Sheldon Greenfield

..We also examine strategies for understanding and managing HTE in practice, to increase the usefulness of trial results...

..Recent studies have shown mixed results regarding the effectiveness of intensive glucose-lowering therapy in reducing risk for cardiovascular events...

..Interest in comparative effectiveness research and the rising number of negative or "small effect" trials have stimulated research into differential response to treatment among subgroups of patients...

..Among patients with type 2 diabetes, it is not known whether risk factor control is better or worse for those who also have heart disease, depression, multiple other comorbidities, and associated management challenges...

..The Affordable Care Act is designed to decrease the numbers of uninsured patients in U.S. However, even with insurance, patients who have financial hardships may have difficulty obtaining their medications because of cost issues...

..The proliferation of efforts to assess physician performance underscore the need to improve the reliability of physician-level quality measures...

..Men with low-risk prostate cancer and significant comorbidity are susceptible to overtreatment. The authors sought to compare the impact of comorbidity and age on treatment choice in men with low-risk disease...

..To examine racial/ethnic differences in the prevalence of depressive symptoms and in provider recognition of depression among Latino, Asian, and non-Hispanic white patients with type 2 diabetes...

..To examine explanations of differences in utilization rates of a newly reintroduced technique - off-pump coronary artery bypass grafting (CABG) - between racial minorities and Whites...

..S. regions. Further studies need to address the reasons for these differences and target ways to improve rates. Results suggest that SLNB may be considered as a potential quality measure...

..After further testing, this case-mix measure may be suitable for controlling for severity of illness in ambulatory-based studies of diabetic patients with multiple chronic illnesses...

..Provider-patient language discordance is related to worse quality care for limited English proficient (LEP) patients who speak Spanish. However, little is known about language barriers among LEP Asian-American patients...

..Little attention has been paid to the role of dietary supplementation of specific nutrients in the prevention of PAD...

..The authors adapted the Total Illness Burden Index (TIBI) for use in decision-making among men with prostate cancer at the time of the visit...

..In addition, our data suggest that it is critical to investigate and incorporate patients' belief systems about antiretroviral therapy into adherence discussions, and to identify and treat mental disorders...

..In the context of the Organization for Economic Cooperation and Development (OECD) Quality Indicators Project, a set of quality indicators for diabetes care was developed, to be used for benchmarking the performance of health care systems...

..Patient characteristics (case-mix bias) and physician-level variation (clustering) are often overlooked in profiling the quality of care provided by different groups of physicians, such as specialties...

..In the context of the QuED Study we assessed whether a quality of care summary score was able to predict the development of cardiovascular (CV) events in patients with type 2 diabetes...

..Despite their relevance, sexual problems are seldom investigated by general practitioners and specialists...

..CONCLUSION: In a model situation of comorbidity, the overall quality of care depends on structural and organizational factors, which are likely to be more influential than existing guidelines...

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..In the short term, care provided by DOCs was also associated with better intermediate outcome measures, such as total cholesterol levels...

..This research should evaluate the impact of quality measurement on these patients and expand the range of quality measures relevant to the care of clinically complex patients...

..CONCLUSION: Our data show that physicians' beliefs in more aggressive management strategies will result in better mean TC values over a 3-year period...

..The study also shows that QoL tended to further decrease during 3 years in patients with ED at baseline but not in those without this condition...

..Patient knowledge and practices are strongly related to physicians' attitudes...

..In deciding the best decision-making approach to adopt in individual patients, it is of primary importance to measure how the patient perceives and engages in relationships...

..The results of this study will provide insight into whether HCTs are associated with high staff morale and high quality of care. ..

..If the intervention is effective and feasible, it could serve as model for improving chronic disease care in minority communities in settings with limited resources. ..