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JAMA Internal Medicine

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https://www.readbyqxmd.com/read/30242393/probiotic-safety-no-guarantees
#1
Pieter A Cohen
No abstract text is available yet for this article.
September 17, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30242390/posttraumatic-stress-disorder-in-primary-care-practice
#2
Matthew J Friedman
No abstract text is available yet for this article.
September 17, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30242381/association-between-patient-cognitive-and-functional-status-and-medicare-total-annual-cost-of-care-implications-for-value-based-payment
#3
Kenton J Johnston, Hefei Wen, Jason M Hockenberry, Karen E Joynt Maddox
Importance: Medicare is moving toward value-based payment. The Merit-Based Incentive Payment System (MIPS) program judges outpatient clinicians' performance on a measure of annual Medicare spending. However, this measure may disadvantage outpatient clinicians who care for vulnerable populations because the algorithm omits meaningful determinants of cost. Objectives: To determine whether factors not included in Medicare risk adjustment, including patient neuropsychological and functional status, as well as local area health resources and economic conditions, are associated with Medicare total annual cost of care (TACC), and evaluate whether accounting for these factors is associated with improved TACC performance by outpatient safety-net clinicians...
September 17, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30242380/association-of-medical-scribes-in-primary-care-with-physician-workflow-and-patient-experience
#4
Pranita Mishra, Jacqueline C Kiang, Richard W Grant
Importance: Widespread adoption of electronic health records (EHRs) in medical care has resulted in increased physician documentation workload and decreased interaction with patients. Despite the increasing use of medical scribes for EHR documentation assistance, few methodologically rigorous studies have examined the use of medical scribes in primary care. Objective: To evaluate the association of use of medical scribes with primary care physician (PCP) workflow and patient experience...
September 17, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30242346/assessment-of-the-effect-of-adjustment-for-patient-characteristics-on-hospital-readmission-rates-implications-for-pay-for-performance
#5
Eric T Roberts, Alan M Zaslavsky, Michael L Barnett, Bruce E Landon, Lin Ding, J Michael McWilliams
Importance: In several pay-for-performance programs, Medicare ties payments to readmission rates but accounts only for a limited set of patient characteristics-and no measures of social risk-when assessing performance of health care providers (clinicians, practices, hospitals, or other organizations). Debate continues over whether accounting for social risk would mitigate inappropriate penalties or would establish lower standards of care for disadvantaged patients if they are served by lower-quality providers...
September 17, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30242317/memorial-day-reflections-the-invisible-enemy
#6
Kim Chen
No abstract text is available yet for this article.
September 17, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30242315/use-of-medical-scribes-to-reduce-documentation-burden-are-they-where-we-need-to-go-with-clinical-documentation
#7
David W Bates, Adam B Landman
No abstract text is available yet for this article.
September 17, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30242304/value-based-payments-and-inaccurate-risk-adjustment-who-is-harmed
#8
Julie Bynum, Valerie Lewis
No abstract text is available yet for this article.
September 17, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30208409/state-level-population-estimates-of-individuals-subject-to-and-not-meeting-proposed-medicaid-work-requirements
#9
David M Silvestri, Margaret L Holland, Joseph S Ross
No abstract text is available yet for this article.
September 10, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30208398/patient-reported-experiences-of-dialysis-care-within-a-national-pay-for-performance-system
#10
Brian M Brady, Bo Zhao, Jingbo Niu, Wolfgang C Winkelmayer, Arnold Milstein, Glenn M Chertow, Kevin F Erickson
Importance: Medicare's End-Stage Renal Disease Quality Incentive Program incorporates measures of perceived value into reimbursement calculations. In 2016, patient experience became a clinical measure in the Quality Incentive Program scoring system. Dialysis facility performance in patient experience measures has not been studied at the national level to date. Objective: To examine associations among dialysis facility performance with patient experience measures and patient, facility, and geographic characteristics...
September 10, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30208397/i-have-insomnia-what-should-i-do
#11
Michael A Incze, Rita F Redberg, Arjun Gupta
No abstract text is available yet for this article.
