Monitoring of drugs with a narrow therapeutic range in ambulatory...
Objectives: To describe the proportion of patients receiving drugs with a narrow therapeutic range who lacked serum drug concentration monitoring during a 1-year period of therapy and to identify...
View ArticleValue in development of complex interventions.(EDITORIAL)
The article by Byrne et al (1) in this issue of the Journal offers a more systematic approach to planning complex interventions than has generally been used in the past. It is an important addition to...
View ArticleRelationship between primary care physician financial risk and member...
Objective: To demonstrate whether, despite factors beyond the control of primary care physicians (PCPs), health maintenance organization (HMO) members under the care of PCPs with greater financial risk...
View ArticlePress 1 to promote health behavior with interactive voice response.(EDITORIAL)
An interactive voice response (IVR) system runs audio scripts on a computer connected to a telephone. Because a script can be programmed to output diverse verbal instructions and accept input from any...
View ArticleToward national healthcare performance standards.(COMMENTARY)
The healthcare system in the United States is the most expensive in the world, with by far the highest total expenditure on health both on a per capita basis and as a percentage of the gross domestic...
View ArticleInteractive voice response telephone calls to enhance bone mineral density...
Objective: Bone mineral density (BMD) testing is a key tool used to diagnose and treat osteoporosis. We assessed the rate of scheduling BMD tests among health plan members at risk for osteoporosis who...
View ArticleDrug therapy persistence and stroke recurrence.(CLINICAL)
Objective: To assess the effect of persistence of use of warfarin sodium, aspirin, or clopidogrel bisulfate on stroke recurrence in a Medicaid high-risk, largely female, African American population....
View ArticleEconomic profiling of physicians: does omission of pharmacy claims bias...
Objective: To investigate the degree to which the absence of prescriber identifying information and the absence of pharmacy claims might affect the validity of physicians' economic profiles. Study...
View ArticleComputerized physician order entry and clinical decision support systems:...
To improve quality of patient care in the United States, the Institute of Medicine, the Agency for Healthcare Research and Quality, and the Leapfrog Group advocate the implementation of computerized...
View ArticleCost-effectiveness of extended adjuvant letrozole therapy after 5 years of...
Objective: To estimate the cost-effectiveness of extended adjuvant letrozole in postmenopausal women with early breast cancer and estrogen or progesterone receptor-positive tumors who had completed 5...
View ArticleOutpatient management of deep venous thrombosis: 2 models of integrated...
Objective: To describe and evaluate the impact, effectiveness, and safety of 2 models of outpatient deep venous thrombosis (DVT) management. Study Design: Observational health-records survey conducted...
View ArticleDefending computerized physician order entry from its supporters.(EDITORIAL)
The article by Palen et al in this issue of the Journal is an important contribution to the literature on healthcare information technology (IT). (1) First, it is one of the few studies of a decision...
View ArticleInsurance coverage and subsequent utilization of complementary and...
Background: Since 1996, Washington State law has required that private health insurance cover licensed complementary and alternative medicine (CAM) providers. Objective: To evaluate how insured people...
View ArticleEvaluation of laboratory monitoring alerts within a computerized physician...
Background: Errors involving medication use are common. Computerized physician order entry (CPOE) can improve prescribing practices. Few studies have examined the effect of CPOE in combination with...
View ArticleFrequency of follow-up care for adult and pediatric patients during...
Objectives: To measure the timing and frequency of follow-up care during the initiation phase of antidepressant therapy, and to compare the typical pattern of care with current product guidelines....
View ArticleContinuous quality improvement initiatives in the cardiac catheterization...
The number of percutaneous coronary and peripheral interventions has increased dramatically in recent years with more than a million such procedures now performed annually in the United States. (1)...
View ArticleThe effectiveness of a Care Coordination Home Telehealth program for veterans...
Objectives: To assess healthcare use among veterans with diabetes mellitus (DM) enrolled in a Department of Veterans Affairs (VA) Care Coordination Home Telehealth (CCHT) program during 24 months and...
View ArticleDevelopment and validation of a medication intensity scale derived from...
Objective: To validate a risk stratification scheme using computerized pharmacy data to predict emergency hospital utilization for persistent asthma. Study Design: Retrospective cohort. Methods: The...
View ArticleEconomic and clinical outcomes of a physician-led continuous quality...
Objective: To compare clinical and economic outcomes associated with percutaneous coronary intervention (PCI) in cohorts before and after continuous quality improvement (CQI) was instituted. Study...
View ArticlePhysicians' perceptions of relevant prescription drug costs: do costs to the...
Objectives: Physicians may be aware of at least 2 types of costs when prescribing: patient's out-of-pocket costs and the actual costs of the medication. We evaluated physicians' perceptions about...
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