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Contemporary Use of Dual Antiplatelet Therapy for Preventing Cardiovascular EventsUse of dual antiplatelet therapy was modest for patients with existing cardiovascular disease for whom subgroup analysis from a landmark clinical trial suggested benefit in preventing cardiovascular events, and low for patients with multiple risk factors without established cardiovascular disease, for whom increased cardiovascular events were suggested.
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Baseline and Postfusion Opioid Burden for Patients With Low Back PainPatients with low back pain have a high opioid burden, which increases following spinal fusion surgery; 27% of fusion patients filled opioid prescriptions at least 12 months post surgery.
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Improvements in Access and Care Through the Affordable Care ActAffordable Care Act exchange enrollees in California and Colorado reported significant improvements in access to care and fewer barriers to receiving care due to costs.
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Increased Healthcare Utilization and Expenditures Associated With Chronic Opioid TherapyThe increase in healthcare utilization and expenditures associated with the transition to chronic opioid therapy places increased burden on payers and patients.
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Integrating Nurse-Directed Diabetes Management Into a Primary Care SettingA nurse following treatment alogrithms with prescription authority in a primary care setting markedly improved diabetes outcomes; 47% met ADA A1C, LDL-C, and BP goals.
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Maximizing Value of Freestanding and Outpatient Hospital Setting in Cancer Care DeliveryA unique collaboration between 21st Century Oncology and Lee Memorial Hospital showed marked improvements in efficiencies, care, and patient experience.
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Physician Compensation Strategies and Quality of Care for Medicare BeneficiariesQuality of care varies according to the compensation methods used in primary care, but the relationship between compensation methods and preventable hospital admissions is inconsistent.
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A Strategy to Promote Population-Wide Life Satisfaction While Advancing EquityThe authors used health care claims and survey data to identify a strategy that might promote life satisfaction while advancing equity in an insured population.
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The Role of Health Systems in Reducing Tobacco DependenceAddressing tobacco use is an important health system role. This process evaluation discusses facilitators and barriers to implementing systems changes to improve tobacco treatment delivery.
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Medication Adherence and Healthcare Disparities: Impact of Statin Co-Payment ReductionThis study examined patterns of medication adherence after a reduction in medication co-payment amount among privately insured patients living in racially diverse neighborhoods.
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Nurse-Run, Telephone-Based Outreach to Improve Lipids in People With DiabetesNurses can improve lipid control in people with diabetes in a primarily indigent population through telephone care using moderately complex algorithms. Telephone-based outreach may decrease resource utilization.
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Changes in Cardiovascular Care Provision After the Affordable Care ActThe authors evaluated whether the 2010 Affordable Care Act was associated with changes in physicians’ provision of preventive cardiovascular services.
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Thromboembolism Prophylaxis in Medical Inpatients: Effect on Outcomes and CostsVTE prophylaxis is underutilized in medical patients in US hospitals, but the occurrence of VTE has a major clinical and economic impact.
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Adherence and Dosing Frequency of Common Medications for Cardiovascular PatientsIn this database analysis, greater adherence was observed for once-daily dosing compared with twice-daily dosing with chronic-use prescription medications used by patients with cardiovascular disease.
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Cost-Effectiveness of Pharmacist-Provided Treatment of Adult PharyngitisThis cost-effectiveness analysis of care options for group A streptococcus patients is the first to include community pharmacy as a possible point of care.
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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.
