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A Meta-analysis Update: Percutaneous Coronary InterventionsMeta-analyses of percutaneous coronary interventions in stable coronary artery disease are updated to include 2 recent large randomized controlled trials.
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Understanding Suboptimal e-Consult Requests: Lessons From the VAUS Department of Veterans Affairs (VA) clinicians’ perspectives on what constitutes a good e-consult and why suboptimal e-consult requests occur contain broadly applicable lessons for other health systems.
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Healthcare Professionals’ Perceptions of Challenges to Chronic Pain ManagementHealthcare professionals report pain management barriers across system, provider, and patient levels, highlighting the need to consider chronic pain as a chronic condition that warrants coordinated approaches.
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Medicare Advantage Control of Postacute Costs: Perspectives From StakeholdersThis qualitative study examines the methods that Medicare Advantage plans use to control or reduce postacute spending and their associated unintended consequences.
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Estimated Effect of Asthma Case Management Using Propensity Score MethodsAn asthma case management program increased preventive care but did not significantly decrease markers of exacerbations.
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Chronic Disease Outcomes From Primary Care Population Health Program ImplementationPatients in practices with central population health coordinators had greater improvement in short-term chronic disease outcome measures compared with patients in practices without central support.
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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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The Role of Behavioral Health Services in Accountable Care OrganizationsData suggest that behavioral health providers and services must be included as core components of accountable care organizations to achieve desired health and cost outcomes.
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Guideline Concordance of New Statin Prescriptions: Who Got a Statin?New statin prescriptions at the Veterans Health Administration were reviewed using a cross-sectional study design. Statins were frequently prescribed outside of guideline recommendations.
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Association of Electronic Health Records With Cost Savings in a National SampleThe authors examine the association between advanced electronic health record (EHR) use and cost in hospitals. Patients treated in hospitals with advanced EHRs cost 9.66% less.
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The Well-Being of Long-Term Cancer SurvivorsThis study compares the well-being of long-term cancer survivors with that of US residents of similar age and demographic characteristics, patients recently diagnosed with cancer, and individuals with chronic illness.
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Electronic Health Records and the Frequency of Diagnostic Test OrdersUsing the most recently available national data, physicians with electronic health record (EHR) access ordered more tests than their non-EHR counterparts, thus contradicting a common rationale for EHR implementation.
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The Data Revolution Comes to HealthcareThe American Journal of Managed Care was founded in 1995, during the last period of serious reexamination of how healthcare is paid for and how it's delivered. Nearly 20 years later, after the retreat of the first managed care revolution, per capita healthcare costs have more than doubled, and there is again a strong movement toward payment and delivery system reform.
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Assessing Electronic Health Record Implementation Challenges Using Item Response TheoryIt is unclear which barriers cause the greatest threats to the successful implementation of an electronic health record (EHR). This paper prioritizes the potential threats to EHR adoption using a novel analytic strategy: item response theory.
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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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Review of Outcomes Associated With Restricted Access to Atypical AntipsychoticsThis literature review evaluates the impact of restricted access to atypical antipsychotic drugs in individuals with schizophrenia or bipolar disorder.
