Journal of general internal medicine
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Randomized Controlled Trial
Health Within Reach-a Patient-Centered Intervention to Increase Hepatitis B Screening Among Asian Americans: a Randomized Clinical Trial.
There are few studies to date of interventions to increase viral hepatitis screening among Asian Americans, who have high rates of chronic hepatitis B (HBV) infection. ⋯ A multi-lingual educational intervention using a mobile application in primary care clinics was well received by Asian American patients, enhanced patient-provider communication about HBV, and increased HBV screening. Technology can improve healthcare quality among Asian Americans.
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Observational Study
Are Veterans Getting Their Preferred Depression Treatment? A National Observational Study in the Veterans Health Administration.
Physician responsiveness to patient preferences for depression treatment may improve treatment adherence and clinical outcomes. ⋯ Mismatches between treatment preferences and treatment type received were common and associated with worse treatment adherence for psychotherapy. Future research could examine ways to decrease mismatch between patient preferences and treatments received and potential effects on patient outcomes.
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Observational Study
Primary Care's Effects on Costs in the US Veterans Health Administration, 2016-2019: an Observational Cohort Study.
Enhancing primary care is a promising strategy for improving the efficiency of health care. Previous studies of primary care's effects on health expenditures have mostly relied on ecological analyses comparing region-wide expenditures rather than spending for individual patients. ⋯ In the VHA system, primary care is associated with substantial cost savings. Investments in primary care in other settings might also be cost-effective.