Authors
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Race/Ethnicity, Personal Health Record Access, and Quality of CareQuality benefits were equal across racial/ethnic groups with equal personal health record (PHR) use, but nonwhite status and a preference for Spanish language predicted lower PHR registration.
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Office Manager and Nurse Perspectives on Facilitators of Adult ImmunizationFactors significantly associated with adult vaccination rates in primary care practices were patients’ age, race, scheduled well-visit length, and nurses’ vaccination status.
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Health Plan Use of Immunization Information Systems for Quality MeasurementHealth plans may benefit from using a state immunization information system as the primary data source for HEDIS and physician incentive and quality programs.
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Racial Variation in the Cost-effectiveness of Chemotherapy for Prostate CancerThe likelihood of chemotherapy being cost-effective for patients with metastatic prostate cancer differs across racial subgroups. This uncertainty presents challenges for managed-care decision makers.
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A Revised Classification Algorithm for Assessing Emergency Department Visit Severity of PopulationsAn updated emergency visit classification tool enables managers to make valid inferences about levels of appropriateness of emergency department utilization and healthcare needs within a population.
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Shared Medical Appointments for Patients with Type 2 DiabetesGlycemic control in patients with type 2 diabetes was improved through a shared medical appointment program focusing on lifestyle education and behavior change.
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Testing of a Tethered Personal Health Record Framework for Early End-of-Life DiscussionsPilot testing demonstrates the use of a novel, personal health record—based framework used in primary care settings may improve presence and quality of advance care planning documentation in the electronic health record.
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Impact of Formulary Restrictions on Medication Intensification in Diabetes TreatmentFormulary restrictions on brand name noninsulin antihyperglycemic drugs have little impact on treatment intensification patterns among low-income patients with diabetes in Medicare Part D.
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Inpatient Rehabilitation Utilization for Acute Stroke Under a Universal Health Insurance SystemBased on claims data from a universal health insurance system, inpatient stroke rehabilitation use was 34.0% and mainly related to stroke type and stroke severity.
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Predictors of High-Risk Prescribing Among Elderly Medicare Advantage BeneficiariesThis study examines patterns of high-risk prescribing in the elderly Medicare Advantage population and demonstrates that the practice varies widely by geography and drug class.
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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.
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Effects of Documentation-Based Decision Support on Chronic Disease ManagementA trial of electronic note–based decision support showed small effects on management of patients with heart disease and diabetes, mostly because it was infrequently used.
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Trends in Mortality Following Hip Fracture in Older WomenWithin an integrated healthcare setting, temporal trends demonstrate reductions in mortality risk after hip fracture in older women, with mortality risk lower for Asians and Hispanics.
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Reduced Medical Spending Associated With Integrated Pharmacy BenefitsMembers covered by an integrated pharmacy benefit (as opposed to a pharmacy carve-out) experienced slower growth in medical spending.
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Burden of Alzheimer's Disease and Association With Negative Health OutcomesCommunity-based persons with Alzheimer’s disease have a higher risk of fractures, hospitalization, and various comorbidities than persons without the disease.
