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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-257-antenatal-care-evidence-summary.pdf
June 01, 2022 - Routine
Antenatal Care: A Systematic Review
Evidence Summary
Main Points
• Reduced visit … versus traditional visit schedules for routine antenatal care
o Studies comparing reduced routine antenatal … visit schedules with traditional
schedules did not find differences between schedules in gestational … o Qualitative studies reported several potential facilitators and barriers to
implementing reduced visit … Results
Reduced versus traditional visit schedules: All but one study recruited pregnant
patients
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/use-telehealth-during-COVID-19-executive-summary.pdf
January 01, 2023 - Telehealth is remotely delivered and synchronous medical services (e.g., telephone/audio,
video visit … women’s health (including pregnancy/prenatal/gynecological
care) who received an initial telehealth visit … had higher emergency department (ED) visit
and hospitalization rates compared with those who received … telehealth care may have been more likely
than those receiving in-person care to be hospitalized or visit … Patients who
received an initial telehealth visit may have had better patient-reported outcomes and
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medication-therapy-management-1_research.pdf
July 01, 2012 - Followup Visit
A followup MTM visit was conducted 90 to 120 days after the first MTM visit. … The components of the followup visit were the same as with the initial visit. … Visit
❑Second Patient Visit
❑Prescriber contact / DRP Resolution
❑First Patient Visit
❑Second … Patient Visit
❑Prescriber contact / DRP Resolution
❑First Patient Visit
❑Second Patient Visit … Visit
❑Second Patient Visit
❑Prescriber contact / DRP Resolution
❑First Patient Visit
❑Second
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/postpartum-care-protocol-appendix%20A.pdf
December 09, 2021 - * OR harmon* OR
manage*)) OR "Office Visits"[Mesh] OR "office visits" OR Doula OR Midwife OR "Home visit … *" OR
"home-visit*" OR "group visit" OR "support group" OR centering OR holistic OR (("Lay support" … cell phone*" OR "mobile
phone*" OR ((remote* OR video OR virtual OR phone) AND (care OR consult* OR visit … OR harmon* OR manage* )) OR (MH "Office Visits"+) OR
"office visits" OR Doula OR Midwife OR "Home visit … *" OR home-visit* OR "group visit" OR "support
group" OR centering OR holistic OR (("Lay support" OR
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/back-pain-imaging_clinician.pdf
April 01, 2016 - early imaging when compared with those who did not receive
early imaging after a new primary care visit … observational study en-
rolled patients 65 years of age or older
who had a new or index primary care visit … population consisted of patients
who underwent lumbar spine imaging
within 6 weeks of their index visit … Controls did not have any
spine imaging within 6 weeks of the index
visit. … CONCLUSIONS
Among older adults with a new or index primary care visit for back
pain, early imaging was
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effectivehealthcare.ahrq.gov/system/files/docs/topic-brief-antenatal-care.pdf
April 01, 2021 - Telehealth for antenatal care
Outcomes Maternal outcomes:
Attendance at antenatal visit
Access to … Two studies explored
technology-enhanced, reduced prenatal visit models8, 9. … Studies which compared
different antenatal visit schedules all involved an element of telehealth. … Randomized comparison of a reduced-visit
prenatal care model enhanced with remote monitoring. … Randomized comparison of a reduced-visit
prenatal care model enhanced with remote monitoring.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-261-postpartum-care-executive-summary.pdf
June 01, 2023 - (5 randomized controlled trials [RCTs] and 1
nonrandomized comparative study [NRCS]), whether the visit … o For breastfeeding care (7 RCTs and 1 NRCS), whether the initial visit is
conducted at home or at the … For general postpartum care (6 studies), whether the visit was
conducted at home/by telephone or at … For breastfeeding care (7 studies), whether the
initial visit was conducted at home or at the pediatric … There is insufficient
evidence regarding postpartum visit attendance and depression symptoms.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-end-of-life-quality-meaures_research.pdf
April 01, 2010 - In multivariate models, visit with a surgeon
was positively associated with use of chemotherapy and … Visit with an oncologist was positively associated with
chemotherapy, opiates, and hospice. … , a radiation
oncologist, and a visit with PCP. … > 1 emergency
department (ED) visit
Numerator: Individuals with documentation of > 1 ED
visit … with surgeon, visit with medical
oncologist, visit with radiation oncologist, and visit with PCP.
