- Center on Health Equity & Access
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Latest:
Pharmaceutical Company Influence on Nonsteroidal Anti-Inflammatory Drug Prescribing BehaviorsThis study describes the social and communicative strategies pharmaceutical companies use to influence NSAID prescribing behaviors and elicits physicians' perceptions and counterbalances to these strategies.
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Identification of and Intervention to Address Therapeutic Gaps in CareA program identifying and resolving care gaps involving community pharmacists resulted in increased adherence and omission gaps closure and fewer adherence gap reopenings.
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Does Distance Modify the Effect of Self-Testing in Oral Anticoagulation?Self-testing of anticoagulation improves outcomes, but is expensive. One might assume it is more helpful for patients living farther from care, but the authors disprove this assumption.
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Using Applied Machine Learning to Predict Healthcare Utilization Based on Socioeconomic Determinants of CareThis study demonstrates that it is possible to generate a highly accurate model to predict inpatient and emergency department utilization using data on socioeconomic determinants of care.
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Accountable Care Organizations: How to Dress for SuccessAccountable care organizations will be more successful in taking on accountability for patient outcomes when market and firm organization get a balanced treatment.
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The Impact of Electronic Health Records and Teamwork on Diabetes Care QualityPatients with diabetes that are cared for by primary care teams with higher cohesion experienced greater EHR-related outcome improvements, compared with patients cared for by lower cohesion teams.
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High-Deductible Health Plans and Costs and Utilization of Maternity CareHigh-deductible benefit design was associated with increased out-of-pocket costs for maternity care, but had no adverse impacts on receipt of recommended prenatal and postpartum care.
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Measuring Concurrent Adherence to Multiple Related MedicationsThis study compares the performance of several definitions of concurrent adherence to related medications.
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Chronic Pain as a Driver of Cost in ACO ArrangementsA discussion of chronic pain prevalence, care obstacles, and potential opportunities for care improvement within the accountable care organization context at University of California, San Francisco Health.
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Are Primary Care Physicians Ready to Practice in a Consumer-Driven Environment?National survey reveals primary care physicians have low knowledge of consumer-directed health plans and limited readiness to engage patients on issues of cost and quality.
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BOOK REVIEW: One Oncologist's Journey With a Patient to the Outcome We All FaceEditor's Note: A book by Kashyap Patel, MD, reviewed in the April issue of Evidence-Based Oncology™, was previously titled, Dying Without Fear. Due to a change by the publisher, Penguin Random House India, the book is now titled Between Life and Death: From Despair to Hope. The book is available August 1, 2020 This review has been updated to reflect the change in the book's title.
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Primary Care Strength Linked to Prevention Programs for Cardiovascular DiseaseAn observational study of 42 successful programs to improve primary care management of cardiovascular risk showed the impact of a strong primary care system.
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Bill Addressing Sickle Cell Disease/Heritable Blood Disorders Signed Into LawThe Sickle Cell Disease and Other Heritable Blood Disorders Research, Surveillance, Prevention, and Treatment Act of 2018, which reauthorizes a sickle cell disease prevention and treatment program and provides grants for research, surveillance, prevention, and treatment of heritable blood disorders, has passed Congress and been signed into law.
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Partnering With Patients to Rapidly Develop a Quality-of-Life Measure in Mycosis Fungoides/Sézary Syndrome Type Cutaneous T-cell LymphomaThe field of measurement in Mycosis Fungoides/Sézary syndrome type cutaneous T-cell lymphoma lacked a specific quality-of-life measure to describe patient experience or guide treatment decisions. Using an online platform with an engaged patient community, we developed and psychometrically validated a new measure in just under a year.
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Evidence Gaps in Advanced Cancer Care: Community-Based Clinicians' Perspectives and Priorities for CERComparative effectiveness research and pragmatic clinical trials are valued methods to address the limitations of traditional randomized trials, answer questions of cost-effectiveness or noninferiority, and inform data-driven dialogue and decision making by stakeholders.
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The Role of Race, Ethnicity, and Language in Care TransitionsDiverse patients experience disparities in care transitions. A survey of 224 patients showed differences by race, ethnicity, and language in technology access and in patient worries post discharge.
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Costs for a Health Coaching Intervention for Chronic Care ManagementOn average, the health coach intervention cost $483 per participant per year. There was no evidence that the coaching intervention saved money at 1 year.
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Collaborative Care Before Accountable Care: Achieving Low-Cost, High-Quality Care Through a Regional Collaborative in FloridaAs accountable care organizations proliferate across the nation, delivery systems still struggle to balance quality improvement, cost containment, and migration toward accountable care. This paper describes the phased approach where the University of Florida Health Science Center and Shands Teaching Hospital and Clinics, Inc, and Orlando Health have jointly developed a series of clinical and health services that are of the highest quality and are offered at the lowest cost. The result is a regional collaborative that will be the foundation for a regional accountable care organization, first leveraging clinical core competencies, then moving to a more integrated model.
