- Center on Health Equity & Access
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Latest:
Economic Evaluation of Plerixafor for Stem Cell MobilizationUse of granulocyte colony-stimulating factor plus plerixafor for stem cell mobilization is cost-effective in pretreated patients with non-Hodgkin lymphoma.
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Precision Medicines Need Precision Patient Assistance ProgramsThe competing strategies of patient assistance programs and co-pay accumulator adjustment programs create confusion and administrative burden for clinicians and patients, potentially reducing adherence to clinically indicated services and worsening patient outcomes.
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Improving Population Health Through Multistakeholder PartnershipsImproving population health requires developing innovative multistakeholder partnerships to enable mining and cross-leveraging data sets, creating patient touchpoint “ecosystems,” and aligning investments with each stakeholder’s returns.
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Physician Assessment of Appropriate Healthcare Level Among Nonurgent PatientsPhysicians at an emergency department and in primary care evaluated the appropriateness of complaints among nonurgent patients. Low regular previous healthcare use correlated with inappropriateness.
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Lessons From the Front: Designing and Implementing Clinical Pathways by and for CliniciansAs cancer care becomes more complex and more expensive, decision-support algorithms offer a mechanism to define best practice, reduce unwarranted variation, and control costs across growing networks.
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It Is Time to Ask Patients What Outcomes Are Important to ThemPatients with abdominal or back pain identified 21 outcomes important to them, but the reported outcomes are quite different from the symptom and function outcomes studied by researchers.
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Cost-Effectiveness of Intensive Tobacco Dependence Intervention Based on Self-Determination TheoryAn intensive tobacco dependence intervention based on selfdetermination theory that targeted all smokers was cost-effective and facilitated patient autonomy, perceived competence, and long-term tobacco abstinence.
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Evaluation of a Packaging Approach to Improve Cholesterol Medication AdherenceA 7.6% improvement in 12-month cholesterol refill was observed among US military veterans randomized to an adherence blister packaging intervention versus an education-only intervention.
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Knowledge, Attitudes, and Preferences Regarding Advance Directives Among Patients of a Managed Care OrganizationAdults 20 years or older were surveyed regarding advance directives (ADs); one third had completed an AD. Subjects were comfortable with provider initiation of the topic.
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Treatment of Ductal Carcinoma In Situ Among Patients Cared for in Large Integrated Health PlansAlthough we found no DCIS treatment disparities by race/ethnicity, use of adjuvant radiation therapy was less among older women and among residents of poorer neighborhoods.
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Therapies for Treatment of Osteoporosis in US Women: Cost-effectiveness and Budget Impact ConsiderationsOsteoporosis treatment for high-risk women is cost-effective, with bisphosphonates providing the most benefit at the lowest cost.
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Bridging the Care Gap Between Pediatric and Young Adult CancerThrough a multi-site, multidisciplinary approach, AYA@USC addresses the unique needs of young adult cancer patients, improving outcomes and bridging the care gap in this population.
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Practical Solutions When Facing Cost Sharing: The American Cancer Society's Health Insurance Assistance ServiceThis case study from the American Cancer Society (ACS) describes the ACS’s Health Insurance Assistance Service and offers profiles of 2 cases, which describe the challenges of finding adequate and affordable solutions, as well as sharing lessons learned.
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The Impact of New CMS Rules for Telehealth on Cancer Genetic CounselingTelehealth, a universal term for the use of digital information and communication technologies to remotely access healthcare services, is improving availability of healthcare services, particularly for patients in rural areas.
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Medicare Underpayment for Diabetes Prevention Program: Implications for DPP SuppliersThe actual costs of implementing the evidence-based Diabetes Prevention Program (DPP) were compared with the latest reimbursement rates provided by CMS.
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Utilization of HER2 Genetic Testing in a Multi-Institutional Observational StudyEvaluation of real-world implementation of HER2 testing showed that uptake was high (>90%) and trastuzumab treatment was targeted to patients with positive HER2 status.
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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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Prescription for National Healthcare ReformWidespread adoption of evidence-based protocols and healthy lifestyles provide a combined opportunity to reduce up to $1 trillion of current healthcare spending.
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Early Evaluations of the Medical Home: Building on a Promising StartFindings from a systematic evidence review of the medical home are promising, but indicate the critical need for stronger evaluations to guide policy makers.
