National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies Date
Topics
- Access to Care (19)
- Adverse Drug Events (ADE) (14)
- Adverse Events (40)
- Alcohol Use (6)
- Ambulatory Care and Surgery (14)
- Antibiotics (6)
- Antimicrobial Stewardship (5)
- Anxiety (1)
- Arthritis (12)
- Asthma (8)
- Autism (1)
- Back Health and Pain (2)
- Behavioral Health (25)
- Blood Clots (5)
- Blood Pressure (7)
- Blood Thinners (3)
- Burnout (1)
- Cancer (31)
- Cancer: Breast Cancer (11)
- Cancer: Cervical Cancer (1)
- Cancer: Colorectal Cancer (10)
- Cancer: Lung Cancer (4)
- Cancer: Ovarian Cancer (1)
- Cancer: Prostate Cancer (8)
- Cancer: Skin Cancer (1)
- Cardiovascular Conditions (28)
- Care Coordination (7)
- Caregiving (4)
- Care Management (10)
- Case Study (2)
- Catheter-Associated Urinary Tract Infection (CAUTI) (6)
- Centers for Education and Research on Therapeutics (CERTs) (2)
- Central Line-Associated Bloodstream Infections (CLABSI) (4)
- Children's Health Insurance Program (CHIP) (9)
- Children/Adolescents (73)
- Chronic Conditions (44)
- Clinical Decision Support (CDS) (16)
- Clinician-Patient Communication (16)
- Clostridium difficile Infections (4)
- Colonoscopy (2)
- Communication (21)
- Community-Acquired Infections (1)
- Community-Based Practice (8)
- Community Partnerships (1)
- Comparative Effectiveness (67)
- Complementary and Alternative Medicine (4)
- Comprehensive Unit-based Safety Program (CUSP) (1)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (4)
- Critical Care (19)
- Cultural Competence (2)
- Data (11)
- Dementia (3)
- Dental and Oral Health (6)
- Depression (8)
- Diabetes (28)
- Diagnostic Safety and Quality (25)
- Digestive Disease and Health (2)
- Disabilities (4)
- Disparities (27)
- Education (2)
- Education: Academic (2)
- Education: Continuing Medical Education (8)
- Education: Curriculum (1)
- Education: Patient and Caregiver (12)
- Elderly (43)
- Electronic Health Records (EHRs) (44)
- Electronic Prescribing (E-Prescribing) (2)
- Emergency Department (18)
- Emergency Medical Services (EMS) (17)
- Evidence-Based Practice (32)
- Eye Disease and Health (1)
- Falls (5)
- Family Health and History (3)
- Genetics (6)
- Guidelines (20)
- Healthcare-Associated Infections (HAIs) (36)
- Healthcare Cost and Utilization Project (HCUP) (20)
- Healthcare Costs (50)
- Healthcare Delivery (16)
- Healthcare Utilization (26)
- Health Information Exchange (HIE) (5)
- Health Information Technology (HIT) (87)
- Health Insurance (30)
- Health Literacy (6)
- Health Promotion (7)
- Health Services Research (HSR) (22)
- Health Status (7)
- Health Systems (1)
- Heart Disease and Health (26)
- Hepatitis (3)
- Home Healthcare (6)
- Hospital Discharge (11)
- Hospitalization (28)
- Hospital Readmissions (20)
- Hospitals (21)
- Human Immunodeficiency Virus (HIV) (16)
- Imaging (11)
- Implementation (5)
- Infectious Diseases (3)
- Influenza (7)
- Injuries and Wounds (14)
- Inpatient Care (10)
- Intensive Care Unit (ICU) (12)
- Kidney Disease and Health (9)
- Labor and Delivery (11)
- Lifestyle Changes (10)
- Long-Term Care (9)
- Low-Income (16)
- Maternal Care (5)
- Medicaid (30)
- Medical Devices (13)
- Medical Errors (11)
- Medical Expenditure Panel Survey (MEPS) (10)
- Medical Liability (5)
- Medicare (28)
- Medication (99)
- Medication: Safety (8)
- Men's Health (2)
- Methicillin-Resistant Staphylococcus aureus (MRSA) (5)
