Formularies, therapeutics, and outcomes: new opportunities.

Abstract:

:The increasing prominence of drug therapies in health care and their rapidly rising costs have led to a dramatic escalation of interest in the use of outcomes data for therapeutics and formulary decisions. The expanded use of formulary submission dossiers, effectiveness data, health outcomes analysis, and pharmacoeconomic modeling has created an urgent need for outcomes research to investigate topics especially relevant for health plan drug therapy coverage decisions. This article examines the evolving use of outcomes data on drug formulary and other therapeutic decisions, and outlines several priority areas for outcomes research. These include research into surrogate measures of long-term health and economic outcomes, evaluations of new formulary submission programs, and research on the impact of pharmaceutical cost-sharing arrangements on health outcomes. The article also discusses the importance of evaluating patient compliance and health outcomes after implementation of a Medicare prescription drug benefit, and the need for new types of clinical trials that can respond to changing demands of pharmacy and therapeutics committees and providers

journal_name

Med Care

journal_title

Medical care

authors

Fullerton DS,Atherly DS

doi

10.1097/01.mlr.0000119396.81986.19

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

III39-44

issue

4 Suppl

eissn

0025-7079

issn

1537-1948

pii

00005650-200404001-00007

journal_volume

42

pub_type

杂志文章
  • Persistent Super-Utilization of Acute Care Services Among Subgroups of Veterans Experiencing Homelessness.

    abstract:BACKGROUND:Acute health care utilization often occurs among persons experiencing homelessness. However, knowing which individuals will be persistent super-utilizers of acute care is less well understood. OBJECTIVE:The objective of the study was to identify those more likely to be persistent super-utilizers of acute ca...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000796

    authors: Szymkowiak D,Montgomery AE,Johnson EE,Manning T,O'Toole TP

    更新日期:2017-10-01 00:00:00

  • Extended use of indwelling urinary catheters in postoperative hip fracture patients.

    abstract:BACKGROUND:Indwelling urinary catheters are used postoperatively in hip fracture care. Their use beyond the immediate postoperative period may result in excess nosocomial infections. OBJECTIVES:The objectives of this study were to explore the relationship between extended indwelling urinary catheterization and outcome...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000178199.07789.32

    authors: Wald H,Epstein A,Kramer A

    更新日期:2005-10-01 00:00:00

  • The Effects of the Transition From Medicaid to Medicare on Health Care Use for Adults With Mental Illness.

    abstract:BACKGROUND:The transition from Medicaid-only to dual Medicare/Medicaid coverage has the potential to reduce financial barriers to health care for patients with serious mental illness through increased coverage or expanded access to clinicians as their reimbursement increases. AIMS:To estimate the effect of dual covera...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000572

    authors: Burns ME,Huskamp HA,Smith JC,Madden JM,Soumerai SB

    更新日期:2016-09-01 00:00:00

  • Physician migration to the U.S.--foreign aid for U.S. manpower.

    abstract::Data were obtained from the American Medical Association on Iranian physicians practicing in the U.S., and from the Iranian Medical Registry on U.S.-trained Iranian physicians who have returned to practice in Iran. There were 2,066 Iranian physicians practicing in the U.S. in 1972, 1,234 (60%) of whom were not undergo...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197606000-00005

    authors: Ronaghy HA,Zeighami E,Zeighami B

    更新日期:1976-06-01 00:00:00

  • Posttraumatic concerns: a patient-centered approach to outcome assessment after traumatic physical injury.

    abstract:BACKGROUND:Approximately 2.5 million Americans are admitted to the hospital after traumatic physical injury each year. Few investigations have elicited patients' perspectives regarding posttraumatic outcomes. OBJECTIVE:To identify and categorize physically injured trauma survivors' posttraumatic concerns. RESEARCH DE...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200104000-00004

    authors: Zatzick DF,Kang SM,Hinton WL,Kelly RH,Hilty DM,Franz CE,Le L,Kravitz RL

    更新日期:2001-04-01 00:00:00

  • When does an episode of care for cancer begin?

    abstract:BACKGROUND:Little is known about the medical care resources devoted to diagnosing and treating cancer-related symptoms before a definitive cancer diagnosis. Previous research using SEER-Medicare data to measure incremental costs and utilization associated with cancer started with the date of diagnosis. We hypothesized ...

