National Healthcare Quality and Disparities Report
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Topics
- Access to Care (2)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
76 to 90 of 90 Research Studies DisplayedHendrix KS, Downs SM, Carroll AE
Pediatricians' responses to printed clinical reminders: does highlighting prompts improve responsiveness?
The authors tested whether selectively highlighting clinical decision support prompts in yellow would improve physicians' responsiveness. They found that highlighting reminder prompts did not increase physicians' responsiveness. They suggested possible explanations and offer alternative strategies to increasing physician responsiveness to prompts.
AHRQ-funded; HS020640; HS018453; HS017939.
Citation: Hendrix KS, Downs SM, Carroll AE .
Pediatricians' responses to printed clinical reminders: does highlighting prompts improve responsiveness?
Acad Pediatr 2015 Mar-Apr;15(2):158-64. doi: 10.1016/j.acap.2014.10.009.
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Keywords: Clinical Decision Support (CDS), Children/Adolescents, Primary Care, Practice Patterns, Quality Improvement
Rundell SD, Sherman KJ, Heagerty PJ
The clinical course of pain and function in older adults with a new primary care visit for back pain.
This study reports the clinical course of older adults presenting for a new primary care visit for back pain, with no healthcare visit for back pain within the prior 6 months, by describing pain intensity, disability, pain interference, and resolution of back pain over 12 months. It found that improvements in disability and interference with activity over 12 months differed according to age, duration of back pain, symptoms of depression and anxiety, and expectation for recovery.
AHRQ-funded; HS019222.
Citation: Rundell SD, Sherman KJ, Heagerty PJ .
The clinical course of pain and function in older adults with a new primary care visit for back pain.
J Am Geriatr Soc 2015 Mar;63(3):524-30. doi: 10.1111/jgs.13241..
Keywords: Elderly, Primary Care, Back Health and Pain, Comparative Effectiveness, Outcomes
Parisi LM, Gabbay RA
What providers want from the Primary Care Extension Service to facilitate practice transformation.
This 70-question survey asked 556 Pennsylvania-based primary care providers what services they want to receive from a Patient Care Extension Service, a new program being implemented under the Affordable Care Act. It found that the most desired services include (1) identifying and coordinating mental health services, (2) improving office efficiency, (3) increasing overall revenues, and (4) strategies to help implement evidence-based clinical guidelines.
AHRQ-funded; HS020988.
Citation: Parisi LM, Gabbay RA .
What providers want from the Primary Care Extension Service to facilitate practice transformation.
Fam Med 2015 Mar;47(3):210-6..
Keywords: Practice Improvement, Primary Care, Provider
Jones JB, Weiner JP, Shah NR
The wired patient: patterns of electronic patient portal use among patients with cardiac disease or diabetes.
The researchers described the types and patterns of portal users in an integrated delivery system. They found naturally occurring groups of EHR Web portal users within a population of adult primary care patients with chronic conditions. More than half of the patient cohort exhibited distinct patterns of portal use linked to key features.
AHRQ-funded; HS016228.
Citation: Jones JB, Weiner JP, Shah NR .
The wired patient: patterns of electronic patient portal use among patients with cardiac disease or diabetes.
J Med Internet Res 2015 Feb 20;17(2):e42. doi: 10.2196/jmir.3157..
Keywords: Health Information Technology (HIT), Electronic Health Records (EHRs), Primary Care, Healthcare Delivery, Chronic Conditions
Chang E, Chan KS, Han HR
Effect of acculturation on variations in having a usual source of care among Asian Americans and non-Hispanic whites in California.
This study examined variations in having a usual source of care among non-Hispanic White and Asian American adults in California. It found that, after adding in acculturation factors, there was no statistically significant racial disparity between the two groups. However, higher education was not associated with better access among Asian Americans.
AHRQ-funded; HS021684
Citation: Chang E, Chan KS, Han HR .
Effect of acculturation on variations in having a usual source of care among Asian Americans and non-Hispanic whites in California.
Am J Public Health 2015 Feb;105(2):398-407. doi: 10.2105/AJPH.2014.301950..
