Abstract Background The prescribing of psychotropic drugs, i.e. antidepressants, sedatives (anxiolytics, hypnotics), and antipsychotics is considerable and a large proportion is prescribed by general practitioners […]

Abstract Aim To assess the association between allopurinol and mortality and cardiovascular outcomes in an allopurinol‐treated diabetes cohort. Materials and Methods We conducted a population‐based […]

Abstract   Background Data are limited on risk factors for vancomycin-resistant Enterococcus (VRE) bacteremia. Methods All patients with a confirmed VRE bacteremia in Ontario, Canada, between January […]

Abstract For an important group of patients, the divide between themselves and their healthcare team is a chasm. These patients are variously identified in different […]

Abstract Background With the number of centenarians increasing exponentially in Spain, a deeper knowledge of their socio-demographic, clinical, and healthcare use characteristics is important to […]

Abstract Background Disengagement from care can affect treatment outcomes of patients with hepatitis C virus (HCV). We assessed the extent and determinants of disengagement among […]

Abstract Background West Nile virus (WNV) is a mosquito-borne flavivirus, first detected in the Western Hemisphere in 1999 and spread across North America over the […]

Abstract Objectives Accurate estimates of autism spectrum disorder (ASD)–associated medical costs are essential for predicting future care needs, allocating resources, identifying best practices, and modeling […]

Abstract Background The worldwide prevalence of obstructive lung disease (OLD) is increasing, especially among people >65 years old, and nearly three in four adults with […]

Abstract Objectives Chronic obstructive airway diseases such as chronic obstructive pulmonary disease (COPD), asthma, rhinitis, and obstructive sleep apnea (OSA) are amongst the most common […]

Abstract Objective To examine the associations between neuraxial anaesthesia or general anaesthesia and clinical outcomes, length of hospital stay, and readmission in adults undergoing lower […]

Abstract Background The aim of this study is to determine whether the high risk of surgical complications within 1 year of total hip arthroplasty (THA) […]

Abstract Background Access to neurology specialty care can influence outcomes in individuals with multiple sclerosis (MS), but may vary based on patient sociodemographic characteristics, including […]

Abstract Background Functional outcomes are central to decision-making by older adults (OA), but long-term risks after cancer surgery have not been described beyond 1 year for […]

ABSTRACT BACKGROUND Pharmacists optimize medication use and ensure the safe and effective delivery of pharmacotherapy to patients using comprehensive medication management (CMM). Identifying and prioritizing […]

Abstract Background Frailty is linked to perioperative morbidity and mortality. We evaluated the impact of preoperative frailty on inpatient outcomes of patients undergoing surgery for […]

Abstract Importance Opioids can impair motor skills and may affect the ability to drive; however, the association of opioid use with driving ability is not […]

Abstract Objective Health systems face multimorbidity as the leading cause of the burden of disease and demand for healthcare services. Although non-communicable diseases are well […]

ABSTRACT BACKGROUND Patient effort to comply with complex medication instructions is known to be related to nonadherence and subsequent medical complications or health care costs. […]

Abstract Aim Length of stay (LOS) after colorectal surgery (CRS) is a significant driver of healthcare utilization and adverse patient outcomes. To date, there is […]

Abstract Background The quality-adjusted life year (QALY) is widely used to measure health outcome that combines the length of life and health-related quality of life […]

Summary Ibrutinib is metabolized by cytochrome P450 3A (CYP3A) and poses challenges with drug interactions. We conducted a population-based cohort study of Ontario residents aged […]

ABSTRACT Aims To examine the association between the widely used social deprivation index, the Child Adjusted Care Need Index, and healthcare centres with a higher […]

Abstract Surgical resection is recommended for operable stage I non-small-cell lung cancer (NSCLC), while radiotherapy reserved for inoperable patients. Very comorbid patients may receive no […]

Abstract Objectives Canadian Armed Forces (CAF) Veterans and former Royal Canadian Mounted Police (RCMP) members (“Veterans/former RCMP members”) may be at increased risk of mental […]