- Mortality (25)
- Neonatal Intensive Care Unit (NICU) (5)
- Neurological Disorders (3)
- Newborns/Infants (9)
- Nursing (2)
- Nursing Homes (16)
- Nutrition (6)
- Obesity (16)
- Obesity: Weight Management (3)
- Opioids (7)
- Organizational Change (4)
- Orthopedics (3)
- Osteoporosis (1)
- Outcomes (50)
- Pain (11)
- Palliative Care (6)
- Patient-Centered Healthcare (20)
- Patient-Centered Outcomes Research (54)
- Patient Adherence/Compliance (21)
- Patient and Family Engagement (11)
- Patient Experience (10)
- Patient Safety (86)
- Patient Self-Management (12)
- Payment (4)
- Pneumonia (2)
- Policy (22)
- Practice-Based Research Network (PBRN) (3)
- Practice Improvement (2)
- Practice Patterns (24)
- Pregnancy (15)
- Pressure Ulcers (2)
- Prevention (41)
- Primary Care (31)
- Primary Care: Models of Care (3)
- Provider (5)
- Provider: Clinician (2)
- Provider: Health Personnel (8)
- Provider: Nurse (1)
- Provider: Pharmacist (4)
- Provider: Physician (3)
- Provider Performance (8)
- Public Health (6)
- Public Reporting (8)
- Quality Improvement (28)
- Quality Indicators (QIs) (13)
- Quality Measures (28)
- Quality of Care (74)
- Quality of Life (5)
- Racial and Ethnic Minorities (44)
- Registries (16)
- Rehabilitation (2)
- Research Methodologies (20)
- Respiratory Conditions (3)
- Risk (41)
- Rural Health (2)
- Screening (21)
- Sepsis (2)
- Sex Factors (4)
- Shared Decision Making (32)
- Sickle Cell Disease (2)
- Simulation (1)
- Sleep Problems (3)
- Social Determinants of Health (22)
- Social Media (3)
- Social Stigma (1)
- Stress (1)
- Stroke (13)
- Substance Abuse (12)
- Surgery (56)
- Teams (8)
- TeamSTEPPS (2)
- Telehealth (10)
- Tobacco Use (2)
- Tools & Toolkits (1)
- Training (5)
- Transitions of Care (7)
- Transplantation (6)
- Trauma (3)
- Treatments (11)
- U.S. Preventive Services Task Force (USPSTF) (4)
- Uninsured (7)
- Urban Health (7)
- Urinary Tract Infection (UTI) (5)
- Vaccination (8)
- Vulnerable Populations (5)
- Web-Based (7)
- Women (15)
- Workflow (1)
- Workforce (1)
- Young Adults (3)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
101 to 125 of 662 Research Studies DisplayedDu DT, McKean SJ, Kelman JA, et al.
AHRQ Author: Encinosa W
Early mortality after aortic valve replacement with mechanical prosthetic vs bioprosthetic valves among Medicare beneficiaries: a population-based cohort study.
The researchers compared early mortality after aortic valve replacement (AVR) between the recipients of mechanical and bioprosthetic aortic valves. Among 66,453 Medicare beneficiaries who received AVRs, use of mechanical valves was associated with a higher risk for death on the date of surgery and within 30 days compared with the bioprosthetic aortic valves. However, this applied only to those who underwent concurrent AVR and coronary artery bypass graft but not isolated AVR.
AHRQ-authored
Citation: Du DT, McKean SJ, Kelman JA, et al..
Early mortality after aortic valve replacement with mechanical prosthetic vs bioprosthetic valves among Medicare beneficiaries: a population-based cohort study.
JAMA Intern Med. 2014 Nov;174(11):1788-95. doi: 10.1001/jamainternmed.2014.4300..
Keywords: Cardiovascular Conditions, Medicare, Mortality, Patient-Centered Outcomes Research, Surgery
Geynisman DM, Chien CR, Smieliauskas F
Economic evaluation of therapeutic cancer vaccines and immunotherapy: a systematic review.
