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OBJECTIVE Evaluate the effectiveness of collaborative management of hypertension by primary care-pharmacist teams in community-based clinics. STUDY DESIGN A 12-month prospective, single-blind, randomized, controlled trial in the Providence Primary Care Research Network of patients with hypertension and uncontrolled blood pressure. METHODS As compared to(More)
PURPOSE To determine the impact of a physician-directed, multifaceted health information technology (HIT) system on diabetes outcomes. METHODS A pre/post-interventional study. SETTING AND PARTICIPANTS The setting was Providence Primary Care Research Network in Oregon, with approximately 71 physicians caring for 117 369 patients in 13 clinic locations.(More)
BACKGROUND Creative, cost-effective interventions to improve the quality of care of chronic illnesses are needed. This study was designed to evaluate the impact of remote physician-pharmacist team-based care on cholesterol levels in patients with diabetes mellitus (DM). METHODS This 2-year prospective, cluster randomized controlled trial was conducted(More)
BACKGROUND Although up to 90% of patients with type 2 diabetes mellitus (T2DM) have obstructive sleep apnea (OSA), the rate at which primary care providers diagnose OSA in patients with diabetes has not been assessed. METHODS A retrospective, population-based, multiclinic study was performed to determine the proportion of patients with T2DM managed in(More)
OBJECTIVE To evaluate adherence to oral diabetes medications (ODMs) in patients with type 2 diabetes and the impact of ODM adherence on glycemic control. STUDY DESIGN Retrospective observational study. METHODS Medical and pharmacy claims from a managed care plan in Oregon were used to identify adults with diabetes who newly initiated ODM therapy (n =(More)
STUDY OBJECTIVES To examine potential threats to internal and external study validity caused by differential patient withdrawal from a randomized controlled trial evaluating pharmacist management of hypertension, to compare the characteristics of patients who withdrew with those of patients who completed the study, and to identify characteristics that(More)
PURPOSE To evaluate the effect of patient cost-sharing on oral diabetes medication adherence and glycemic control. DESIGN Retrospective observational study. METHODOLOGY Medical and pharmacy claims from a managed care plan and electronic medical records (EMR) from a large physician organization in Oregon were used to identify a cohort with diabetes.(More)
BACKGROUND Use of home monitoring technologies can enhance care coordination and improve clinical outcomes in patients with diabetes and other chronic diseases. This study was designed to explore the feasibility of incorporating a telehealth system into an existing telephonic diabetes management program utilizing clinical pharmacists. METHODS This(More)
word2vec affords a simple yet powerful approach of extracting quantitative variables from unstructured textual data. Over half of healthcare data is unstructured (1) and therefore hard to model without involved expertise in data engineering and natural language processing. word2vec can serve as a bridge to quickly gather intelligence from such data sources.(More)
The failure to follow national guidelines in management of various diseases has been previously established. We sought to quantify primary care providers' familiarity with primary hyperparathyroidism as it affects adherence to the 2009 National Institute of Health (NIH) consensus recommendations in treatment of primary hyperparathyroidism. A large primary(More)