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Comparative Effectiveness and Real-World EvidenceRigorous scientific standards are needed to address the challenge of providing information on the real-world effects of treatments and procedures.
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Prices and Complications in Hospital-Based and Freestanding Surgery CentersAverage prices are substantially higher but rates of complications are similar in hospital-based vs freestanding surgery centers for colonoscopy, arthroscopy, and cataract removal surgery.
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Why Palliative Care Is the Answer to the Serious Illness Question in Payment ReformWhether it is through enlisting primary providers, building a champion workforce, or hiring more specialist consultants, there is no question that palliative programming must be at the heart of our healthcare system’s quality transformation.
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Multi-Level Approach to Addressing Iatrogenic InfertilityA socioecological approach focused on patient care, education and resources for providers, and programs within cancer institutions will ensure that the risk of infertility, frequently associated with cancer treatment, will be addressed and routinely included as part of cancer care. This article discusses LIVESTRONG's efforts to achieve this goal.
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Comparison Between Guideline-Preferred and Nonpreferred First-Line HIV Antiretroviral TherapyInitiation of guideline-preferred first-line antiretroviral therapy (ART) was associated with better ART adherence and persistence and similar total healthcare expenditures among Medicaid-insured HIV patients.
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Antidepressant Medication Adherence via Interactive Voice Response Telephone CallsOur age-adjusted evaluation found that IVR calls had little impact on antidepressant medication adherence rates and that rates generally increased markedly with increasing age.
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Evaluation of Care Management Intensity and Bariatric Surgical Weight LossThis study examines the effect of pre- and postoperative care management intensity on weight loss outcomes after bariatric surgery in 9 US centers.
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Differences in the Clinical Recognition of Depression in Diabetes Patients: The Diabetes Study of Northern California (DISTANCE)Depression often goes unrecognized in primary care among symptomatic diabetes patients, especially in some minorities.
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Medicare Savings From Conservative Management of Low Back PainThis instrumental variables analysis estimates that Medicare would realize $362 million in annual savings if all patients with newly diagnosed low back pain were managed conservatively.
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Population Health in Primary Care: Cost, Quality, and Experience ImpactAn evaluation of the use of predictive modeling for primary care resource allocation demonstrated reduced spending and improved quality and patient experience for publicly insured adults.
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Outpatient Parenteral Antimicrobial Therapy at Large Veterans Administration Medical CenterOutpatient parenteral antimicrobial therapy was successfully delivered in our facility despite significant comorbidity and geographic limitations.
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Patient-Centered Medical Home and Quality Measurement in Small PracticesSmall practices with NCQA patient-centered medical home recognition perform better on quality measures, especially those related to chronic conditions.
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FDA Warning and Removal of Rosiglitazone From VA National FormularyAfter the FDA warning and removal of rosiglitazone from the VA National Formulary, glucose control may have declined among those discontinuing rosiglitazone without receiving replacement medication.
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When Doctors Go to Business School: Career Choices of Physician-MBAsLarge-scale analysis of Harvard Business School’s physician graduates yields new insights into physician-MBA career choices and the utility of these programs.
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Healthcare Continuity From Hospital to Territory in Lombardy: TELEMACO ProjectThe TELEMACO project successfully used telemedicine to establish a healthcare continuity from hospital to territory in remote areas of the Lombardy region of Italy.
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Treating ALK-Positive Lung Cancer in the Weeks After the FDA Approval of CrizotinibAs physicians enter a new world of therapies for molecularly defined lung cancer, it will be critical for hospitals, drug companies, and insurance companies to work out the interplay of molecular testing and coverage for expensive therapies that are effective but only in smaller, defined groups of patients.
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Acupuncture and Chiropractic Care: Utilization and Electronic Medical Record CaptureMost patients with chronic musculoskeletal pain use acupuncture or chiropractic care. A substantial percentage of this utilization, however, is not captured by the electronic medical record.
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Adding Glucose-Lowering Agents Delays Insulin Initiation and Prolongs HyperglycemiaA review of national Veterans Health Administration data has identified how the number of glucose-lowering agents used prior to insulin initiation impacts glycemic control.
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Cancer Care Disparities: Research Regarding Timeliness and Potential CoordinationHealthcare organizations and researchers should challenge themselves to provide increasingly timely data on cancer care disparities, until delays can be remedied as they happen.
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Value-Based Purchasing: The EvidenceA review of evidence about what works in 3 areas of value-based purchasing emphasized under healthcare reform: service delivery integration, payment, and value-based insurance design.
