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Health Services Research

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https://www.readbyqxmd.com/read/28748564/medicare-spending-for-breast-prostate-lung-and-colorectal-cancer-patients-in-the-year-of-diagnosis-and-year-of-death
#1
Christopher T Chen, Ling Li, Gabriel Brooks, Michael Hassett, Deborah Schrag
OBJECTIVE: To characterize spending patterns for Medicare patients with incident breast, prostate, lung, and colorectal cancer. DATA SOURCES/STUDY SETTING/STUDY DESIGN: 2007-2012 data from the Surveillance, Epidemiology, and End Results Program linked with Medicare fee-for-service claims. DATA COLLECTION/EXTRACTION METHODS: We calculate per-patient monthly and yearly mean and median expenditures, by cancer type, stage at diagnosis, and spending category, over the years of diagnosis and death...
July 26, 2017: Health Services Research
https://www.readbyqxmd.com/read/28748535/financial-incentives-and-physician-practice-participation-in-medicare-s-value-based-reforms
#2
Adam M Markovitz, Patricia P Ramsay, Stephen M Shortell, Andrew M Ryan
OBJECTIVES: To evaluate whether greater experience and success with performance incentives among physician practices are related to increased participation in Medicare's voluntary value-based payment reforms. DATA SOURCES/STUDY SETTING: Publicly available data from Medicare's Physician Compare (n = 1,278; January 2012 to November 2013) and nationally representative physician practice data from the National Survey of Physician Organizations 3 (NSPO3; n = 907,538; 2013)...
July 26, 2017: Health Services Research
https://www.readbyqxmd.com/read/28744983/an-evaluation-of-a-clinical-pre-exposure-prophylaxis-education-intervention-among-men-who-have-sex-with-men
#3
Julia Raifman, Amy Nunn, Catherine E Oldenburg, Madeline C Montgomery, Alexi Almonte, Allison L Agwu, Renata Arrington-Sanders, Philip A Chan
OBJECTIVE: To evaluate the impact of an HIV pre-exposure prophylaxis (PrEP) education intervention on PrEP awareness and use among men who have sex with men (MSM) attending a sexually transmitted diseases (STD) clinic. DATA SOURCES/STUDY SETTING: Men who have sex with men STD clinic patients. STUDY DESIGN: We estimated a difference-in-differences linear regression model, comparing MSM whose first visit to the clinic was before ("control") or after ("treatment") intervention implementation and controlling for patient...
July 25, 2017: Health Services Research
https://www.readbyqxmd.com/read/28736929/impact-of-cost-sharing-increases-on-continuity-of-specialty-drug-use-a-quasi-experimental-study
#4
Pengxiang Li, Tianyan Hu, Xinyan Yu, Salim Chahin, Nabila Dahodwala, Marissa Blum, Amy R Pettit, Jalpa A Doshi
OBJECTIVE: To examine the impact of cost-sharing increases on continuity of specialty drug use in Medicare beneficiaries with multiple sclerosis (MS) or rheumatoid arthritis (RA). DATA SOURCES/STUDY SETTING: Five percent Medicare claims data (2007-2010). STUDY DESIGN: Quasi-experimental study examining changes in specialty drug use among a group of Medicare Part D beneficiaries without low-income subsidies (non-LIS) as they transitioned from a 5 percent cost-sharing preperiod to a ≥25 percent cost-sharing postperiod, as compared to changes among a disease-matched contemporaneous control group of patients eligible for full low-income subsidies (LIS), who faced minor cost sharing (≤$6...
July 24, 2017: Health Services Research
https://www.readbyqxmd.com/read/28726272/does-maternity-care-coordination-influence-perinatal-health-care-utilization-evidence-from-north-carolina
#5
Marianne M Hillemeier, Marisa E Domino, Rebecca Wells, Ravi K Goyal, Hye-Chung Kum, Dorothy Cilenti, Anirban Basu
OBJECTIVE: To examine effects of maternity care coordination (MCC) on perinatal health care utilization among low-income women. DATA SOURCES: North Carolina Center for Health Statistics Baby Love files that include birth certificates, maternity care coordination records, WIC records, and Medicaid claims. STUDY DESIGN: Causal effects of MCC participation on health care outcomes were estimated in a sample of 7,124 singleton Medicaid-covered births using multiple linear regressions with inverse probability of treatment weighting (IPTW)...
