{"id":"https://openalex.org/W3041968069","doi":"https://doi.org/10.1007/s11606-020-05965-1","title":"Impact of Unannounced Standardized Patient Audit and Feedback on Care, Documentation, and Costs: an Experiment and Claims Analysis","display_name":"Impact of Unannounced Standardized Patient Audit and Feedback on Care, Documentation, and Costs: an Experiment and Claims Analysis","publication_year":2020,"publication_date":"2020-07-07","ids":{"openalex":"https://openalex.org/W3041968069","doi":"https://doi.org/10.1007/s11606-020-05965-1","mag":"3041968069","pmid":"https://pubmed.ncbi.nlm.nih.gov/32638322","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7859004"},"language":"en","primary_location":{"id":"doi:10.1007/s11606-020-05965-1","doi":"https://doi.org/10.1007/s11606-020-05965-1","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11606-020-05965-1","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11606-020-05965-1.pdf","source":{"id":"https://openalex.org/S116608325","display_name":"Journal of General Internal Medicine","issn_l":"0884-8734","issn":["0884-8734","1525-1497"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of General Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","datacite","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s11606-020-05965-1.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055521522","display_name":"Alan Schwartz","orcid":"https://orcid.org/0000-0003-3809-6637","observed_orcids":["https://orcid.org/0000-0003-3809-6637"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Alan Schwartz","raw_affiliation_strings":["Institute for Practice and Provider Performance Improvement, Inc., 3712 N. Broadway #460, Chicago, IL, 60613, USA. alanschwartz@i3pi.com","Institute for Practice and Provider Performance Improvement, Inc., 3712 N. Broadway #460, Chicago, IL, 60613, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Practice and Provider Performance Improvement, Inc., 3712 N. Broadway #460, Chicago, IL, 60613, USA. alanschwartz@i3pi.com","institution_ids":[]},{"raw_affiliation_string":"Institute for Practice and Provider Performance Improvement, Inc., 3712 N. Broadway #460, Chicago, IL, 60613, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045002821","display_name":"Steven Peskin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102322142","display_name":"Rutgers, The State University of New Jersey","ror":"https://ror.org/05vt9qd57","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142"]},{"id":"https://openalex.org/I46931709","display_name":"Horizon Blue Cross Blue Shield of New Jersey","ror":"https://ror.org/017e31734","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I46931709"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven Peskin","raw_affiliation_strings":["Horizon Blue Cross Blue Shield of New Jersey, Newark, NJ, NJ, USA","Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Horizon Blue Cross Blue Shield of New Jersey, Newark, NJ, NJ, USA","institution_ids":["https://openalex.org/I46931709"]},{"raw_affiliation_string":"Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA","institution_ids":["https://openalex.org/I102322142"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047175173","display_name":"Alan H. Spiro","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alan Spiro","raw_affiliation_strings":["Institute for Practice and Provider Performance Improvement, Inc., 3712 N. Broadway #460, Chicago, IL, 60613, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Practice and Provider Performance Improvement, Inc., 3712 N. Broadway #460, Chicago, IL, 60613, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5039093671","display_name":"Saul J. Weiner","orcid":"https://orcid.org/0000-0002-5637-5392","observed_orcids":["https://orcid.org/0000-0002-5637-5392"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Saul J. Weiner","raw_affiliation_strings":["Institute for Practice and Provider Performance Improvement, Inc., 3712 N. Broadway #460, Chicago, IL, 60613, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Practice and Provider Performance Improvement, Inc., 3712 N. Broadway #460, Chicago, IL, 60613, USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5055521522"],"corresponding_institution_ids":[],"apc_list":{"value":4480,"currency":"USD","value_usd":4480},"apc_paid":{"value":4480,"currency":"USD","value_usd":4480},"fwci":6.0001,"has_fulltext":true,"cited_by_count":30,"citation_normalized_percentile":{"value":0.96633198,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":100},"biblio":{"volume":"36","issue":"1","first_page":"27","last_page":"34"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9115999937057495,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.9115999937057495,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.009999999776482582,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.009800000116229057,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/audit-and-feedback","display_name":"audit and