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Latest:
Hypertension Control in Ambulatory Care Patients With DiabetesThis paper explores hypertension control among patients with diabetes in a variety of ambulatory care settings. We also consider the role of sociodemographic factors.
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EMR-Based Medication Adherence Metric Markedly Enhances Identification of Nonadherent PatientsIntegration of written-prescription data into medication adherence measures doubled the number of patients identified as nonadherent and improved prediction of follow-up LDL cholesterol.
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Geographic Access to Endocrinologists for Florida's Publicly Insured Children With DiabetesEnrollment, claims, and spatial data are used to demonstrate the importance of outreach strategies for families in rural areas who have children with diabetes. Spatial barriers, alone, do not fully elucidate racial/ethnic disparities in pediatric diabetes for street-level location. (For Tables and the Figure, please access the PDF on the last page.)
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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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Hospitalized Patients' and Family Members' Preferences for Real-Time, Transparent Access to Their Hospital RecordsThis mixed-methods study evaluated hospitalized patients’ and family members’ perceived communications mismatches and their calls for transparent real-time information and potential 21st-century solutions.
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Diabetes Care Quality: Insurance, Health Plan, and Physician Group ContributionsReporting physician group performance in addition to health plan performance may stimulate greater improvement in diabetes care.
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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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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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Anticoagulation in Atrial Fibrillation: Impact of Mental IllnessAtrial fibrillation patients with mental health conditions are less likely to be eligible for warfarin receipt, and those who are eligible receive warfarin at lower rates.
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Outcomes and Lessons Learned From Evaluating TRICARE's Disease Management ProgramsFindings from TRICARE's disease management programs for asthma, congestive heart failure, and diabetes patients suggest that the programs more than pay for themselves.
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Safety vs Price in the Generic Drug Market: MetforminThe generic drug market focuses on price. However, multiple generic metformin drugs have been recalled due to poor drug quality. The authors examine price and quality after these recalls.
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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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Ethnic Differences in the Development of Albuminuria: The DISTANCE StudyDespite uniform access to medical care, Filipinos, blacks, and Asians with diabetes developed albuminuria at higher rates than whites.
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Implementing Effective Care Management in the Patient-Centered Medical HomeA positive deviance approach was used to identify best practices in embedding care management in patient-centered medical home team-based care processes.
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Enhancing Patient and Family Engagement Through Meaningful Use Stage 3: Opportunities and Barriers to ImplementationTwo leading US health systems attempted to implement 4 draft objectives for Meaningful Use Stage 3 within their health IT infrastructure to provide feedback on needed enhancements to the policy.
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Option Pricing: A Flexible Tool to Disseminate Shared Savings ContractsBy pricing options that protect providers from downside risk,health plans can more clearly evaluate different shared savings contracts and expand them to smaller providers.
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Standardization Improves Postoperative Patient Handoff Experience for Junior CliniciansStandardization of operating room to intensive care handoff with a “time-out for sign-out” process for health care providers was beneficial for junior clinicians.
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Health Systems Tackling Social Determinants of Health: Promises, Pitfalls, and Opportunities of Current PoliciesTo improve overall health, and not just healthcare, health systems require policies that fund and promote direct interventions targeting social determinants.
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Care Coordination in Accountable Care Organizations: Moving Beyond Structure and IncentivesIn order to live up to their potential, ACOs should ensure that clinical staff possess the professional skills necessary to effectively coordinate care.