    journal_title:Medical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MLR.0b013e3182731277

    authors: Hornbrook MC,Fishman PA,Ritzwoller DP,Elston-Lafata J,O'Keeffe-Rosetti MC,Salloum RG

    更新日期:2013-04-01 00:00:00

  • Constructing Episodes of Inpatient Care: How to Define Hospital Transfer in Hospital Administrative Health Data?

    abstract:BACKGROUND:Hospital administrative health data create separate records for each hospital stay of patients. Treating a hospital transfer as a readmission could lead to biased results in health service research. METHODS:This is a cross-sectional study. We used the hospital discharge abstract database in 2013 from Albert...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000624

    authors: Peng M,Li B,Southern DA,Eastwood CA,Quan H

    更新日期:2017-01-01 00:00:00

  • Person-centered care practices and quality in Department of Veterans Affairs nursing homes: is there a relationship?

    abstract:OBJECTIVE:To examine variation in culture change to a person-centered care (PCC) model, and the association between culture change and a composite measure of quality in 107 Department of Veterans Affairs nursing homes. METHODS:We examined the relationship between a composite quality measure calculated from 24 quality ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182763230

    authors: Sullivan JL,Shwartz M,Burgess JF Jr,Peköz EA,Christiansen CL,Gerena-Melia M,Berlowitz D

    更新日期:2013-02-01 00:00:00

  • The association of attributes of primary care with the delivery of clinical preventive services.

    abstract:OBJECTIVES:Evidence is building that primary care is associated with quality of care and cost effectiveness. Still, little is known of the contribution of specific attributes of primary care to important health outcomes, such as the delivery of preventive services. This study tests the association of specific attribute...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199808001-00004

    authors: Flocke SA,Stange KC,Zyzanski SJ

    更新日期:1998-08-01 00:00:00

  • Dental care in the People's Republic of China.

    abstract::In comparison to the living conditions that existed before 1949, the People's Republic of China (PRC) represents a remarkable story of achievement. Western knowledge about the PRC has recently increased by leaps and bounds as detente with the United States has allowed many Americans to witness the "awakening of the dr...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:

    authors: Louie R

    更新日期:1978-07-01 00:00:00

  • Perceived barriers to mental health service use among individuals with mental disorders in the Canadian general population.

    abstract:BACKGROUND:Eliminating barriers to care is important for improving health service use. However, the barriers to mental health care have not been well investigated. OBJECTIVES:This study was designed to provide information about the barriers to mental health service use and to identify clinical factors associated with ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000196954.67658.95

    authors: Wang J

    更新日期:2006-02-01 00:00:00

  • Antidepressant use: concordance between self-report and claims records.

    abstract:BACKGROUND:Researchers need valid methods to assess whether patients are taking their antidepressant medications. Two important sources of data on drug exposure are patients' self-reports and pharmacy claims. OBJECTIVE:To compare self-report and claims data for antidepressant exposure. RESEARCH DESIGN:Cross-sectional...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.MLR.0000053019.79054.B6

    authors: Kwon A,Bungay KM,Pei Y,Rogers WH,Wilson IB,Zhou Q,Adler DA

    更新日期:2003-03-01 00:00:00

  • Health care coverage and access to care: the status of Minnesota's veterans.

    abstract:OBJECTIVES:The primary objective of this study was to examine veterans' reliance on health care services provided by the Veterans Health Administration (VHA) within Minnesota and estimate the potential effect on uninsurance rates if all eligible veterans relied on VHA coverage. Secondary objectives were to compare vete...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000170403.97264.39

    authors: Jonk YC,Call KT,Cutting AH,O'Connor H,Bansiya V,Harrison K

    更新日期:2005-08-01 00:00:00

  • Cost-related Nonadherence to Medication Treatment Plans: Native Hawaiian and Pacific Islander National Health Interview Survey, 2014.

    abstract:BACKGROUND:Adherence to medication treatment plans is important for chronic disease (CD) management. Cost-related nonadherence (CRN) puts patients at risk for complications. Native Hawaiians and Pacific Islanders (NHPI) suffer from high rates of CD and socioeconomic disparities that could increase CRN behaviors. OBJEC...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000887

    authors: McElfish PA,Long CR,Payakachat N,Felix H,Bursac Z,Rowland B,Hudson JS,Narcisse MR

