Prescription coverage, use and spending before and after Part D implementation: a national longitudinal panel studyDana Gelb Safran
The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA
J Gen Intern Med 25:10-7. 2010
..To date, no longitudinal study has afforded information on beneficiaries' prescription coverage transitions and corresponding changes in prescription use and spending...
Depression and cost-related medication nonadherence in Medicare beneficiariesKara Zivin Bambauer
Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
Arch Gen Psychiatry 64:602-8. 2007
....
Cultural competency training and performance reports to improve diabetes care for black patients: a cluster randomized, controlled trialThomas D Sequist
Division of General Medicine, Brigham and Women s Hospital, Boston, MA 02120, USA
Ann Intern Med 152:40-6. 2010
..Increasing clinician awareness of racial disparities and improving communication may enhance diabetes care among black patients...
- Reliability of medical group and physician performance measurement in the primary care setting
Thomas D Sequist
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston 02120, MA, USA
Med Care 49:126-31. 2011
..Performance reporting is increasingly focused on physician practice sites and individual physicians...
- Prescription drug coverage and seniors: findings from a 2003 national survey
Dana Gelb Safran
Health Institute at Tufts New England Medical Center, Boston, USA
Health Aff (Millwood) . 2005
..We discuss MMA's potential to improve quality and the need to monitor performance...
- Cost-related medication nonadherence and spending on basic needs following implementation of Medicare Part D
Jeanne M Madden
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, Massachusetts 02215, USA
JAMA 299:1922-8. 2008
..Cost-related medication nonadherence (CRN) has been a persistent problem for individuals who are elderly and disabled in the United States. The impact of Medicare prescription drug coverage (Part D) on CRN is unknown...
- Primary care experiences of medicare beneficiaries, 1998 to 2000
Jana E Montgomery
The Health Institute, Division of Clinical Care Research, Tufts-New England Medical Center, Tufts University School of Medicine, Boston, MA, USA
J Gen Intern Med 19:991-8. 2004
..In an era marked by substantial national investment in quality monitoring, measures of these elements of care are notably absent from the nation's portfolio of quality indicators...
- Measuring chronic care delivery: patient experiences and clinical performance
Thomas D Sequist
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
Int J Qual Health Care 24:206-13. 2012
..To assess the relationship between clinical care metrics and patient experiences of care among patients with chronic disease...
- Reliability of new measures of cost-related medication nonadherence
Marsha Pierre-Jacques
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Med Care 46:444-8. 2008
..Although several national studies have attempted to measure medication nonadherence due to cost in cross-sectional studies of the elderly and disabled, little information exists on the psychometric properties of these measures over time...
- Providing patients web-based data to inform physician choice: if you build it, will they come?
Gary Fanjiang
Massachusetts General Hospital for Children, Boston, MA, USA
J Gen Intern Med 22:1463-6. 2007
..Despite growing emphasis on public reporting of health care quality data, available data are often ignored...
- The effects of primary care physician visit continuity on patients' experiences with care
Hector P Rodriguez
Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, 750 Washington Street, Box 345, Boston, MA 02111, USA
J Gen Intern Med 22:787-93. 2007
..It remains unclear whether PCP visit discontinuity can be planned in a way that is least disruptive to patients' experiences with care...
- Physician-patient communication about prescription medication nonadherence: a 50-state study of America's seniors
Ira B Wilson
Tufts New England Medical Center, Boston, MA 02111, USA
J Gen Intern Med 22:6-12. 2007
..Understanding and improving the quality of medication management is particularly important in the context of the Medicare prescription drug benefit that took effect last January 2006...
- Cost-related skipping of medications and other treatments among Medicare beneficiaries between 1998 and 2000. Results of a national study
Ira B Wilson
The Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
J Gen Intern Med 20:715-20. 2005
..To report rates of cost-related skipping of medications and other treatments, assess correlates of skipping, examine changes in skipping between 1998 and 2000, and identify factors associated with changes in skipping...
- Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoods
Mark W Friedberg
Division of General Medicine, Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts, USA
Arch Intern Med 170:938-44. 2010
..Some practices disproportionately serve sociodemographically vulnerable neighborhoods. If these practices lack medical home capabilities, their ineligibility for enhanced payments could worsen disparities in care...
- Statewide evaluation of measuring physician delivery of self-management support in chronic disease care
Thomas D Sequist
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
J Gen Intern Med 24:939-45. 2009
..Self-management support is an important component of improving chronic care delivery...
- Quality monitoring of physicians: linking patients' experiences of care to clinical quality and outcomes
Thomas D Sequist
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA 02120, USA
J Gen Intern Med 23:1784-90. 2008
..Physicians are increasingly asked to improve the delivery of clinical services and patient experiences of care...
- Measuring patients' experiences with individual primary care physicians. Results of a statewide demonstration project
Dana Gelb Safran
The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts-New England Medical Center, Boston, Mass, USA
J Gen Intern Med 21:13-21. 2006
..The analytic findings underscore the validity and importance of looking beyond health plans to individual physicians and sites as we seek to improve health care quality...