Abstract Background Frailty is common amongst individuals presenting with acute ischaemic stroke (AIS). Not only has frailty been found to have disease-modifying effects in terms […]

ABSTRACT Introduction Neuroendocrine tumours (nets) are a poorly understood malignancy lacking standardized care. Differences in socioeconomic status (ses) might worsen the effect of non-standardized care. […]

PLoS One 9:e100375. Aragón Health Sciences Institute, Zaragoza, Spain; Maastricht University, Maastricht, The Netherlands; Department of General Practice, KU Leuven, Belgium. OBJECTIVE: To compare the […]

Aten Primaria 21:36-42. Published in Spanish. Escuela Andaluza de Salud Pública de Granada, Granada, Spain OBJECTIVES: To study and analyse the Out-Patient Care Groups (OCGs), […]

J Epidemiol Community Health 68:971-978. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada; University of Toronto, Toronto, ON, Canada; St. Michael’s Hospital, Toronto, ON, Canada; […]

Eur J Intern Med 26:169-175. Basque Institute for Healthcare Innovation, Barakaldo, Spain; Osakidetza, Basque Health Service, Erandio, Spain; Osatek S.A., Public Society of the Basque […]

Breast Cancer ResTreat 150:613-620. Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada Women with diabetes have higher breast cancer incidence and mortality. The […]

J Health Econ 21:515-530. Center for Health Quality, Outcomes and Economic Research, Boston University School of Public Health, Bedford, MA, USA Conventional risk adjustment, which […]

JAMA Surg. University of Ottawa, Ottawa, ON, Canada; Institute for Clinical Evaluative Sciences, Ottawa, ON, Canada; Ottawa Hospital, Ottawa, ON, Canada; Ottawa Hospital Research Institute, […]

BMC Health Serv Res 10:A18. Discovery Health, Johannesburg, Gauteng, South Africa INTRODUCTION: Various clinical tools exist that categorize health-care data into homogenous cohorts. The tools […]

Med Care 31:1119-1137. Policy and Health Statistics Administration, Maryland Department of Health and Mental Hygiene, Baltimore, MD, USA Characteristics of the usual source of care […]

Dis Manag 9:56-62. Johns Hopkins HealthCare, Glen Burnie, MD, USA The objective of this study was to describe the clinical features of older persons identified […]

BMC Public Health 9:347. Blekinge Centre of Competence, Karlskrona, Sweden BACKGROUND: Adequate resource allocation is an important factor to ensure equity in health care. Previous […]

Med Care Res Rev 68:387-420. University Medical Center, Hamburg-Eppendorf, Germany This systematic literature review identified and summarized 35 studies that investigated the relationship between multiple […]

Can J Public Health 99:344-349. Manitoba Centre for Health Policy and Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, MB, Canada […]

Schizophr Res 113:101-106. Department of Community Health Sciences, University of Manitoba, Manitoba Centre for Health Policy, Winnipeg, MB, Canada CONTEXT: Barriers to cervical cancer screening […]

BMC Public Health 6:35. Center for Family and Community Medicine, Neurotec Department, Karolinska Institute, Stockholm, Sweden BACKGROUND: The objective was to estimate the proportion of […]

Jt Comm J Qual Improv 19:552-565. Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA Because of the focus on […]

Health Aff 31:306-315. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA The Affordable Care Act calls for the establishment of state-level health insurance […]

J Clin Endocrinol Metab 95:3272-3276. University of Manitoba, Winnipeg, MB, Canada CONTEXT: Abdominal obesity is a major risk factor for diabetes. Dual-energy x-ray absorptiometry (DXA) […]

Geriatr Gerontol Int 12:612-621. Department of Medical Affairs and Planning, National Yang Ming University, Taipei, Taiwan. AIM: That geriatric evaluation and management (GEM) is associated […]

Med Care 42:123-128. Medical Service, Iowa City VA Medical Center, Iowa City, IA, USA BACKGROUND: Valid methods of predicting resource utilization in primary care populations […]

Med Care 42:232-238. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA OBJECTIVE: The objective of this study […]

Health Serv Res 42:629-643. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E. DeBakey VA Medical Center, […]