The researchers performed a comprehensive literature review of cost and cost-effectiveness research on therapeutic cancer vaccines and monoclonal antibodies, to better understand the economic impacts of these treatments. They discussed the implications surrounding the economic factors involved in cancer immunotherapies and suggested that further research on cost and cost-effectiveness of newer cancer vaccines and immunotherapies were warranted as this is a rapidly growing field with many new drugs on the horizon.
AHRQ-funded; HS018535.
Citation: Geynisman DM, Chien CR, Smieliauskas F .
Economic evaluation of therapeutic cancer vaccines and immunotherapy: a systematic review.
Hum Vaccin Immunother 2014;10(11):3415-24. doi: 10.4161/hv.29407.
.
.
Keywords: Cancer, Healthcare Costs, Vaccination
Ghomrawi HM, Alexiades M, Pavlov H
Evaluation of two appropriateness criteria for total knee replacement.
The researchers evaluated the performance of 2 sets of non-U.S. appropriateness criteria (one from Spain and the other from Canada) for total knee replacement (TKR) in a group of 508 TKR patients. Although only 4.7 percent were classified as inappropriate by both sets of criteria, there was little agreement between the two.
AHRQ-funded; HS016075
Citation: Ghomrawi HM, Alexiades M, Pavlov H .
Evaluation of two appropriateness criteria for total knee replacement.
Arthritis Care Res. 2014 Nov;66(11):1749-53. doi: 10.1002/acr.22390..
Keywords: Surgery, Arthritis, Shared Decision Making
Martsolf GR, Auerbach D, Benevent R
AHRQ Author: Stocks C, Jiang HJ
Examining the value of inpatient nurse staffing: an assessment of quality and patient care costs.
The authors assessed the effect of nurse staffing on quality of care and inpatient care costs. They found that increases in nurse staffing levels were associated with reductions in nursing-sensitive adverse events and length of stay, while changing skill mix by increasing the number of registered nurses, as a proportion of licensed nursing staff, led to reductions in costs.
AHRQ-authored; AHRQ-funded; 290200600009C.
Citation: Martsolf GR, Auerbach D, Benevent R .
Examining the value of inpatient nurse staffing: an assessment of quality and patient care costs.
Med Care 2014 Nov;52(11):982-8. doi: 10.1097/mlr.0000000000000248.
.
.
Keywords: Healthcare Costs, Quality of Care, Healthcare Cost and Utilization Project (HCUP), Inpatient Care, Nursing
Rajamani S, Chen ES, Wang Y
Extending the HL7/LOINC Document Ontology settings of care.
This study aimed to extend the “Setting” axis by combining the current values in the Document Ontology (DO) with values from 5 other sources. Evaluation and refinement by subject matter experts over a series of four iterative sessions resulted in a reorganized hierarchy with 254 additional values from a baseline of 20. Incorporating a comprehensive set of “Settings” in DO provides better representation of clinical information across the healthcare ecosystem.
AHRQ-funded; HS022085.
Citation: Rajamani S, Chen ES, Wang Y .
Extending the HL7/LOINC Document Ontology settings of care.
AMIA Annu Symp Proc 2014 Nov;2014:994-1001..
Keywords: Health Information Technology (HIT)
Gilmer TP, Stefancic A, Katz ML
Fidelity to the housing first model and effectiveness of permanent supported housing programs in California.
This paper examined the relationship between fidelity to the Housing First model and residential outcomes among clients of full service partnerships (FSPs) in California. They concluded that programs with greater fidelity to the Housing First model enrolled clients with longer histories of homelessness and placed most of them in apartments.
AHRQ-funded; HS019986.
Citation: Gilmer TP, Stefancic A, Katz ML .
Fidelity to the housing first model and effectiveness of permanent supported housing programs in California.
Psychiatr Serv 2014 Nov;65(11):1311-7. doi: 10.1176/appi.ps.201300447.
.
.
Keywords: Vulnerable Populations
Lacson R, Prevedello LM, Andriole KP
Four-year impact of an alert notification system on closed-loop communication of critical test results.
