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Latest:
Prognostic Factors of Mortality Among Patients With Severe HyperglycemiaSepsis, renal impairment with electrolyte imbalance, and low blood pressure were independent prognostic factors of mortality among patients with severe hyperglycemia in the emergency department.
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Long-term Cost Effects of Collaborative Care for Late-life DepressionOlder adults with depression and comorbidities who participated in a 12-month collaborative care program had lower total healthcare costs over 4 years than those in care as usual.
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Innovation in Plain SightInnovations are powering the evolution of patient-centered care, and health plans are at the center of this innovation story.
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Healthcare Continuity From Hospital to Territory in Lombardy: TELEMACO ProjectThe TELEMACO project successfully used telemedicine to establish a healthcare continuity from hospital to territory in remote areas of the Lombardy region of Italy.
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Quality Care Opportunities: Refining Physician Performance Measurement in Ambulatory CareThe quality care opportunities model can lead to increased utility and validity of current measurement tools and more accurate assessment of physician performance.
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Transition-to-Dialysis Planning, Health Care Use, and Mortality in End-Stage Renal DiseaseA planned transition to dialysis was associated with improved outcomes and lower mortality. These findings may inform care coordination policies for end-stage renal disease.
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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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Collaborative Care Plans Reduce Subspecialty Consults: The Experience From a Safety Net HospitalCollaborative care plans combined with provider education resulted in significant reductions in referrals to specialists without an apparent increase in the rate of emergency department visits or hospital admissions.
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Burden of Alzheimer's Disease and Association With Negative Health OutcomesCommunity-based persons with Alzheimer’s disease have a higher risk of fractures, hospitalization, and various comorbidities than persons without the disease.
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Healthcare Network Analysis of Patients With Diabetes and Their PhysiciansNetwork analyses of patients with diabetes in Hawaii illustrate structures and links that health plans could leverage to strengthen quality improvement and disease management programs.
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Bowling Alone, Healing Together: The Role of Social Capital in Delivery ReformAs delivery reform unfolds and leads to new models of care delivery, social capital will be a powerful concept to incorporate into their design and evaluation.
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Healthcare Network Analysis of Patients With Diabetes and Their PhysiciansNetwork analyses of patients with diabetes in Hawaii illustrate structures and links that health plans could leverage to strengthen quality improvement and disease management programs.
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The Comparative Effectiveness of 2 Electronic Prescribing SystemsThis is a comparative effectiveness study that evaluates the safety effects of 2 types of commercially available electronic prescribing systems.
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Voice Response System to Measure Healthcare Costs:A STAR*D ReportModerate underreporting biases were found when patient responses to an interactive voice response system were compared with medical records in the STAR*D clinical trial.
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Managing Inappropriate Requests of Laboratory Tests: From Detection to MonitoringThis study shows automatic, practical, simple, and effective strategies designed in the laboratory, in consensus with requesting clinicians, to improve laboratory test appropriateness.
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Primary Care Diabetes Bundle Management: 3-Year Outcomes for Microvascular and Macrovascular EventsUsing a system for primary care management of patients with diabetes may reduce the risk of myocardial infarction, stroke, and retinopathy over a 3-year period.
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Complementary and Alternative Medicine Provider Use and Expenditures by Cancer Treatment PhaseMore than 26% of cancer patients see CAM providers, primarily for musculoskeletal problems; use does not vary by treatment phase, and associated expenditures are low.
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Cost of Delivering Centralized and Decentralized Reminder/Recall for Vaccinations to Children and Adolescents in an ACOCentralized reminder/recall (R/R) is less costly to deliver than decentralized R/R for both children and adolescents when implemented for patients within an accountable care organization.
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Resource Utilization With Insulin Pump Therapy for Type 2 Diabetes MellitusA retrospective claims analysis of managed care enrollees with type 2 diabetes mellitus showed that insulin pump therapy reduced antidiabetic drug and healthcare resource use.
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Impact of Statin Guidelines on Statin Utilization and Costs in an Employer-Based Primary Care ClinicAdherence to clinical guidelines in practice is often suboptimal and controversial. This study compares actual statin utilization and cost with full adoption of major clinical guidelines in a real-world population.
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Food Insecurity, Healthcare Utilization, and High Cost: A Longitudinal Cohort StudyIn a longitudinal study, the authors find that food insecurity is associated with greater emergency department visits, inpatient admissions, and length of stay. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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Are Benefits From Diabetes Self-Management Education Sustained?Conventional individualized diabetes self-management education resulted in sustained improvement in self-efficacy and diabetes distress. Short-term improvements in A1C, nutrition, and physical activity were not sustained.
