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Latest:
Physician Response to Patient Request for Unnecessary CareMany primary care physicians in the United States reported providing unnecessary medical care in response to patient requests; several factors predicted this behavior.
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Cancer Screening Across the Aging ContinuumThe article reviews the current state of knowledge regarding screening guidelines for older adults and gives recommendations for healthcare providers working with older adults.
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Economic Burden of Osteoporotic Fractures in US Managed Care EnrolleesOsteoporotic fractures are associated with a significant economic burden, including costs of rehabilitation services and a high total all-cause cost of care.
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The Association of Health Literacy Domains With Hospitalizations and MortalityDespite previous research evidence, this study did not reveal an overall association of health literacy, numeracy, and graph literacy with all-cause hospitalizations or mortality.
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Provider Barriers in Uptake of Biosimilars: Case Study on FilgrastimPrevious studies have found modest uptake of biosimilars in both commercial and Medicare populations. This study finds that the uptake varies between the rural and urban provider settings.
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Variation in Markups on Outpatient Oncology Services in the United StatesCharges for oncology services vary widely across hospitals and impose financial burdens. Further legislation is needed to address disparities in access to high-quality cancer care.
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Reply to “Risk Adjustment in Home Health Care CAHPS”The authors of “CMS HCC Risk Scores and Home Health Patient Experience Measures” respond to a letter to the editor.
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Assessing the Impact of an Integrated Care System on the Healthcare Expenditures of Children With Special Healthcare NeedsThis study analyzes the effect of a managed care program on Medicaid expenditures for children with special healthcare needs using a quasi-experimental design.
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Potential Role of Network Meta-Analysis in Value-Based Insurance DesignThis study illustrates that where clinical trials are lacking, network meta-analysis can provide valuable insights into the potential clinical and economic benefits of value-based insurance design.
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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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Future Thinking in Diabetes Care: The Impact of New Practice ModelsDuring his keynote address, Dr Gabbay spoke about the means of improving patient care and how new practice models, implemented at Joslin, have revolutionized the field.
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A Multimodal Blood Pressure Control Intervention in 3 Healthcare SystemsA multisite multimodal intervention of patient education, home monitoring, measurement reporting to an IVR system, and pharmacist follow-up achieved greater BP reductions vs usual care.
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Electronic Health Record Feedback to Improve Antibiotic Prescribing for Acute Respiratory InfectionsAn electronic health record–based feedback program, the Acute Respiratory Infection Quality Dashboard, did not lead to an overall change in antibiotic prescribing in primary care.
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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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Development of a Financial Literacy Course for Patients With Newly Diagnosed CancerThis paper describes results from a patient survey regarding treatment-related financial experiences and interest in a financial literacy course.
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'All-or-None' (Bundled) Process and Outcome Indicators of Diabetes CareIn this study, providers were more likely to achieve processes-ofcare goals when diabetes care was bundled at the indicator level than at the patient level.
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Health Information Exchange Among US HospitalsFew US hospitals exchange data electronically with unaffiliated providers. Factors associated with competitiveness appear to influence hospitals' decisions to engage in clinical data exchange.
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Automated Patient Assessments After Outpatient Surgery Using an Interactive Voice Response SystemUsing an interactive voice response system to contact patients after outpatient surgery will likely result in improved efficiency without a decrease in assessment quality.
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The Economic Impact of an Urban Asthma Management ProgramAn asthma disease management program reduced medical services utilization for urban children and had a potentially positive return on investment for Medicaid managed care plans.
