- Center on Health Equity & Access
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Latest:
The Effect of Certificate-of-Need Laws on Hospital Beds and Healthcare Expenditures: An Empirical AnalysisThis study found that certificate-of-need laws have reduced the number of hospital beds by about 10% and have reduced healthcare expenditures by almost 2%.
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Enhanced Primary Care and Impact on Quality of Care in MassachusettsIn a statewide telephone survey, patient-reported indicators of the patient-centered medical home correlated with improved process measures in diabetes, cholesterol screening, vaccination, and care access.
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CKD Quality Improvement Intervention With PCMH Integration: Health Plan ResultsA scalable chronic kidney disease (CKD) quality improvement intervention demonstrated feasibility, decreased hospitalization, and reduced costs. These preliminary results support innovation in CKD by commercial health plans.
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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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Pilot-Testing a New Program for Providing Personalized and Patient-Centered Preventive CareProgram that enhances personalized and patient-centered preventive care at a busy inner-city primary care clinic may be associated with improved health outcomes.
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Effect of Insurance Status on the Stage of Breast and Colorectal Cancers in a Safety-Net HospitalIn a safety-net hospital, patients with Medicaid have rates of advanced-stage cancer similar to those patients with other types of insurance; however, patients with no insurance have significantly higher rates of advanced disease.
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The Long-term Social Value of Granulocyte Colony-Stimulating FactorsAlthough currently underutilized, granulocyte colony-stimulating factor prophylaxis as supportive cancer care provides substantial value to society. Aligning utilization with clinical guidelines would increase this value considerably.
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Trust Between Patients and Clinicians: An Overlooked and Affordable Approach to Improving US Health CareRaising the visibility of the importance of trust in patient-clinician relationships can help ensure it is acknowledged and incorporated into policy and tactical considerations.
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More Comprehensive Discussion of CRC Screening Associated With Higher ScreeningMore comprehensive discussion of colorectal screening by primary care physicians was associated with higher screening rates among adults aged 51 to 80 years who were overdue for screening.
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Excess Hospitalization Days in an Academic Medical Center: Perceptions of Hospitalists and Discharge PlannersWe assessed the frequency of and reasons for medically unnecessary hospital days, which affect patients, payers, hospitals, and healthcare providers.
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Benchmarking Health-Related Quality-of-Life Data From a Clinical SettingHealth-related quality-of-life data are often collected during routine clinical care. We present a method to create nationally representative benchmarks for clinical subspecialties.
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Interactive Voice Response Systems for Improving Delivery of Ambulatory CareA systematic review of interactive voice response system studies showed that these interventions significantly benefit adherence to various processes of care.
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Which Patients Are Persistently High-Risk for Hospitalization?Most patients in a large integrated healthcare system who were high-risk for hospitalization were at substantially lower risk within 2 years.
