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5003. Workflow Requirements for Cost-of-Care Conversations in Outpatient Settings Providing Oncology or Primary Care: A Qualitative, Human-Centered Design Study.
作者: Nora B Henrikson.;Matthew P Banegas.;Leah Tuzzio.;Catherine Lim.;Jennifer L Schneider.;Callie Walsh-Bailey.;Aaron Scrol.;Stephanie M Hodge.
来源: Ann Intern Med. 2019年170卷9_Suppl期S70-S78页
Patients prefer to discuss costs in the clinical setting, but physicians and teams may be unprepared to incorporate cost discussions into existing workflows.
5004. Using Public Cost Information During Low Back Pain Visits: A Qualitative Study.
作者: Kimberley S Fox.;Carolyn E Gray.;Martha Elbaum Williamson.;Jennifer A MacKenzie.
来源: Ann Intern Med. 2019年170卷9_Suppl期S93-S102页
Patients desire information about health care costs because they are increasingly responsible for these costs. Public Web sites that offer cost information could inform provider-patient discussions of costs at the point of care.
5005. Development of a Framework and Tool to Facilitate Cost-of-Care Conversations With Patients During Prenatal Care.
作者: Kim Erwin.;Veronica Fitzpatrick.;Sarah Norell.;Melissa Gilliam.
来源: Ann Intern Med. 2019年170卷9_Suppl期S62-S69页
Studies show that patients want to engage in cost-of-care conversations and factor costs into the formulation of care plans. Low-income patients are particularly likely to defer care because of costs, suggesting that cost-of-care conversations may be an important factor in health equity. Little guidance is available to clinicians and health systems for how to integrate effective cost-of-care conversations into clinical practice or to address specific cost needs of low-income patients.
5006. Community-Designed Messaging Interventions to Improve Cost-of-Care Conversations in Settings Serving Low-Income, Latino Populations.
作者: Kari Mader.;Joseph M Sammen.;Christopher Klene.;Jessica Nguyen.;Matthew Simpson.;Sandra L Ruland.;John M Westfall.
来源: Ann Intern Med. 2019年170卷9_Suppl期S79-S86页
Little is known about how to promote cost-of-care conversations in health care settings.
5007. U.S. Internists' Perspectives on Discussing Cost of Care With Patients: Structured Interviews and a Survey.
作者: Susan L Perez.;Arlene Weissman.;Susan Read.;Cynthia Daisy Smith.;Lisa Colello.;Doris Peter.;Wendy Nickel.
来源: Ann Intern Med. 2019年170卷9_Suppl期S39-S45页
Rising out-of-pocket costs are creating a need for cost conversations between patients and physicians.
5008. Perspectives on Conversations About Costs of Cancer Care of Breast Cancer Survivors and Cancer Center Staff: A Qualitative Study.
作者: Maria Pisu.;Yu-Mei Schoenberger.;Ivan Herbey.;Aquila Brown-Galvan.;Margaret I Liang.;Kevin Riggs.;Karen Meneses.
来源: Ann Intern Med. 2019年170卷9_Suppl期S54-S61页
Despite recommendations to discuss the cost of care (CoC) with patients with cancer, little formal guidance is available on how to conduct these sensitive conversations in ways that are acceptable to both patients and providers.
5009. Addressing Medication Costs During Primary Care Visits: A Before-After Study of Team-Based Training.
作者: Jennifer K Carroll.;Subrina Farah.;Robert J Fortuna.;Angela M Lanigan.;Mechelle Sanders.;Jineane V Venci.;Kevin Fiscella.
来源: Ann Intern Med. 2019年170卷9_Suppl期S46-S53页
Medications contribute to patients' out-of-pocket costs, yet most clinicians do not routinely screen for patients' cost-of-medication (COM) concerns.
5010. Cost-of-Care Conversations During Clinical Visits in Federally Qualified Health Centers: An Observational Study.
作者: Douglas D Bradham.;Deliana Garcia.;Alma Galván.;Corey Erb.
来源: Ann Intern Med. 2019年170卷9_Suppl期S87-S92页
The Centers for Disease Control and Prevention estimates that 10% of the U.S. population delays or avoids health care because of cost concerns. It is unknown whether and how cost-of-care conversations occur in primary encounters, especially settings that provide care to vulnerable patients.
5011. Fournier Gangrene Associated With Sodium-Glucose Cotransporter-2 Inhibitors: A Review of Spontaneous Postmarketing Cases.
作者: Susan J Bersoff-Matcha.;Christine Chamberlain.;Christian Cao.;Cindy Kortepeter.;William H Chong.
来源: Ann Intern Med. 2019年170卷11期764-769页
Use of sodium-glucose cotransporter-2 (SGLT2) inhibitors has been associated with Fournier gangrene (FG), a rare urologic emergency characterized by necrotizing infection of the external genitalia, perineum, and perianal region.
5015. Cases in Precision Medicine: Concerns About Privacy and Discrimination After Genomic Sequencing.
Patients and research participants have indicated that privacy of their genetic test results is an important concern, particularly with respect to insurance coverage. Internists and other physicians whose patients ask about legal protections for information generated by genome sequencing for clinical purposes can provide both reassurance and caution. Protections for medical information in general, as well as laws in some states that provide additional safeguards for genetic data, should reassure patients that this information will remain private. Patients themselves will need to weigh the risks versus the benefits of generating genomic data in deciding whether to undergo exome sequencing.
5016. Patent Foramen Ovale and Ischemic Stroke in Patients With Pulmonary Embolism: A Prospective Cohort Study.
作者: Emmanuelle Le Moigne.;Serge Timsit.;Douraied Ben Salem.;Romain Didier.;Yannick Jobic.;Nicolas Paleiron.;Raphael Le Mao.;Thierry Joseph.;Clément Hoffmann.;Angelina Dion.;Jean Rousset.;Grégoire Le Gal.;Karine Lacut.;Christophe Leroyer.;Dominique Mottier.;Francis Couturaud.
来源: Ann Intern Med. 2019年170卷11期756-763页
Pulmonary embolism (PE) is associated with increased risk for ischemic stroke, but the underlying mechanism remains unclear. The authors hypothesized that paradoxical embolism through patent foramen ovale (PFO) should be the main mechanism.
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