- Center on Health Equity & Access
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Latest:
Pediatric Codeine Prescriptions in Outpatient and Inpatient Settings in KoreaCodeine was frequently prescribed for children in Korea despite the actions taken to restrict its use in that age group in Korea and other countries.
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Diabetes Disease Management in Medicare Advantage Reduces Hospitalizations and CostsA disease management program for Medicare Advantage patients with diabetes and coronary artery disease resulted in significantly reduced hospital admissions and total healthcare costs.
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Effectiveness of Enhanced Primary Care on Preventive Health ServicesThis natural experiment compared rates of indicated preventive care for low-income Hispanic patients enrolled in an enhanced primary care program with those of patients receiving usual care.
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Rates of Guideline Adherence Among US Community Oncologists Treating NSCLCUS community oncologists treating NSCLC were significantly more likely to be guideline adherent when providing first-line rather than adjuvant treatment.
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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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High Cost Sharing and Specialty Drug Initiation Under Medicare Part D: A Case Study in Patients With Newly Diagnosed Chronic Myeloid LeukemiaA Medicare claims analysis of patients newly diagnosed with chronic myeloid leukemia revealed that high cost sharing was associated with reduced and/or delayed tyrosine kinase inhibitor initiation under Part D.
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Cost-Effectiveness of Insulin AnalogsThis review shows that insulin analogs are cost-effective versus human insulins based on pharmacoeconomic models and retrospective database analyses.
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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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Pilot of Decision Support to Individualize Colorectal Cancer Screening RecommendationsColorectal cancer screening involves balancing immediate harms with longer-term benefits; electronic medical record decision support may facilitate personalized benefit/harm assessment.
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Medicare Savings From Conservative Management of Low Back PainThis instrumental variables analysis estimates that Medicare would realize $362 million in annual savings if all patients with newly diagnosed low back pain were managed conservatively.
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Home Telemonitoring for Respiratory Conditions: A Systematic ReviewHome telemonitoring represents a promising approach for the management of respiratory conditions and supports early identification of deteriorations in patient condition and symptoms control.
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Measures of ED Utilization in a National Cohort of ChildrenThrough analysis of multistate Medicaid data, this study identifies differences in 2 commonly used measures of emergency department (ED) utilization, ED visit count and ED reliance.
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Gender Differences in Healthcare Utilization of Patients With DiabetesGender differences were found in healthcare utilization in patients with type 2 diabetes mellitus in Germany, despite a high rate of enrollment in a disease management program.
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The Emerging Business Models and Value Proposition of Mobile Health ClinicsMobile health clinics represent promising vehicles through which high quality, cost-effective care can be delivered to patients, especially in underserved areas.
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A Novel Nursing-Driven Standardized Diabetes Education Process in Primary CareA new nursing-driven diabetes education process established within a patient-centered primary care model significantly improved diabetes control for veterans at the Albany Stratton VA Medical Center.
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Single- Versus Multiple-Tablet HIV Regimens: Adherence and Hospitalization RiskSingle-tablet regimens are associated with higher adherence rates, decreased hospitalizations, and a higher proportion of patients with undetectable viral load compared with multiple-tablet regimens in patients with HIV/AIDS.
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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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Use of Patient-Reported Outcomes and Satisfaction for Quality AssessmentsUnderstanding the relationships among patient-reported outcomes, satisfaction, and quality is the first step in drawing meaningful conclusions that can then be translated into policy.
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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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Healthcare System Effects of Pay-for-Performance for Smoking Status DocumentationA payer-sponsored pay-for-performance incentive for smoking status documentation prompted implementation of a systemwide electronic reminder and improved documentation among all healthcare system patients.
