Interventions targeted at reducing diagnostic error: systematic review.

Background: Incorrect, delayed and missed diagnoses can contribute to significant adverse health outcomes. Intervention options have proliferated in recent years necessitating an update to McDonald 's 2013 systematic review of interventions to reduce diagnostic error.

Objectives: (1) To describe the types of published interventions for reducing diagnostic error that have been evaluated in terms of an objective patient outcome; (2) to assess the risk of bias in the included interventions and perform a sensitivity analysis of the findings; and (3) to determine the effectiveness of included interventions with respect to their intervention type.

Association of Anxiety With High-Cost Health Care Use Among Individuals With Type 2 Diabetes.

Objective: People with type 2 diabetes vary greatly in their use of high-cost health care resources. We examined the association of anxiety with high-cost use after accounting for depression and medical comorbidity.

Research Design And Methods: Using electronic health record data, we assessed past anxiety diagnosis, health care use and costs, demographics, comorbidities, and diabetes control status and complications during 2008-2012 for 143,573 adult members of an integrated health care system with type 2 diabetes.

Association of behavioral health factors and social determinants of health with high and persistently high healthcare costs.

A high proportion of U.S. health care costs are attributable to a relatively small proportion of patients.