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A primer on clinical programs in managed care pharmacy. [PDF]

open access: yesJ Manag Care Spec Pharm
Clinical programs are essential to managed care pharmacy, supporting safe, effective, and affordable medication use across populations and improving outcomes. This primer provides an overview of program types, as well as design, implementation, and evaluation strategies across health plans, pharmacy benefit managers, accountable care organizations, and
Taddei-Allen P.
europepmc   +3 more sources

SWOT Analysis and Expert Assessment of the Effectiveness of the Introduction of Healthcare Information Systems in Polyclinics in Aktobe, Kazakhstan [PDF]

open access: yesJournal of Preventive Medicine and Public Health, 2022
Objectives: The purpose of this study was to assess the organizational effectiveness of the introduction of a healthcare information system (electronic medical records and databases) in healthcare in Kazakhstan. Methods: The authors used a combination of
Lyudmila Yermukhanova   +4 more
doaj   +1 more source

Grayken lessons: between a rock and a hard place? A 37-year-old man with acute liver injury while enrolled in a managed alcohol program for severe alcohol use disorder

open access: yesAddiction Science & Clinical Practice, 2023
Managed alcohol programs aim to reduce health and social harms associated with severe alcohol use disorder. Here, we describe a young man with severe alcohol use disorder enrolled in a managed alcohol program, who was admitted to hospital with acute ...
Thomas D. Brothers   +4 more
doaj   +1 more source

Fragile Fracture Care Management Program [PDF]

open access: yesThe Permanente Journal, 2005
Previous osteoporotic fracture is a strong risk factor for recurrent fracture, both in men and in women,1–7 yet only one in five patients receive osteoporosis intervention after sustaining a fracture.8 In 2003, implementation of a new HEDIS measure assessing health plan performance on postfracture care reflected national recognition of the importance ...
Maggie, Che   +4 more
openaire   +2 more sources

Near Two Decades of the Family Physician Program in Iran and the Structural Challenges: A Systematic Review

open access: yesInternational Journal of Preventive Medicine, 2023
The family physician program (FPP) is one of the most significant health care reforms in Iran; however, many studies showed that this program has not been able to achieve its intended objectives because of a variety of challenges.
Abtin Heidarzadeh   +7 more
doaj   +1 more source

Case management programs in primary care [PDF]

open access: yesJournal of General Internal Medicine, 1998
To review the impact of case management programs on health care resource use; their impact on patient satisfaction, quality of life, and functional status (patient-centered outcomes); and their cost-effectiveness, we reviewed the English language literature utilizing the following MEDLINE and HealthSTAR headings: case management, patient care planning,
J A, Ferguson, M, Weinberger
openaire   +2 more sources

Self-managed physical activity in cancer survivors for the management of cancer-related fatigue: A scoping review.

open access: yesPLoS ONE, 2022
ObjectiveCancer-related fatigue (CRF) is a disabling chronic condition that cancer survivors could experience during and after recovery and that might benefit from self-managed physical activity (PA) programs.
Isabella Campanini   +5 more
doaj   +1 more source

Antimicrobial Drug Prescribing for Pneumonia in Ambulatory Care

open access: yesEmerging Infectious Diseases, 2005
To determine patterns and predictors of antimicrobial drug use for outpatients with community-acquired pneumonia, we examined office visit and pharmacy claims data of 4 large third-party payer organizations from 2000 to 2002.
Conan MacDougall   +3 more
doaj   +1 more source

Asthma Management Programs in Managed Care Organizations

open access: yesDisease Management, 2005
The aim of this work was to investigate how managed care organizations (MCOs) currently approach asthma treatment and management and to determine factors affecting asthma outcomes. A Web-based survey was administered to a national sample of 351 medical directors of MCOs to investigate the asthma management program components in their organizations as ...
Hartmann, Christine W., MSS, PhD   +4 more
openaire   +3 more sources

The Quality of Care Under a Managed-Care Program for Dual Eligibles [PDF]

open access: yesThe Gerontologist, 2005
Our objective in this study was to compare the quality of care provided under the Minnesota Senior Health Options (MSHO), a special program designed to serve dually eligible older persons, to care provided to controls who received fee-for-service Medicare and Medicaid managed care.Two control groups were used; one was drawn from nonenrollees living in ...
Flood, S   +5 more
openaire   +3 more sources

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