Keywords: Primary Care, Disparities, Racial and Ethnic Minorities
Bailey SR, O'Malley JP, Gold R
Receipt of diabetes preventive services differs by insurance status at visit.
This study examined the association between having Medicaid health insurance and receiving diabetes preventive care during an office visit. They found that the lack of insurance was associated with a lower probability of receiving recommended diabetes preventive services that are due during a clinic visit.
AHRQ-funded; HS021522
Citation: Bailey SR, O'Malley JP, Gold R .
Receipt of diabetes preventive services differs by insurance status at visit.
Am J Prev Med 2015 Feb;48(2):229-33. doi: 10.1016/j.amepre.2014.08.035..
Keywords: Medicaid, Diabetes, Prevention, Primary Care, Health Insurance
Hsiao CJ, King J, Hing E
AHRQ Author: Hsiao CJ
The role of health information technology in care coordination in the United States.
This study used 2012 national data to explore the extent to which office-based physicians in the United States receive patient health information (electronically or non-electronically) needed to coordinate care with providers outside their practice, as well as with hospitals. It found that a higher percentage of physicians using health information technology (HIT) received patient information necessary for care coordination than those who did not use HIT.
AHRQ-authored.
Citation: Hsiao CJ, King J, Hing E .
The role of health information technology in care coordination in the United States.
Med Care. 2015 Feb;53(2):184-90. doi: 10.1097/mlr.0000000000000276..
Keywords: Health Information Technology (HIT), Care Coordination, Primary Care, Hospitals
Angier H, Hoopes M, Gold R
An early look at rates of uninsured safety net clinic visits after the Affordable Care Act.
The researchers tested the hypothesis that rates of uninsured safety net clinic visits would significantly decrease in states that implemented Medicaid expansion, compared with states that did not. They found that, overall, clinics in the expansion states had a 40% decrease in the rate of uninsured visits in the postexpansion period and a 36% increase in the rate of Medicaid-covered visits, while clinics in the nonexpansion states had a significant 16% decline in the rate of uninsured visits but no change in the rate of Medicaid-covered visits. They concluded that their findings suggest that Affordable Care Act-related Medicaid expansions have successfully decreased the number of uninsured safety net patients in the United States.
AHRQ-funded; HS021522.
Citation: Angier H, Hoopes M, Gold R .
An early look at rates of uninsured safety net clinic visits after the Affordable Care Act.
Ann Fam Med 2015 Jan-Feb;13(1):10-6. doi: 10.1370/afm.1741.
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Keywords: Uninsured, Community-Based Practice, Primary Care, Medicaid, Access to Care
Herrin J, da Graca B, Aponte P
Impact of an EHR-based diabetes management form on quality and outcomes of diabetes care in primary care practices.
The researchers assessed the impact of a diabetes management form (DMF) accessible within an electronic health record on the quality and outcomes of diabetes care. They found that although tests (microalbumin, eye and foot exams) increased more for DMF-exposed patients, these patients had less improvement in achieving outcomes.
AHRQ-funded; HS020696
Citation: Herrin J, da Graca B, Aponte P .
Impact of an EHR-based diabetes management form on quality and outcomes of diabetes care in primary care practices.
Am J Med Qual. 2015 Jan-Feb;30(1):14-22. doi: 10.1177/1062860613516991..
Keywords: Diabetes, Electronic Health Records (EHRs), Health Information Technology (HIT), Primary Care, Chronic Conditions
Phillips L, Hendren S, Humiston S
Improving breast and colon cancer screening rates: a comparison of letters, automated phone calls, or both.
The goal of this study was to understand the differential effects of low-cost automated telephone and mailed interventions on cancer screening rates in a primary care practice. It found that letters plus automated telephone calls are better than either alone in increasing cancer screening rates among patients who are overdue for screening.
AHRQ-funded; HS022440
Citation: Phillips L, Hendren S, Humiston S .
Improving breast and colon cancer screening rates: a comparison of letters, automated phone calls, or both.
J Am Board Fam Med. 2015 Jan-Feb;28(1):46-54. doi: 10.3122/jabfm.2015.01.140174..
Keywords: Primary Care, Screening, Cancer, Prevention, Patient Adherence/Compliance
van Weel C, Turnbull D, Whitehead E
AHRQ Author: Meyers D
International collaboration in innovating health systems.
