The American journal of managed care
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To determine if patient clinical conditions need to be considered when assessing primary care physician (PCP) workload in the context of standardizing panel sizes. ⋯ The heterogeneity of PCP panels should be considered when assessing PCP workload for panel management. Panel variability in workload is well captured by age/sex-based weights for children, but for adults condition-based adjustment may be necessary.
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To evaluate the clinical and economic impact of positive airway pressure (PAP) among patients with obstructive sleep apnea (OSA). ⋯ Among OSA patients in real-world practice, PAP users had significantly lower hospitalization risks and all-cause healthcare costs.
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Accurately measuring the quality of care that ambulatory care physicians provide is an important endeavor. Current measurement instruments, while offering useful information about care systems, remain suboptimal for the measurement of individual physician performance. We offer the quality care opportunities model of ambulatory care physician performance measurement, which may address issues with current instruments while also offering useful information about efficiency and productivity for individual physicians and delivery systems from a patient-centered perspective.
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To identify barriers encountered by case managers in hospitals, home care agencies, and nursing homes in the transition of the obese patient from the hospital to the community. ⋯ Transition of the obese patient presents major challenges. Further exploration is needed to identify the extent of problems and make policy recommendations toward a solution.