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JAMA Internal Medicine

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https://www.readbyqxmd.com/read/28806455/association-of-state-access-standards-with-accessibility-to-specialists-for-medicaid-managed-care-enrollees
#1
Chima D Ndumele, Michael S Cohen, Paul D Cleary
Importance: Medicaid recipients have consistently reported less timely access to specialists than patients with other types of coverage. By 2018, state Medicaid agencies will be required by the Center for Medicare and Medicaid Services (CMS) to enact time and distance standards for managed care organizations to ensure an adequate supply of specialist physicians for enrollees; however, there have been no published studies of whether these policies have significant effects on access to specialty care...
August 14, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28806452/sharing-experiences-of-illness-and-care
#2
Louise Locock, Richard Lehman, Ronald M Epstein
No abstract text is available yet for this article.
August 14, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28806449/meeting-the-needs-of-patients-for-specialty-care
#3
Mitchell H Katz
No abstract text is available yet for this article.
August 14, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28806444/eliminating-creatine-kinase-myocardial-band-testing-in-suspected-acute-coronary-syndrome-a-value-based-quality-improvement
#4
Matthew D Alvin, Allan S Jaffe, Roy C Ziegelstein, Jeffrey C Trost
Cardiac biomarker testing is estimated to occur in nearly 30 million emergency department visits nationwide each year in the United States. The American College of Cardiology/European Society of Cardiology indicate that cardiac troponin is the biomarker of choice owing to its nearly absolute myocardial tissue specificity and high clinical sensitivity for myocardial injury. Multiple academic medical centers have implemented interventions to eliminate the routine ordering of creatine kinase-myocardial band tests, with published patient safety outcomes data; however, creatine kinase-myocardial band testing is still ordered in many hospitals and emergency departments...
August 14, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28806438/unnecessary-staging-imaging-in-early-stage-breast-cancer-a-teachable-moment
#5
Heather R Wolfe, Arjun Gupta, Navid Sadeghi
No abstract text is available yet for this article.
August 14, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28806437/association-between-enactment-of-a-stand-your-ground-self-defense-law-and-unlawful-homicides-in-florida
#6
David K Humphreys, Antonio Gasparrini, Douglas J Wiebe
No abstract text is available yet for this article.
August 14, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28806436/effectiveness-of-a-timing-and-coordination-group-exercise-program-to-improve-mobility-in-community-dwelling-older-adults-a-randomized-clinical-trial
#7
Jennifer S Brach, Subashan Perera, Sandra Gilmore, Jessie M VanSwearingen, Deborah Brodine, Neelesh K Nadkarni, Edmund Ricci
Importance: Timing and coordination exercises may be an important addition to community-based health promotion exercise programs to improve walking in older adults. Objective: To compare the effectiveness of the On the Move group exercise program, which focuses on the timing and coordination of movement, with a seated strength, endurance, and flexibility program (usual care) at improving function, disability, and walking ability of older adults. Design, Setting, and Participants: Cluster-randomized, single-blind intervention trial...
August 14, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28783839/social-and-behavioral-determinants-of-spending
#8
Karen E Joynt Maddox
No abstract text is available yet for this article.
August 7, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28783822/shared-understanding-with-patients
#9
Neal Maskrey, Andrea Gordon
No abstract text is available yet for this article.
August 7, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28783819/recalculating-the-costs-of-overtriage-a-teachable-moment
#10
Lauren J Taylor, Walker A Julliard, Margaret L Schwarze
No abstract text is available yet for this article.
August 7, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28783816/association-of-dissemination-of-an-educational-communication-tool-with-docusate-administration
#11
Darren Pasay, Micheal Guirguis, Rhonda Shkrobot, Jeremy Slobodan, Lauren Bresee
Importance: A clear message and call to action can affect the use of a medication with limited efficacy. Objectives: To assess the association of the dissemination of an educational document about the lack of efficacy of docusate with docusate administration and whether changing docusate administration was associated with a change in administration of comparable laxatives. Design, Setting, and Participants: In this quasi-experimental, pre-post study of all acute care and continuing care facilities serviced by Alberta Health Services in Alberta, Canada, an interrupted time series analysis was performed to examine the association of an educational communication tool with docusate administration from June 1, 2014, through May 31, 2016...