A pre-conference workshop was organized at the 2014 North American Primary Care Research Group (NAPCRG) conference to explore international aspects of innovating health systems. Shifting to primary health care asks for a redirection of research towards the community setting. Four funding agencies, including AHRQ, presented their approaches towards innovation and translation support. Innovative approaches included trained implementation experts serving as change agents. Next steps included promotion of participatory research methodology as a meaningful tool for engagement with stakeholders and promotion of the value of international comparative outcome research for health systems’ innovation.
AHRQ-authored.
Citation: van Weel C, Turnbull D, Whitehead E .
International collaboration in innovating health systems.
Ann Fam Med 2015 Jan-Feb;13(1):86-7. doi: 10.1370/afm.1751.
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Keywords: Healthcare Delivery, Health Systems, Primary Care
Anderson HD, Pace WD, Brandt E
Monitoring suicidal patients in primary care using electronic health records.
The objective of this study was to estimate the use of diagnostic codes in EHRs to document suicidal ideation and attempt among patients seen in primary care. It found that few cases of suicidal ideation and suicide attempt as documented in a primary care setting using a clinician’s notes field or a patient-reported PHQ-9 were also documented in the patient’s EHR using diagnostic codes.
AHRQ-funded; HS019464.
Citation: Anderson HD, Pace WD, Brandt E .
Monitoring suicidal patients in primary care using electronic health records.
J Am Board Fam Med 2015 Jan-Feb;28(1):65-71. doi: 10.3122/jabfm.2015.01.140181..
Keywords: Behavioral Health, Primary Care, Electronic Health Records (EHRs), Health Information Technology (HIT)
Green LA, Potworowski G, Day A
Sustaining "meaningful use" of health information technology in low-resource practices.
The objective of this paper was to identify potential barriers to maintenance of meaningful use of EHRs in priority primary care practices using a qualitative observational study for federally qualified health centers and priority practices in Michigan. The authors concluded that priority practices, especially in rural areas, are at high risk for falling on the wrong side of a digital divide as payers and regulators enact increasing expectations for EHR use and information management.
AHRQ-funded; HS018170.
Citation: Green LA, Potworowski G, Day A .
Sustaining "meaningful use" of health information technology in low-resource practices.
Ann Fam Med 2015 Jan-Feb;13(1):17-22. doi: 10.1370/afm.1740.
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Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Primary Care, Rural Health
Smith JJ, Berman MD, Hiratsuka VY
The effect of regular primary care utilization on long-term glycemic and blood pressure control in adults with diabetes.
The researchers sought to assess the effect of primary care utilization on glycemic control and blood pressure control for a cohort of customer-owners with diabetes mellitus (DM) who received care from Southcentral Foundation, a tribal provider. They found that regular primary care utilization over 16 years was associated with higher rates of blood pressure control and glycemic control for adults with DM.
AHRQ-funded; HS019154.
Citation: Smith JJ, Berman MD, Hiratsuka VY .
The effect of regular primary care utilization on long-term glycemic and blood pressure control in adults with diabetes.
J Am Board Fam Med 2015 Jan-Feb;28(1):28-37. doi: 10.3122/jabfm.2015.01.130329..
Keywords: Primary Care, Diabetes, Healthcare Utilization, Blood Pressure, Prevention
Turner L, Kruszewski SP, Alexander GC
Trends in the use of buprenorphine by office-based physicians in the United States, 2003-2013.
This study used descriptive statistics to examine trends in buprenorphine utilization from 2003 to 2013. The use of buprenorphine products to treat opioid dependence has increased significantly and has shifted to greater use by primary care physicians, indicating a rapidly changing face of opioid maintenance therapy in the United States.
AHRQ-funded; HS018960.
Citation: Turner L, Kruszewski SP, Alexander GC .
Trends in the use of buprenorphine by office-based physicians in the United States, 2003-2013.
Am J Addict 2015 Jan;24(1):24-9. doi: 10.1111/ajad.12174..
Keywords: Healthcare Utilization, Medication, Opioids, Primary Care, Substance Abuse