Issues
June 2009 COMMENTARY
- Value Based Insurance Design: Maintaining a Focus on Health in an Era of Cost Containment
A. Mark Fendrick, MD; and Michael E. Chernew, PhD In this commentary, our Co-Editors-in-Chief advocate valuebased principles that align incentives to encourage use of high value services as an important tool in healthcare reform. Full Text PDF CLINICAL
- The Economic Impact of an Urban Asthma Management Program
Michelle M. Cloutier, MD; Scott D. Grosse, PhD; Dorothy B. Wakefield, MS; Tursynbek A. Nurmagambetov, PhD; and Clive M. Brown, MBBS, MPH, MSc An asthma disease management program reduced medical services utilization for urban children and had a potentially positive return on investment for Medicaid managed care plans. Full Text PDF
- Improving the Outcomes of Disease Management by Tailoring Care to the Patient’s Level of Activation
Judith H. Hibbard, DrPH; Jessica Greene, PhD; and Martin Tusler, MS Tailoring coaching to each patient’s activation level may improve clinical indicators and reduce utilization more than the usual disease management coaching. Full Text PDF
- Does a Personalized Approach Improve Patient Satisfaction in Thoracic Oncology?
Francesco Leo, MD, PhD; Davide Radice, PhD; Florence Didier, MA; Felipe Braga Carvalho, MD; Ester Spacca, MSN; Marzia Madini; Chiara Esposito; Marianna Agnello, MSN; Sara Meneghin; and Lorenzo Spaggiari, MD, PhD Evaluation of cancer patients’ quality of life at admission enabled improvement of their satisfaction with received care at discharge. Full Text PDF POLICY
- Treatment Decisions for Complex Patients: Differences Between Primary Care Physicians and Midlevel Providers
Usha Subramanian, MD, MS; Eve A. Kerr, MD, MPH; Mandi L. Klamerus, MPH; Brian J. Zikmund-Fisher, PhD; Robert G. Holleman, MPH; and Timothy P. Hofer, MD, MSc Midlevel providers were significantly less likely than physicians to change blood pressure (BP) treatment for complex diabetic patients presenting with elevated BP at a single visit. Full Text PDF Appendix REVIEW ARTICLE
- Interactive Voice Response Systems for Improving Delivery of Ambulatory Care
Natalie Oake, MSc; Alison Jennings, MA; Carl van Walraven, MD, FRCPC, MSc; and Alan J. Forster, MD, FRCPC, MSc A systematic review of interactive voice response system studies showed that these interventions significantly benefit adherence to various processes of care. Full Text PDF Appendix Appendix TRENDS FROM THE FIELD
- Managed Care and Physicians’ Perceptions of Drug Formulary Use
Hai Fang, PhD, MPH; and John A. Rizzo, PhD This article examines the changing effects of managed care on prescription drug formulary use in the United States. Full Text PDF WEB EXCLUSIVE CONTENT
- Effect of Medication Dosing Frequency on Adherence in Chronic Diseases
Sameer D. Saini, MD, MS; Philip Schoenfeld, MD, MSEd, MSc; Kellee Kaulback, MISt; and Marla C. Dubinsky, MD Medication adherence is important in chronic disease management. This systematic review demonstrates that dosing frequency has important effects on medication adherence. Full Text PDF
- Is Integration in Large Medical Groups Associated With Quality?
Leif I. Solberg, MD; Stephen E. Asche, MA; Stephen M. Shortell, PhD, MBA, MPH; Robin R. Gillies, PhD; Nancy Taylor, MBA; L. Gregory Pawlson, MD, MPH;
Sarah Hudson Scholle, DrPH, MPH; and M. Rashell Young, MBA, MPH Integrated care systems allegedly provide better care. This study of 97 large medical groups nationally provides suggestive evidence that this may be true. Full Text PDF
|
|