The American journal of managed care
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Randomized Controlled Trial Comparative Study
Shared medical appointments in a residency clinic: an exploratory study among Hispanics with diabetes.
To assess the feasibility and effectiveness of shared medical appointments (SMAs) among Hispanic patients with diabetes mellitus attending a family medicine residency clinic. ⋯ Implementing SMAs is feasible and effective among Hispanic patients with diabetes attending a family medicine residency clinic.Health plan managers and policy makers can work with family medicine residents to encourage the use of this model as an alternative approach or in addition to conventional one-on-one interactions with patients.
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Randomized Controlled Trial
A multimodal blood pressure control intervention in 3 healthcare systems.
To determine if a multimodal intervention composed of patient education, home blood pressure (BP) monitoring, BP measurement reporting to an interactive voice response (IVR) phone system, and clinical pharmacist follow-up improves BP control compared with usual care. ⋯ A multimodal intervention of patient education, home BP monitoring, BP measurement reporting to an IVR system, and clinical pharmacist follow-up achieved greater reductions in BP compared with usual care.
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Randomized Controlled Trial
Electronic health record feedback to improve antibiotic prescribing for acute respiratory infections.
To examine whether the Acute Respiratory Infection (ARI) Quality Dashboard, an electronic health record (EHR)-based feedback system, changed antibiotic prescribing. ⋯ The ARI Quality Dashboard was not associated with an overall change in antibiotic prescribing for ARIs, although when used, it was associated with improved antibiotic prescribing. EHR-based quality reporting, as part of "meaningful use," may not improve care in the absence of other changes to primary care practice.
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Randomized Controlled Trial
Leveling the field: addressing health disparities through diabetes disease management.
To examine the relationships among patient characteristics, labor inputs, and improvement in glycosylated hemoglobin (A1C) level in a successful primary care-based diabetes disease management program (DDMP). ⋯ Among intervention patients in a successful DDMP, improvement in A1C level was achieved regardless of age, race/ethnicity, sex, income, education, or insurance status. Labor inputs were similar regardless of age, race/ethnicity, sex, or education and may reflect the nondiscriminatory nature of providing algorithm-based disease management care.
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Randomized Controlled Trial
Adherence to osteoporosis medications after patient and physician brief education: post hoc analysis of a randomized controlled trial.
To examine whether adherence to osteoporosis medications can be improved by educational interventions targeted at primary care physicians (PCPs) and patients. ⋯ The educational intervention did not significantly improve medication compliance or persistence with osteoporosis drugs.