Authors
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Faster by a Power of 10: A PLAN for Accelerating National Adoption of Evidence-Based PracticesThe authors identify a 4-step plan to accelerate the spread of evidence-based practices.
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Step-Up Care Improves Impairment in Uncontrolled Asthma: An Administrative Data StudySignificant clinically meaningful improvements in asthma impairment are documented by administrative data for 1 year after initiation of step-up care in patients with uncontrolled asthma.
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Assigning Value to the Role of Clinical Pharmacists in the Care of Diabetes PatientsJoyce furthered the discussion on the role of pharmacists in patient-care started by Haydon-Greatting by providing case studies that stemmed out of a CMS-funded research grant.
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Long-Term Outcomes of Analogue Insulin Compared With NPH for Patients With Type 2 Diabetes MellitusThere were no significant differences in the risk of ambulatory care—sensitive condition hospitalization or mortality between patients who initiated analogue insulin compared with the neutral protamine Hagedorn.
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Potential Impact of Pharmaceutical Industry Rebates on Medication AdherenceCost is a common barrier to medication adherence. The authors discuss the potential role of medication rebates in patients’ out-of-pocket costs and medication adherence.
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Collaborative DTM Reduces Hospitalization and Healthcare Costs in Patients With Diabetes Treated With PolypharmacyDrug therapy management implementation in 2 health plans resulted in significant cost savings and modest to significant reductions in emergency department visits and inpatient admissions among patients with diabetes.
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Impact of Compliance With Proton Pump Inhibitors on NSAID TreatmentPatients with gastroesophageal reflux disease who are compliant with proton pump inhibitor therapy stay on NSAIDs longer than noncompliant patients.
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Helping Cancer Patients and Caregivers Navigate Immunotherapy TreatmentPatients, caregivers, and providers need education on immunotherapy treatment, support in patient-provider communications as well as support in mitigating the financial impact of immunotherapy treatment.
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Availability of Data for Measuring Physician Quality PerformanceTypical health plan data provide limited information for benchmarking physician performance using even a less stringent rule for attributing patient measures to physicians.
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Optimal Management of Diabetes Among Overweight and Obese AdultsThis study explores potential weight-related disparities in the quality of care for adults with diabetes in a large health plan according to recommended quality indicators.
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The Relationship Between Adherence and Total Spending Among Medicare Beneficiaries With Type 2 DiabetesThis study describes a widespread variation in medication adherence, pharmacy cost sharing, and medical spending. Increased cost sharing may decrease adherence and increase total diabetes spending.
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CHAPTER 3. Guideline for Detection and Management of Diabetes in PregnancyFrom the Adult Diabetes and Clinical Research sections, Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts
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Effect of High-Deductible Insurance on Health Care Use in Bipolar DisorderHigh-deductible health plan members with bipolar disorder experienced a reduction in nonpsychiatrist mental health provider visits but no changes in other utilization.
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Relevance of Current Guidelines for Organizing an Anticoagulation ClinicAnticoagulation clinics in an integrated healthcare system differed widely in their organization and management, but these differences were not consistently related to their performance.
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Opioid Prescribing for Chronic Pain in a Community-Based Healthcare SystemThis study identified populations with non-cancer chronic pain to determine which patients may be more likely to receive an opioid prescription in an outpatient setting.
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Preventing Patient Absenteeism: Validation of a Predictive Overbooking ModelElectronic health record data can be used to predict patient absenteeism accurately. Predictive overbooking of missed appointments can significantly increase service utilization.
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Evaluation of Interdisciplinary Geriatric Transitions of Care on Readmission RatesAn interdisciplinary transitions of care service composed of nurse navigators, pharmacists, and medical providers reduced 30-day hospital readmissions among patients who received all components of the intervention.
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Health Insurance and Breast-Conserving Surgery With Radiation TreatmentType of health insurance plays a significant role in the likelihood of receiving the recommended treatment among women diagnosed with early-stage breast cancer.
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Periodic Health Examinations and Missed Opportunities Among Patients Likely Needing Mental Health CareAmong patients likely needing mental health care, two-thirds had no discussion or perfunctory discussion of mental health during periodic health exams.
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Patients Discharged From the Emergency Department After Referral for Hospitalist AdmissionHospitalization is costly and associated with the potential for adverse medical events. Hospitalists are uniquely positioned to help avoid unnecessary emergency department admissions through consultation.
