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Dispensing Channel and Medication Adherence: Evidence Across 3 Therapy ClassesFindings indicate that patients using mail order pharmacies had significantly better adherence to antidiabetics, antihypertensives, and antihyperlipidemics than patients who used the retail dispensing channel.
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Prescription Opioid Registry Protocol in an Integrated Health SystemA flexible population-based prescription opioid registry was established for addressing a broad range of critical public health questions relating to prescription opioid use.
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Continuity of Outpatient Care and Avoidable Hospitalization: A Systematic ReviewHigher continuity of care was statistically significant and was associated with fewer ambulatory care–sensitive condition hospitalizations.
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Personalized Preventive Care Leads to Significant Reductions in Hospital UtilizationWe assessed the impact of the MDVIP personalized preventive care model on hospital utilization and found the MDVIP members' rates were substantially lower than nonmembers'.
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Impact of Oral Nutritional Supplementation on Hospital OutcomesInstrumental variables regression analysis indicated that inpatient oral nutritional supplement use decreased length of stay, episode cost, and 30-day readmission probability.
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Low-Value Antibiotic Prescribing and Clinical Factors Influencing Patient SatisfactionAntibiotics are not required to achieve high patient satisfaction. Patient age, chronic conditions, and an established patient–provider relationship influence satisfaction with acute care.
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Higher 30-Day and 60-Day Readmissions Among Patients Who Refuse Post Acute Care ServicesAlthough patients who refuse post acute care services are relatively young, well educated, and healthy, they are twice as likely to have 30- and 60-day readmissions compared with acceptors of services.
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Improving Diabetic Patient Transition to Home Healthcare: Leading Risk Factors for 30-Day ReadmissionHome healthcare transition from hospitals for diabetic Medicare home healthcare beneficiaries can be improved by identifying risk factors for 30-day readmissions due to ambulatory care—sensitive conditions.
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Costs Associated With Long-Acting Insulin Analogues in Patients With DiabetesFindings from a literature review indicate that overall costs of long-acting insulin analogues are not significantly different from those of intermediate-acting human insulin and oral antidiabetic agents.
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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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Managed Care Quality and Disenrollment in New York SCHIPUsing data from the New York SCHIP program, this study showed that plan disenrollment was not significantly associated with managed care plan quality.
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Bridges to Excellence—Recognizing High-Quality Care: Analysis of Physician Quality and Resource UsePhysicians recognized as high quality by Bridges to Excellence performed better than their peers on claimsbased quality measures and, in some cases, on resource use measures.
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Can Cancer Patients Seeking a Second Opinion Get Better Care?Colorectal resection patients in Taiwan with heavy hospital shopping behaviors got better surgical care than those who did not shop or hospitals.
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Understanding Vaccination Rates and Attitudes Among Patients With Rheumatoid ArthritisPatients with rheumatoid arthritis self-report a moderate rate of any previous pneumococcal vaccination (54%) and a very low rate of herpes zoster vaccination (8%).
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Promoting Electronic Health Record Adoption Among Small Independent Primary Care PracticesSubstantial outreach efforts are needed in addition to offering subsidies or incentives in engaging primary care providers to adopt electronic health records.
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High Cost Sharing and Specialty Drug Initiation Under Medicare Part D: A Case Study in Patients With Newly Diagnosed Chronic Myeloid LeukemiaA Medicare claims analysis of patients newly diagnosed with chronic myeloid leukemia revealed that high cost sharing was associated with reduced and/or delayed tyrosine kinase inhibitor initiation under Part D.
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Claims-Based Risk Model for First Severe COPD ExacerbationA health insurance claims-based risk assessment tool to predict patients’ first severe chronic obstructive pulmonary disease exacerbation has been developed and validated.