The authors evaluated the impact of an alert notification system on policy adherence for communicating critical imaging test results to referring providers and assessed system adoption over the first 4 years after implementation. They concluded that an automated alert notification system for communicating critical imaging results was successfully adopted and was associated with increased adherence to institutional policy for communicating critical test results and with reduced workflow interruptions.
AHRQ-funded; HS019635.
Citation: Lacson R, Prevedello LM, Andriole KP .
Four-year impact of an alert notification system on closed-loop communication of critical test results.
AJR Am J Roentgenol 2014 Nov;203(5):933-8. doi: 10.2214/ajr.14.13064.
.
.
Keywords: Communication, Shared Decision Making, Guidelines, Health Information Technology (HIT), Imaging
Malhotra K, Baltrus P P, Zhang S
Geographic and racial variation in asthma prevalence and emergency department use among Medicaid-enrolled children in 14 southern states.
Using 2007 Medicaid claims data from 556 counties in 14 southern states, the researchers described the local area variation in 1-year asthma prevalence rates, emergency department visit rates, and racial disparity rate ratios. They found much local area variation in asthma prevalence and asthma ED visit rates among Medicaid-enrolled children. Between black and white children, more counties had higher prevalence of asthma and higher ED visit rates among blacks.
AHRQ-funded; HS022444; HS019470
Citation: Malhotra K, Baltrus P P, Zhang S .
Geographic and racial variation in asthma prevalence and emergency department use among Medicaid-enrolled children in 14 southern states.
J Asthma. 2014 Nov;51(9):913-21. doi: 10.3109/02770903.2014.930479..
Keywords: Asthma, Medicaid, Social Determinants of Health, Emergency Department, Emergency Medical Services (EMS)
DeVoe JE, Angier H, Burdick T
Health information technology: an untapped resource to help keep patients insured.
This commentary provides guiding principles for HIT infrastructure development to support health insurance enrollment and re-enrollment. It also describes how HIT and health information exchange could be used to organize and communicated this information to patients.
AHRQ-funded; HS018569
Citation: DeVoe JE, Angier H, Burdick T .
Health information technology: an untapped resource to help keep patients insured.
Ann Fam Med. 2014 Nov-Dec;12(6):568-72. doi: 10.1370/afm.1721..
Keywords: Electronic Health Records (EHRs), Health Insurance, Health Information Technology (HIT), Patient-Centered Healthcare, Primary Care
Rabin BA, Ellis JL, Steiner JF
Health-care utilization by prognosis profile in a managed care setting: using the Surveillance, Epidemiology and End Results Cancer Survival Calculator SEER*CSC.
The authors described health service utilization patterns of subgroups of prostate cancer and colorectal cancer (CRC) patients with different relative probabilities of dying of their cancer or other conditions. They found that although a new diagnosis of cancer increased utilization of cancer-related services for an extended time period, the timing of cancer diagnosis did not appear to affect other types of utilization.
AHRQ-funded; HS019520.
Citation: Rabin BA, Ellis JL, Steiner JF .
Health-care utilization by prognosis profile in a managed care setting: using the Surveillance, Epidemiology and End Results Cancer Survival Calculator SEER*CSC.
J Natl Cancer Inst Monogr 2014 Nov;2014(49):275-81. doi: 10.1093/jncimonographs/lgu023.
.
.
Keywords: Cancer: Prostate Cancer, Cancer: Colorectal Cancer, Cancer, Healthcare Utilization, Mortality, Healthcare Delivery
Albrecht JS, Gruber-Baldini AL, Hirshon JM
Hospital discharge instructions: comprehension and compliance among older adults.
The purpose of this prospective cohort study was to quantify the prevalence of non-comprehension and non-compliance with discharge instructions and to identify associated patient characteristics. The investigators concluded that non-comprehension of discharge instructions among older adults was prevalent, multi-factorial, and varies by domain.
AHRQ-funded; HS021068.
Citation: Albrecht JS, Gruber-Baldini AL, Hirshon JM .
Hospital discharge instructions: comprehension and compliance among older adults.
