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Potential Benefits of Increased Access to Doula Support During ChildbirthIncreasing access to continuous labor support from a birth doula may facilitate decreases in non-indicated cesarean rates among women who desire doula care.
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Are Benefits From Diabetes Self-Management Education Sustained?Conventional individualized diabetes self-management education resulted in sustained improvement in self-efficacy and diabetes distress. Short-term improvements in A1C, nutrition, and physical activity were not sustained.
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Impact of Positive Airway Pressure Among Obstructive Sleep Apnea PatientsThe hospitalization risks and costs of positive airway pressure were evaluated among patients with obstructive sleep apnea in a real-world setting.
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The Need for a Serious Illness Digital Ecosystem (SIDE) to Improve Outcomes for Patients Receiving Palliative and Hospice CarePalliative and hospice care services produce well-known benefits for patients living with serious illness and for their families. Benefits include improved quality of life and reduced symptom burden, spiritual and emotional distress, and caregiver distress.
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Impact of Expanded Carrier Screening on Health Care UtilizationThis study shows little evidence of harms or increased health care utilization for people receiving negative (normal) results of expanded carrier screening through genome sequencing.
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Catheter Management After Benign Transurethral Prostate Surgery: RAND/UCLA Appropriateness CriteriaThis manuscript synthesizes findings from a multidisciplinary panel following the RAND/UCLA Appropriateness Method to guide standardization of urinary catheter use after transurethral prostate surgery.
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Health Information Technology and Physicians' Perceptions of Healthcare QualityHealth information technology can enhance physicians' ability to provide high-quality care, suggesting that physicians should use it more extensively in their practices.
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VHA Pharmacy Use in Veterans With Medicare Drug CoverageGreater Medicare managed care benefit levels reduce both the likelihood and magnitude of Veterans Health Administration pharmacy use by Medicare dually enrolled veterans.
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Cost-Effectiveness of 21-Gene Assay in Node-Positive, Early-Stage Breast CancerA decision-analytic model was used to estimate cost-effectiveness of adopting a 21-gene assay in treatment decisions for women with early-stage N (1-3)/ER HER2-negative breast cancer.
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Toyota Production System Quality Improvement Initiative Improves Perioperative Antibiotic TherapyUse of Toyota production system methods as part of a nosocomial MRSA prevention initiative on a surgical unit improved quality of care in other areas.
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Characterizing Medical Care by Disease Phase in Metastatic Colorectal CancerThis study characterized patterns and costs of medical care by disease phase in patients with newly diagnosed mCRC using a large US national commercially insured claims database.
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Healthcare Continuity From Hospital to Territory in Lombardy: TELEMACO ProjectThe TELEMACO project successfully used telemedicine to establish a healthcare continuity from hospital to territory in remote areas of the Lombardy region of Italy.
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Inefficiencies in Osteoarthritis and Chronic Low Back Pain ManagementThis study identified inefficiencies in drug and medical service utilization related to pain management among Medicare members with osteoarthritis and chronic low back pain.
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Roles of Prices, Poverty, and Health in Medicare and Private Spending in TexasVariation in private spending reflects the ability of the local population to pay for healthcare, whereas variation in Medicare is more driven by health status.
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Differences in Telehealth During COVID-19 Between Commercial and Medicaid EnrolleesDifferences in use of telehealth between commercial and Medicaid populations during the COVID-19 pandemic are associated with managed care enrollment.
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Role of Pharmaceuticals in Value-Based Healthcare: A Framework for SuccessA framework for the role of pharmaceuticals in value-based healthcare, practical examples from organizations that have made the transition, and implementation considerations.
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Fear of Fat Talk Kept Me From My Doctor for a DecadeMotivating overweight patients to lose weight and improve their health is among the most difficult challenges facing the healthcare system. In recent years, studies have examined the doctor-patient relationship, where many conversations about weight loss first occur. These encounters may set the course for an overweight person's overall experience with the healthcare system. In fact, a new survey from Johns Hopkins found that 21% of overweight patients felt judged by their primary care doctor and were less likely to trust that person's advice.1 To understand how such an encounter can affect an overweight patient-and what it takes them to change-Evidence-Based Diabetes Management invited Tory Johnson of Good Morning America and author of The Shift to share her experience.
