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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.
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1 to 3 of 3 Research Studies DisplayedHill CE, Lin CC, Burke JF
Claims data analyses unable to properly characterize the value of neurologists in epilepsy care.
The authors sought to determine the association of a neurologist visit with health care use and cost outcomes for patients with incident epilepsy using health care claims data for individuals insured by United Healthcare from 2001 to 2016. They found that patients with epilepsy who visited a neurologist had greater subsequent health care use, medical costs, and care escalation than controls. They conclude that their comparison using administrative claims was plausibly confounded by case disease severity, as suggested by higher non-epilepsy care costs, and that linking patient-centered outcomes to claims data may provide the clinical resolution to assess care value within a heterogeneous population.
AHRQ-funded; HS017690; HS022258.
Citation: Hill CE, Lin CC, Burke JF .
Claims data analyses unable to properly characterize the value of neurologists in epilepsy care.
Neurology 2019 Feb 26;92(9):e973-e87. doi: 10.1212/wnl.0000000000007004..
Keywords: Neurological Disorders, Ambulatory Care and Surgery, Healthcare Utilization
Senders A, Sando K, Wahbeh H
Managing psychological stress in the multiple sclerosis medical visit: patient perspectives and unmet needs.
Psychological stress can negatively impact multiple sclerosis. To further understand how stress is addressed in the multiple sclerosis medical visit, 34 people with multiple sclerosis participated in focus groups. Transcripts were analyzed by inductive thematic analysis. The majority of participants did not discuss stress with their provider, citing barriers to communication such as lack of time, poor coordination between specialties, physician reliance on pharmaceutical prescription, and patient lack of self-advocacy. Participants recommended several ways to better manage psychological well-being in the clinical setting. These findings provide a foundation for future studies aimed at minimizing the detrimental effect of stress in multiple sclerosis.
AHRQ-funded; HS017582.
Citation: Senders A, Sando K, Wahbeh H .
Managing psychological stress in the multiple sclerosis medical visit: patient perspectives and unmet needs.
J Health Psychol 2016 Aug;21(8):1676-87. doi: 10.1177/1359105314562084.
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Keywords: Care Management, Neurological Disorders, Ambulatory Care and Surgery, Stress
McDonough CM, Ni P, Coster WJ
Development of an IRT-based short form to assess applied cognitive function in outpatient rehabilitation.
The authors developed a 15-item outpatient rehabilitation self-report short form for the Activity Measure for Post-Acute Care Applied Cognition item bank. They concluded that their Applied Cognition outpatient short form demonstrated acceptable psychometric properties and provides a bridge to item response theory-based measurement when point-of-care computing is not available.
AHRQ-funded; HS021368.
Citation: McDonough CM, Ni P, Coster WJ .
Development of an IRT-based short form to assess applied cognitive function in outpatient rehabilitation.
Am J Phys Med Rehabil 2016 Jan;95(1):62-71. doi: 10.1097/phm.0000000000000340.
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Keywords: Elderly, Neurological Disorders, Ambulatory Care and Surgery, Rehabilitation