- Center on Health Equity & Access
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Latest:
A System-Based Intervention to Improve Colorectal Cancer Screening UptakeUsing an electronic health record to identify and implement colorectal cancer screening in a population of eligible patients achieved higher uptake than a visit-based approach.
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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.
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Trends in Mortality Following Hip Fracture in Older WomenWithin an integrated healthcare setting, temporal trends demonstrate reductions in mortality risk after hip fracture in older women, with mortality risk lower for Asians and Hispanics.
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Reduced Medical Spending Associated With Integrated Pharmacy BenefitsMembers covered by an integrated pharmacy benefit (as opposed to a pharmacy carve-out) experienced slower growth in medical spending.
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Burden of Alzheimer's Disease and Association With Negative Health OutcomesCommunity-based persons with Alzheimer’s disease have a higher risk of fractures, hospitalization, and various comorbidities than persons without the disease.
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Real-World Economic Value of a 21-Gene Assay in Early-Stage Breast CancerUniversal gene expression profiling of patients with stage II breast cancer resulted in outpatient savings of $11,000 (inclusive of testing costs) within 6 months of initiation of medical therapy.
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Measuring Concurrent Oral Hypoglycemic and Antidepressant Adherence and Clinical OutcomesSelf-reported adherence tended to overestimate medication adherence compared with electronic monitoring. Electronic monitoring of oral hypoglycemic agents but not self-reported adherence predicted glycemic control.
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Effective Implementation of Collaborative Care for Depression: What Is Needed?Factors most important for successful implementation of collaborative care for depression differ for patient activation versus achieving remission; both are critical to program success.
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Medicare Part D Claims Rejections for Nursing Home Residents, 2006 to 2010This study presents data on paid and rejected claims submitted by 1 large long-term care pharmacy over the initial 5 years of Medicare Part D.
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Analyzing Admission Rates for Multiple Ambulatory Care–Sensitive ConditionsAmbulatory care–sensitive conditions can be systematically assessed in a large electronic medical database to describe admission rates by year, catchment area, and hospital affiliation.
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Have Racial Disparities in Home Dialysis Utilization Changed Over Time?Medicare prospective payment for dialysis modestly increased availability and use of home-based dialysis treatment but did not affect historic racial disparities in home dialysis.
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Implementation of Cancer Clinical Care Pathways: A Successful Model of Collaboration Between Payers and ProvidersA statewide collaboration between payers and providers to create a cancer clinical care pathways program is successful.
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Clinician Considerations When Selecting High-Risk Patients for Care ManagementClinicians consider a number of patient predisposing and enabling characteristics not typically available in clinical data systems when selecting high-risk patients for care management.
