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Latest:
Building Community-Clinical Linkages to Address the Diabetes EpidemicWith the right support, community providers can offer an effective approach to promoting population health and preventing chronic disease.
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Mental Illness and Warfarin Use in Atrial FibrillationAtrial fibrillation patients with mental illness are less likely to receive warfarin anticoagulation; those who do receive warfarin have excess risk of over-anticoagulation.
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Predictors of Physician Use of Inpatient Electronic Health RecordsHospital and physician-hospital alignment, but not loyalty, are predictors of integrated electronic health record adoption by admitting physicians in an integrated system.
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Frequency and Costs of Hospital Transfers for Ambulatory Care-Sensitive ConditionsThis article outlines the frequency of transfers of patients with ambulatory care-sensitive conditions from nursing homes to emergency departments or hospitals, and provides reliable estimates of associated costs.
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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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Chronic Pain as a Driver of Cost in ACO ArrangementsA discussion of chronic pain prevalence, care obstacles, and potential opportunities for care improvement within the accountable care organization context at University of California, San Francisco Health.
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A Team Approach to Systematic Behavioral Screening and InterventionExpanding primary care teams with trained and supported paraprofessionals enables systematic delivery of widely recommended, evidence-based, cost-saving alcohol, drug, and depression screening and intervention services.
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Prescribing Trend of Pioglitazone After Safety Warning Release in KoreaThe pioglitazone safety warning issued in South Korea, which recommended prescribing with careful attention among those with high risk of bladder cancer, led to a moderate decrease in pioglitazone users.
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GRACE Principles: Recognizing High-Quality Observational Studies of Comparative EffectivenessThe GRACE principles lay out 3 questions to help healthcare providers, patients, and other decision makers evaluate the quality of noninterventional comparative effectiveness studies.
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Race/Ethnicity, Personal Health Record Access, and Quality of CareQuality benefits were equal across racial/ethnic groups with equal personal health record (PHR) use, but nonwhite status and a preference for Spanish language predicted lower PHR registration.
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Office Manager and Nurse Perspectives on Facilitators of Adult ImmunizationFactors significantly associated with adult vaccination rates in primary care practices were patients’ age, race, scheduled well-visit length, and nurses’ vaccination status.
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Health Plan Use of Immunization Information Systems for Quality MeasurementHealth plans may benefit from using a state immunization information system as the primary data source for HEDIS and physician incentive and quality programs.
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Racial Variation in the Cost-effectiveness of Chemotherapy for Prostate CancerThe likelihood of chemotherapy being cost-effective for patients with metastatic prostate cancer differs across racial subgroups. This uncertainty presents challenges for managed-care decision makers.
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A Revised Classification Algorithm for Assessing Emergency Department Visit Severity of PopulationsAn updated emergency visit classification tool enables managers to make valid inferences about levels of appropriateness of emergency department utilization and healthcare needs within a population.
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Shared Medical Appointments for Patients with Type 2 DiabetesGlycemic control in patients with type 2 diabetes was improved through a shared medical appointment program focusing on lifestyle education and behavior change.
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Testing of a Tethered Personal Health Record Framework for Early End-of-Life DiscussionsPilot testing demonstrates the use of a novel, personal health record—based framework used in primary care settings may improve presence and quality of advance care planning documentation in the electronic health record.
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Impact of Formulary Restrictions on Medication Intensification in Diabetes TreatmentFormulary restrictions on brand name noninsulin antihyperglycemic drugs have little impact on treatment intensification patterns among low-income patients with diabetes in Medicare Part D.
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Inpatient Rehabilitation Utilization for Acute Stroke Under a Universal Health Insurance SystemBased on claims data from a universal health insurance system, inpatient stroke rehabilitation use was 34.0% and mainly related to stroke type and stroke severity.
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Predictors of High-Risk Prescribing Among Elderly Medicare Advantage BeneficiariesThis study examines patterns of high-risk prescribing in the elderly Medicare Advantage population and demonstrates that the practice varies widely by geography and drug class.
