The American Journal of Managed Care - May 2010
Physicians at an emergency department and in primary care evaluated the appropriateness of complaints among nonurgent patients. Low regular previous healthcare use correlated with inappropriateness.
Although we found no DCIS treatment disparities by race/ethnicity, use of adjuvant radiation therapy was less among older women and among residents of poorer neighborhoods.
A low-cost cardiovascular disease screening and periodic educational intervention did not increase healthcare resource utilization and expenditures at 1 year.
Patient-centered medical homes and worksite clinics represent 2 employer healthcare cost containment strategies. Although each may afford benefit, integration can yield enhanced employer value.
When a clinical staging algorithm for treatment-resistant depression was applied to administrative claims data, higher scores predicted higher future medical costs.
Wide variation in the way clinical services are provided to similar patients for similar visit types results in highly variable costs but similar clinical outcomes.
A telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.
Although the fundamental structure of Medicare Part D remained the same in 2010, the beneficiary provisions continued to improve.
In order to encourage dissemination, this commentary is freely available in PLoS Medicine, and will also be published in Medical Decision Making, Croatian Medical Journal, The Cochrane Library, Trials, and Journal of Clinical Epidemiology.
In a survey of local-stage prostate cancer patients, preference for prostatectomy was influenced by perceptions of its efficacy and personal burden versus nonsurgical options.
Notifying patients and providers about the rosiglitazone cardiovascular safety alert led to sweeping changes in drug therapy that were initiated by both physicians and patients.