Authors
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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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Identification of Patients Likely to Benefit From Care Management ProgramsThree approaches to prospective patient identification for care management programs were compared: predictive modeling, selection by primary care physician, and a combination of both.
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Impact of Education Program on Influenza Vaccination Rates in SpainA simple education program was effective in improving the influenza vaccination rate, although vaccination in the previous year was the main predictor of adherence.
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Diabetes and Employment Productivity: Does Diabetes Management Matter?Diabetes itself affected working and wages more than control of blood sugar levels in a Mexican American population.
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A Predictive Model of Hospitalization Risk Among Disabled Medicaid EnrolleesPredictive modeling can be used to identify disabled Medicaid beneficiaries at high risk of future hospitalizations who could benefit from appropriate interventions.
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Implementing an Oncology Precision Medicine Clinic in a Large Community Health SystemPrecision medicine is increasingly being utilized in oncology. Aurora Health Care has implemented Syapse software to integrate molecular data into the electronic health record to accommodate precision medicine findings.
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Cost of Care for Malignant and Benign Renal MassesMethods for better identifying malignant versus benign disease before nephrectomy could provide significant benefits to patients and payers.
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Do Diabetes Group Visits Lead to Lower Medical Care Charges?Among a diabetes group visit population, this study found substantial savings in outpatient charges due to reduction in the use of more expensive specialty visits.
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Changing Demographics Among Populations Prescribed HCV Treatment, 2013-2017From 2013 to 2017, the population of US patients prescribed treatment for chronic hepatitis C virus (HCV) changed, becoming predominantly treatment-naïve and having received care in nonacademic centers.
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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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Patients' Views on Price Shopping and Price TransparencyThe authors interviewed patients with access to a price transparency website. Despite a positive opinion of price shopping in theory, respondents reported barriers to doing so in reality.
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Effects of Physician Payment Reform on Provision of Home DialysisThe Medicare program’s transition in 2004 to tiered fee-for-service physician reimbursement for dialysis care had the unintended consequence of reducing use of home dialysis.
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Response to “e-Consult Implementation Success: Lessons From 5 County-Based Delivery Systems”Partnering teams for delivery of continuity of care between primary care and community behavioral health systems can learn from e-consult implementation.
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Racial/Ethnic and Age Disparities in Chemotherapy Selection for Colorectal CancerAmong Medicare enrollees with metastatic colorectal cancer, the use of newer chemotherapy agents was lower for African American patients and for older patients.
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Understanding Factors Associated With Readmission Disparities Among Delta Region, Delta State, and Other HospitalsRevisions of the Hospital Readmissions Reduction Program should consider including community characteristics in risk adjustment models and adding mechanisms that recognize improvement given the uniqueness of the Mississippi Delta region.
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Impact of a National Specialty E-Consultation Implementation Project on AccessE-consult implementation grew from 12 to 122 VHA sites with multiple specialties. The adjusted e-consult rate of 1.93/100 consults saved significant patient travel miles and costs.
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Feasibility of Expanded Emergency Department Screening for Behavioral Health ProblemsThis feasibility study of expanded emergency department screening identified a high prevalence of behavioral health conditions. Screening was successfully integrated into emergency visit idle times.
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Early Changes in VA Medical Home Components and UtilizationSignificant changes were found in patients' utilization of healthcare related to early implementation of medical home components in VA primary care clinics.
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FASStR: A Framework for Ensuring High-Quality Operational Metrics in Health CareThrough literature review and collaborative design, we propose the Focus, Activity, Statistic, Scale type, and Reference (FASStR) framework to provide a systematic approach to health care operation metric definition and use.