July 20, 2017: Health Services Research
https://www.readbyqxmd.com/read/28726250/too-big-too-small-or-just-right-cost-efficiency-of-environmental-inspection-services-in-connecticut
#6
Jeffrey P Cohen, Patricia J Checko
OBJECTIVE: To assess optimal activity size/mix of Connecticut local public health jurisdictions, through estimating economies of scale/scope/specialization for environmental inspections/services. DATA SOURCES/STUDY SETTING: Connecticut's 74 local health jurisdictions (LHJs) must provide environmental health services, but their efficiency or reasons for wide cost variation are unknown. The public health system is decentralized, with variation in organizational structure/size...
July 20, 2017: Health Services Research
https://www.readbyqxmd.com/read/28726236/cross-cultural-validation-of-the-patient-perception-of-integrated-care-survey
#7
Maike V Tietschert, Federica Angeli, Arno J A van Raak, Dirk Ruwaard, Sara J Singer
OBJECTIVE: To test the cross-cultural validity of the U.S. Patient Perception of Integrated Care (PPIC) Survey in a Dutch sample using a standardized procedure. DATA SOURCES: Primary data collected from patients of five primary care centers in the south of the Netherlands, through survey research from 2014 to 2015. STUDY DESIGN: Cross-sectional data collected from patients who saw multiple health care providers during 6 months preceding data collection...
July 20, 2017: Health Services Research
https://www.readbyqxmd.com/read/28722120/tax-exempt-hospitals-investments-in-community-health-and-local-public-health-spending-patterns-and-relationships
#8
Simone R Singh, Gary J Young
OBJECTIVES: To investigate whether tax-exempt hospitals' investments in community health are associated with patterns of governmental public health spending focusing specifically on the relationship between hospitals' community benefit expenditures and the spending patterns of local health departments (LHDs). STUDY DESIGN: We combined data on tax-exempt hospitals' community benefit spending with data on spending by the corresponding LHD that served the county in which a hospital was located...
July 18, 2017: Health Services Research
https://www.readbyqxmd.com/read/28685827/spatial-accessibility-of-primary-care-in-england-a-cross-sectional-study-using-a-floating-catchment-area-method
#9
Jan Bauer, Ruth Müller, Dörthe Brüggmann, David A Groneberg
OBJECTIVE: To analyze the general practitioners (GPs) with regard to the degree of urbanization, social deprivation, general health, and disability. DATA SOURCES: Small area population data and GP practice data in England. STUDY DESIGN: We used a floating catchment area method to measure spatial GP accessibility with regard to the degree of urbanization, social deprivation, general health, and disability. DATA COLLECTION: Data were collected from the Office for National Statistics and the general practice census and analyzed using a geographic information system...
July 7, 2017: Health Services Research
https://www.readbyqxmd.com/read/28670708/do-patient-centered-medical-homes-improve-health-behaviors-outcomes-and-experiences-of-low-income-patients-a-systematic-review-and-meta-analysis
#10
Carissa van den Berk-Clark, Emily Doucette, Fred Rottnek, William Manard, Mayra Aragon Prada, Rachel Hughes, Tyler Lawrence, F David Schneider
OBJECTIVES: To examine: (1) what elements of patient-centered medical homes (PCMHs) are typically provided to low-income populations, (2) whether PCMHs improve health behaviors, experiences, and outcomes for low-income groups. DATA SOURCES/STUDY SETTING: Existing literature on PCMH utilization among health care organizations serving low-income populations. STUDY DESIGN: Systematic review and meta-analysis. DATA COLLECTION/EXTRACTION METHODS: We obtained papers through existing systematic and literature reviews and via PubMed, Web of Science, and the TRIP databases, which examined PCMHs serving low-income populations...
