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Latest:
Cost-effectiveness of Telephonic Disease Management in Heart FailureThis study shows that telephonic disease management was not cost-effective in a broadly representative sample of community-dwelling patients.
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Geographic Variation in Surgical Outcomes and Cost Between the United States and JapanCompared with Japan, the United States has substantially less geographic variation in surgical outcomes, but it has higher variation in cost.
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Health IT-Assisted Population-Based Preventive Cancer Screening: A Cost AnalysisAn automated cancer screening outreach tool implemented in a mature health information technology environment can achieve cost savings through reduced clinician time devoted to screening efforts.
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Most Chronic Pain Patients Use Alternative Therapies, but Many Don't Tell Their DoctorsA study by Kaiser Permanente published today in The American Journal of Managed Care confirms that patients with chronic pain are seeking complementary treatments, and that if physicians must ask if they want to know about them.
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Payer Coverage for Patients Enrolled Onto Clinical Trials: Making the Process Easy and Transparent for EveryoneIt is not just 1 physician who cares for a patient enrolled onto a clinical trial but rather a complex system of several physician teams, sometimes with very different opinions, who must work together for therapy to be successful and for the patient to have faith in his treating team.
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The Role of Internal Medicine Subspecialists in Patient Care ManagementMost internal medicine subspecialists report the majority of their clinical time is spent in principal care or longitudinal consultative care patient management roles.
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Preventing Myocardial Infarction and Stroke With a Simplified Bundle of Cardioprotective MedicationsBundled cardioprotective medications with simplified delivery reduced the risk of hospitalization for myocardial infarction or stroke among patients at high risk.
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Preliminary Treatment Considerations Among Men With Newly Diagnosed Prostate CancerIn a survey of local-stage prostate cancer patients, preference for prostatectomy was influenced by perceptions of its efficacy and personal burden versus nonsurgical options.
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Structural Capabilities in Small and Medium-Sized Patient-Centered Medical HomesThirty medical home pilot primary care practices had high structural capabilities at baseline and performance improved substantially after 24 months in practices starting with lower capabilities.
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Generalized Cost-Effectiveness Analysis to Assess Treatment Value in Hepatitis CThis article estimates the comprehensive value of direct-acting antivirals for the treatment of hepatitis C virus using a generalized cost-effectiveness analysis.
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Pharmacotherapy After Myocardial Infarction: Disease Management Versus Usual CareThis retrospective study found no benefit of a disease management program compared with usual care on utilization of secondary prevention pharmacotherapies in postmyocardial infarction patients.
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Effectiveness of Enhanced Primary Care on Preventive Health ServicesThis natural experiment compared rates of indicated preventive care for low-income Hispanic patients enrolled in an enhanced primary care program with those of patients receiving usual care.
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Preferred Roles in Treatment Decision Making Among Patients With Cancer: A Pooled Analysis of Studies Using the Control Preferences ScaleThis pooled analysis assesses preferred roles in treatment decision making, actual roles, and preferred versus actual discordance among 6 studies of patients with cancer.
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True "Meaningful Use": Technology Meets Both Patient and Provider NeedsA qualitative study of patient and provider perspectives regarding the after-visit summary and the patient portal features of the electronic health record.
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Patient-Centered Medical Home Recognized Practices Provide a Strong Front-Line for Accountable Care OrganizationsAccountable care organizations have an opportunity to gain knowledge in improving health outcomes, improving patient experience, and reducing costs by working closely with practices that have adopted the patient-centered medical home model.
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Measures of ED Utilization in a National Cohort of ChildrenThrough analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.
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Cost Burden of Treatment Resistance in Patients With DepressionWhen a clinical staging algorithm for treatment-resistant depression was applied to administrative claims data, higher scores predicted higher future medical costs.
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VA Geriatric Scholars Program’s Impact on Prescribing Potentially Inappropriate MedicationsPrimary care teams reduced their prescribing of potentially inappropriate medications to older veterans after participation in the Veterans Affairs (VA) Geriatric Scholars Program.
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Moving From A to Z: Successful Implementation of a Statin Switch Program by a Large Physician GroupThis report shows that a successful, cost-effective statin switch program can be implemented by a large physician group via a centralized, collaborative process.
