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Latest:
Choosing Wisely: Spine ImagingA letter on reducing unnecessary spinal imaging through the introduction of an a priori threshold before an MRI, CT, or bone scan would be considered in patients with spinal pain, with a reply from Dr Gidwani, of the original February 2016 article.
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Costs for a Health Coaching Intervention for Chronic Care ManagementOn average, the health coach intervention cost $483 per participant per year. There was no evidence that the coaching intervention saved money at 1 year.
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Future of Cardiorenal Metabolic Syndrome ManagementJeffrey Turner, MD; Nihar R. Desai, MD, MPH; and Om P. Ganda, MD, provide closing thoughts on the future of cardiorenal metabolic syndrome management.
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Emergency Department Nonurgent Visits in Iran: Prevalence and Associated FactorsInappropriate use of emergency department resources in Iran is a frequent problem that calls for effective approaches and interventions.
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Persistence With Biologic Therapies in the Medicare Coverage GapFor patients who reached the Medicare Part D coverage gap, discontinuation was more likely for patients taking osteoporosis medication.
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Ambulatory Care–Sensitive Emergency Visits Among Patients With Medical Home AccessPatients often self-refer to the emergency department (ED) for management of an ambulatory care–sensitive condition, and the ED may be the most appropriate care location.
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The Relationship Between Provider Age and Opioid Prescribing BehaviorHolding other factors constant, the authors find that older providers prescribe significantly more opioids, with the gap between older and younger providers increasing from 2010 to 2015.
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Wait Times, Patient Satisfaction Scores, and the Perception of CareClinic wait times do not just affect overall patient satisfaction, but also specifically affect the perception of providers and the quality of care.
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Robotic Arm–Assisted Knee Surgery: An Economic AnalysisCompared with manual total knee arthroplasty, patients younger than 65 years undergoing robotic arm–assisted total knee arthroplasty experience fewer days in hospital, less utilization of services, and lower average total costs at 90 days.
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Trends in Public Perceptions of Electronic Health Records During Early Years of Meaningful UseDuring the early years of the "meaningful use" program, surveys found decreases in both optimism and concerns about electronic health records.
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Does Care Consultation Affect Use of VHA Versus Non-VHA Care?Uncoordinated multisystem use is problematic for Veterans Health Administration (VHA) patients with dementia. The Partners in Dementia Care intervention is successful in changing the pattern of VHA versus non-VHA use.
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Are Benefits From Diabetes Self-Management Education Sustained?Conventional individualized diabetes self-management education resulted in sustained improvement in self-efficacy and diabetes distress. Short-term improvements in A1C, nutrition, and physical activity were not sustained.
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Team Functioning and Clinical Quality, Patient Satisfaction, and Patient Portal Implementation Among Patient-Centered Medical HomesPhysician- and nursing staff–reported team functioning was associated with patient satisfaction but not with clinical quality or patient portal implementation.
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Transforming Oncology Care: Payment and Delivery Reform for Person-Centered CareThe authors examine 4 alternative payment models for oncology care that shift away from fee-for-service and move progressively toward greater bundling, either across providers or across payments.
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Factors Associated With Primary Care Physician Turnover in the VAThis longitudinal observational study found higher team satisfaction with workload to be significantly associated with lower primary care physician turnover.
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Roles of Prices, Poverty, and Health in Medicare and Private Spending in TexasVariation in private spending reflects the ability of the local population to pay for healthcare, whereas variation in Medicare is more driven by health status.