feedback","score":0.9350000023841858},{"id":"https://openalex.org/keywords/quality-of-care","display_name":"quality of care","score":0.4690000116825104},{"id":"https://openalex.org/keywords/clinical-documentation","display_name":"clinical documentation","score":0.5709999799728394},{"id":"https://openalex.org/keywords/documentation-errors","display_name":"documentation errors","score":0.843999981880188},{"id":"https://openalex.org/keywords/reimbursement-claims","display_name":"reimbursement claims","score":0.7289999723434448},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.6940000057220459},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.6480000019073486},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.6919999718666077},{"id":"https://openalex.org/keywords/depression-screening","display_name":"depression screening","score":0.8629999756813049},{"id":"https://openalex.org/keywords/tumor-screening","display_name":"cancer screening","score":0.7049999833106995},{"id":"https://openalex.org/keywords/low-back-pain","display_name":"low back pain","score":0.8629999756813049},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.5299999713897705},{"id":"https://openalex.org/keywords/value-based-health-care","display_name":"value-based care","score":0.7329999804496765},{"id":"https://openalex.org/keywords/claims-analysis","display_name":"claims analysis","score":0.31700000166893005}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9040765762329102},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.7922495603561401},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.6597021818161011},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4703431725502014},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.40035825967788696},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.364485502243042},{"id":"https://openalex.org/C121955636","wikidata":"https://www.wikidata.org/wiki/Q4116214","display_name":"Accounting","level":1,"score":0.19930130243301392},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005246","descriptor_name":"Feedback","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007345","descriptor_name":"Insurance Claim Review","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009515","descriptor_name":"New Jersey","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.1007/s11606-020-05965-1","doi":"https://doi.org/10.1007/s11606-020-05965-1","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11606-020-05965-1","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11606-020-05965-1.pdf","source":{"id":"https://openalex.org/S116608325","display_name":"Journal of General Internal Medicine","issn_l":"0884-8734","issn":["0884-8734","1525-1497"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of General Internal Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7859004","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7859004","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Gen Intern Med","raw_type":"Text"},{"id":"pmid:32638322","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32638322","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of general internal medicine","raw_type":"Journal Article"},{"id":"pmh:oai:figshare.com:article/14368124","doi":null,"is_oa":true,"landing_page_url":"https://figshare.com/articles/journal_contribution/Impact_of_Unannounced_Standardized_Patient_Audit_and_Feedback_on_Care_Documentation_and_Costs_an_Experiment_and_Claims_Analysis/14368124","pdf_url":"https://figshare.com/articles/journal_contribution/Impact_of_Unannounced_Standardized_Patient_Audit_and_Feedback_on_Care_Documentation_and_Costs_an_Experiment_and_Claims_Analysis/14368124","source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"doi:10.25417/uic.14368124","doi":"https://doi.org/10.25417/uic.14368124","is_oa":true,"landing_page_url":"https://doi.org/10.25417/uic.14368124","pdf_url":null,"source":{"id":"https://openalex.org/S7407051395","display_name":"University of Illinois Chicago","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I39422238","host_organization_name":"University of Illinois Chicago","host_organization_lineage":["https://openalex.org/I39422238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.25417/uic.14368124.v1","doi":"https://doi.org/10.25417/uic.14368124.v1","is_oa":true,"landing_page_url":"https://doi.org/10.25417/uic.14368124.v1","pdf_url":null,"source":{"id":"https://openalex.org/S7407051395","display_name":"University of Illinois Chicago","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I39422238","host_organization_name":"University of Illinois Chicago","host_organization_lineage":["https://openalex.org/I39422238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.1007/s11606-020-05965-1","doi":"https://doi.org/10.1007/s11606-020-05965-1","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s11606-020-05965-1","pdf_url":"https://link.springer.com/content/pdf/10.1007/s11606-020-05965-1.pdf","source":{"id":"https://openalex.org/S116608325","display_name":"Journal of General Internal Medicine","issn_l":"0884-8734","issn":["0884-8734","1525-1497"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of General Internal Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306139","display_name":"Robert Wood Johnson Foundation","ror":"https://ror.org/02ymmdj85"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3041968069.pdf","grobid_xml":"https://content.openalex.org/works/W3041968069.