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Latest:
Knowledge, Attitudes, and Preferences Regarding Advance Directives Among Patients of a Managed Care OrganizationAdults 20 years or older were surveyed regarding advance directives (ADs); one third had completed an AD. Subjects were comfortable with provider initiation of the topic.
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Cost-Sharing Payments for Out-of-Network Care in Commercially Insured AdultsThis study of claims among adults covered by employer-sponsored plans revealed substantial variations in out-of-network cost-sharing payments. The growth of cost sharing for nonemergent hospitalizations is concerning.
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Compliance, Persistence, and Switching Patterns for ACE Inhibitors and ARBsThis drug-utilization study in a prescription database of more than 50,000 patients analyzed compliance, persistence, and switching behavior for ACE inhibitors and ARBs.
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Promoting Electronic Health Record Adoption Among Small Independent Primary Care PracticesSubstantial outreach efforts are needed in addition to offering subsidies or incentives in engaging primary care providers to adopt electronic health records.
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An Empirical Analysis of Hospital ED Pricing PowerWe find that under current regulatory and market conditions, demand for hospital-based emergency services is highly inelastic with respect to price, giving hospitals substantial pricing power over out-of-network emergency services.
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Variation in Markups on Outpatient Oncology Services in the United StatesCharges for oncology services vary widely across hospitals and impose financial burdens. Further legislation is needed to address disparities in access to high-quality cancer care.
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New Medication Adherence Scale Versus Pharmacy Fill Rates in Seniors With HypertensionScores on a new medication adherence scale maintained a strong graded association with antihypertensive drug pharmacy fill adherence among community-dwelling seniors in a managed care organization.
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Medication Adherence and Use of Generic Drug TherapiesGeneric prescribing was associated with improved medication adherence in 2 of 5 study conditions, but $0 copayments were associated with improved adherence across all conditions.
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Building Trust Can Improve American HealthcareThe promise of high-quality, affordable care aligning with the individual needs of patients remains elusive. Increasingly, the missing ingredient seems obvious: trust.
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The Effect of Implementing a Care Coordination Program on Team Dynamics and the Patient ExperienceA primary care redesign program embedding care coordinators into practices slightly improves the patient experience and does not disrupt team dynamics.
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Will Preoperative Smoking Cessation Programs Generate Long-Term Cessation? A Systematic Review and Meta-AnalysisThis review demonstrates the long-term (≥12 months) efficacy of preoperative smoking cessation programs, providing further support for incorporation of smoking cessation programs into presurgical clinics.
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Optimal Cancer Care Across the Spectrum of Life and DiseaseThe Guest Editors set the context for this special collection of oncology-focused articles.
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COPD-Related Healthcare Utilization and Costs After Discharge From a Hospitalization or Emergency Department Visit on a Regimen of Fluticasone Propionate-Salmeterol Combination Versus Other MaintenancInitiation of fluticasone propionate–salmeterol after a COPD-related hospitalization or ED visit decreased the risk of a recurrent event and reduced COPD-related medical costs.
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Use of Health Information Technology to Improve Medication AdherenceAutomated telephone reminders resulted in a small but significant increase in adherence to inhaled corticosteroids among adult asthma patients in a large managed care organization.
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Incidence and Cost of CAP in a Large Working-Age PopulationApproximately 5% of non-elderly adults have a community acquired pneumonia (CAP) annually, with an annual total of $10.6 billion in direct and indirect costs.
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Health Information Technology for Ambulatory Care in Health SystemsHealth systems are important in driving electronic health record adoption in ambulatory clinics, although the uptake of key functionalities varies across systems.
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Making the RoundsHackensack Alliance ACO integrates pharmacists and adopts new technology as it joins in the bold experiment to lower costs and improve quality under health reform.
