Authors
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Oral Anticoagulant Discontinuation in Patients With Nonvalvular Atrial FibrillationThe risk of discontinuation of oral anticoagulant therapy (both warfarin and direct oral anticoagulant therapies [DOACs]) among nonvalvular atrial fibrillation patients was high. Although the hazard ratio for discontinuation favors DOACs, it is unlikely that the small difference in discontinuation relative to warfarin is clinically meaningful.
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Care Coordination to Increase Referrals to Smoking Cessation Telephone Counseling: A Demonstration ProjectAn intervention to increase tobacco treatment rates through care coordination for telephone counseling was effective in raising referral rates and in achieving excellent long-term abstinence.
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Lynch Syndrome Screening Implementation: Business Analysis by a Healthcare SystemThis study synthesized published evidence on Lynch syndrome screening and expanded that evidence to match the decision needs of internal decision makers.
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Effect of Emergency Department Crowding on Pneumonia Admission Care ComponentsMultivariate analyses associate increased emergency department volume with delayed nursing-dependent care for patients with pneumonia, despite high ratios of nurses to patients.
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Psychological Distress and Trends in Healthcare Expenditures and Outpatient HealthcareThe upward trend in total and outpatient healthcare expenditures in the United States appears to be unrelated to psychological distress.
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Hospitalized Patients' and Family Members' Preferences for Real-Time, Transparent Access to Their Hospital RecordsThis mixed-methods study evaluated hospitalized patients’ and family members’ perceived communications mismatches and their calls for transparent real-time information and potential 21st-century solutions.
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Diabetes, Gaps in Care Coordination, and Preventable Adverse EventsThe authors examined the association of diabetes with self-reported gaps in care coordination and self-reported preventable adverse events using data from a national sample of older adults.
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Heroin and Healthcare: Patient Characteristics and Healthcare Prior to OverdoseAn analysis of administrative claims showed increasing rates of heroin overdose among an insured population and opportunities for interventions during healthcare encounters before overdose.
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Pathways, Outcomes, and Costs in Colon Cancer: Retrospective Evaluations in 2 Distinct DatabasesRetrospective evaluations of electronic health records and claims databases to assess clinical outcomes and costs associated with evidence-based pathways in colon cancer.
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Language Disparities and Timely Care for Children in Managed Care MedicaidParents with language barriers reported less timely illness care and routine care for children in managed care Medicaid.
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Costs of Heart Failure-Related Hospitalizations in Patients Aged 18 to 64 YearsHospitalization costs associated with heart failure averaged $23,077 and were higher when heart failure was a secondary rather than the primary diagnosis.
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Does Telephone Scheduling Assistance Increase Mammography Screening Adherence?The authors describe a quality improvement intervention that focuses on directly scheduling mammogram appointments for women who lack adherence despite written outreach letters.
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Using Aggregated Pharmacy Claims to Identify Primary NonadherenceWe used aggregated pharmacy claims data available within the electronic health record to identify a high rate of primary nonadherence in a nonintegrated primary care network.
