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Latest:
E-Consult Implementation: Lessons Learned Using Consolidated Framework for Implementation ResearchThis paper identified 4 factors associated with implementation success of e-consults in 8 VA medical centers, with implications for implementing similar health IT initiatives elsewhere.
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Assessing Outcomes in Child PsychiatryTwo standardized rating scales appeared to be valid and reliable for use at admission and possibly follow-up in a child psychiatry system of care.
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Using a Brief Tool to Assess Healthy School Environments: A Pilot StudyThe authors evaluated a brief assessment tool that accountable care organizations can use to help elementary schools improve student nutrition and increase physical activity.
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Impact of Cost-Sharing on Treatment Augmentation in Patients With DepressionHigher patient cost-sharing is associated with a lower likelihood of treatment augmentation in patients with depression who are treated with antidepressants.
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Medical Home Transformation and Breast Cancer ScreeningBreast cancer screening may not improve in early medical home implementation.
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Radical Prostatectomy Innovation and Outcomes at Military and Civilian InstitutionsMinimally invasive radical prostatectomy was more commonly performed in civilian hospitals compared with military hospitals among TRICARE beneficiaries, with comparable postoperative outcomes.
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Optimal Approach to Improving Trauma Triage Decisions: A Cost-Effectiveness AnalysisTo set priorities for quality improvement in trauma triage, we compared the cost-effectiveness of current practice with interventions to improve physician adherence to clinical guidelines.
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Testing Novel Patient Financial Incentives to Increase Breast Cancer ScreeningThis study tested 3 financial incentives encouraging breast cancer screening (mammograms) among women deemed overdue. None were effective overall; "person-centered" incentives worked in the most recently screened subgroup.
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Older Adult Consumers' Attitudes and Preferences on Electronic Patient-Physician MessagingA randomized controlled trial was conducted to assess whether adding a peer testimonial to a mailing increases conversion rates from brand name prescription medications to lower-cost equivalents.
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Wait Times, Patient Satisfaction Scores, and the Perception of CareClinic wait times do not just affect overall patient satisfaction, but also specifically affect the perception of providers and the quality of care.
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Crisis Into Opportunity: Can COVID-19 Help Set a Path to Improved Health Care Efficiency?With a “new normal” level of care going forward post coronavirus disease 2019 (COVID-19), the key will be to invest in high-value services while deterring a resurgence of low-value care.
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Early Experiences With the Acute Community Care Program in Eastern MassachusettsThe Acute Community Care Program uses paramedics to provide in-home urgent care after regular business hours, aiming to prevent unnecessary emergency department visits. Check out our website’s new table/figure pop-up feature! Click on the name of a table or figure in the text to see it in your browser.
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US Employee Wellness Programs and Access to Obesity Treatment in Employer-Sponsored Health InsuranceEmployer policies for access to maximum benefits do not always match those for access to obesity therapy.
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Individual Treatment Effects: Implications for Research, Clinical Practice, and PolicyA framework for researchers, providers, payers, or public health bodies identifies when it is most critical to distinguish between "average" population and individual patient response.
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Effect of Inadequate Response to Treatment in Patients With DepressionPatients with inadequate response to depression treatment used increased resources, were less likely to be employed, and had more presenteeism than those with treatment response.
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Face Time Versus Test Ordering: Is There a Trade-off?Real-time location systems can capture face time and trade-offs between face time and diagnostic testing so that clinicians' responses to time pressures can be measured.
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Impact of Atypical Antipsychotic Use Among Adolescents With Attention-Deficit/Hyperactivity DisorderA retrospective study of the treatment patterns and economic outcomes associated with off-label atypical antipsychotic use in the treatment of adolescents with attention-deficit/hyperactivity disorder.
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Medicare Advantage Customer Service Is Used Most by Higher-Need PatientsMedicare Advantage customer service supports a less healthy, higher-need population, indicating that it should be designed and staffed to effectively serve complex, high-need patients.
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Considerations for Optimal Management of Patients With Pulmonary Arterial Hypertension: A Multi-Stakeholder Roundtable DiscussionStakeholders, including national and regional managed care decision makers and providers, met to discuss the clinical background, health economics, and management strategies for pulmonary arterial hypertension (PAH) at a roundtable meeting on December 10, 2016, in Dallas, Texas.
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Variation in Hospital Inpatient Prices Across Small Geographic AreasGreater geographic variation was found among private than public payers in the inpatient price per discharge for most hospital services.
