AJMC
Issue:
October 2010
Volume:
16
Number:
10
CLINICAL
Ameena T. Ahmed, MD, MPH; and Brigid R. McCaw, MD, MPH

Among women diagnosed as having intimate partner violence, odds of mental health utilization were lower among those diagnosed in emergency departments versus primary care clinics.

COMMENTARY
Robert A. Berenson, MD

The Shared Savings Program design is at risk of not providing a sufficiently strong business case to convince provider organizations to change their practice cultures.

FOCUS ON HOSPITAL MEDICINE
Guijing Wang, PhD; Zefeng Zhang, MD, PhD; Carma Ayala, MPH, PhD; Hilary K. Wall, MPH; and Jing Fang, MD

Hospitalization costs associated with heart failure averaged $23,077 and were higher when heart failure was a secondary rather than the primary diagnosis.

Hongsoo Kim, PhD, MPH; Joseph S. Ross, MD, MHS; Gail D. Melkus, EdD, C-NP; Zhonglin Zhao, MD, MPH; and Kenneth Boockvar, MD, MS

This population-based study examines socioeconomic and clinical factors associated with scheduled and unscheduled readmissions after discharge among older patients with diabetes.

Osman I. Ahmed, MD, DrPH; and David J. Rak, MPH

Costly new breast cancer therapies augment the significant burden this disease places on healthcare resources, but in context they may still provide value to society.

MANAGERIAL
Amy R. Wilson, PhD; Xingzhou T. Zhou, MS; Wei Shi, MA; Holly Rodin, PhD; Eric P. Bargman, PhD; Nancy A. Garrett, PhD; and Thomas J. Sandberg, MGIS

Care episodes treated in retail clinics appeared to be less complex than those treated in office settings.

POLICY
Walid F. Gellad, MD, MPH; Chester B. Good, MD, MPH; John C. Lowe, RPh, MBA; and Julie M. Donohue, PhD

Substantial variation in prescription spending and use of brand-name drugs exists across the VA healthcare system, with no apparent relationship to quality of care.

WEB EXCLUSIVE
Douglas R. Woll, MD; and David R. Nelson, FSA, MAAA

A new insurance product based on principles of member and purchaser accountability was adopted rapidly and resulted in several health improvements.

Brett Platte, MHPA; Fevzi Akinci, PhD; and Yunus Guc, MA

A medication reconciliation program is associated with a high rate of perfectly accurate drug profiles and may assist in reducing adverse drug events.

Adrianne C. Feldstein, MD, MS; Nancy A. Perrin, PhD; Robert Unitan, MD; A. Gabriela Rosales, MS; Gregory A. Nichols, PhD; David H. Smith, RPh, MHA, PhD; Jennifer Schneider, MPH; Carrie M. Davino, MD; Yvonne Y. Zhou, PhD; and Nancy Louie Lee, RPh

A panel-support tool in a managed care setting improved the percentage of care recommendations met for patients with diabetes mellitus or cardiovascular disease.