- Health care spending and quality in year 1 of the alternative quality contract
Zirui Song
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 365:909-18. 2011
..Provider groups in the AQC system assume accountability for spending, similar to accountable care organizations that bear financial risk. Moreover, groups are eligible to receive bonuses for quality...
- Associations between structural capabilities of primary care practices and performance on selected quality measures
Mark W Friedberg
Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Ann Intern Med 151:456-63. 2009
..Whether practices with these capabilities have higher performance on measures of primary care quality is unknown...
- Physician performance and racial disparities in diabetes mellitus care
Thomas D Sequist
Division of General Medicine, Brigham and Women s Hospital, 1620 Tremont St, Boston, MA 02120, USA
Arch Intern Med 168:1145-51. 2008
..Little information is available regarding variations in diabetes mellitus (DM) outcomes by race at the level of individual physicians...
- Race/ethnicity and nonadherence to prescription medications among seniors: results of a national study
Walid F Gellad
Division of General Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02120 1613, USA
J Gen Intern Med 22:1572-8. 2007
..Because of significant racial/ethnic disparities in the control of many chronic diseases, differences in the rates of and reasons for medication nonadherence should be studied...
- Evaluating patients' experiences with individual physicians: a randomized trial of mail, internet, and interactive voice response telephone administration of surveys
Hector P Rodriguez
Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts-New England Medical Center, Boston, Massachusetts 02111, USA
Med Care 44:167-74. 2006
..However, the higher overall cost of web and IVR, as the result of the need for mailings to support these modes, suggests that they do not presently solve cost concerns related to obtaining physician-specific information from patients...
- Cost-related medication nonadherence among elderly and disabled medicare beneficiaries: a national survey 1 year before the medicare drug benefit
Stephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass, USA
Arch Intern Med 166:1829-35. 2006
..Prior to implementation of the Medicare drug benefit, we estimated the prevalence of cost-related medication nonadherence (CRN) among Medicare enrollees, including elderly and nonelderly disabled beneficiaries...
- Prescription drug coverage and seniors: how well are states closing the gap?
Dana Gelb Safran
Health Institute, Tufts New England Medical Center, Boston, USA
Health Aff (Millwood) . 2002
..With erosion of state and private sources of prescription benefits expected, the findings speak to the need for a national policy solution...
- Inhaler costs and medication nonadherence among seniors with chronic pulmonary disease
Peter J Castaldi
Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA 02111, USA
Chest 138:614-20. 2010
..Here, we examine the relationship between inhaler-specific out-of-pocket costs and CRN in CPD...
- Primary care quality and addiction severity: a prospective cohort study
Theresa W Kim
Clinical Addiction Research and Education CARE Unit, Section General Internal Medicine, 91 E Concord Street, Suite 200, Boston University Medical Center, Boston, MA 02118, USA
Health Serv Res 42:755-72. 2007
..The aim of this study was to prospectively examine if higher PCQ is associated with lower addiction severity among patients with substance use disorders...
- Promoting patient-centered care: a qualitative study of facilitators and barriers in healthcare organizations with a reputation for improving the patient experience
Karen Luxford
1Harkness Fellow, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA
Int J Qual Health Care 23:510-5. 2011
..To investigate organizational facilitators and barriers to patient-centered care in US health care institutions renowned for improving the patient care experience...
- The effect of item screeners on the quality of patient survey data: a randomized experiment of ambulatory care experience measures
Hector P Rodriguez
1 Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA 2 Pacific Business Group on Health, San Francisco, California, USA 3 Blue Cross Blue Shield of Massachusetts, Boston, Massachusetts, USA 4 Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA
Patient 2:135-41. 2009
..However, empirical evidence supporting this view is scant...
- Primary-care clinician perceptions of racial disparities in diabetes care
Thomas D Sequist
Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
J Gen Intern Med 23:678-84. 2008
..Primary-care clinicians can play an important role in reducing racial disparities in diabetes care...
- Organizational dimensions of relationship-centered care. Theory, evidence, and practice
Dana Gelb Safran
The Health Institute, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, MA 02111, USA
J Gen Intern Med 21:S9-15. 2006
....
- Defining the future of primary care: what can we learn from patients?
Dana Gelb Safran
Health Institute at Tufts New England Medical Center and Tufts University, Boston, Massachusetts, USA
Ann Intern Med 138:248-55. 2003
..These three areas involve the use of teams in medicine, the establishment of meaningful primary care partnerships, and integration of care in a delivery system that patients experience as increasingly fragmented...
- Private-payer innovation in Massachusetts: the 'alternative quality contract'
Michael E Chernew
Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 30:51-61. 2011
..This arrangement exemplifies the type of experimentation encouraged by the Affordable Care Act. We describe this unique contract and show how it surmounts hurdles previously encountered with other global-payment models...
- Primary care quality in the Medicare Program: comparing the performance of Medicare health maintenance organizations and traditional fee-for-service medicare
Dana Gelb Safran
The Health Institute, 750 Washington St, Box 345, Boston, MA 02111, USA
Arch Intern Med 162:757-65. 2002
..Little information exists to inform beneficiaries' choices between the traditional fee-for-service (FFS) Medicare program and an HMO...
