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Health Coaching by Medical Assistants Improves Patients' Chronic Care ExperienceMedical assistants trained as health coaches substantially improved patient-reported primary care under the Chronic Care model measured by the Patient Assessment of Chronic Illness Care.
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Patient Ratings of Veterans Affairs and Affiliated HospitalsThe mean online patient rating for Veterans Affairs hospitals was higher (3.70 ± 1.3 out of 5) than the rating for affiliated hospitals (3.19 ± 1.3; P = .003).
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Performance of the Adapted Diabetes Complications Severity Index Translated to ICD-10We present an International Classification of Diseases, Tenth Revision (ICD-10) translation of the adapted Diabetes Complications Severity Index and show its performance in predicting hospitalizations, mortality, and healthcare-associated costs.
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Does Opioid Therapy Affect Quality of Care for Diabetes Mellitus?Within the Veterans Affairs system, diabetes performance measures were similar in patients who received chronic opioid therapy and in those who did not.
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Utilization and Costs Among Oncologists Participating in a Private Insurance Shared Savings ModelA private oncology shared savings plan reduced colon cancer treatment costs. Results varied by tumor, with none in breast cancer and mixed effects in lung cancer.
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Cancellations in Primary Care in the Veterans Affairs Health Care SystemThis article examines the prevalence of unused primary care appointments in the Veterans Affairs Health Care System.
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The Underuse of Carotid Interventions in Veterans With Symptomatic Carotid StenosisFor patients with symptomatic severe (>70%) carotid stenosis carotid endarterectomy is highly effective at reducing the risk of subsequent stroke; however few eligible Veterans appear to be receiving this procedure.
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Evaluation of Value-Based Insurance Design for Primary CareThe removal of cost sharing increased primary care access and did not negatively affect total cost of care.
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Case Study of Linking Dental and Medical Healthcare RecordsAn n - 1 deterministic linkage strategy was used successfully to merge dental and medical data from a healthcare plan and a dental insurance carrier.
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Economics of a Health System’s Direct-to-Consumer Telemedicine for Its EmployeesA direct-to-consumer telemedicine service resulted in lower per-episode unit costs for care within 7 days and only marginally increased the use of services overall.
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Excess Hospitalization Days in an Academic Medical Center: Perceptions of Hospitalists and Discharge PlannersWe assessed the frequency of and reasons for medically unnecessary hospital days, which affect patients, payers, hospitals, and healthcare providers.
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Adjunctive Aripiprazole for Depression: Predictive Value of Early AssessmentIn treatment of depression with adjunctive aripiprazole, early improvement (week 2) was a significant predictor of remission, and lack of improvement was associated with nonremission.
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Factors Affecting Medication Adherence Trajectories for Patients With Heart FailureNonwhite race, smoking, and increasing body mass index were associated with the lowest adherence trajectories for patients with heart failure, with adherence dropping off within the first year.
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Evaluation of Care Management Intensity and Bariatric Surgical Weight LossThis study examines the effect of pre- and postoperative care management intensity on weight loss outcomes after bariatric surgery in 9 US centers.
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Cost-Effectiveness of Laparoscopic Gastric Banding and Bypass for Morbid ObesityLaparoscopic adjustable gastric banding and gastric bypass are cost-effective treatments for morbid obesity compared with no treatment.
