Authors
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The Impact of Electronic Health Records and Teamwork on Diabetes Care QualityPatients with diabetes that are cared for by primary care teams with higher cohesion experienced greater EHR-related outcome improvements, compared with patients cared for by lower cohesion teams.
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Economics of Genomic Testing for Women With Breast CancerAll the economic studies of genomic tests for breast cancer rely on modeling rather than randomized controlled trials or other direct trial data.
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Analyzing Admission Rates for Multiple Ambulatory Care–Sensitive ConditionsAmbulatory care–sensitive conditions can be systematically assessed in a large electronic medical database to describe admission rates by year, catchment area, and hospital affiliation.
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The Association Between Insurance Type and Cost-Related Delay in Care: A SurveyIn a survey of patients and visitors to a large academic medical center, middle-income respondents with private insurance reported more cost-related delays in care than those with public insurance.
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Increasing Access to Specialty Care: Patient Discharges From a Gastroenterology ClinicThe authors used a modified Delphi process involving primary care providers and gastroenterologists to identify safe patient discharges from gastroenterology clinics to primary care.
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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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Progress of Diabetes Severity Associated With Severe Hypoglycemia in TaiwanRapid progression of diabetes complications was associated with higher risk of severe hypoglycemia.
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Step-Up Care Improves Impairment in Uncontrolled Asthma: An Administrative Data StudySignificant clinically meaningful improvements in asthma impairment are documented by administrative data for 1 year after initiation of step-up care in patients with uncontrolled asthma.
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Patient and Supporter Factors Affecting Engagement With Diabetes TelehealthFamily support with medication management and recent urgent self-management concerns are 2 novel factors, among others, that predict completion of diabetes telehealth calls.
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Primary Care Physician Practice Styles and Quality, Cost, and ProductivityPrimary care physicians who address multiple problems during acute care visits achieve better clinical scores, comparable patient experience, and lower annual cost.
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'All-or-None' (Bundled) Process and Outcome Indicators of Diabetes CareIn this study, providers were more likely to achieve processes-ofcare goals when diabetes care was bundled at the indicator level than at the patient level.
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How State Surprise Billing Protections Increased ED Visits, 2007-2018: Potential Implications for the No Surprises ActState surprise billing protections decreased emergency department (ED) out-of-pocket payments to such an extent that ED visits actually increased.
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Availability of Data for Measuring Physician Quality PerformanceTypical health plan data provide limited information for benchmarking physician performance using even a less stringent rule for attributing patient measures to physicians.
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Shared Medical Appointments for Patients with Type 2 DiabetesGlycemic control in patients with type 2 diabetes was improved through a shared medical appointment program focusing on lifestyle education and behavior change.
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Improving HCV Cure Rates in HIV-Coinfected Patients - A Real-World PerspectiveThe authors examine real-world hepatitis C virus cure rates with direct-acting antivirals among patients coinfected with HIV.
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ACA-Mandated Elimination of Cost Sharing for Preventive Screening Has Had Limited Early ImpactThe ACA eliminated patient cost sharing for evidence-based preventive care, yet this policy has not resulted in substantial increases in colonoscopy and mammography utilization.
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Spending Patterns Among Commercially Insured Individuals During the COVID-19 PandemicIn this analysis of more than 97 million commercially insured individuals, investigators found that the COVID-19 pandemic induced a spending shock in 2020 and that health care spending did not recover to baseline until mid-2021.
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Using the NQF Measure Incubator to Develop Patient-Reported Outcome Performance Measures in Palliative Cancer CareThe National Quality Forum (NQF) Measure Incubator provides a platform for the development of patient-reported outcome performance measures in palliative cancer care, which is essential to understanding a cancer patient’s functional status and well being.
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Medicare and Commercial Inpatient Resource Use: Impact of Hospital CompetitionHospitals in more competitive markets had significantly lower costs per discharge for both Medicare and privately insured patients.
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Measuring the Quality of Diabetes CareAn introduction to the Joslin Clinical Analytic Tool, a new diabetes measure developed to adjust for the variety in patient mix and better inform clinicians which interventions will work best.
