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Inflammatory Bowel Disease Readmissions Are Associated With Utilization and ComorbidityThirty-day readmissions related to inflammatory bowel disease are common and associated with longer length of stay and a higher likelihood of having an associated comorbid condition compared with index hospitalizations.
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Addressing the Gap in Precision MedicineWe need the development of new, complex biomarkers to address the increasing complexity in treatment modalities that, in and of themselves, have characteristics of a continuous variable; they require innovation and outcomes data, which perhaps will be partly addressed by some of the emerging real-world evidence databases amassed by pairing sequence information and clinical outcomes. Tumor mutational burden is a great example of this innovation in practice.
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True "Meaningful Use": Technology Meets Both Patient and Provider NeedsA qualitative study of patient and provider perspectives regarding the after-visit summary and the patient portal features of the electronic health record.
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Impact of Clinical Pharmacy Services on Outcomes and Costs for Indigent Patients With DiabetesClinical pharmacy specialists impact patient care through improvements in clinical outcomes for diabetes, hypertension, and dyslipidemia via clinical interventions and promotion of medication adherence.
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Case Study of Linking Dental and Medical Healthcare RecordsAn n - 1 deterministic linkage strategy was used successfully to merge dental and medical data from a healthcare plan and a dental insurance carrier.
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Achieving a Culture of Health: Steps for Engaging State GovernmentBased on findings from a 2-state exploratory study, the authors articulate research-informed action steps for promoting state government roles in the pursuit of a culture of health.
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US Payer Perspectives on Evidence for Formulary Decision MakingTo improve formulary design processes and support payers in providing more effective healthcare, policy makers should consider involving commercial payers in the development of comparative effectiveness research and creation of research and treatment guidelines.
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Time to Fecal Immunochemical Test Completion for Colorectal CancerTargeted interventions by patient characteristics to improve fecal immunochemical test completion could reduce disparities in colorectal cancer screening and improve overall compliance with screening recommendations.
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Patient Experience and Physician/Staff Satisfaction in Transforming Medical HomesBecoming a medical home appears to increase physician and staff job satisfaction, but it also risks decreasing patient satisfaction with access to care.
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Factors of Hyperlipidemia Medication Adherence in a Nationwide Health PlanMedication adherence in hyperlipidemia remains poor on a nationally representative level. Predictors of medication adherence from a nationally representative commercial health plan are reported.
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Six Sigma Approach to Reduce Door-to-Balloon Time for Patients With STEMISpecific measures using a Six Sigma approach led to sustained reduction of door-to-balloon times among patients with ST-segment elevation myocardial infarction (STEMI) in a community setting.
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Cost-Offset Analysis: Bimatoprost Versus Other Prostaglandin Analogues in Open-Angle GlaucomaTreatment of glaucoma with bimatoprost is associated with cost savings compared with treatment with latanoprost or travoprost because of greater intraocular pressure reduction.
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Healthcare Information Technology Interventions to Improve Cardiovascular and Diabetes Medication AdherenceDespite increasing availability of healthcare information technology, a literature review showed few clinical data on medication adherence interventions using this technology.
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Prioritized Post-Discharge Telephonic Outreach Reduces Hospital Readmissions for Select High-Risk PatientsA randomized control study that analyzes the impact of a postdischarge prioritization case management strategy on readmissions for select high-risk patients that are commercially insured.
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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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Psychological Distress and Trends in Healthcare Expenditures and Outpatient HealthcareThe upward trend in total and outpatient healthcare expenditures in the United States appears to be unrelated to psychological distress.
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Gender Differences in Healthcare Utilization of Patients With DiabetesGender differences were found in healthcare utilization in patients with type 2 diabetes mellitus in Germany, despite a high rate of enrollment in a disease management program.
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Shared Decision-Making for Lung Cancer Screening: More Straw for the Camel’s BackThis editorial describes the need for a system that helps primary care physicians prioritize shared decision-making for preventive services.