BMC Public Health 10:244. Aragon Health Sciences Institute, Zaragoza, Spain BACKGROUND: The computerisation of primary health care (PHC) records offers the opportunity to focus on […]

Vaccine 29:240-246. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada The objective of this study was to evaluate the effectiveness of influenza vaccines in reducing […]

Arch Intern Med 172:484-491. Institute for Clinical Evaluative Sciences, Toronto, ON, Canada BACKGROUND: Estimates of influenza vaccine effectiveness in elderly individuals are largely from observational […]

Value Health 3 Suppl 1:29-38. MEDSTAT Group, Inc., Ann Arbor, MI, USA OBJECTIVES: To estimate relationships between medical care expenditures in 1996 and adherence to […]

Rev Esp Salud Publica 80:55-65. Published in Spanish. Dirección de Planificación y Desarrollo Organizativo, Badalona, Serveis Assistencials, Badalona, Barcelona, Spain BACKGROUND: Most patient classification systems […]

Health Serv Manage Res 21:14-22. Department of Veterans Affairs Healthcare Network Upstate New York, Albany, NY, USA Using descriptive statistics, this paper revealed that the […]

Gac Sanit 23:228-231. Published in Spanish. Dirección de Planificación, Badalona Servicios Asistenciales, S.A., Badalona, Barcelona, España. PURPOSE: To validate the Johns Hopkins ACG case-mix system […]

A register-based study in a Swedish population. BMC Public Health 11:552. Department of Medical and Health Sciences, Family Medicine, Linköping University, Linköping, Sweden BACKGROUND: Depressive […]

BMC Emerg Med 11:13. Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada BACKGROUND: Emergency departments are medical treatment facilities, designed to […]

Obes Surg 22:749-763. Center for Health Care Research and Policy, MetroHealth Medical Center/Case Western Reserve University, Cleveland, OH, USA BACKGROUND: Bariatric surgery is the most […]

Clinicoecon Outcomes Res 4:39-47. Dirección de Planificación, Badalona Serveis Assistencials, Barcelona, Spain BACKGROUND: The purpose of this study was to gather information about analgesic drug […]

PLoS One 8:e66192. Children’s Hospital of Philadelphia, Philadelphia, PA, USA; Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA OBJECTIVE: To evaluate the validity […]

BMC Fam Pract 14:11. Multiprofessional Education Unit for Family and Community Care (South-east), Madrid, Spain BACKGROUND: Chronic obstructive pulmonary disease (COPD) is frequent and often […]

Osteoporos Int 24:1247-1256. Department of Medicine, University of Manitoba, Winnipeg, MB, Canada We examined the independent contributions of First Nations ethnicity and lower income to […]

Health Aff W4:70-72. Project Hope, Millwood, VA, USA The author’s father was a psychiatrist, a concerned citizen, and a Medicare patient. He died recently after […]

J Health Econ 35C:109-122. University of Bristol, Bristol, UK; University of York, York, UK Models of the determinants of individuals’ primary care costs can be […]

Med Care 52:86-92. Harvard University; Harvard Medical School; Harvard Pilgrim Healthcare Institute, Harvard Medical School, Boston, MA, USA BACKGROUND: By shifting a greater share of […]

Allergy. Allergy and Clinical Immunology Unit, Meir Medical Center, Kfar Saba, Israel; Sackler Faculty of Medicine, Tel Aviv University, Israel. BACKGROUND: The impact of low […]

ABSTRACT Objectives: This exploratory study used outpatient laboratory test results from electronic health records (EHRs) for patient risk assessment and evaluated whether risk markers based on […]

Montreal, QC, Canada: Montreal Health and Social Services Agency. Montreal Health and Social Services Agency, Montreal, QC, Canada La coexistence de plusieurs maladies chroniques est […]

Radiation Oncology 93:S10. University of Toronto, Toronto, ON, Canada; Women’s College Hospital, Toronto, ON, Canada Purpose/Objective(s): While meta-analysis has shown metformin use in diabetic patients […]

