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The American Journal of Managed Care October 2006
Implementation of Evidence-based Alcohol Screening in the Veterans Health Administration
Katherine A. Bradley, MD, MPH; Emily C. Williams, MPH; Carol E. Achtmeyer, MN; Bryan Volpp, MD; Bonny J. Collins, PA-C, MPA; and Daniel R. Kivlahan, PhD
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Nelia M. Afonso, MD; George Nassif, MD; Anil N. F. Aranha, PhD; Bonnie DeLor, PharmD; and Lavoisier J. Cardozo, MD
Outpatient Medication Use and Health Outcomes in Post-Acute Coronary Syndrome Patients
Zhou Yang, PhD, MPH; Ade Olomu, MD; William Corser, PhD; David R. Rovner, MD; and Margaret Holmes-Rovner, PhD
Low-density Lipoprotein Cholesterol Goal Attainment Among High-risk Patients: Does a Combined Intervention Targeting Patients and Providers Work?
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Alex D. Federman, MD, MPH; Ethan A. Halm, MD, MPH; Carolyn Zhu, PhD; Tsivia Hochman, MA; and Albert L. Siu, MD, MSPH
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Outpatient Medication Use and Health Outcomes in Post-Acute Coronary Syndrome Patients
Zhou Yang, PhD, MPH; Ade Olomu, MD; William Corser, PhD; David R. Rovner, MD; and Margaret Holmes-Rovner, PhD
Association of Income and Prescription Drug Coverage With Generic Medication Use Among Older Adults With Hypertension
Alex D. Federman, MD, MPH; Ethan A. Halm, MD, MPH; Carolyn Zhu, PhD; Tsivia Hochman, MA; and Albert L. Siu, MD, MSPH
Increasing Primary Care Physician Productivity: A Case Study
Steven Lewandowski, BSS; Patrick J. O'Connor, MD, MPH; Leif I. Solberg, MD; Thomas Lais, BS; Mary Hroscikoski, MD; and JoAnn M. Sperl-Hillen, MD
Increasing Primary Care Physician Productivity: A Case Study
Steven Lewandowski, BSS; Patrick J. O'Connor, MD, MPH; Leif I. Solberg, MD; Thomas Lais, BS; Mary Hroscikoski, MD; and JoAnn M. Sperl-Hillen, MD

Outpatient Medication Use and Health Outcomes in Post-Acute Coronary Syndrome Patients

Zhou Yang, PhD, MPH; Ade Olomu, MD; William Corser, PhD; David R. Rovner, MD; and Margaret Holmes-Rovner, PhD

The authors wish to thank Manfred Strommel, PhD, for his contribution to the manuscript. We are also grateful to the 2 anonymous reviewers for their comments to improve this article. The authors take responsibility for any errors occurring in the manuscript.

CONCLUSION

Our study sheds light on the association between medication use and health outcomes among ACS patients, showing the combined effect of discharge prescriptions and subsequent use of medications in outpatient clinical settings. The effort made by the outpatient physicians could be as important as that of the inpatient care physicians who write discharge prescriptions in promoting the use of outpatient medications shown previously to be effective for ACS patients. Further research on quality improvement interventions for chronically ill patients should focus on the outpatient care provided after acute inpatient events.




From the Department of Health Services Research, Management and Policy, University of Florida, Gainesville, Fla (ZY); and the Department of Medicine (AO, DR), the College of Nursing (WC), and the Center for Ethics and the Department of Medicine (MHR), Michigan State University, East Lansing, Mich.

This project was funded in part by the Agency for Healthcare Research & Quality grants R01 HS10531 and R01 HS09514-S1.

Address correspondence to: Zhou Yang, PhD, MPH, Department of Health Services Research, Management and Policy, University of Florida, 101 S Newell Dr, Rm 4141, Gainesville, FL 32610-0195. E-mail: zyang@phhp.ufl.edu.


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