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Latest:
Mental Health Services Utilization Among Women Experiencing Intimate Partner ViolenceAmong women diagnosed as having intimate partner violence, odds of mental health utilization were lower among those diagnosed in emergency departments versus primary care clinics.
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Global Payment Contract Attitudes and Comprehension Among Internal Medicine PhysiciansFour years following engagement by an urban care organization in global payment contracts, a majority of internal medicine physicians there were supportive of this action.
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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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Predictive Index for 90-Day Postoperative Outcomes Following Gynecologic SurgeryIncreasing LACE+ index score is a significant predictor of greater risk of unplanned readmission, emergency department visits, and reoperation after gynecologic surgery.
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Risk Adjusting Community-acquired Pneumonia Hospital Outcomes Using Automated DatabasesUsing laboratory and administrative data, large managed care organizations can assign severity of illness scores to patients with pneumonia for risk adjustment and reporting.
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Impact of Hypertension on Healthcare Costs Among ChildrenThis study demonstrates a major influence of prehypertension and hypertension on healthcare costs in a large cohort of children, independent of body mass index.
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Hospital Strategies in Commercial Episode-Based ReimbursementThis study reports qualitative findings from an explanatory sequential mixed-methods investigation to understand hospitals’ approaches to a novel commercial episode-based reimbursement incentive program.
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Number of Manufacturers and Generic Drug Pricing From 2005 to 2017Regardless of the number of manufacturers, generic drug prices presented double-digit average increases from 2012 to 2015.
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Cost-Effectiveness of Roux-en-Y Gastric Bypass in Type 2 Diabetes PatientsA predictive health economic model indicated that Roux-en-Y gastric bypass is cost-effective in the treatment of type 2 diabetes mellitus compared with medical management.
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Physician and Patient Tools to Improve Chronic Kidney Disease CareDecision support tools, disease registries, and patient engagement materials can improve population-based chronic kidney disease care.
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Unintended Consequences of a Quality Measure for Acute BronchitisA quality measure reduced antibiotic use for patients with acute bronchitis but led to use of an alternative diagnosis, offsetting most of the observed improvement.
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Passive Social Health Surveillance and Inpatient ReadmissionsBy collecting self-identified social needs and linking them to claims data, this study analysis reveals that social needs are associated with inpatient readmissions.
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Medication Adherence and Enrollment in a Consumer-Driven Health PlanMedication adherence was lower for some drug classes among CDHP patients who enrolled in consumer-driven health plans compared with patients who continuously enrolled in traditional managed care plans.
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Electronic Health Record Functions Differ Between Best and Worst HospitalsPatterns of electronic health record adoption among highand low-quality hospitals indicated that high-quality institutions had far greater use of most electronic health record functions.
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Development of a Multidisciplinary, Multicampus Subspecialty Practice in Endocrine CancersThe development of subspecialty tumor groups for uncommon malignancies represents an effective approach to building experience, increasing patient volumes and referrals, and fostering development of increased therapeutic options and clinical trials for patients afflicted with otherwise historically neglected cancers.
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Solid-Organ Transplant Recipients With Hyperglycemia on Admission Face Worse OutcomesElevated glucose levels are common in solid-organ transplant recipients and associated with short- and long-term mortality risks in hospitalized transplant recipients. This increased mortality risk was independent of age, gender, smoking, alcohol, or comorbidities.
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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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Baseline and Postfusion Opioid Burden for Patients With Low Back PainPatients with low back pain have a high opioid burden, which increases following spinal fusion surgery; 27% of fusion patients filled opioid prescriptions at least 12 months post surgery.