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1495857209","https://openalex.org/W2009472664","https://openalex.org/W2016048844","https://openalex.org/W2019224142","https://openalex.org/W2073487788","https://openalex.org/W2095695335","https://openalex.org/W2105501846","https://openalex.org/W2120575449","https://openalex.org/W2129404566","https://openalex.org/W2152555330","https://openalex.org/W2152849583","https://openalex.org/W2172199324","https://openalex.org/W2411489627","https://openalex.org/W2427083536","https://openalex.org/W2483908540","https://openalex.org/W3112717819","https://openalex.org/W4395473939","https://openalex.org/W6678107996"],"related_works":["https://openalex.org/W4243321431","https://openalex.org/W2016048844","https://openalex.org/W6925178389","https://openalex.org/W4402512848","https://openalex.org/W2055245082","https://openalex.org/W2897734679","https://openalex.org/W2767518971","https://openalex.org/W4302358124","https://openalex.org/W2150514940","https://openalex.org/W4322580551"],"abstract_inverted_index":{"BACKGROUND:":[0],"Meaningful":[1],"variations":[2],"in":[3,61,163,202,241,283],"physician":[4],"performance":[5],"are":[6],"not":[7],"always":[8],"discernible":[9],"from":[10,186],"the":[11,67,171,242],"medical":[12],"record.":[13],"OBJECTIVE:":[14],"We":[15,159],"used":[16,148],"unannounced":[17],"standardized":[18,97],"patients":[19,98,104,169],"to":[20,93,122,149,188,214,230,272],"measure":[21,150],"and":[22,28,32,48,84,128,144,153,157,173,178,207,249,259,268,285,287],"provide":[23],"feedback":[24,127,222,289],"on":[25,36,80,296],"care":[26,55,139,279],"quality":[27],"fidelity":[29],"of":[30,89,136,265,270,278],"documentation,":[31,286],"examined":[33],"downstream":[34],"effects":[35,295],"reimbursement":[37],"claims.":[38,274],"DESIGN:":[39],"Static":[40],"group":[41,246],"pre-post":[42],"comparison":[43,76,174,245],"study":[44,243],"conducted":[45,129],"between":[46,170],"2017":[47],"2019.":[49],"SETTING:":[50],"Fourteen":[51],"New":[52],"Jersey":[53],"primary":[54],"practice":[56,77,82,175,284],"groups":[57,78,176],"(22":[58],"practices)":[59],"enrolled":[60],"Horizon":[62],"BCBS's":[63],"value-based":[64],"program":[65],"received":[66],"intervention.":[68],"For":[69],"claims":[70,85,166],"analyses,":[71],"we":[72,125],"identified":[73],"14":[74],"additional":[75],"matched":[79],"county,":[81],"size,":[83],"activity.":[86],"PARTICIPANTS:":[87],"Fifty-nine":[88],"64":[90],"providers":[91],"volunteered":[92],"participate.":[94],"INTERVENTION:":[95],"Unannounced":[96],"(USPs)":[99],"made":[100],"217":[101],"visits":[102,121],"portraying":[103],"with":[105,199,288,293],"1-2":[106],"focal":[107],"conditions":[108],"(diabetes,":[109],"depression,":[110],"back":[111,205,261],"pain,":[112,206],"smoking,":[113],"or":[114],"preventive":[115],"cancer":[116,257],"screening).":[117],"After":[118],"two":[119,130],"baseline":[120],"a":[123],"provider,":[124],"delivered":[126],"follow-up":[131],"visits.":[132],"MEASUREMENTS:":[133],"USP-completed":[134],"checklists":[135],"guideline-based":[137],"provider":[138,145],"behaviors,":[140],"visit":[141],"audio":[142],"recordings,":[143],"notes":[146],"were":[147,211],"behaviors":[151,184],"performed":[152],"documentation":[154],"errors":[155],"pre-":[156],"post-feedback.":[158],"also":[160],"compared":[161],"changes":[162],"3-month":[164],"office-based":[165],"by":[167],"actual":[168],"intervention":[172],"before":[177,221],"after":[179,218],"feedback.":[180],"RESULTS:":[181],"Expected":[182],"clinical":[183],"increased":[185,238],"46%":[187],"56%":[189],"(OR":[190],"=":[191,225,233],"1.53,":[192],"95%":[193,227],"CI":[194,228],"1.29-1.83,":[195],"p":[196,232],"<":[197],"0.0001),":[198],"significant":[200],"improvements":[201],"smoking":[203,255],"cessation,":[204,256],"depression":[208,250],"screening.":[209],"Providers":[210],"less":[212,240],"likely":[213],"document":[215],"unperformed":[216],"tasks":[217],"(16%)":[219],"than":[220,244],"(18%;":[223],"OR":[224],"0.74,":[226],"0.62":[229],"0.90,":[231],"0.002).":[234],"Actual":[235],"claim":[236],"costs":[237],"significantly":[239,252],"for":[247,254],"diabetes":[248],"but":[251],"more":[253],"screening,":[258],"low":[260],"pain.":[262],"LIMITATIONS:":[263],"Self-selection":[264],"participating":[266],"practices":[267],"lack":[269],"access":[271],"prescription":[273],"CONCLUSION:":[275],"Direct":[276],"observation":[277],"identifies":[280],"hidden":[281],"deficits":[282],"can":[290],"improve":[291],"both,":[292],"concomitant":[294],"costs.":[297]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":16},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":4}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-07-16T00:00:00"}