- Center on Health Equity & Access
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Authors
Latest:
A Restricted Look at CRC Screening: Not Considering Annual Stool Testing as an OptionThis is a letter clarifying some points in an article published in the February 2016 issue of AJMC by Berger et al on colorectal cancer screening guidelines.
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Factors Associated With Primary Hip Arthroplasty After Hip FracturePatient, clinical, and hospital factors were associated with receiving primary hip arthroplasty versus no surgery after hip fracture in the United States.
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Impact of a National Specialty E-Consultation Implementation Project on AccessE-consult implementation grew from 12 to 122 VHA sites with multiple specialties. The adjusted e-consult rate of 1.93/100 consults saved significant patient travel miles and costs.
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Insurance Impact on Nonurgent and Primary Care-Sensitive Emergency Department UseThe authors analyzed the association of insurance coverage and likelihood of an ED visit being nonurgent or primary care—sensitive based on an ED classification algorithm.
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Economic Implications of Weight Change in Patients With Type 2 Diabetes MellitusModest weight loss (>3%) among metformin-treated patients with type 2 diabetes mellitus was associated with decreased costs, lower resource utilization, and lower rates of treatment discontinuation.
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Maternal Mental Health and Infant Mortality for Healthy-Weight InfantsTo address infant mortality, focusing only on babies who were born prematurely or with a low birth weight will be missing an attention-worthy segment of the population.
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Comprehension and Choice of a Consumer-Directed Health Plan: An Experimental StudyThis study highlights the difficulty many consumers have in understanding comparative plan information. It also suggests that presentation strategies may help consumers understand choices better.
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Referrals and the PCMH: How Well Do We Know Our Neighborhood?A descriptive analysis of specialty referral patterns in an academic, internal medicine patient-centered medical home (PCMH).
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A Multiattribute Decision Model for Bipolar Disorder: Identification of Preferred Mood-Stabilizing MedicationsThis research develops a multiattribute decision model to aid in the selection of preferred mood-stabilizing agents for the treatment of bipolar disorder.
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Cost Differential by Site of Service for Cancer Patients Receiving ChemotherapyThe cost of care for patients receiving chemotherapy in community oncology clinics is lower than for comparable patients receiving chemotherapy in the hospital outpatient setting.
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Measuring the Cost Implications of the Collaborative Accountable Care Initiative in TexasA private accountable care organization model with an embedded care coordinator and a list of recommended providers yields cost savings similar to initiatives with risk-based contracts.
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Should We Pay Doctors Less for Colonoscopy?Due to existing payment structures and practice patterns for colonoscopy, reducing endoscopist reimbursement may diminish access to and quality of colorectal cancer screening.
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Satisfaction With Care After Reducing Opioids for Chronic PainThere is no significant association between unfavorable patient satisfaction and opioid reductions for chronic pain, but encounters with unestablished providers may slightly impair satisfaction when reducing opioids.
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Care Management Reduced Infant Mortality for Medicaid Managed Care Enrollees in OhioCare management was effective at reducing infant mortality among the most vulnerable infants enrolled in an Ohio Medicaid managed care organization.
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Referring Patients for Telephone Counseling to Promote Colorectal Cancer ScreeningIn this pilot study, primary care providers refer patients to a telephone counselor who provides education about colorectal cancer screening and performs motivational interviewing as needed to promote screening.
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Roles of Prices, Poverty, and Health in Medicare and Private Spending in TexasVariation in private spending reflects the ability of the local population to pay for healthcare, whereas variation in Medicare is more driven by health status.
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Faster by a Power of 10: A PLAN for Accelerating National Adoption of Evidence-Based PracticesThe authors identify a 4-step plan to accelerate the spread of evidence-based practices.
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Outpatient Parenteral Antimicrobial Therapy at Large Veterans Administration Medical CenterOutpatient parenteral antimicrobial therapy was successfully delivered in our facility despite significant comorbidity and geographic limitations.
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Effects of Documentation-Based Decision Support on Chronic Disease ManagementA trial of electronic note–based decision support showed small effects on management of patients with heart disease and diabetes, mostly because it was infrequently used.
