Authors
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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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The Challenges of Consumerism for Primary Care PhysiciansImplementation of retail health consumer tactics in primary care poses challenges for primary care doctors that must be recognized and addressed.
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Measures of ED Utilization in a National Cohort of ChildrenThrough analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.
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Employers Should Disband Employee Weight Control ProgramsNo corporate weight control program has ever reported savings or even sustained weight loss using valid metrics across a sizable population for 2 years or more, accounting for dropouts and nonparticipants. Further, these programs can harm morale and even the health of the employees themselves.
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Overdose Risk for Veterans Receiving Opioids From Multiple SourcesAmong veterans in Massachusetts, receipt of opioids from multiple sources, with or without benzodiazepines, was associated with worse opioid-related outcomes.
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Treatment Barriers Among Younger and Older Socioeconomically Disadvantaged SmokersA conceptual framework was used to examine the influence of healthcare provider and psychosocial barriers on treatment utilization among younger and older socioeconomically disadvantaged smokers.
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Healthcare Professionals’ Perceptions of Challenges to Chronic Pain ManagementHealthcare professionals report pain management barriers across system, provider, and patient levels, highlighting the need to consider chronic pain as a chronic condition that warrants coordinated approaches.
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Cost-Effectiveness of Pneumococcal and Influenza Vaccination Standing Order ProgramsImproving influenza and pneumococcal vaccination rates through outpatient standing order programs, which allow vaccination without physician orders, is economically favorable in older Americans.
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Cost-Effectiveness of Pharmacist Postdischarge Follow-Up to Prevent Medication-Related AdmissionsA multivariable sensitivity analysis conducted on a pharmacy follow-up program of high-risk patients demonstrated cost savings to hospitals in 98.3% of head-to-head trials across 1000 hypothetical hospitals.
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Cost Sharing for Antiepileptic Drugs: Medication Utilization and Health Plan CostsIncreased out-of-pocket costs for antiepileptic drugs were associated with decreased adherence, higher healthcare utilization, and higher spending among US commercial health plan beneficiaries with epilepsy.
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Service Line Care Delivery Model for COVID-19 Patient-Centric CareThe authors provide steps hospitals can take to align their care delivery model to effectively meet the demands of a public health crisis such as the current pandemic.
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The Financial Impact of Team-Based Care on Primary CareAlthough team-based care improved cardiovascular disease risk factors, it had a negative financial impact on a primary care practice.
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A Mid-South Chronic Disease Registry and Practice-Based Research Network to Address DisparitiesThe authors report the experience of one of the first Southern US communities to develop a comprehensive health care data repository for tracking processes and outcomes of care and identifying areas of greatest need.
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From Bench to Community Oncology Clinic: The Promise of ImmunotherapyCommunity oncologists will be at the forefront of using immunotherapies and will need to be strong advocates for greater information and affordability of therapies.
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Part D Beneficiaries’ Incentives and Responses Under Preferred Pharmacy NetworksUnder preferred pharmacy networks, unsubsidized Part D beneficiaries faced substantial incentives and moderately switched toward preferred pharmacies, whereas subsidized beneficiaries were insulated and demonstrated little switching.
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Multilevel Predictors of Colorectal Cancer Screening Use in CaliforniaWe studied contextual factors and found that locality, availability of primary care, and HMO membership influenced use of colorectal cancer screening in California.
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Treatment of Diabetes Mellitus: The Urgent Need for Multifactorial InterventionsThe pandemic of type 2 diabetes mellitus requires implementation of multifactorial interventions by clinicians for individual patients and policy makers for the health of the general public.
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Randomized Trial of an Electronic Asthma Monitoring System Among New York City ChildrenChildren who used an electronic monitoring system had as many emergency department visits and hospitalizations for asthma as children who used a paper diary.
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Amazing Grace: A Free Clinic's Transformation to the Patient-Centered Medical Home ModelDespite many barriers, Grace Medical Home, a free clinic, achieved patient-centered medical home recognition in October 2014 through a focused team-based approach.
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Innovative Approach to Patient-Centered Care Coordination in Primary Care PracticesDescription of a program embedding nonlicensed care coordinators in primary care practices including training, interventions, and the effect of the program on emergency department visits.
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A System-Based Intervention to Improve Colorectal Cancer Screening UptakeUsing an electronic health record to identify and implement colorectal cancer screening in a population of eligible patients achieved higher uptake than a visit-based approach.
