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Does Paid Versus Unpaid Supplementary Caregiving Matter in Preventable Readmissions?Home health beneficiaries with diabetes using paid supplementary caregivers had 68% higher hazards of readmission due to urinary tract infection than those with unpaid supplementary caregivers.
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Beyond Satisfaction Scores: Exploring Emotionally Adverse Patient ExperiencesThis study explores the causes of emotionally adverse patient experiences in cancer care and presents a taxonomy for analyzing free-text patient data.
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Changing Trends in Type 2 Diabetes Mellitus Treatment Intensification, 2002-2010Glycemic control can lower the risk of diabetes-related complications, and delayed treatment intensification can impede optimal diabetes care.This study examines trends in hyperglycemia treatment intensification between 2002 and 2010.
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Racial/Ethnic and Age Disparities in Chemotherapy Selection for Colorectal CancerAmong Medicare enrollees with metastatic colorectal cancer, the use of newer chemotherapy agents was lower for African American patients and for older patients.
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Pediatric Integrated Delivery System's Experience With Pandemic Influenza A (H1N1)Experience of a pediatric integrated delivery system with the surge from the 2009 H1N1 pandemic is described, emphasizing scale, scope, and flexibility at multiple locations.
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Depression Self-Management Assistance Using Automated Telephonic Assessments and Social SupportAutomated patient support calls with feedback to informal caregivers and clinicians represent a viable strategy for increasing access to depression monitoring and self-management assistance.
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Hepatitis C Care Cascade Among Persons Born 1945-1965: 3 Medical CentersIn this analysis of patients with newly diagnosed hepatitis C, linkage to care was largely successful in the 1945-1965 birth cohort, but treatment initiation remained low. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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Early Provider Perspectives Within an Accountable Care OrganizationThe authors’ survey of providers in a new accountable care organization reports that initial perceptions of this care model are ambivalent and vary among participating practices.
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Geographic Access to Endocrinologists for Florida's Publicly Insured Children With DiabetesEnrollment, claims, and spatial data are used to demonstrate the importance of outreach strategies for families in rural areas who have children with diabetes. Spatial barriers, alone, do not fully elucidate racial/ethnic disparities in pediatric diabetes for street-level location. (For Tables and the Figure, please access the PDF on the last page.)
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Costs of Heart Failure-Related Hospitalizations in Patients Aged 18 to 64 YearsHospitalization costs associated with heart failure averaged $23,077 and were higher when heart failure was a secondary rather than the primary diagnosis.
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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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Partnering in Postacute Darkness? CMS Has Data That Will HelpHealth systems will improve postacute outcomes when CMS begins sharing its performance data on nursing facility chains.
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Bridging the Divide Between Physicians and Administrators During COVID-19This article describes the tension that the coronavirus disease 2019 (COVID-19) pandemic brought up between administrators and physicians and offers a potential set of solutions to deal with it.
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Optimal Approach to Improving Trauma Triage Decisions: A Cost-Effectiveness AnalysisTo set priorities for quality improvement in trauma triage, we compared the cost-effectiveness of current practice with interventions to improve physician adherence to clinical guidelines.
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Hypertension Control in Ambulatory Care Patients With DiabetesThis paper explores hypertension control among patients with diabetes in a variety of ambulatory care settings. We also consider the role of sociodemographic factors.
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EMR-Based Medication Adherence Metric Markedly Enhances Identification of Nonadherent PatientsIntegration of written-prescription data into medication adherence measures doubled the number of patients identified as nonadherent and improved prediction of follow-up LDL cholesterol.
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Geographic Access to Endocrinologists for Florida's Publicly Insured Children With DiabetesEnrollment, claims, and spatial data are used to demonstrate the importance of outreach strategies for families in rural areas who have children with diabetes. Spatial barriers, alone, do not fully elucidate racial/ethnic disparities in pediatric diabetes for street-level location. (For Tables and the Figure, please access the PDF on the last page.)
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Considerations for Optimal Management of Patients With Pulmonary Arterial Hypertension: A Multi-Stakeholder Roundtable DiscussionStakeholders, including national and regional managed care decision makers and providers, met to discuss the clinical background, health economics, and management strategies for pulmonary arterial hypertension (PAH) at a roundtable meeting on December 10, 2016, in Dallas, Texas.
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Hospitalized Patients' and Family Members' Preferences for Real-Time, Transparent Access to Their Hospital RecordsThis mixed-methods study evaluated hospitalized patients’ and family members’ perceived communications mismatches and their calls for transparent real-time information and potential 21st-century solutions.
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Diabetes Care Quality: Insurance, Health Plan, and Physician Group ContributionsReporting physician group performance in addition to health plan performance may stimulate greater improvement in diabetes care.
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The Utility of Cost Discussions Between Patients With Cancer and OncologistsMany patients with cancer desire cost discussions with doctors, but those discussions are rare. Nevertheless, cost discussions may lower patient costs-usually without altering treatment.
