- Center on Health Equity & Access
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Latest:
Colorectal Cancer Screening Use Among Insured Primary Care PatientsColorectal cancer screening use was similar in 2 divergent primary care populations. Colonoscopy was the most frequently used modality; FOBT was used inconsistently.
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Scaling Lean in Primary Care: Impacts on System PerformanceLean redesigns in primary care improved workflow efficiencies, physician productivity, and overall satisfaction among patients, physicians, and staff, with no adverse effects on clinical quality.
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Managed Care and Cancer Outcomes for Medicare Beneficiaries With DisabilitiesThis study showed better outcomes for disabled Medicare patients with breast cancer but not those with lung cancer when they were enrolled in HMOs.
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Comparing Variation in Medicare and Private Insurance Spending in TexasWe found that, in 2008, variations across Texas in total spending and inpatient utilization are similar in Blue Cross Blue Shield of Texas and Medicare.
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Quality Measurement of Medication Monitoring in the Meaningful Use EraShifting from claims to integrated electronic health records to calculate quality metrics will improve reported quality attributable to data capture changes, not true quality improvements.
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Patient Participation in Care Management: Are They Aware?Many patients offered, and those already participating in, care management are unaware of what care management is and that they have participated.
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Availability of Off-Marketplace Plans With Lower Premiums for Higher-Income FamiliesOff-marketplace plans are widely available, and individuals with higher incomes can obtain silver plans with low premiums off-marketplace.
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Systematic Review of Comparative Effectiveness Data for Oncology Orphan DrugsThis study critically assessed the published clinical and economic evidence supporting oncology orphan drugs marketed in the United States.
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Adherence to Inhaled Corticosteroid Use and Local Adverse Events in Persistent AsthmaThis study evaluated the association between patient-reported and medical record–abstracted local adverse events and patient-reported and claims-based adherence to inhaled corticosteroid therapy.
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Telemonitoring With Case Management for Seniors With Heart FailureAn Internet-based telehealth intervention for elderly heart failure patients found no discernible incremental impact on morbidity or mortality compared with case management alone.
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Compliance and Persistence With Concomitant Statin and Oral Antihyperglycemic TherapyIn patients with type 2 diabetes, compliance and persistence were generally low for both statin and antihyperglycemic therapy, but they were significantly lower with statin therapy.
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Medicare HMO Impact on Utilization at the End of LifeHMOs in California, particularly Kaiser, have developed approaches to end-of-life care that allow them to use far fewer inpatient resources than fee-for-service providers.
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Healthcare Professionals’ Perceptions of Challenges to Chronic Pain ManagementHealthcare professionals report pain management barriers across system, provider, and patient levels, highlighting the need to consider chronic pain as a chronic condition that warrants coordinated approaches.
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Full Coverage for Hypertension Drugs in Rural Communities in ChinaLow-income rural residents receiving hypertension drugs at no charge had enhanced medication adherence and reduced medical costs in China.
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Computed Tomography Scan Use Variation: Patient, Hospital, and Geographic FactorsWe observed small-area variation in computed tomography scan use for inpatients in New York State, even after controlling for relevant patient and hospital characteristics.
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Improving Adherence to Cardiovascular Disease Medications With Information TechnologyImproving adherence to long-term medication therapy remains a challenge. Health information technology interventions that leverage electronic medical records are promising, low-cost approaches for increasing adherence.
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Step-Up Care Improves Impairment in Uncontrolled Asthma: An Administrative Data StudySignificant clinically meaningful improvements in asthma impairment are documented by administrative data for 1 year after initiation of step-up care in patients with uncontrolled asthma.
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Comparative Efficacy of Ezetimibe/Simvastatin, Rosuvastatin, and Atorvastatin in Uncontrolled Hyperlipidemia PatientsEfficacy of switching statin therapy from generic simvastatin was examined in a VA population. Ezetimibe/simvastatin was more potent than atorvastatin or rosuvastatin in lowering LDL.
