- Center on Health Equity & Access
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Latest:
Single- Versus Multiple-Tablet HIV Regimens: Adherence and Hospitalization RiskSingle-tablet regimens are associated with higher adherence rates, decreased hospitalizations, and a higher proportion of patients with undetectable viral load compared with multiple-tablet regimens in patients with HIV/AIDS.
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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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Mind the Gap: The Potential of Alternative Health Information ExchangeProprietary health information exchanges (HIEs) offer significant but uneven opportunities to advance provider connectivity. Open forms of HIE remain critical for comprehensive coverage of patient transitions.
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Genomic Testing and Therapies for Breast Cancer in Clinical PracticeDespite almost universal testing for human-epidermal-growth-factor-receptor-2 (HER2), many women with a HER2-positive cancer may not receive trastuzumab. Fewer women received the newer gene-expression-profile (GEP) test.
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Novel Predictive Models for Metabolic Syndrome Risk: A "Big Data" Analytic ApproachThe authors evaluated a new "big data" analytic predictive platform that quickly and accurately analyzes large data sets to identify populations at risk of developing conditions such as metabolic syndrome.
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Early Clinical Experience With Networked System for Promoting Patient Self-ManagementA networked system designed to promote patient self-management appears to be safe and effective in capturing, integrating, and presenting medication adherence and physiologic information.
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Impact of Electronic Prescribing on Medication Use in Ambulatory CareBoth potential benefits and unexpected consequences were found as a result of the rollout of electronic prescribing.
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Alternative Measures of Electronic Health Record Adoption Among HospitalsThis study analyzes various pathways toward hospital adoption of electronic health records and explores relationships among various electronic health record function variables.
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Financial Incentives and Physician Commitment to Guideline-Recommended Hypertension ManagementFinancial incentives may not be strong enough to influence physician goal commitment to guideline-recommended hypertension care when providers attribute performance to forces beyond their control.
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Cost of Post-Traumatic Stress Disorder vs Major Depressive Disorder Among Patients Covered by Medicaid or Private InsurancePost-traumatic stress disorder was associated with 4.2% to 9.3% higher annual per-patient healthcare costs compared with MDD among patients covered by Medicaid or private insurance.
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Predicting High-Need Cases Among New Medicaid EnrolleesSelf-reported health measures embedded in a Medicaid application can comprise a predictive model identifying new and returning enrollees at risk of high healthcare utilization.
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ED-Based Care Coordination Reduces Costs for Frequent ED UsersResults of our pilot randomized controlled intervention involving emergency department (ED)-based care coordination and community health workers demonstrated a trend toward fewer ED visits, fewer hospitalizations, and lower costs among intervention patients.
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Pragmatic Clinical Trials: US Payers' Views on Their ValuePayers like key traits of pragmatic clinical trials, but are wary of pharmaceutical companies and plan to carefully scrutinize this new, appealing type of evidence.
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No Time to Waste: Decreasing Patient Wait Times for Chemotherapy Administration Using Automated Prioritization in an Oncology Pharmacy SystemUsing a prioritization algorithm in an oncology pharmacy system at the Johns Hopkins University, patient wait times for chemotherapy administration were significantly decreased.
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Understanding and Improving Value Frameworks With Real-World Patient OutcomesNew value frameworks should incorporate real-world evidence that reflects patient treatment behavior, adherence to medication, and equity concerns arising from disparities in care.
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Effects of Documentation-Based Decision Support on Chronic Disease ManagementA trial of electronic note–based decision support showed small effects on management of patients with heart disease and diabetes, mostly because it was infrequently used.
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Initiation of Triple Therapy Maintenance Treatment Among Patients With COPDClaims data analysis showed that 60% of patients with chronic obstructive pulmonary disease (COPD) receiving triple therapy had no evidence of exacerbation or only 1 exacerbation not resulting in hospitalization.
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Initial Success, Frequent RecurrenceInterview with David Siegel, MD, chief of the Division of Multiple Myeloma, John Theurer Cancer Center
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Molecular Testing Patterns in Metastatic Non—Small Cell Lung CancerAssessment of the timing of histologic and molecular testing indicates that testing occurred prior to treatment initiation for most patients with metastatic non—small cell lung cancer.