August 7, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28783815/error-in-title
#12
(no author information available yet)
No abstract text is available yet for this article.
August 7, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28783812/revisiting-outcomes-based-pricing-propositions-for-the-pcsk9-inhibitor-evolocumab
#13
Inmaculada Hernandez
No abstract text is available yet for this article.
August 7, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28783811/social-determinants-of-health-in-managed-care-payment-formulas
#14
Arlene S Ash, Eric O Mick, Randall P Ellis, Catarina I Kiefe, Jeroan J Allison, Melissa A Clark
Importance: Managed care payment formulas commonly allocate more money for medically complex populations, but ignore most social determinants of health (SDH). Objective: To add SDH variables to a diagnosis-based payment formula that allocates funds to managed care plans and accountable care organizations. Design, Setting, and Participants: Using data from MassHealth, the Massachusetts Medicaid and Children's Health Insurance Program, we estimated regression models predicting Medicaid spending using a diagnosis-based and SDH-expanded model, and compared the accuracy of their cost predictions overall and for vulnerable populations...
August 7, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28783809/macroscopic-t-wave-alternans-a-red-flag-for-code-blue
#15
Peter K Moore, Katie E Raffel, Isaac R Whitman
No abstract text is available yet for this article.
August 7, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28777834/caution-advised-for-readers-of-letters-related-to-retracted-articles
#16
(no author information available yet)
No abstract text is available yet for this article.
August 4, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28759685/association-between-extending-carefirst-s-medical-home-program-to-medicare-patients-and-quality-of-care-utilization-and-spending
#17
G Greg Peterson, Kristin Lowe Geonnotti, Lauren Hula, Timothy Day, Laura Blue, Keith Kranker, Boyd Gilman, Kate Stewart, Sheila Hoag, Lorenzo Moreno
Importance: CareFirst, the largest commercial insurer in the mid-Atlantic Region of the United States, runs a medical home program focusing on financial incentives for primary care practices and care coordination for high-risk patients. From 2013 to 2015, CareFirst extended the program to Medicare fee-for-service (FFS) beneficiaries in participating practices. If the model extension improved quality while reducing spending, the Centers for Medicare and Medicaid Services could expand the program to Medicare beneficiaries broadly...
July 31, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28759683/outcomes-in-south-asia-matter-for-the-world
#18
Neelam Sekhri Feachem, Saate S Shakil
No abstract text is available yet for this article.
July 31, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28759681/progress-toward-universal-health-coverage-a-comparative-analysis-in-5-south-asian-countries
#19
Md Mizanur Rahman, Anup Karan, Md Shafiur Rahman, Alexander Parsons, Sarah Krull Abe, Ver Bilano, Rabia Awan, Stuart Gilmour, Kenji Shibuya
Importance: Achieving universal health coverage is one of the key targets in the newly adopted Sustainable Development Goals of the United Nations. Objective: To investigate progress toward universal health coverage in 5 South Asian countries and assess inequalities in health services and financial risk protection indicators. Design and Settings: In a population-based study, nationally representative household (335 373 households) survey data from Afghanistan (2014 and 2015), Bangladesh (2010 and 2014), India (2012 and 2014), Nepal (2014 and 2015), and Pakistan (2014) were used to calculate relative indices of health coverage, financial risk protection, and inequality in coverage among wealth quintiles...
July 31, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28759680/the-importance-of-independent-evaluation
#20
Kelly A Johnson, Joseph S Ross
No abstract text is available yet for this article.
July 31, 2017: JAMA Internal Medicine
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