- Center on Health Equity & Access
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- Value-Based Care
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Latest:
Patients' Adoption of and Feature Access Within Electronic Patient PortalsWe found race and age disparities not only in who adopted patient portal technology but also in which features were accessed by those who were adopters.
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Value-Based Insurance Design in Louisiana: Blue Cross Blue Shield’s Zero Dollar Co-pay ProgramEnrollment in a value-based insurance design program that eliminated pharmacy co-pays for 4 chronic disease drug classes was associated with a large decline in health care spending.
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Delayed Radiotherapy for Breast Cancer Patients in Integrated Delivery SystemsAmong older women in 5 integrated delivery systems, 14% experienced delayed radiotherapy for breast cancer, even though they had insurance and access to care.
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Hypertension Control in Ambulatory Care Patients With DiabetesThis paper explores hypertension control among patients with diabetes in a variety of ambulatory care settings. We also consider the role of sociodemographic factors.
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Providers' Perspective on Diabetes Case Management: A Descriptive StudyProviders do not consider nurse case managers as professional identity threats in co-managing patients with diabetes and cardiovascular risk factors.
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US Hospital Engagement in Core Domains of InteroperabilityA national assessment of hospital engagement in key domains of interoperability, characteristics associated with engagement in interoperability, and the relationship between interoperability and provider access to clinical data.
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Medicaid Managed Care Reduces Readmissions for Youths With Type 1 DiabetesAn analysis of the largest cohort available reveals that youths with type 1 diabetes, on a Medicaid managed care plan, are less likely to be readmitted within 90 days of discharge.
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Solid-Organ Transplant Recipients With Hyperglycemia on Admission Face Worse OutcomesElevated glucose levels are common in solid-organ transplant recipients and associated with short- and long-term mortality risks in hospitalized transplant recipients. This increased mortality risk was independent of age, gender, smoking, alcohol, or comorbidities.
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Impact of Statin Guidelines on Statin Utilization and Costs in an Employer-Based Primary Care ClinicAdherence to clinical guidelines in practice is often suboptimal and controversial. This study compares actual statin utilization and cost with full adoption of major clinical guidelines in a real-world population.
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Advancing Performance Measurement in OncologyThe American Society of Clinical Oncology Quality Oncology Practice Initiative has grown to include 973 practices as of 2010. Practices demonstrated rates of end-of-life care and other measures of quality.
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Inflammatory Bowel Disease Readmissions Are Associated With Utilization and ComorbidityThirty-day readmissions related to inflammatory bowel disease are common and associated with longer length of stay and a higher likelihood of having an associated comorbid condition compared with index hospitalizations.
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Alignment of Breast Cancer Screening Guidelines, Accountability Metrics, and Practice PatternsThis study measured breast cancer screening practice patterns in relation to evidence-based guidelines and accountability metrics, and found closer alignment is needed for providing patient-centered care.
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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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Strategies for Identifying and Channeling Patients for Depression Care ManagementThis article examines screening strategies for possible depression in the context of a care management program for chronically ill Medicare recipients.
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Out-of-Pocket Healthcare Expenditure Burdens Among Nonelderly Adults With HypertensionAmong nonelderly adults receiving hypertension treatment, 13.1% had high burdens, meaning that healthcare expenditures accounted for more than 20% of their income.
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Assessment and Potential Determinants of Compliance and Persistence to Antiosteoporosis Therapy in ItalyThis analysis of antiosteoporosis therapy shows that 75% of patients have inadequate drug coverage and that adherence is strongly associated with age and administration regimen.
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Assessing Medical Home Mechanisms: Certification, Asthma Education, and OutcomesUsing statewide quality data for medical home–eligible clinics, we tested asthma education as a clinical mechanism whereby medical homes achieve better asthma outcomes.
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Reexamining the Association of Care Continuity and Health Care OutcomesClaims-based and patient-reported continuity measures have distinct effects on subjective and objective outcomes. A claims-based continuity indicator may be a unique dimension of care continuity.
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Small Practices' Experience With EHR, Quality Measurement, and IncentivesA study to assess clinician attitudes and experiences after participating in a New York City cardiovascular disease focused quality recognition and financial incentive program using health information technology.
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Multi-Payer Advanced Primary Care Practice Demonstration on Quality of CareAn evaluation of the Multi-Payer Advanced Primary Care Practice Demonstration found mixed results in terms of quality of care provided to Medicare and Medicaid beneficiaries.
