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Authors
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Primary Care Burnout and Populist DiscontentPhysician burnout has parallels to rising societal populism. Failure to address the disconnect between clinicians and the healthcare system will exacerbate the primary care crisis.
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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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Patient-Centered Medical Home Demonstration: A Prospective, Quasi-Experimental, Before and After EvaluationA 12-month evaluation of a patient-centered medical home demonstration indicated improvement in quality of care without an increase in overall costs.
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Absenteeism and Productivity Among Employees Being Treated for Hepatitis CEmployees with hepatitis C (HCV) who underwent existing treatments had more absences and higher indirect costs than HCVinfected employees who did not undergo treatment.
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Risk Adjusting Community-acquired Pneumonia Hospital Outcomes Using Automated DatabasesUsing laboratory and administrative data, large managed care organizations can assign severity of illness scores to patients with pneumonia for risk adjustment and reporting.
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Patient-Centered Medical Homes and Preventive Service UsePreventive service use was better in patients with a usual source of care but little improved by patient-centered medical home status.
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Effectiveness and Cost of Influenza Vaccine Reminders for Adults With Asthma or Chronic Obstructive Pulmonary DiseaseInteractive voice response reminders had neither a positive nor a negative effect on promoting influenza vaccination over reminders via postcards, but are a potentially less expensive option.
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Challenges in Diabetes: How to Focus on Individuals, Improve Health of PopulationsDuring the first panel discussion at PCDC 2014, "Addressing Challenges in Diabetes," the panelists talked about individualizing patient care.
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Community-Based Asthma EducationA retrospective look at the impact of a community asthma education program reveals significant improvements in asthma management and knowledge and decreased healthcare utilization.
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Physician Perception of Reimbursement for Outpatient Procedures Among Managed Care Patients With Diabetes MellitusPerception of reimbursement was associated with electrocardiography but not with other common outpatient procedures. Future research should investigate how associations change with perceived reimbursement amount.
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EHR Documentation and the Patient–Physician VisitThe need for physicicans to gather information for electronic health records has changed the nature of the patient visit.
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Does Distance Modify the Effect of Self-Testing in Oral Anticoagulation?Self-testing of anticoagulation improves outcomes, but is expensive. One might assume it is more helpful for patients living farther from care, but the authors disprove this assumption.
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Controlling Hypertension Requires a New Primary Care ModelBlood pressure control can be improved through a "Treat to Target" approach including home blood pressure monitoring, health coaching, and home titration of antihypertensive medications.
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Data-Driven Clinical and Cost Pathways for Chronic Care DeliveryThe authors illustrate a methodology for delineating variations in medical costs for patients with similar clinical conditions and needs using electronic health record data.
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Utilization Management for Smoking Cessation Pharmacotherapy: Varenicline Rejected Claims AnalysisAbout half of the patients in this study did not fill any smoking cessation medication following a rejected claim for varenicline.
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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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Caregiver Presence and Patient Completion of a Transitional Care InterventionCaregivers' presence during patient recruitment is associated with a greater rate of completion of a post hospital transitional care coaching intervention, particularly among men.
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Assessment and Potential Determinants of Compliance and Persistence to Antiosteoporosis Therapy in ItalyThis analysis of antiosteoporosis therapy shows that 75% of patients have inadequate drug coverage and that adherence is strongly associated with age and administration regimen.
