Issues
December 2008 EDITORIAL
- Are Patent Expirations the Answer to Improving Patient Adherence?
Donald G. Klepser, PhD, MBA In his Editorial, Dr. Klepser considers the effectiveness and the future of value-based insurance design. Full Text PDF CLINICAL
- Complications of Dysglycemia and Medical Costs Associated With Nondiabetic Hyperglycemia
Gregory A. Nichols, PhD; Bhakti Arondekar, MBA, PhD; and William H. Herman, MD, MPH This study showed that complications add significantly to
the cost of medical care when hyperglycemia levels were
below the threshold for diabetes, and impaired glucose
tolerance independently contributed to costs. Full Text PDF Appendix
- Adherence to Inhaled Corticosteroid Use and Local Adverse Events in Persistent Asthma
Jasmina I. Ivanova, MA; Howard G. Birnbaum, PhD; Matthew Hsieh, BA; Andrew P. Yu, PhD; Brian Seal, PhD; Thys van der Molen, PhD; Srinivas Emani, PhD; Richard A. Rosiello, MD; and Gene L. Colice, MD This study evaluated the association between patientreported and medical recordâ€"abstracted local adverse events and patient-reported and claims-based adherence to inhaled corticosteroid therapy. Full Text PDF MANAGERIAL
- Lowering Copayments: Impact of Simvastatin Patent Expiration on Patient Adherence
Rebecca L. Sedjo, PhD; and Emily R. Cox, PhD Decreasing statin copayments because of the patent
expiration of simvastatin has led to moderate increases in
therapy adherence. Full Text PDF POLICY
- Impact of Specialty Drugs on the Use of Other Medical Services
Geoffrey F. Joyce, PhD; Dana P. Goldman, PhD; Pinar Karaca-Mandic, PhD; and Grant D. Lawless, MD Biologic therapy for rheumatoid arthritis or multiple sclerosis was associated with lower use of some types of medical services within 2 to 3 years of initiation. Full Text PDF
- Benchmarking Physician Performance: Reliability of Individual and Composite Measures
Sarah Hudson Scholle, MPH, DrPH; Joachim Roski, PhD, MPH; John L. Adams, PhD; Daniel L. Dunn, PhD; Eve A. Kerr, MD, MPH; Donna Pillittere Dugan, MS; and Roxanne E. Jensen, BA At least 50 quality events per physician are needed to reach a minimum level of reliability for most quality measures calculated from administrative data. Full Text PDF Appendix Appendix Appendix Appendix TRENDS FROM THE FIELD
- Effects of Telephone Counseling on Antipsychotic Adherence and Emergency Department Utilization
Paul F. Cook, PhD; Suzie Emiliozzi, RN; Corey Waters, MBA; and Dana El Hajj, BSN, RN A telehealth nursing program used psychological counseling techniques to improve antipsychotic medication adherence, leading to reduced emergency department utilization in a managed Medicaid population. Full Text PDF
- The Patient"s Photograph in the Medical Record as a Diagnostic Tool
Avivit Golan-Cohen, MD; Oded Horn, MD; Philip H. Sive, MD; and Shlomo Vinker, MD Two case reports are presented in which previous photographs of the patients appearing in their medical record were of considerable assistance in making the diagnosis. Full Text PDF
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