    更新日期:2018-04-01 00:00:00

  • Health perceptions of primary care patients and the influence on health care utilization.

    abstract::This prospective study was conducted to determine the influence of primary care patients' health perceptions on their utilization of health care services. Patients' health perceptions were measured using the RAND Corporation's General Health Perceptions Questionnaire. Physicians provided scores of how they thought the...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198903001-00009

    authors: Connelly JE,Philbrick JT,Smith GR Jr,Kaiser DL,Wymer A

    更新日期:1989-03-01 00:00:00

  • Persistent medication affordability problems among disabled Medicare beneficiaries after Part D, 2006-2011.

    abstract:BACKGROUND:Disabled Americans who qualify for Medicare coverage typically have multiple chronic conditions, are highly dependent on effective drug therapy, and have limited financial resources, putting them at risk for cost-related medication nonadherence (CRN). Since 2006, the Part D benefit has helped Medicare benefi...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000205

    authors: Naci H,Soumerai SB,Ross-Degnan D,Zhang F,Briesacher BA,Gurwitz JH,Madden JM

    更新日期:2014-11-01 00:00:00

  • Construct validity and factor structure of survey-based assessment of cost-related medication burden.

    abstract:BACKGROUND:Millions of Americans are burdened by out-of-pocket prescription costs. Although many survey measures have been developed to assess this burden, the construct validity and the factor structure of these instruments have not been rigorously assessed. OBJECTIVES:To characterize the factor structure and the con...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000286

    authors: Burcu M,Alexander GC,Ng X,Harrington D

    更新日期:2015-02-01 00:00:00

  • Designing and implementing research on a statewide quality improvement initiative: the DIAMOND study and initiative.

    abstract:OBJECTIVE:To demonstrate a rigorous methodology that optimally balanced internal validity with generalizability to evaluate a statewide collaborative that implemented an evidence-based, collaborative care model for depression management in primary care. STUDY DESIGN AND SETTING:Several operational features of the DIAM...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318249d8a4

    authors: Crain AL,Solberg LI,Unützer J,Ohnsorg KA,Maciosek MV,Whitebird RR,Beck A,Molitor BA

    更新日期:2013-09-01 00:00:00

  • Some considerations in selecting interactive and analytical decision approaches for EMS councils.

    abstract::The application of analytical and interactive decision models to decisions, in EMS councils, with various levels of uncertainty is described. Uncertainty is defined as having temporal, procedural, quantifiability, and environmental attributes. Highly uncertain decisions are unique, with unknown decision procedures. De...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197902000-00005

    authors: Nutt PC

    更新日期:1979-02-01 00:00:00

  • Healthcare task difficulty among older adults with multimorbidity.

    abstract:BACKGROUND:Applying disease-specific guidelines to people with multimorbidity may result in complex regimens that impose treatment burden. OBJECTIVES:To describe and validate a measure of healthcare task difficulty (HCTD) in a sample of older adults with multimorbidity. RESEARCH DESIGN:Cross-sectional and longitudina...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182a977da

    authors: Boyd CM,Wolff JL,Giovannetti E,Reider L,Weiss C,Xue QL,Leff B,Boult C,Hughes T,Rand C

    更新日期:2014-03-01 00:00:00

  • Predictors of medication-refill adherence in an indigent rural population.

    abstract:OBJECTIVE:We evaluated the association of medication refill adherence with demographic and prescription characteristics to determine whether such factors could guide intervention strategies in an indigent rural population. METHODS:The study was conducted at a University-based internal medicine practice serving an indi...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200212000-00016

    authors: Schectman JM,Bovbjerg VE,Voss JD

    更新日期:2002-12-01 00:00:00

  • Assessing the quality of care for urinary tract infection in office practice: a comparative organizational study.

    abstract::As part of a comprehensive evaluation of care received by enrollees in a prepaid community health care project, we studied the process of care for enrollees reported to have a urinary tract infection. The care given to 98 patients enrolled in a large prepaid group practice (PGP) and 69 patients seen by 45 physicians i...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197806000-00005

    authors: LoGerfo JP,Larson E,Richardson WC

    更新日期:1978-06-01 00:00:00

  • Comparison of two VA laboratory data repositories indicates that missing data vary despite originating from the same source.

