- Center on Health Equity & Access
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Helping Cancer Patients and Caregivers Navigate Immunotherapy TreatmentPatients, caregivers, and providers need education on immunotherapy treatment, support in patient-provider communications as well as support in mitigating the financial impact of immunotherapy treatment.
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Availability of Data for Measuring Physician Quality PerformanceTypical health plan data provide limited information for benchmarking physician performance using even a less stringent rule for attributing patient measures to physicians.
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Optimal Management of Diabetes Among Overweight and Obese AdultsThis study explores potential weight-related disparities in the quality of care for adults with diabetes in a large health plan according to recommended quality indicators.
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The Relationship Between Adherence and Total Spending Among Medicare Beneficiaries With Type 2 DiabetesThis study describes a widespread variation in medication adherence, pharmacy cost sharing, and medical spending. Increased cost sharing may decrease adherence and increase total diabetes spending.
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CHAPTER 3. Guideline for Detection and Management of Diabetes in PregnancyFrom the Adult Diabetes and Clinical Research sections, Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts
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Effect of High-Deductible Insurance on Health Care Use in Bipolar DisorderHigh-deductible health plan members with bipolar disorder experienced a reduction in nonpsychiatrist mental health provider visits but no changes in other utilization.
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Relevance of Current Guidelines for Organizing an Anticoagulation ClinicAnticoagulation clinics in an integrated healthcare system differed widely in their organization and management, but these differences were not consistently related to their performance.
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Opioid Prescribing for Chronic Pain in a Community-Based Healthcare SystemThis study identified populations with non-cancer chronic pain to determine which patients may be more likely to receive an opioid prescription in an outpatient setting.
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Preventing Patient Absenteeism: Validation of a Predictive Overbooking ModelElectronic health record data can be used to predict patient absenteeism accurately. Predictive overbooking of missed appointments can significantly increase service utilization.
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Evaluation of Interdisciplinary Geriatric Transitions of Care on Readmission RatesAn interdisciplinary transitions of care service composed of nurse navigators, pharmacists, and medical providers reduced 30-day hospital readmissions among patients who received all components of the intervention.
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Health Insurance and Breast-Conserving Surgery With Radiation TreatmentType of health insurance plays a significant role in the likelihood of receiving the recommended treatment among women diagnosed with early-stage breast cancer.
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Periodic Health Examinations and Missed Opportunities Among Patients Likely Needing Mental Health CareAmong patients likely needing mental health care, two-thirds had no discussion or perfunctory discussion of mental health during periodic health exams.
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Patients Discharged From the Emergency Department After Referral for Hospitalist AdmissionHospitalization is costly and associated with the potential for adverse medical events. Hospitalists are uniquely positioned to help avoid unnecessary emergency department admissions through consultation.
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Estimating the Staffing Infrastructure for a Patient-Centered Medical HomeThis study suggests that implementing a patient-centered medical home requires additional staff with specific expertise based on the needs of the practice and its population.
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Pharmacists as Healthcare Providers: Integration Into the MainstreamOn the second day of "Patient-Centered Diabetes Care: Putting Theory Into Practice," Jan Berger, MD, MJ, president of Health Intelligence Partners, moderated the panel discussion "Measuring the Impact of Pharmacists in Diabetes Patient Care."
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Effectiveness and Cost of Influenza Vaccine Reminders for Adults With Asthma or Chronic Obstructive Pulmonary DiseaseInteractive voice response reminders had neither a positive nor a negative effect on promoting influenza vaccination over reminders via postcards, but are a potentially less expensive option.
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Impact of Cost Sharing on Specialty Drug Utilization and Outcomes: A Review of the Evidence and Future DirectionsThe authors review published evidence regarding associations between high cost sharing for specialty pharmaceuticals indicated for rheumatoid arthritis, multiple sclerosis, and cancer, and their utilization.
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Patient-Centered Medical Home and Quality Measurement in Small PracticesSmall practices with NCQA patient-centered medical home recognition perform better on quality measures, especially those related to chronic conditions.
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Impact of Cardiac Telemetry on Patient Safety and CostReducing inappropriate use of cardiac telemetry may improve the cost of care while maintaining patient safety.
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Cognitive Impairment and Reduced Early Readmissions in Congestive Heart Failure?Proactive identification of cognitive impairment and compensatory destigmatized patient/familial psychoeducation regarding “forgetfulness” in hospitalized patients with congestive heart failure may reduce readmission rates substantially.
