- Center on Health Equity & Access
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Medication Adherence and Use of Generic Drug TherapiesGeneric prescribing was associated with improved medication adherence in 2 of 5 study conditions, but $0 copayments were associated with improved adherence across all conditions.
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The Patient-Centered Medical Home in the Veterans Health AdministrationWe describe the Veterans Health Administration's nationwide patient-centered medical home (PCMH) initiative and evaluate interim changes in PCMH-related patient care processes.
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FASStR: A Framework for Ensuring High-Quality Operational Metrics in Health CareThrough literature review and collaborative design, we propose the Focus, Activity, Statistic, Scale type, and Reference (FASStR) framework to provide a systematic approach to health care operation metric definition and use.
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Factors Associated With Primary Care Physician Turnover in the VAThis longitudinal observational study found higher team satisfaction with workload to be significantly associated with lower primary care physician turnover.
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Using the 4 Pillars to Increase Vaccination Among High-Risk Adults: Who Benefits?Pneumococcal; tetanus, diphtheria, and pertussis; and influenza vaccination increased among high-risk adults in a 2-year study.
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Low Screening and Follow-up for Unhealthy Alcohol Use Among Health Plan BeneficiariesScreening and follow-up for unhealthy alcohol use are low among plan members. Use of standardized screening tools, documentation, and care for alcohol misuse need improvement.
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Use of Web-Based Shared Medical Records Among Patients With HIVUse of online shared records was higher among HIV patients who had indicators of recent increases in healthcare needs and lower among several vulnerable populations.
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The Impact of Kaua'i Care Transition Intervention on Hospital Readmission RatesBy enrolling selected high-risk elderly patients into the intervention, then empowering and educating them, this study successfully reduced hospital readmission rates.
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The Association Between Insurance Type and Cost-Related Delay in Care: A SurveyIn a survey of patients and visitors to a large academic medical center, middle-income respondents with private insurance reported more cost-related delays in care than those with public insurance.
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Reducing Coprescriptions of Benzodiazepines and Opioids in a Veteran PopulationThis study evaluated a passive clinical pharmacist intervention to reduce the coprescribing of benzodiazepines and opioid analgesics by using chart review notes to alert providers.
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How Will Provider-Focused Payment Reform Impact Geographic Variation in Medicare Spending?Unlike ACOs or P4P, implementation of bundled payment for inpatient and post acute care in Medicare would modestly reduce geographic variation in spending.
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Impact of Type 2 Diabetes Medication Cost Sharing on Patient Outcomes and Health Plan CostsAn analysis of claims from over 90,000 patients with type 2 diabetes (T2D) demonstrates that increased medication cost sharing is associated with higher rates of hospitalization and increased plan costs.
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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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Pilot-Testing a New Program for Providing Personalized and Patient-Centered Preventive CareProgram that enhances personalized and patient-centered preventive care at a busy inner-city primary care clinic may be associated with improved health outcomes.
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Formulary Restrictions and Stroke Risk in Patients With Atrial FibrillationLimiting access to non–vitamin K antagonist oral anticoagulants through step therapy and prior authorization may exacerbate current underuse of anticoagulants and increase the risk of stroke in patients with newly diagnosed atrial fibrillation.
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Improving Population Health Through Multistakeholder PartnershipsImproving population health requires developing innovative multistakeholder partnerships to enable mining and cross-leveraging data sets, creating patient touchpoint “ecosystems,” and aligning investments with each stakeholder’s returns.
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Impact of a Pharmacist-Managed Diabetes Clinic on Quality MeasuresThis study evaluated a pharmacist-managed diabetes clinic to determine its impact on diabetes-related quality measures.(For Tables and Figures, please access the PDF on last page.)
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High-Need Beneficiary Enrollment Patterns in Medicare Advantage and Traditional MedicareAccounting for 32% of all Medicare enrollees in 2019, high-need beneficiaries were more likely to be in traditional Medicare than Medicare Advantage.
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FDA Warning and Removal of Rosiglitazone From VA National FormularyAfter the FDA warning and removal of rosiglitazone from the VA National Formulary, glucose control may have declined among those discontinuing rosiglitazone without receiving replacement medication.
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Healthcare Information Technology Interventions to Improve Cardiovascular and Diabetes Medication AdherenceDespite increasing availability of healthcare information technology, a literature review showed few clinical data on medication adherence interventions using this technology.
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Improving Endoscopy Completion: Effectiveness of an Interactive Voice Response SystemAn interactive voice response system is as effective as nurse phone calls for ensuring that patients attend appointments and are adequately prepared for endoscopy examinations.