    abstract:BACKGROUND:Assessing accuracy and completeness of data is an important component of conducting research. VA Healthcare System benefits from a highly developed electronic medical information system. The Immunology Case Registry was designed to monitor costs and quality of HIV care. The Decision Support System was develo...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31817d69c2

    authors: McGinnis KA,Skanderson M,Levin FL,Brandt C,Erdos J,Justice AC

    更新日期:2009-01-01 00:00:00

  • The next step towards making use meaningful: electronic information exchange and care coordination across clinicians and delivery sites.

    abstract:BACKGROUND:Care for patients with chronic conditions often requires coordination between multiple physicians and delivery sites. Electronic Health Record (EHR) use could improve care quality and efficiency in part by facilitating care coordination. OBJECTIVE:We examined the association between EHR use and clinician pe...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000245

    authors: Graetz I,Reed M,Shortell SM,Rundall TG,Bellows J,Hsu J

    更新日期:2014-12-01 00:00:00

  • Barriers to Care and Health Care Utilization Among the Publicly Insured.

    abstract:BACKGROUND:Although the Affordable Care Act has been successful in expanding Medicaid to >17 million people, insurance alone may not translate into access to health care. Even among the insured, substantial barriers to accessing services inhibit health care utilization. OBJECTIVES:We examined the effect of selected ba...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000644

    authors: Allen EM,Call KT,Beebe TJ,McAlpine DD,Johnson PJ

    更新日期:2017-03-01 00:00:00

  • Improving physicians' recognition and treatment of depression in general medical care. Results from a randomized clinical trial.

    abstract::A randomized clinical trial was performed to assess whether the results of a depression screening instrument, when provided to physicians, could influence their recognition and treatment of depression in a primary care setting. The intervention consisted of randomly informing or not informing physicians of the depress...

    journal_title:Medical care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005650-199003000-00004

    authors: Magruder-Habib K,Zung WW,Feussner JR

    更新日期:1990-03-01 00:00:00

  • One thousand health-related quality-of-life estimates.

    abstract:OBJECTIVE:Analysts performing cost-effectiveness analyses often do not have the resources to gather original quality-of-life (QOL) weights. Furthermore, variability in QOL for the same health state hampers the comparability of cost-effectiveness analyses. For these reasons, opinion leaders such as the Panel on Cost-Eff...

    journal_title:Medical care

    pub_type: 杂志文章,评审

    doi:10.1097/00005650-200006000-00004

    authors: Tengs TO,Wallace A

    更新日期:2000-06-01 00:00:00

  • Data model considerations for clinical effectiveness researchers.

    abstract:INTRODUCTION:Growing adoption of electronic health records and increased emphasis on the reuse and integration of clinical care and administration data require a robust informatics infrastructure to inform health care effectiveness in real-world settings. The Scalable Architecture for Federated Translational Inquiries ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318259bff4

    authors: Kahn MG,Batson D,Schilling LM

    更新日期:2012-07-01 00:00:00

  • Methodological challenges and innovations in patient outcomes research.

    abstract::Between 1989 and 1992, the Agency for Health Care Policy and Research (AHCPR) awarded funding to 14 special projects known as Patient Outcomes Research Teams (PORTs). These large, complex projects form the centerpiece of the first generation of research under the Medical Treatment Effectiveness Program. In carrying ou...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:

    authors: Maklan CW,Greene R,Cummings MA

    更新日期:1994-07-01 00:00:00

  • Measuring physician job satisfaction in a changing workplace and a challenging environment. SGIM Career Satisfaction Study Group. Society of General Internal Medicine.

    abstract:BACKGROUND:Changes in the demographic, specialty, and employment sector composition of medicine have altered physicians' jobs, limiting autonomy and reducing morale. Because physician job satisfaction has been linked to clinical variables, better measurement might help to ameliorate conditions linked to medical disaffe...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199911000-00010

    authors: Konrad TR,Williams ES,Linzer M,McMurray J,Pathman DE,Gerrity M,Schwartz MD,Scheckler WE,Van Kirk J,Rhodes E,Douglas J

    更新日期:1999-11-01 00:00:00