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An evaluation of appropriate versus inappropriate antipsychotic prescribing for Texas medicaid long-term care residentsKeith, Michael Shane. January 2002 (has links)
Thesis (Ph. D.)--University of Texas at Austin, 2002. / Vita. Includes bibliographical references. Available also from UMI Company.
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An evaluation of appropriate versus inappropriate antipsychotic prescribing for Texas medicaid long-term care residentsKeith, Michael Shane 27 April 2011 (has links)
Not available / text
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The impact of pharmacist provision of medication therapy management (MTM) on medication and health-related problems, medication knowledge, and medication adherence among Medicare beneficiariesMoczygemba, Leticia Rae, January 1900 (has links)
Thesis (Ph. D.)--University of Texas at Austin, 2008. / Vita. Includes bibliographical references.
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The impact of pharmacist provision of medication therapy management (MTM) on medication and health-related problems, medication knowledge, and medication adherence among Medicare beneficiariesMoczygemba, Leticia Rae, 1978- 13 September 2012 (has links)
This study used the Andersen Model for Health Services Utilization to examine a pharmacist-provided telephone MTM program among Medicare Part D beneficiaries. Predisposing (age, gender, race) and need factors (number of medications, number of chronic diseases, medication regimen complexity) were assessed. The health behavior, MTM utilization, distinguished the intervention and control groups. The health outcomes were change in number of medication-related problems, change in medication adherence [using the medication possession ratio (MPR)], and change in total drug costs. Medication knowledge, medication adherence (using the Morisky Scale), and patient satisfaction were also measured in the intervention group. The intervention and control groups were not significantly different in age (71.2 ± 7.5 vs. 73.9 ± 8.0 years), number of medications (13.0 ± 3.2 vs. 13.2 ± 3.4), number of chronic diseases (6.5 ± 2.3 vs. 7.0 ± 2.1), and medication regimen complexity [21.5 (range 8 – 43) vs. 22.8 (range 9 – 42.5)], respectively. For the subset of problems that was evaluated in the intervention and control groups, 4.8 (± 2.7) and 9.2 (± 2.9) problems were identified at baseline and 2.7 (± 2.3) and 8.6 (± 2.9) problems remained at the 3-month follow-up, respectively. Cost-related and preventative care needs and drug-drug interactions were the three most common problems identified. Multivariate regression analysis revealed that the intervention group had significantly more problems resolved (p < 0.0001) when compared to the control group, while controlling for predisposing and need factors. Significantly fewer problems were resolved (p = 0.01) as number of diseases increased and significantly more problems were resolved (p = 0.01) as medication regimen complexity increased. There were no significant predictors of change in MPR or total drug costs from baseline to the 3-month follow-up. Medication knowledge and medication adherence measured by the Morisky scale did not change significantly from baseline to the 2-week follow-up. However, patients were very satisfied with the service. A pharmacist-provided telephone MTM program was an effective method for identifying and resolving medication and health-related problems. A longer follow-up period may be necessary to detect the impact of pharmacist provision of MTM on adherence, total drug costs, and knowledge. / text
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Medicaid prenatal care : testing the effectiveness of a prenatal intervention modelBuffa, Jan L. 04 May 2005 (has links)
The study evaluates the effectiveness of a pregnancy intervention
model (PIM) developed to improve first trimester prenatal care utilization in a
population of 2,694 low-income Medicaid women. Engagement in prenatal care is
critical before prenatal care can occur. Early initiation of prenatal care is important
for low income pregnant women at risk for poor birth outcomes and the Medicaid
managed care organizations that enroll them. Once identified and enrolled the health
plan utilization medical management staff assessed these women for a myriad of high
risk and socially detrimental behaviors in order to facilitate, in a sensitive manner,
their access to drug treatment or any needed service. Interventions included a real
time identification, reporting, incentive model using medical informatics to
supplement existing clinical based assessment of high risk pregnant women and
nursing care coordination that included outreach, enrollment assistance, support
services, interagency coordination, home visits, transportation and medical home
assignment. A difference was found in the utilization of first trimester prenatal care
visits for all women who conceived after the intervention compared to those who
conceived prior to the intervention date. A difference was also noted in the "no
prenatal care" category due a decrease in the number of women who did not receive
prenatal care. PIM appears to be a cost effective, simple solution to a real world
problem. / Graduation date: 2005
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An assessment of differences in pediatric dental services provided for a Medicaid population when compared to a federally subsidized (military) clinicJohnson, Mary Beth. Cappelli, David P. Bradshaw, Benjamin S. Smith, David W. January 2008 (has links)
Source: Masters Abstracts International, Volume: 46-05, page: 2667. Advisers: David P. Cappelli; Benjamin S. Bradshaw. Includes bibliographical references.
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