Authors
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The Patient’s Photograph in the Medical Record as a Diagnostic ToolTwo case reports are presented in which previous photographs of the patients appearing in their medical record were of considerable assistance in making the diagnosis.
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Disease Management Programs: Barriers and BenefitsPerceived barriers and benefits to implementing disease management programs among Israeli healthcare leaders could assist other countries faced with increasing numbers of chronically ill patients.
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Outcomes and Lessons Learned From Evaluating TRICARE's Disease Management ProgramsFindings from TRICARE's disease management programs for asthma, congestive heart failure, and diabetes patients suggest that the programs more than pay for themselves.
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Evaluation of Human Immunodeficiency Virus and Hepatitis C Telemedicine ClinicsIn an integrated health system, human immunodeficiency virus and hepatitis C telemedicine clinics are associated with improved access, high patient satisfaction, and reduction in health visit“related time.
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Discontinuation of New Hepatitis C Drugs Among Medicare PatientsReal-world discontinuation of hepatitis C drugs was low, but it was 3 times more likely than in clinical trials and varied by patient characteristics.
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Chronic Overlapping Pain Conditions and Long-term Opioid TreatmentLittle is known about opioid prescribing patterns in patients with chronic overlapping pain conditions. This study suggests target populations for interventions to manage chronic pain.
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Cost Savings Associated With Electronic Specialty ConsultationsThis retrospective cohort evaluation found that patients receiving electronic, compared with face-to-face, specialty consultation had significantly lower health care costs for at least 3 months.
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Effective Care Management by Next Generation Accountable Care OrganizationsA complex care management program implemented at 5 Next Generation accountable care organizations reduced all-cause inpatient admissions and total medical expenditures for participating beneficiaries.
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Value-Based Pricing: The Role of Outcomes Data in Pricing ModelsData about escalating prices for cancer drugs laid the groundwork for the panel that followed, where Michael E. Chernew, PhD, Harvard health economist and co-editor-in-chief of The American Journal of Managed Care, outlined how changing the paradigm will require a different kind of shopping.
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Care Coordination Measures of a Family Medicine Residency as a Model for Hospital Readmission ReductionUtilization of the AHRQ Re-engineering Discharge model for Hospital Readmission Reduction produced marked readmission reduction in a Family Medicine residency with a 31% Medicaid population, through cooperation and care coordination between inpatient and outpatient settings.
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Adherence to Inhaled Corticosteroid Use and Local Adverse Events in Persistent AsthmaThis study evaluated the association between patient-reported and medical record–abstracted local adverse events and patient-reported and claims-based adherence to inhaled corticosteroid therapy.
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Care by Cell Phone: Text Messaging for Chronic Disease ManagementCell phone“based text messaging may be used to feasibly support chronic disease management and engagement in diabetes self-care behaviors for some patients.
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Gender Differences in Prescribing of Zolpidem in the Veterans Health AdministrationWe found inappropriate prescribing of zolpidem, in terms of both guideline-discordant dosage and coprescribing with benzodiazepines, with female veterans affected more than male veterans.
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Patients' Perspectives of Care Management: A Qualitative StudyRisk-stratified care management is a cornerstone of patient-centered medical home models, but studies on patients’ perspectives of it are scarce. We explored patients’ experiences with care management, what they found useful, and what needs improvement.
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Medication Use, Emergency Hospital Care Utilization, and Quality-of-Life Outcome Disparities by Race/Ethnicity Among Adults With AsthmaAfrican Americans had more asthma-specific emergency care utilization, and African Americans and Native Americans/Aleutians/Eskimos were more likely to report lower asthma-specific quality-of-life scores, than whites.
