- Center on Health Equity & Access
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Access to Primary and Dental Care Among Adults Newly Enrolled in MedicaidNearby provider supply did not affect identification of usual sources of primary or dental care among new Medicaid enrollees. Strategies to improve access are needed.
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Why Palliative Care Is the Answer to the Serious Illness Question in Payment ReformWhether it is through enlisting primary providers, building a champion workforce, or hiring more specialist consultants, there is no question that palliative programming must be at the heart of our healthcare system’s quality transformation.
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Road Map to Success in the OCM: From Team Building to ImplementationWe learned that a true patient-centered approach would be a combination of objective, numerical, centripetal measures defined in the Oncology Care Model (OCM) and subjective centrifugal emotions, aspirations, and expectations. We created smart teams, enabling an efficient transition from volume to value. These exercises were similar to building a higher pyramid on top of what we already achieved during our journey toward Patient-Centered Speciality Practice (PCSP) accreditation by the the National Committee for Quality Assurance in 2015. Although the transition to being a PCSP was speciality agnostic and truly patient centric, the OCM gave us a blueprint that was specific to the needs of PCCC.
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Testing of a Tethered Personal Health Record Framework for Early End-of-Life DiscussionsPilot testing demonstrates the use of a novel, personal health record—based framework used in primary care settings may improve presence and quality of advance care planning documentation in the electronic health record.
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Cost Savings From Avoidance of Early Elective DeliveriesResearchers calculated savings available to healthcare insurers if providers of obstetrical services avoided the performance of early elective deliveries. The calculations illustrate a considerable savings.
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Measuring Concurrent Oral Hypoglycemic and Antidepressant Adherence and Clinical OutcomesSelf-reported adherence tended to overestimate medication adherence compared with electronic monitoring. Electronic monitoring of oral hypoglycemic agents but not self-reported adherence predicted glycemic control.
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Collection of Data on Race/Ethnicity and Language Proficiency of ProvidersHealth plans collect and use data on network providers' proficiency in languages other than English more commonly than race and ethnicity data on providers.
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Global Payment Contract Attitudes and Comprehension Among Internal Medicine PhysiciansFour years following engagement by an urban care organization in global payment contracts, a majority of internal medicine physicians there were supportive of this action.
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Effects of Nonadherence With Prescription Drugs Among Older AdultsPrescription nonadherence in older patients with chronic health conditions resulted in more emergency department use.
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Cost-effectiveness of Intensification With SGLT2 Inhibitors for Type 2 DiabetesAdding a sodium-glucose co-transporter 2 (SGLT2) inhibitor dominated switching to a glucagon-like peptide 1 receptor agonist over the lifetimes of patients with type 2 diabetes not at glycated hemoglobin A1c target after treatment with metformin plus a dipeptidyl peptidase-4 inhibitor.
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Twitter Accounts Followed by Congressional Health StaffDisseminating timely and relevant research findings to policy makers is a national priority to inform health policy decisions. Social media is a novel tool to bridge the communication gap.
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ED-Based Care Coordination Reduces Costs for Frequent ED UsersResults of our pilot randomized controlled intervention involving emergency department (ED)-based care coordination and community health workers demonstrated a trend toward fewer ED visits, fewer hospitalizations, and lower costs among intervention patients.
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Preliminary Treatment Considerations Among Men With Newly Diagnosed Prostate CancerIn a survey of local-stage prostate cancer patients, preference for prostatectomy was influenced by perceptions of its efficacy and personal burden versus nonsurgical options.
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A Systematic Review of Value-Based Insurance Design in Chronic DiseasesValue-based insurance design for prescription drug coverage increases drug adherence in patients with chronic disease, though their effect on clinical outcomes and health spending remain uncertain.
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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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A Study on the Economic Impact of Bariatric SurgeryThis study analyzes the return on investment for bariatric surgery in the United States.
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Impact of Clinical Complexity on the Quality of Diabetes CareWe examined the impact of clinical complexity defined by comorbidity count and illness burden on comprehensive diabetes care, including blood pressure, glycemic, and lipid management.
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Early Provider Perspectives Within an Accountable Care OrganizationThe authors’ survey of providers in a new accountable care organization reports that initial perceptions of this care model are ambivalent and vary among participating practices.
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Using Electronic Health Record Clinical Decision Support Is Associated With Improved Quality of CareUsing EHR clinical decision support is associated with improved quality of care. Most primary care practices are missing at least 1 "meaningful use" clinical decision support module.