September 10, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30208396/effectiveness-of-a-therapeutic-tai-ji-quan-intervention-vs-a-multimodal-exercise-intervention-to-prevent-falls-among-older-adults-at-high-risk-of-falling-a-randomized-clinical-trial
#12
Fuzhong Li, Peter Harmer, Kathleen Fitzgerald, Elizabeth Eckstrom, Laura Akers, Li-Shan Chou, Dawna Pidgeon, Jan Voit, Kerri Winters-Stone
Importance: Falls in older adults are a serious public health problem associated with irreversible health consequences and responsible for a substantial economic burden on health care systems. However, identifying optimal choices from among evidence-based fall prevention interventions is challenging as few comparative data for effectiveness are available. Objective: To determine the effectiveness of a therapeutically tailored tai ji quan intervention, Tai Ji Quan: Moving for Better Balance (TJQMBB), developed on the classic concept of tai ji (also known as tai chi), and a multimodal exercise (MME) program relative to stretching exercise in reducing falls among older adults at high risk of falling...
September 10, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30208395/inappropriate-behavior-by-patients-and-their-families-call-it-out
#13
Amy Nicole Cowan
No abstract text is available yet for this article.
September 10, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30208394/effect-of-portable-air-filtration-systems-on-personal-exposure-to-fine-particulate-matter-and-blood-pressure-among-residents-in-a-low-income-senior-facility-a-randomized-clinical-trial
#14
Masako Morishita, Sara D Adar, Jennifer D'Souza, Rosemary A Ziemba, Robert L Bard, Catherine Spino, Robert D Brook
Importance: Fine particulate matter (smaller than 2.5 μm) (PM2.5) air pollution is a major global risk factor for cardiovascular (CV) morbidity and mortality. Few studies have tested the benefits of portable air filtration systems in urban settings in the United States. Objective: To investigate the effectiveness of air filtration at reducing personal exposures to PM2.5 and mitigating related CV health effects among older adults in a typical US urban location. Design, Setting, and Participants: This randomized, double-blind crossover intervention study was conducted from October 21, 2014, through November 4, 2016, in a low-income senior residential building in Detroit, Michigan...
September 10, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30208385/medicaid-work-requirements-english-poor-law-revisited
#15
Dave A Chokshi, Mitchell H Katz
No abstract text is available yet for this article.
September 10, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30208384/factors-associated-with-long-term-benzodiazepine-use-among-older-adults
#16
Lauren B Gerlach, Donovan T Maust, Shirley H Leong, Shahrzad Mavandadi, David W Oslin
No abstract text is available yet for this article.
September 10, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30208382/analysis-of-work-requirement-exemptions-and-medicaid-spending
#17
Anna L Goldman, Steffie Woolhandler, David U Himmelstein, David H Bor, Danny McCormick
No abstract text is available yet for this article.
September 10, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30193370/clinician-burnout-and-the-quality-of-care
#18
Mark Linzer
No abstract text is available yet for this article.
September 4, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30193365/education-and-reporting-of-diagnostic-errors-among-physicians-in-internal-medicine-training-programs
#19
Thilan P Wijesekera, Lisa Sanders, Donna M Windish
No abstract text is available yet for this article.
September 4, 2018: JAMA Internal Medicine
https://www.readbyqxmd.com/read/30193357/trends-in-visits-to-acute-care-venues-for-treatment-of-low-acuity-conditions-in-the-united-states-from-2008-to-2015
#20
Sabrina J Poon, Jeremiah D Schuur, Ateev Mehrotra
Importance: Over the past 2 decades, a variety of new care options have emerged for acute care, including urgent care centers, retail clinics, and telemedicine. Trends in the utilization of these newer care venues and the emergency department (ED) have not been characterized. Objective: To describe trends in visits to different acute care venues, including urgent care centers, retail clinics, telemedicine, and EDs, with a focus on visits for treatment of low-acuity conditions...
September 4, 2018: JAMA Internal Medicine
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