J Gen Intern Med 2014 Nov;29(11):1491-8. doi: 10.1007/s11606-014-2956-0..
Keywords: Elderly, Health Literacy, Hospital Discharge, Patient Adherence/Compliance
Arvold ND, Wang Y, Zigler C
Hospitalization burden and survival among older glioblastoma patients.
The researchers performed a retrospective cohort study among patients aged 65 years and older with glioblastoma diagnosed between 1999 and 2007. They found that higher comorbidity score and black race were associated with an increased risk of being hospitalized for at least 25% of remaining life, whereas radiation, temozolomide, and extensive surgery were associated with a decreased risk.
AHRQ-funded; HS021991.
Citation: Arvold ND, Wang Y, Zigler C .
Hospitalization burden and survival among older glioblastoma patients.
Neuro Oncol 2014 Nov;16(11):1530-40. doi: 10.1093/neuonc/nou060.
.
.
Keywords: Cancer, Elderly, Hospitalization, Mortality, Quality of Life
Nundy S, Mishra A, Hogan P
How do mobile phone diabetes programs drive behavior change? Evidence from a mixed methods observational cohort study.
The purpose of this study was to investigate the behavioral effects of a theory-driven, mobile phone–based intervention that combines automated text messaging and remote nursing, using an automated, interactive text messaging system. It found that the intervention was associated with improvements in 5 of 6 domains of self-care (medication taking, glucose monitoring, foot care, exercise, and healthy eating).
AHRQ-funded; HS015054.
Citation: Nundy S, Mishra A, Hogan P .
How do mobile phone diabetes programs drive behavior change? Evidence from a mixed methods observational cohort study.
Diabetes Educ 2014 Nov-Dec;40(6):806-19. doi: 10.1177/0145721714551992..
Keywords: Diabetes, Health Information Technology (HIT), Patient Self-Management, Telehealth
Kilaru AS, Gadsden SM, Perrone J
How do physicians adopt and apply opioid prescription guidelines in the emergency department? A qualitative study.
This qualitative study of emergency physicians attempted to gain insight into the adoption, use, and perceived relevance of opioid-prescribing guidelines. Most of the 61 participants interviewed in a convenience sample had a positive perspective on the intent and role of such guidelines and used them most commonly as communication tools with patients.
AHRQ-funded; HS021956.
Citation: Kilaru AS, Gadsden SM, Perrone J .
How do physicians adopt and apply opioid prescription guidelines in the emergency department? A qualitative study.
Ann Emerg Med 2014 Nov;64(5):482-89.e1. doi: 10.1016/j.annemergmed.2014.03.015.
.
.
Keywords: Emergency Medical Services (EMS), Opioids, Pain, Guidelines, Practice Patterns
Aldrich H, Gance-Cleveland B, Schmiege S
Identification and assessment of childhood obesity by school-based health center providers.
The authors evaluated obesity care assessment practices of school-based health center (SBHC) providers prior to completing training on obesity guidelines. They found that most providers reported using BMI to assess weight, reported screening for hypertension 100% of the time and cardiovascular disease 93.9% of the time, and approximately two thirds reported requesting total cholesterol and lipid profile laboratory assessments.
AHRQ-funded; HS018646.
Citation: Aldrich H, Gance-Cleveland B, Schmiege S .
Identification and assessment of childhood obesity by school-based health center providers.
J Pediatr Health Care 2014 Nov-Dec;28(6):526-33. doi: 10.1016/j.pedhc.2014.05.002.
.
.
Keywords: Children/Adolescents, Guidelines, Education, Obesity, Prevention
Shah RK, Stey AM, Jantana KR
Identification of opportunities for quality improvement and outcome measurement in pediatric otolaryngology.
This study evaluated perioperative outcomes in pediatric otolaryngology through analysis of records residing in the American College of Surgeons (ACS) National Surgical Quality Improvement Program (ACS-NSQIP) database. It found that although the overall rate of major postoperative morbidity in pediatric otolaryngology is low, the following areas may be targeted for targeted quality-improvement interventions: tracheostomy, airway reconstruction, mastoidectomy, and abscess drainage.