2013 Breast Cancer Symposium. Abstract 128. J Clin Oncol 31 (suppl 26; abstr 128). University of Toronto, Toronto, ON, Canada; St. Michael’s Hospital, Toronto, ON, […]

Cuadernos de Gestión 6:19-24. Published in Spanish. Fundació Jordi Gol i Gurina, Barcelona, Spain No abstract

Gesundheits- und Sozialpolitik 1-2:8-15. Published in German. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA Advances in information technology, electronic billing, and diagnostic […]

Reston, VA, USA: AdvanceMed Corp. AdvanceMed Corp., Reston, VA, USA AdvanceMed Corporation, a DynCorp company, is supporting the TRICARE Management Activity (TMA) and its health […]

Working paper: Informed Purchasing Series. Hamilton, NJ, USA: Center for Health Care Strategies. Center for Health Programs Development and Management, University of Maryland, Baltimore County, […]

Minneapolis, MN, USA: Park Nicollet Institute, Minnesota Department of Health, Minnesota Department of Human Services. Park Nicollet Institute and Minnesota Department of Health, Minneapolis, MN, […]

Baltimore, MD, USA: Johns Hopkins University (doctoral dissertation). Johns Hopkins University, Baltimore, MD, USA STATEMENT OF THE PROBLEM: Hypertension is one of the most common […]

JHQ Online :W5-24 – W5-29. McKesson Medical Management Group, Newton, MA. Rising healthcare costs coupled with diminishing financial  resources are stimulating changes in the organization […]

Canadian Journal of Diabetes 33:281. Provincial Health Services Authority, Vancouver, BC, Canada AIMS: Lower utilization of medical resources by immigrants are often observed in self-reported […]

Aten Primaria 42:420-430. Published in Spanish. Dirección de Planificación, Badalona Serveis Assistencials S.A., Badalona, Barcelona, Spain OBJECTIVES: Mediterranean populations are traditionally considered to be associated […]

Insurance Markets and Companies: Analyses and Actuarial Computations 2:7-15. University of Minnesota, Minneapolis, MN, USA In this paper, a Medical Productivity Index (MPI) is proposed […]

Institut national d’excellence en santé et en services sociaux (INESSS). Rapport rédigé par Marie-Dominique Beaulieu, Marie‐Pascale Pomey, Brigitte Côté, Claudio Del Grande, Monia Ghorbel, Phuong […]

Winnipeg, MB, Canada: Manitoba Centre for Health Policy. Manitoba Centre for Health Policy, Winnipeg, MB, Canada The Manitoba Centre for Health Policy (MCHP) in conjunction […]

Enfermeria Clnica 24:35-43. Published in Spanish. Gerencia del Servicio de Salud de Castilla-La Mancha (SESCAM), Toledo, Spain Castilla-La Mancha Health Service is developing the integration […]

This document provides a high-level overview of what risk stratification is its relevance to the health service and some things to consider when using risk […]

Naresuan University Ambulatory casemix systems and Thai health financing arrangements Supasit Pannarunothai Faculty of Medicine

BMC Public Health Co-morbidity and Health Care Utilisation Five Years Prior to Diagnosis for Depression: A Register-Based Study in a Swedish Population David Andersson Henrik […]

Johns Hopkins ACG System The Development of a Coordination Risk Measure Patricio Muñiz

Cricket Green Medical Practice, Mitcham, Surrey Improving Patient Care Using Risk Profiling in Primary Care Dr Simon Gilbert, GP

Bridging the Gap Between Payer Data and EHR Data —Rohan D’Souza, eClinicalWorks

OVERVIEW OF VERSION 11: ENHANCEMENTS AND FEATURES  Overview of Version 11: Enhancements and Features —Amy Salls, DST Health Solutions

Objective: In 2001, the province of Ontario expanded cancer genetic testing eligibility to include all women with high-grade serous ovarian carcinoma (HGSC) of the ovary, […]

BACKGROUND:  Primary care clinicians know that case-mix varies between different physician practices and geographical areas. Leicester City Clinical Commissioning Group (CCG) is now able to quantify […]