- Center on Health Equity & Access
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Authors
Latest:
Technology-Driven Intervention to Improve Hypertension Outcomes in Community Health CentersHealth information technology that is implemented as part of a multifaceted quality improvement initiative can lead to improvements in hypertension care and outcomes.
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Adherence to Osteoporosis Medications After Patient and Physician Brief Education: Post Hoc Analysis of a Randomized Controlled TrialPost hoc analysis of a randomized controlled trial found that a 1-session educational intervention targeted at patients and primary care physicians did not improve osteoporosis medication adherence.
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Medication Adherence for 90-Day Quantities of Medication Dispensed Through Retail and Mail Order PharmaciesPatients' adherence to maintenance medications at retail pharmacy is slightly higher than those at mail order, presenting opportunities for pharmacists to provide quality care.
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Electronic Health Records and the Frequency of Diagnostic Test OrdersUsing the most recently available national data, physicians with electronic health record (EHR) access ordered more tests than their non-EHR counterparts, thus contradicting a common rationale for EHR implementation.
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The Blueprint for Complex Care: Laying the Groundwork to Build a Field Across SectorsComplex care is cross-sector and person-centered, and it could bend America’s healthcare cost curve. The Blueprint for Complex Care gives this new field a national framework.
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Physician Response to COVID-19–Driven Telehealth Flexibility for Opioid Use DisorderCOVID-19–driven telehealth exposure positively shifted physician respondents’ perceptions of telehealth effectiveness, and most are likely to continue use if temporary telehealth regulatory flexibility is permanently extended.
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Inappropriate Ordering of Lumbar Spine Magnetic Resonance Imaging: Are Providers Choosing Wisely?This article analyzes use of lumbar spine magnetic resonance imaging in a national sample of patients with low back pain.
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Colony-Stimulating Factor Prescribing Patterns in Patients Receiving Chemotherapy for CancerWe linked health insurance records to cancer registry data to analyze colony-stimulating factor use, finding wide divergence from that recommended by practice guidelines.
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Cost-Effectiveness of 70-Gene MammaPrint Signature in Node-Negative Breast CancerTargeting chemotherapy with 70-gene MammaPrint signature in patients 60 years or younger with node-negative breast cancer is likely to be cost-effective.
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Impact of a Medicare MTM Program: Evaluating Clinical and Economic OutcomesA pharmacist-led Medicare Medication Therapy Management program can improve clinical outcomes in Medicare beneficiaries without an increase in medication costs.
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Electronic Consults for Improving Specialty Care Access for VeteransThe combination of electronic consultations and active triage of specialty care consults effectively reduces wait times for outpatient clinics.
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Burden of Alzheimer's Disease and Association With Negative Health OutcomesCommunity-based persons with Alzheimer’s disease have a higher risk of fractures, hospitalization, and various comorbidities than persons without the disease.
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Impact of a Value-Based Formulary in Three Chronic Disease CohortsA value-based formulary was implemented that used cost-effectiveness analysis to inform medication co-payments. Diabetes cohort expenditures decreased by $9 per member per month.
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Cost-Effectiveness of a Statewide Falls Prevention Program in Pennsylvania: Healthy Steps for Older Adults“Healthy Steps for Older Adults,” the Pennsylvania Department of Aging’s falls prevention program, resulted in savings of $718 to $840 per person.
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Effect of Medication Burden on Persistent Use of Lipid-Lowering Drugs Among Patients With HypertensionThis study assesses the effect of medication burden on persistent use of newly added lipid-lowering drugs among patients with hypertension.
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Payer Coverage for Patients Enrolled Onto Clinical Trials: Making the Process Easy and Transparent for EveryoneIt is not just 1 physician who cares for a patient enrolled onto a clinical trial but rather a complex system of several physician teams, sometimes with very different opinions, who must work together for therapy to be successful and for the patient to have faith in his treating team.
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The Impact of Germline Testing for Hereditary Cancer PostdiagnosisAuthors from Facing Our Risk of Cancer Empowered (FORCE), a nonprofit organization focused on hereditary cancer, discuss the importance of genetic testing, guidelines, and coverage considerations.
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The Effect of Massachusetts Health Reform on Access to Care for Medicaid BeneficiariesAlthough concerns remain that expanding insurance coverage may have a “crowding-out” effect, we saw no evidence of this for Medicaid beneficiaries in Massachusetts following statewide health reform.
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Cost-Effectiveness Analysis of Vagal Nerve Blocking for Morbid ObesityThis lifetime economic analysis demonstrates vagal nerve blocking therapy to be a cost-effective alternative to conventional therapy in class 2 and 3 obesity patients.
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AJMC's ACO and Emerging Healthcare Delivery Coalition: First Live Meeting CoverageAccountable and patient-centered care delivery models were at the forefront of discussions among coalition members.
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Improving Care Transitions: Complex High-Utilizing Patient Experiences Guide ReformThe authors audited a series of complex patients’ records longitudinally across their institution’s existing care management programs to improve the coordinated functioning of these programs.
