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Managed care and chronic illness: health services research needs.

Published on Dec 1, 1997in Health Services Research2.706
Edward H. Wagner86
Estimated H-index: 86
Abstract
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  • Citations (92)
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#1Sharad Indur Wadhwani (UCSF: University of California, San Francisco)
#1Sharad I. Wadhwani (UCSF: University of California, San Francisco)
Last. Jennifer C. Lai (UCSF: University of California, San Francisco)H-Index: 24
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Long-term outcomes remain suboptimal following pediatric liver transplantation; only one third of children have normal biochemical liver function without immunosuppressant comorbidities 10 years posttransplant. We examined the association between an index of neighborhood socioeconomic deprivation with graft and patient survival using the Scientific Registry of Transplant Recipients. We included children <19 years who underwent liver transplantation between January 1, 2008 to December 31, 2013 (n...
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#1Johnathan TamH-Index: 1
#2Diane Lacaille (UBC: University of British Columbia)H-Index: 33
Last. Linda C Li (UBC: University of British Columbia)H-Index: 6
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Background Active self-management is a process where patients are fully engaged in managing their health in daily life by having access to contextualized health data and tailored guidance to support a healthy lifestyle. This study aims to determine whether an e-health intervention that incorporates symptom/disease activity monitoring and physical activity counselling can improve self-management ability in patients with rheumatoid arthritis (RA).
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#1Miranda Bowler (U of A: University of Alberta)
#2Rebecca Dehek (U of A: University of Alberta)
Last. Laura Grose (U of A: University of Alberta)H-Index: 1
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Abstract Background With a rising number of prostate cancer survivors, transitioning patients to follow-up care has become more relevant in the current Albertan cancer care landscape and has led to a need for better patient education resources surrounding this topic. In response, the Alberta Provincial Genitourinary Tumour Team and Cancer Control Alberta have developed self-management guidelines to aid patients with prostate cancer during this transition. This study aimed to evaluate the effecti...
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#1Robyn Golden (Rush University Medical Center)H-Index: 8
#2Erin E. Emery-Tiburcio (Rush University Medical Center)H-Index: 1
Last. Michelle Newman (Rush University Medical Center)H-Index: 1
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#1Imatullah Akyar (UAB: University of Alabama at Birmingham)H-Index: 6
#2J. Nicholas Dionne-Odom (UAB: University of Alabama at Birmingham)H-Index: 10
Last. Marie Bakitas (UAB: University of Alabama at Birmingham)H-Index: 23
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Objective:Models of early, community-based palliative care for individuals with New York Heart Association (NYHA) class III/IV heart failure and their families are lacking. We used the Medical Research Council process of developing complex interventions to conduct a formative evaluation study to translate an early palliative care intervention from cancer to heart failure.Method:One component of the parent formative evaluation pilot study was qualitative satisfaction interviews with 8 patient–car...
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#1Doris Howell (Princess Margaret Cancer Centre)H-Index: 29
#2Alison Richardson (University Hospital Southampton NHS Foundation Trust)H-Index: 46
Last. Claire Foster (University of Southampton)H-Index: 92
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Cancer survivors face a myriad of biopsychosocial consequences due to cancer and treatment that may be potentially mitigated through enabling their self-management skills and behaviors for managing illness. Unfortunately, the cancer system lags in its systematic provision of self-management support (SMS) in routine care, and it is unclear what implementation approaches or strategies work to embed SMS in the cancer context to inform health policy and administrator decision-making. A comprehensive...
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#1Thorlene Egerton (University of Melbourne)H-Index: 19
#2Rachel K. Nelligan (University of Melbourne)H-Index: 5
Last. Kim L. Bennell (University of Melbourne)H-Index: 80
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Osteoarthritis (OA) is diagnosed and managed primarily by general practitioners (GPs). OA guidelines recommend using clinical criteria, without x-ray, for diagnosis, and advising strengthening exercise, aerobic activity and, if appropriate, weight loss as first-line treatments. These recommendations are often not implemented by GPs. To facilitate GP uptake of guidelines, greater understanding of GP practice behaviour is required. This qualitative study identified key factors influencing implemen...
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#1Catherine M. Lemieux (LSU: Louisiana State University)H-Index: 11
#2Katherine A. Thomas (LSU: Louisiana State University)H-Index: 1
Last. Amber R. Hebert (LSU: Louisiana State University)H-Index: 1
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ABSTRACTKnowledge about methods to retain community mental health (CMH) clients in integrated primary and behavioral health care (PBHC) programs is needed to address longstanding health disparities. A preexisting data set that contained the clinical records of 446 PBHC program participants was used to examine whether baseline sociodemographic, health, and psychosocial characteristics predicted retention in care at 6 months post-enrollment. Results indicated that less than half of PBHC participan...
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#1Barbara Sorondo (Eastern Maine Medical Center)H-Index: 2
#2Amy Allen (Eastern Maine Medical Center)H-Index: 2
Last. Iyad SabbaghH-Index: 2
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Introduction: This study assessed whether patient portals influence patients’ ability for self-management, improve their perception of health state, improve their experience with primary care practices, and reduce healthcare utilization. Methods: Patients participating in a nurse-led care coordination program received personalized training to use the portal to communicate with the care team. Data analysis included pre-post comparison of self-efficacy (CDSES), health state (EQVAS), functional sta...
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#1Eindra Aung (UQ: University of Queensland)H-Index: 7
#2Remo Ostini (UQ: University of Queensland)H-Index: 16
Last. Suhail A. R. Doi (UQ: University of Queensland)H-Index: 31
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The Patient Assessment of Chronic Illness Care (PACIC) was designed to measure care congruent with several elements of the chronic care model (CCM), including self-management support and delivery system design. However, support for the a priori 5-subscale structure of the PACIC in previous research has been conflicting. Thus, we aim to investigate psychometric characteristics of the PACIC including the content and stability of its construct over time. A population-based prospective cohort study ...
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