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Assessment of Real-Time Natural Language Processing for Improving Diagnostic Specificity: A Prospective, Crossover Exploratory Study.
Appl Clin Inform
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Lifespan Information Services, Lifespan Health System, Providence, United States.
Background Reliable, precise, timely, and clear documentation of diagnoses is difficult. Poor specificity or the absence of diagnostic documentation can lead to decreased revenue and increased payor denials, audits, and queries to providers. Nuance's Dragon Medical Advisor (DMA) is a computer-assisted physician documentation (CAPD) product.
View Article and Find Full Text PDFNational Survey of Factors Associated with Physician Antibiotic Prescribing Preferences.
J Gen Intern Med
November 2024
Department of Medicine, Program On Regulation, Therapeutics, And Law, Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA, USA.
Background: The development of new infectious disease therapies has become a public health priority given the suboptimal efficacy and adverse effects with current drugs for some patients. Understanding the factors associated with physician antibiotic prescribing preferences can help guide policymakers seeking to incentivize the development of interventions that improve patient outcomes for the treatment and prevention of infectious diseases.
Objectives: To determine the factors associated with physician decision-making when prescribing antibiotics for community-acquired pneumonia (CAP), uncomplicated urinary tract infection (UTI), and cellulitis.
Comparing Severity of Knee Arthritis at an Urban Center by Insurance Type Prior to Total Knee Arthroplasty.
J Surg Orthop Adv
October 2024
University of Illinois at Chicago Department of Orthopedic Surgery, Chicago, Illinois.
This study compares radiographic osteoarthritis severity prior with total knee arthroplasty (TKA) by payer type. Five hundred and three primary TKAs were included. Preoperative radiographs were scored by Ahlback, Kellgren-Lawrence (KL), and International Knee Documentation Committee (IKDC) classifications.
View Article and Find Full Text PDFWhere Are They Now? Alumni Outcomes From a Medical School Primary Care Pathway Program.
Fam Med
October 2024
Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA.
Article Synopsis
- The Primary Care Program (PCP) at USC trains medical students for careers in urban, underserved communities, achieving high match rates into primary care residencies.
- A survey of PCP graduates revealed that 71% matched into primary care residencies, with 70% of them intending to practice general primary care.
- Alumni attributed their career success and commitment to primary care to the PCP experience, highlighting mentorship, community, and exposure to relevant healthcare issues as key influences.
Perceptions of government-assisted payors: a survey and analysis of American Shoulder and Elbow Surgeons current Medicare, Medicare Advantage, and Medicaid practice allocation.
J Shoulder Elbow Surg
January 2025
Great Plains Orthopedics, University of Illinois College of Medicine, Peoria, IL, USA.
Introduction: Significant discrepancy and variance exist in the United States health care system with regard to patient access to medical care based on a patient's insurance type, whether that be government-assisted or a private insurer. There are currently 3 major government-assisted insurance programs, Medicare, Medicare Advantage, and Medicaid, each of which has its own patient mix and regulatory processes that govern care delivery. The purpose of this study was to evaluate the current perceptions of shoulder and elbow surgeons surrounding practice patterns and barriers to access for patients whose primary insurance is a government-assisted payor.
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