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Testing of a Tethered Personal Health Record Framework for Early End-of-Life DiscussionsPilot testing demonstrates the use of a novel, personal health record—based framework used in primary care settings may improve presence and quality of advance care planning documentation in the electronic health record.
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Medicare Star Excludes Diabetes Patients With Poor CVD Risk Factor ControlThe Medicare STAR medication adherence measures exclude diabetes patients at high risk for poor cardiovascular outcomes, and underestimate the prevalence of medication nonadherence in diabetes.
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The Utility of Cost Discussions Between Patients With Cancer and OncologistsMany patients with cancer desire cost discussions with doctors, but those discussions are rare. Nevertheless, cost discussions may lower patient costs-usually without altering treatment.
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Cancer Care Spending and Use by Site of Provider-Administered Chemotherapy in MedicareDifferences in cancer care spending and utilization between Medicare beneficiaries receiving chemotherapy in hospital outpatient departments versus physician offices vary by service type.
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Assessment and Potential Determinants of Compliance and Persistence to Antiosteoporosis Therapy in ItalyThis analysis of antiosteoporosis therapy shows that 75% of patients have inadequate drug coverage and that adherence is strongly associated with age and administration regimen.
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Trends in Retail Clinic Use Among the Commercially InsuredRetail clinic use increased dramatically over 3 years, especially among young, healthy, higher income enrollees living close to retail clinics.
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Provider and Patient Burdens of Obtaining Oral Anticancer MedicationsOral anticancer medications are frequently used to treat patients with cancer. We found significant time and energy burdens for clinic staff and patients in obtaining these drugs.
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Barriers to Transition of Obese Patients From Hospital to CommunityThis study explored barriers to the transition of obese patients from hospital to community as perceived by case managers, nursing home directors, and home health directors.
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Radical Prostatectomy Innovation and Outcomes at Military and Civilian InstitutionsMinimally invasive radical prostatectomy was more commonly performed in civilian hospitals compared with military hospitals among TRICARE beneficiaries, with comparable postoperative outcomes.
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Considerations for Optimal Management of Patients With Pulmonary Arterial Hypertension: A Multi-Stakeholder Roundtable DiscussionStakeholders, including national and regional managed care decision makers and providers, met to discuss the clinical background, health economics, and management strategies for pulmonary arterial hypertension (PAH) at a roundtable meeting on December 10, 2016, in Dallas, Texas.
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Reimbursement Landscape for Molecular Testing in Non-Small Cell Lung CancerThis review assesses the current molecular testing landscape for non–small-cell lung cancer in the United States.
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Hypertension Treatment and Control Within an Independent Nurse Practitioner SettingThis cross-sectional retrospective study found comparable blood pressure control rates among patients with hypertension receiving primary care from a nurse practitioner versus a physician.
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Guided Care and the Cost of Complex Healthcare: A Preliminary ReportThe early months of a cluster-randomized trial suggest that Guided Care is associated with a trend toward a net reduction in total healthcare expenditures.
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Classification of Health Plans Based on Relative Resource Use and Quality of CareThis study examines variation among health plans in resource use and quality of care for patients with diabetes mellitus or cardiovascular disease.
