaneous T-cell lymphoma lacked a specific quality-of-life measure to describe patient experience or guide treatment decisions. Using an online platform with an engaged patient community, we developed and psychometrically validated a new measure in just under a year.
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Evidence Gaps in Advanced Cancer Care: Community-Based Clinicians' Perspectives and Priorities for CERComparative effectiveness research and pragmatic clinical trials are valued methods to address the limitations of traditional randomized trials, answer questions of cost-effectiveness or noninferiority, and inform data-driven dialogue and decision making by stakeholders.
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The Role of Race, Ethnicity, and Language in Care TransitionsDiverse patients experience disparities in care transitions. A survey of 224 patients showed differences by race, ethnicity, and language in technology access and in patient worries post discharge.
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Costs for a Health Coaching Intervention for Chronic Care ManagementOn average, the health coach intervention cost $483 per participant per year. There was no evidence that the coaching intervention saved money at 1 year.
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Collaborative Care Before Accountable Care: Achieving Low-Cost, High-Quality Care Through a Regional Collaborative in FloridaAs accountable care organizations proliferate across the nation, delivery systems still struggle to balance quality improvement, cost containment, and migration toward accountable care. This paper describes the phased approach where the University of Florida Health Science Center and Shands Teaching Hospital and Clinics, Inc, and Orlando Health have jointly developed a series of clinical and health services that are of the highest quality and are offered at the lowest cost. The result is a regional collaborative that will be the foundation for a regional accountable care organization, first leveraging clinical core competencies, then moving to a more integrated model.
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Automating Care Quality Measurement With Health Information TechnologyThe authors discuss the design and evaluation of a health information technology platform that enables comprehensive, automated assessment of care quality in electronic medical records.
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Recent Cohorts Aging Into Medicare Use More Counseling and Psychotherapy Than Past CohortsAdults currently aging into Medicare utilized counseling and psychotherapy services at higher rates than those in prior cohorts at the same age.
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Risk Stratification for Return Emergency Department Visits Among High-Risk PatientsThe authors examined 2 high-risk classification methods to compare and contrast the patient populations, and to identify the preferred method for predicting subsequent emergency department visits.
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Risk Stratification for Return Emergency Department Visits Among High-Risk PatientsThe authors examined 2 high-risk classification methods to compare and contrast the patient populations, and to identify the preferred method for predicting subsequent emergency department visits.
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Pharmacogenetic-Guided Psychiatric Intervention Associated With Increased Adherence and Cost SavingsPharmacy and medical claims data showed that patients whose clinicians had access to pharmacogenetic test results had increased adherence and overall cost savings.
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Effectiveness and Cost of Influenza Vaccine Reminders for Adults With Asthma or Chronic Obstructive Pulmonary DiseaseInteractive voice response reminders had neither a positive nor a negative effect on promoting influenza vaccination over reminders via postcards, but are a potentially less expensive option.
