The American journal of managed care
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The identification of patients most likely to benefit from care management programs-case finding-is a crucial determinant of their effectiveness regarding improved health outcomes and reduced costs. Until now, research has mainly focused on claims data-based case finding. This study aimed to explore how primary care physicians (PCPs) select patients for practice based care management and how risk prediction may complement their case finding. ⋯ Case finding for care management programs in primary care may benefit from a structured approach combining clinical judgment by PCPs and claims data-based risk modeling. However, further research is needed to identify the optimal case-finding strategy for practice based care management.
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To examine patient and physician factors affecting utilization of diagnostic imaging in primary care. ⋯ Both patient and physician factors have a substantial effect on primary care outpatient diagnostic imaging utilization. Several of these significantly influence both the probability that any images will be ordered and the intensity (number) of imaging.
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To evaluate the factors associated with nonadherence in a nationally representative sample of patients receiving lipid-lowering therapy (LLT). ⋯ Medication adherence remains poor in patients receiving LLT. Treatment outcomes and healthcare resource use may be improved by prioritizing adherence programs in at-risk patient populations.