AHRQ-funded; HS022932
Citation: Shah RK, Stey AM, Jantana KR .
Identification of opportunities for quality improvement and outcome measurement in pediatric otolaryngology.
JAMA Otolaryngol Head Neck Surg. 2014 Nov;140(11):1019-26. doi: 10.1001/jamaoto.2014.2067..
Keywords: Surgery, Children/Adolescents, Quality Improvement, Outcomes, Patient-Centered Outcomes Research
Lyles CR, Schafer AL, Seligman HK
Income, food insecurity, and osteoporosis among older adults in the 2007-2008 National Health and Nutrition Examination Survey (NHANES).
The researchers investigated osteoporosis and low socioeconomic status (SES). They concluded that income and food insecurity may have significant implications not just for immediate nutritional outcomes, but also for conditions such as osteoporosis that develop over the lifespan.
AHRQ-funded; HS022408.
Citation: Lyles CR, Schafer AL, Seligman HK .
Income, food insecurity, and osteoporosis among older adults in the 2007-2008 National Health and Nutrition Examination Survey (NHANES).
J Health Care Poor Underserved 2014 Nov;25(4):1530-41. doi: 10.1353/hpu.2014.0174.
.
.
Keywords: Elderly, Nutrition, Osteoporosis, Social Determinants of Health, Low-Income
Thomas KS, Rahman M, Mor V
Influence of hospital and nursing home quality on hospital readmissions.
The authors sought to determine whether the quality of the hospital and of the nursing home (NH) to which a patient was discharged were related to the likelihood of rehospitalization. They found that patients discharged from higher-quality hospitals and patients who received care in higher-quality NHs were less likely to be rehospitalized within 30 days. They concluded that the passage of the Affordable Care Act changed the accountability of hospitals for patients' outcomes after discharge, and that their study highlights the joint accountability of hospitals and NHs for rehospitalization of patients.
AHRQ-funded; HS000011.
Citation: Thomas KS, Rahman M, Mor V .
Influence of hospital and nursing home quality on hospital readmissions.
Am J Manag Care 2014 Nov;20(11):e523-31.
.
.
Keywords: Quality of Care, Hospitals, Nursing Homes, Patient-Centered Outcomes Research, Hospital Readmissions
Lyles CR, Aulakh V, Jameson W
Innovation and transformation in California's safety net health care settings: an inside perspective.
The authors investigated how safety net settings will innovate in order to achieve transformation of care delivery. Through informant interviews, they found that safety net systems have already begun implementing innovative practices supporting their key priority areas, but that more support is needed, specifically to accelerate the change needed to succeed under health reform.
AHRQ-funded; HS017594.
Citation: Lyles CR, Aulakh V, Jameson W .
Innovation and transformation in California's safety net health care settings: an inside perspective.
Am J Med Qual 2014 Nov-Dec;29(6):538-45. doi: 10.1177/1062860613507474.
.
.
Keywords: Healthcare Delivery, Organizational Change
Angier H, Gold R, Crawford C
Linkage methods for connecting children with parents in electronic health record and state public health insurance data.
The purpose of this study was to develop ways to create child-parent links in two healthcare-related data sources: Oregon clinics sharing an electronic health record (EHR) and Oregon Health Plan’s (OHP) administrative data. To create the child-parent links, researchers used the child’s emergency contact information from the EHR and household identification numbers from the OHP.
AHRQ-funded; HS018569
Citation: Angier H, Gold R, Crawford C .
Linkage methods for connecting children with parents in electronic health record and state public health insurance data.
Matern Child Health J. 2014 Nov;18(9):2025-33. doi: 10.1007/s10995-014-1453-8..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Data
Epstein AM, Sommers BD, Kuznetsov Y
Low-income residents in three states view Medicaid as equal to or better than private coverage, support expansion.
The authors explored what low-income Americans think about Medicaid. They found that nearly 80 percent of their telephone survey sample favored Medicaid expansion, and approximately two-thirds of uninsured respondents said that they planned to apply for either Medicaid or subsidized private coverage in 2014. Most viewed having Medicaid as better than being uninsured and at least as good as private insurance in overall quality and affordability.
