- Center on Health Equity & Access
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Electronic Health Record "Super-Users" and "Under-Users" in Ambulatory Care PracticesNearly 40% of US ambulatory care practices are “under-users” of health information technology functionalities, which impacts the ability of the health system as a whole to provide coordinated, efficient care.
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Trends in Opioid and Nonsteroidal Anti-Inflammatory Use and Adverse EventsOpioid use incidence and prevalence rates decreased with implementation of an opioid safety initiative, whereas nonsteroidal anti-inflammatory drug rates remained constant. Rates of adverse events were higher among opioid users.
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Development of a Multidisciplinary, Multicampus Subspecialty Practice in Endocrine CancersThe development of subspecialty tumor groups for uncommon malignancies represents an effective approach to building experience, increasing patient volumes and referrals, and fostering development of increased therapeutic options and clinical trials for patients afflicted with otherwise historically neglected cancers.
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Effects of a Population-Based Diabetes Management Program in SingaporePatients utilizing Medisave for a diabetes management program in Singapore were more compliant with care processes, but reductions in hospitalization and costs were not sustained.
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Insights on Site-of-Care Cancer Research: Both Quality and Cost Information Are Necessary to Guide PolicyThe implementation of alternative payment models that successfully capture clinical heterogeneity—without adding unacceptable levels of administrative complexity—may be equally (if not more) important than site-neutral payment policies.
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Measuring Patient-Centered Medical Home Access and Continuity in Clinics With Part-Time CliniciansCommonly used measures of performance for assessing patient access do not reflect PCMH-encouraged strategies to improve access that may be preferentially used by part-time physicians.
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Patients’ Expectations of Their AnesthesiologistsUnderstanding patients’ expectations, educating them about the role of an anesthesiologist, and involving them in decisions about their medical care can improve patient satisfaction.
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Building Partnerships Between a College of Pharmacy and ACOs: Development of the ACORN SEEDTo promote future partnerships among colleges of pharmacy and accountable care organizations, this article describes several initial challenges to partnership formation, including those related to agenda setting and resource utilization.
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Trends in Low-Value Cancer Care During the COVID-19 PandemicAmong adults with newly diagnosed cancer, rates of low-value cancer services persisted throughout the COVID-19 pandemic in areas ranging from peridiagnosis imaging to end-of-life care.
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Patient Access to Oncology Care in ACA Exchange PlansThis article describes provider networks and benefit design-including deductibles, cost-sharing, and maximum out-of-pocket limits-for oncology care in 2015 health insurance exchanges.
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Healthcare Reform With a Safety Net: Lessons From San FranciscoSan Francisco is attempting to expand health insurance coverage and access to care while also supporting its healthcare safety net.
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Reconsidering the Economic Value of Multiple Sclerosis TherapiesAvailability of multiple sclerosis (MS) therapies provides substantial value to the currently healthy (who may contract MS in the future), particularly when treatment is fully covered by insurance.
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Identification of and Intervention to Address Therapeutic Gaps in CareA program identifying and resolving care gaps involving community pharmacists resulted in increased adherence and omission gaps closure and fewer adherence gap reopenings.
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Increased Healthcare Utilization and Expenditures Associated With Chronic Opioid TherapyThe increase in healthcare utilization and expenditures associated with the transition to chronic opioid therapy places increased burden on payers and patients.
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Health Literacy and Cardiovascular Disease Risk Factors Among the Elderly: A Study From a Patient-Centered Medical HomeA study to determine the health literacy of elderly patients and establish whether an association exists between health literacy and cardiovascular disease risk factors.
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Does Telephone Scheduling Assistance Increase Mammography Screening Adherence?The authors describe a quality improvement intervention that focuses on directly scheduling mammogram appointments for women who lack adherence despite written outreach letters.
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CHAPTER 5. Clinical Guideline for Pharmacological Management of Adults With Type 2 DiabetesFrom the Adult Diabetes and Clinical Research Sections, Joslin Diabetes Center, Harvard Medical School. Approved May 10, 2016; updated April 24, 2018. For the Figure and Tables, download the PDF at the end of the chapter.
