Journal of general internal medicine
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Randomized Controlled Trial
Short-Term VA Health Care Expenditures Following a Health Risk Assessment and Coaching Trial.
Short-term health care costs following completion of health risk assessments and coaching programs in the VA have not been assessed. ⋯ Compared to completing and receiving HRA results, working with health coaches to set actionable health behavior change goals following HRA completion did not reduce short-term health expenditures.
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Randomized Controlled Trial
Translating CKD Research into Primary Care Practice: a Group-Randomized Study.
Chronic kidney disease (CKD) is common in the primary care setting. Early interventions may prevent progression of renal disease and reduce risk for cardiovascular complications, yet quality gaps have been documented. Successful approaches to improve identification and management of CKD in primary care are needed. ⋯ Implementation of a primary care improvement model designed to improve CKD identification and management resulted in significantly improved care on 3 out of 11 CQMs. Incomplete adoption of improvement strategies may have limited further improvement. Improving CKD identification and management likely requires a longer and more intensive intervention.