The American journal of managed care
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Randomized Controlled Trial
Providers' perspective on diabetes case management: a descriptive study.
To address the physicians' perspective on case management (CM) for diabetes. ⋯ Co-managing diabetes patients with nurse case managers did not undermine the providers' perceived professional role. In fact, having CM increased the rate of achieving therapeutic goals among patients with diabetes and cardiovascular risk factors.
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Randomized Controlled Trial
Impact of education program on influenza vaccination rates in Spain.
To assess the impact of a simple education program on adherence to influenza vaccination. ⋯ A mailed reminder program was effective to improve influenza vaccination rate, but only to a limited extent. Vaccination the previous year was the main predictor of adherence to vaccination. More programs are needed to improve vaccination rates in the study community.
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Randomized Controlled Trial
Identification of and intervention to address therapeutic gaps in care.
To determine if therapeutic gap identification, notification of community pharmacists, and intervention results in increased gap closure, reduced gap closure time, and fewer adherence gaps reopening. ⋯ Independent community pharmacists reduced gaps in care and had fewer reopened adherence gaps, suggesting improvement in adherence. A continuation study will examine the impact of the program on long-term adherence.
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Randomized Controlled Trial
Financial incentives and physician commitment to guideline-recommended hypertension management.
To examine the impact of financial incentives on physician goal commitment to guideline-recommended hypertension care. ⋯ Financial incentives may constitute an insufficiently strong intervention to influence goal commitment when providers attribute performance to external forces beyond their control.
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Randomized Controlled Trial
Use of health information technology to improve medication adherence.
To evaluate the effectiveness of an intervention based on health information technology (HIT) that used speech recognition software to promote adherence to inhaled corticosteroids (ICS) among individuals with asthma who were members of a large health maintenance organization. ⋯ An HIT-based adherence intervention shows potential for supporting medication adherence in patients with chronic diseases such as asthma. However, additional research is needed to determine how best to enhance the reach and effectiveness of such interventions.