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effectivehealthcare.ahrq.gov/sites/default/files/interactive_media_glasgow_presentation.pdf
January 01, 2009 -
o Same,
limited
time
o Often
no
resources
or
training
o 15-‐minute
visit … Patient-‐Centered
Care
5’s
activity/
Multimedia
Example
• Assess
/
Pre-‐visit … CA)
program
–
3/year
• Patient
arrives
30
minutes
prior
to
regular
visit … in
office;
answers
questions
• Follow-‐up
includes
repeat
PCP
diabetes
visit … on
dietary
and
physical
activity
targets
• Follow-‐up
includes
repeat
visit
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/carbohydrate-intake-appendix-d.xlsx
January 01, 2019 - high carbohydrate: 13 Parity, marital status, education, race, gestational age, BMI, last prenatal visit … B, p<0.001 Mean g (SD)
Baseline: 74.4 (13.4) vs. 70.5 (13.3)
Final visit: 76.4 (13.8) vs. 83.6 (9.9) … B, p<0.001 Mean % (SD)
Baseline: 14.5 (2.8) vs. 13.4 (2.7)
Final visit: 12.9 (2.3) vs. 14.7 (1.9), p … B, p<0.001 Mean fat, g (SD)
Baseline: 74.4 (12.9) vs. 85 (18.4), p=0.006
Final visit: 91 (15.3) vs. … B, p<0.001 Mean % (SD)
Baseline: 32.4 (5.4) vs. 36 (6.5), p=0.013
Final visit: 34.4 (5.2) vs. 34.3 (
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/carbohydrate-intake-prepub-final-research-table-da.xlsx
January 01, 2019 - high carbohydrate: 13 Parity, marital status, education, race, gestational age, BMI, last prenatal visit … Capture prepregnancy weight, prepregnancy BMI or weight/BMI at 1st prenatal visit where applicable. … B, p<0.001 Mean g (SD)
Baseline: 74.4 (13.4) vs. 70.5 (13.3)
Final visit: 76.4 (13.8) vs. 83.6 (9.9) … B, p<0.001 Mean % (SD)
Baseline: 14.5 (2.8) vs. 13.4 (2.7)
Final visit: 12.9 (2.3) vs. 14.7 (1.9), p … B, p<0.001 Mean fat, g (SD)
Baseline: 74.4 (12.9) vs. 85 (18.4), p=0.006
Final visit: 91 (15.3) vs.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-quality-indicator-testing_research.pdf
April 01, 2010 - inclusion criteria included being alive 30 days post
diagnosis and having at least one outpatient visit … abstracted data from up to 3 cancer-related outpatient
visits, including the first 2 visits and last visit … with that provider or at another cancer-related outpatient visit
If a patient has advanced cancer … to the same outpatient
site
Fatigue/Anemia
If a cancer patient is seen for an initial visit or … any visit while undergoing
chemotherapy at a cancer-related outpatient site, then there should be an
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-march-2023-grand-rounds-slides.pdf
January 01, 2023 - women’s health (including pregnancy/prenatal/gynecological
care) who received an initial telehealth visit … had higher ED visit and hospitalization rates compared
with those who received in-person care … patients who received care for general medical conditions, those who received an initial
telehealth visit … • Patients who received an initial telehealth visit may have had better patient-reported outcomes … care, those who received telehealth care
may have had lower rates of care resolution in their initial visit
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-257-antenatal-care-disposition-comments.pdf
June 28, 2022 - Disposition of Comments_Comparative Effectiveness Review No. 257_Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review
Comparative Effectiveness Review Disposition of Comments Report
Title: Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review
…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antenatal-care.pdf
January 01, 2020 - unchanged
since the 1930s.3-5 Clinical practice guidelines (CPG) for antenatal care delivery (including visit … These included
hybrid models with reduced in-person visit schedules for care that could not be delivered … partner/family, and provider perspectives,
preferences, and experiences related to antenatal care visit … (unrelated to frequency of use of
interventions) e.g. ultrasound (U/S) at the week 18 vs. week 22 visit … (nonstandard) clinical interventions conducted during visits, (e.g., electrocardiography at
every visit
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effectivehealthcare.ahrq.gov/sites/default/files/gibbons.pdf
January 01, 2010 - Slide
4: Social Media
“Disparities”
Percentage of respondents who visit social networking sites … Non-‐Hispanic Whites: 18%
Slide
5: Social Media
“Disparities”
Percentage of respondents who visit
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effectivehealthcare.ahrq.gov/sites/default/files/s149.pdf
October 01, 2007 - years, inclusive
• Not be on dialysis
• Not be in a managed Medicaid health plan
• Have at least 1 visit … Charge May 2005 159 0.00 6.34 0.01
Hospital length of stay May 2005 14 0.00 3.05 0.08
Endocrine visit … June 2005 36 0.00 0.47 0.49
No. drugs June 2005 14,178 0.00 0.47 0.49
Any outpatient visit June 2005 … May 2005 724 0.00 0.01 0.93
Prescription copay June 2005 6687 0.00 0.01 0.93
Emergency room visit … May 2005 34 0.00 0.01 0.93
Age 171,298 0.00 0.00 0.95
Internal medicine visit May 2005 758 0.00 0.00
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effectivehealthcare.ahrq.gov/sites/default/files/coronary-artery-disease-testing_executive.pdf
March 01, 2011 - Where applicable
and where data were available, results from the index visit
Archived: This report … Available data from studies
conducted in EDs were primarily for the index ED visit
and are noted. … (index ED visit: 5% vs. 3%; 28 days:
0.6% in both groups); CABG (index ED visit: 1% in both
groups … ; 28 days: 0% in both groups); and additional testing
at the index ED visit and through 28–30 days ( … ICA referral was also similar at the index ED visit
(13.8% vs. 11.2%; pooled risk difference [RD],
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_clinician.pdf
October 01, 2015 - providing HF education before
discharge (including self-care management) and recom-
mends a followup visit … programs; for example:
�– Home-visiting programs: Your doctor, nurse, or
physician assistant will visit … Information
For electronic copies of this clinician research
summary and the full systematic review, visit
-
effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-library-asthma.pdf
April 01, 2019 - An asthma-related hospitalization, ED visit, urgent care center visit,
or unscheduled office visit … for asthma
Defined as a prescription for systemic steroids filled within 7 days
of a healthcare visit