AHRQ-funded; HS021291.
Citation: Epstein AM, Sommers BD, Kuznetsov Y .
Low-income residents in three states view Medicaid as equal to or better than private coverage, support expansion.
Health Aff 2014 Nov;33(11):2041-7. doi: 10.1377/hlthaff.2014.0747.
.
.
Keywords: Health Insurance, Policy, Low-Income, Medicaid, Uninsured
Zhang Y, Kaplan CM, Baik SH
Medication adherence and readmission after myocardial infarction in the Medicare population.
This study examines the relationship between 6-month medication adherence following a hospitalization for heart attack and a subsequent readmission occurring between 6 and 12 months after the heart attack. It found that the probability of having a preventable readmission 6 to 12 months after a heart attack discharge was much lower for Medicare beneficiaries with good adherence to all heart attack-related medications, compared to those with poor adherence.
AHRQ-funded; HS018657
Citation: Zhang Y, Kaplan CM, Baik SH .
Medication adherence and readmission after myocardial infarction in the Medicare population.
Am J Manag Care 2014 Nov; 20(11):e498-505..
Keywords: Heart Disease and Health, Medication, Patient Adherence/Compliance, Hospital Readmissions
Jalbert JJ, Ritchey ME, Mi X
Methodological considerations in observational comparative effectiveness research for implantable medical devices: an epidemiologic perspective.
This article discusses some of the most salient issues encountered in conducting comparative effectiveness research on implantable devices. Included in this discussion are special methodological considerations regarding the use of data sources, exposure and outcome definitions, timing of exposure, and sources of bias.
AHRQ-funded; 29020050016; HS017731
Citation: Jalbert JJ, Ritchey ME, Mi X .
Methodological considerations in observational comparative effectiveness research for implantable medical devices: an epidemiologic perspective.
Am J Epidemiol. 2014 Nov 1;180(9):949-58. doi: 10.1093/aje/kwu206..
Keywords: Comparative Effectiveness, Research Methodologies, Data
Baddley JW, Winthrop KL, Chen L
Non-viral opportunistic infections in new users of tumour necrosis factor inhibitor therapy: results of the SAfety Assessment of Biologic ThERapy (SABER) study.
The purpose of this paper was to determine, among patients with autoimmune diseases in the USA, whether the risk of non-viral opportunistic infections (OI) was increased among new users of tumour necrosis factor alpha inhibitors (TNFI), when compared to users of non-biological agents used for active disease. The investigators concluded that in the USA, the rate of non-viral OI was higher among new users of TNFI with autoimmune diseases compared to non-biological disease-modifying antirheumatic drugs users.
AHRQ-funded; HS017552; HS018517; HS017919.
Citation: Baddley JW, Winthrop KL, Chen L .
Non-viral opportunistic infections in new users of tumour necrosis factor inhibitor therapy: results of the SAfety Assessment of Biologic ThERapy (SABER) study.
Ann Rheum Dis 2014 Nov;73(11):1942-8. doi: 10.1136/annrheumdis-2013-203407..
Keywords: Arthritis, Comparative Effectiveness, Medication, Patient Safety
Werth SR, Sachdeva N, Roberts AW
North Carolina Medicaid recipient management lock-in program: the pharmacist's perspective.
The objectives of this study were (a) evaluate pharmacists’ perceptions of the implementation of the North Carolina (NC) recipient management lock-in program (MLIP) and (b) determine how the beliefs and attitudes of pharmacists could promote or inhibit its success. It concluded that, although possible improvements were identified, the NC MLIP has strong potential for success as it utilizes pharmacists’ medication gate-keeping role, while minimizing the effort required for successful implementation.
AHRQ-funded; HS000032.
Citation: Werth SR, Sachdeva N, Roberts AW .
North Carolina Medicaid recipient management lock-in program: the pharmacist's perspective.
J Manag Care Spec Pharm 2014 Nov;20(11):1122-9..
Keywords: Medicaid, Medication, Opioids, Provider: Pharmacist, Substance Abuse