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High-Cost, High-Need Patients: The Impact of Reported Penicillin AllergyA reported penicillin allergy was common and was associated with suboptimal antibiotic choices and increased healthcare utilization in high-cost, high-need patients.
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Health Economic Analysis of Breast Cancer Index in Patients With ER+, LN- Breast CancerThis study projected that the breast cancer index assay is cost saving when used either at diagnosis or at 5 years post diagnosis.
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Catheter Management After Benign Transurethral Prostate Surgery: RAND/UCLA Appropriateness CriteriaThis manuscript synthesizes findings from a multidisciplinary panel following the RAND/UCLA Appropriateness Method to guide standardization of urinary catheter use after transurethral prostate surgery.
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Clinical Characteristics and Treatment Patterns Among US Patients With HIVIt is important to take into account individual complexities such as comorbidities and pill burden when selecting antiretroviral therapy regimens for individuals living with HIV.
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Utilization of HER2 Genetic Testing in a Multi-Institutional Observational StudyEvaluation of real-world implementation of HER2 testing showed that uptake was high (>90%) and trastuzumab treatment was targeted to patients with positive HER2 status.
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A Payer–Provider Partnership for Integrated Care of Patients Receiving DialysisA report on the clinical and economic outcomes of a new payer–provider partnership serving patients with end-stage renal disease.
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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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Preconsultation Exchange in the United States: Use, Awareness, and AttitudesInternists reported frequent use of, and support for, preconsultation exchange to improve access to and efficiency of specialty care.
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Using Applied Machine Learning to Predict Healthcare Utilization Based on Socioeconomic Determinants of CareThis study demonstrates that it is possible to generate a highly accurate model to predict inpatient and emergency department utilization using data on socioeconomic determinants of care.
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Assessment of Structured Data Elements for Social Risk FactorsAn expert panel identified and assessed electronic health record and health information exchange structured data elements to support future development of social risk factor computable phenotyping.
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Introduction of Cost Display Reduces Laboratory Test UtilizationCost display and cost charge induce different test ordering behavior depending on the healthcare setting.
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Pharmacist Collaborative Management of Poorly Controlled Diabetes Mellitus: A Randomized Controlled TrialPharmacist management of poorly controlled diabetes mellitus in this randomized trial resulted in more patients decreasing their glycosylated hemoglobin level by at least 1.0%.
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Improving Adherence to Cardiovascular Disease Medications With Information TechnologyImproving adherence to long-term medication therapy remains a challenge. Health information technology interventions that leverage electronic medical records are promising, low-cost approaches for increasing adherence.
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The Cost of Treating Skeletal-Related Events in Patients With Prostate CancerThe analysis examines the annual economic effect of medically treating patients with prostate cancer and subsequent bone metastases.
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Electronic Alerts and Clinician Turnover: The Influence of User AcceptanceUsers' acceptance of electronic health record-based asynchronous alerts can negatively impact provider satisfaction, intentions to quit, and ultimately turnover.
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Primary Care Capacity as Insurance Coverage Expands: Examining the Role of Health Information TechnologyPrimary care physicians using more health information technology were less likely to accept new patients.
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Economic Burden of Hypoglycemia With Basal Insulin in Type 2 DiabetesHypoglycemia after basal insulin initiation is associated with high clinical and economic burden that precedes insulin initiation and persists during 1 to 2 years of follow-up.
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Association of Insurance Coverage With Chlamydia ScreeningAmong young, sexually active women, self-reported Chlamydia trachomatis screening rates were primarily influenced by risk factors rather than insurance coverage.
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Identification of and Intervention to Address Therapeutic Gaps in CareA program identifying and resolving care gaps involving community pharmacists resulted in increased adherence and omission gaps closure and fewer adherence gap reopenings.
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The Oncology Medical Home - Beyond Clinical PathwaysClinical pathways have been emphasized as a means to deliver efficient, quality care and to ensure better outcomes at lower costs. The Oncology Medical Home takes this to the next, more comprehensive, step of quantifying and improving quality and value in cancer care while lowering overall costs.
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Patients Who Self-Monitor Blood Glucose and Their Unused Testing ResultsThis article identifies patient-, provider-, and system-level factors associated with the problem of self-monitoring blood glucose without use of the results.
