Authors
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Factors Associated With Timeliness in Academic General Surgery Clinics: A Prospective Quality AssessmentThe participation of residents and physician assistants significantly increased patient wait time without reducing the attending surgeon’s consultation length in outpatient surgery clinics.
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Formulary Considerations: The Past, Present, and FutureThe hospital formulary system is an ongoing process that evaluates and selects the safest, most effective, and most economical care for hospitalized patients. As healthcare continues to change, so will the formulary management process.
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Referring Wisely: Orthopedic Referral Guidelines at an Academic InstitutionThe authors used the modified Delphi method to develop local orthopedic referral guidelines, enabling detailed decision support and non—face-to-face consultation at the point of referral.
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Primary Care Physician Practice Styles and Quality, Cost, and ProductivityPrimary care physicians who address multiple problems during acute care visits achieve better clinical scores, comparable patient experience, and lower annual cost.
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Why Are Medicare and Commercial Insurance Spending Weakly Correlated?The weak correlation between Medicare and commercial insurance spending is due to negative correlations between each sector's price and the other sector's volume.
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Depression Care Following Psychiatric Hospitalization in the Veterans Health AdministrationDifferent patient characteristics predict adequate antidepressant treatment after hospitalization, received by 58.7% of patients, versus adequate psychotherapy, received by 12.9% of patients.
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Massachusetts Health Reform and Veterans Affairs Health System EnrollmentHealth reform increased Medicaid enrollment, but was not associated with Veterans Health Administration and private insurance enrollment among Massachusetts veterans.
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Critical Incident Stress Debriefing After Adverse Patient Safety EventsThe authors explore the potential value of providing critical incident stress debriefing for health professionals involved in adverse patient safety events and the instances in which this could be routinely implemented.
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Patient Engagement Is Mandatory at Our TableThe Bonnie Addario Lung Cancer Foundation has developed a registry that can serve as a repository for data on patients with lung cancer-a means to empower patients and assist care providers to deliver personalized medicine in a patient-centered manner.
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The Value of Virtual Physical Therapy for Musculoskeletal CareThis counterfactual simulation study on a nationally representative sample of the working population with musculoskeletal conditions estimated the value of patient-initiated virtual physical therapy.
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An Expanded Portfolio of Survival Metrics for Assessing Anticancer AgentsA novel, simplified cost-value analysis tool was created to better differentiate the value of anticancer agents and further characterize the expected survival benefit of all patients.
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Bending the Curve Through Health Reform ImplementationAuthors from The Brookings Institution update their recommendations by focusing on 3 concrete objectives to slow spending and improve quality of care within the next 5 years.
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Voice Response System to Measure Healthcare Costs:A STAR*D ReportModerate underreporting biases were found when patient responses to an interactive voice response system were compared with medical records in the STAR*D clinical trial.
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The Ingredients of Success in a Medicare Accountable Care OrganizationFor 2 successive years, the Hackensack Alliance Accountable Care Organization achieved cost savings and maintained quality by using physicians with patient-centered medical homes and nurse care coordinators focused on high-risk patients.
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Medicare Advantage Plan Representatives’ Perspectives on Pay for SuccessThis study examined how Medicare Advantage plan representatives perceive the alternative financing model Pay for Success and its potential to address members’ social risk factors.
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Provider-Owned Insurers in the Individual MarketProvider-owned insurers sell individual policies in areas that cover 62% of the US population and have premiums similar to policies of traditional insurers.
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Predictors of Physician Use of Inpatient Electronic Health RecordsHospital and physician-hospital alignment, but not loyalty, are predictors of integrated electronic health record adoption by admitting physicians in an integrated system.
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Self-Reported Health and Functional Status Information Improves Prediction of Inpatient Admissions and CostsAmong a Medicare population, use of 3 self-reported health items improves predicted inpatient admissions and healthcare costs when used with risk-prediction model.
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Toward a Business Case for Performance ImprovementRecent legislative action and private sector innovation, driven by the unsustainability of the current system, may gradually create a business case for performance improvement.
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Association Between Different Types of Social Support and Medication AdherenceMedication adherence is most closely associated with emotional and practical support.