July 3, 2017: Health Services Research
https://www.readbyqxmd.com/read/28670682/identifying-homeless-medicaid-enrollees-using-enrollment-addresses
#11
Katherine D Vickery, Nathan D Shippee, Peter Bodurtha, Laura M Guzman-Corrales, Elyse Reamer, Dana Soderlund, Stephanie Abel, Danielle Robertshaw, Lillian Gelberg
OBJECTIVE: To design and test the validity of a method to identify homelessness among Medicaid enrollees using mailing address data. DATA SOURCES/STUDY SETTING: Enrollment and claims data on Medicaid expansion enrollees in Hennepin and Ramsey counties who also provided self-reported information on their current housing situation in a psychosocial needs assessment. STUDY DESIGN: Construction of address-based indicators and comparison with self-report data...
July 3, 2017: Health Services Research
https://www.readbyqxmd.com/read/28664993/medicaid-expansions-and-cervical-cancer-screening-for-low-income-women
#12
Lindsay M Sabik, Wafa W Tarazi, Stephanie Hochhalter, Bassam Dahman, Cathy J Bradley
OBJECTIVE: Medicaid coverage for low-income women may play an important role in ensuring access to preventive care. This study examines how Medicaid eligibility expansions to nonelderly adults impact cervical cancer screening among low-income women. DATA SOURCES: We use data from the Behavioral Risk Factor Surveillance System from 2000 to 2010. The primary outcome of interest is whether women in the relevant guideline consistent age range reported having a Pap test in the previous year...
June 30, 2017: Health Services Research
https://www.readbyqxmd.com/read/28664983/changes-in-hospital-inpatient-utilization-following-health-care-reform
#13
Gary Pickens, Zeynal Karaca, Eli Cutler, Michael Dworsky, Christine Eibner, Brian Moore, Teresa Gibson, Sharat Iyer, Herbert S Wong
OBJECTIVE: To estimate the effects of 2014 Medicaid expansions on inpatient outcomes. DATA SOURCES: Health Care Cost and Utilization Project State Inpatient Databases, 2011-2014; population and unemployment estimates. STUDY DESIGN: Retrospective study estimating effects of Medicaid expansions using difference-in-differences regression. Outcomes included total admissions, referral-sensitive surgical and preventable admissions, length of stay, cost, and patient illness severity...
June 30, 2017: Health Services Research
https://www.readbyqxmd.com/read/28660697/intra-ethnic-coverage-disparities-among-latinos-and-the-effects-of-health-reform
#14
Sergio Gonzales, Benjamin D Sommers
OBJECTIVE: To examine the patterns of insurance coverage among nine Latino subgroups and assess heterogeneous effects of the Affordable Care Act (ACA) among these groups. DATA SOURCES: American Community Survey (2010-2014). STUDY DESIGN: We examined pre-ACA disparities in coverage using linear probability models. Then, we used interrupted time series and triple-difference models to evaluate coverage changes associated with the ACA and Medicaid expansion, respectively...
June 28, 2017: Health Services Research
https://www.readbyqxmd.com/read/28660679/do-avoidable-hospitalization-rates-among-older-adults-differ-by-geographic-access-to-primary-care-physicians
#15
Michael R Daly, Jennifer M Mellor, Marco Millones
OBJECTIVE: To investigate the association between older adults' potentially avoidable hospitalization rates and both a geographic measure of primary care physician (PCP) access and a standard bounded-area measure of PCP access. DATA SOURCES: State physician licensure data from the Virginia Board of Medicine. Patient-level hospital discharge data from Virginia Health Information. Area-level data from the American Community Survey and the Area Health Resources Files...
June 28, 2017: Health Services Research
https://www.readbyqxmd.com/read/28620996/feasibility-of-collecting-patient-reported-outcomes-for-inpatient-rehabilitation-quality-reporting
#16
Allen Walter Heinemann, Anne Deutsch, David Cella, Karon Frances Cook, Linda Foster, Ana Miskovic, Katharine Davis, Arielle Goldsmith
OBJECTIVE: To evaluate rehabilitation inpatients' willingness and ability to complete patient-reported outcomes (PROs) and the burden of completion on patients and staff. DATA SOURCES/STUDY SETTING: Two inpatient rehabilitation facilities. STUDY DESIGN: Patients with neurological disorders were assigned randomly to receive a nominal monetary incentive during or 1 month after the stay. DATA COLLECTION: Patients responded using a tablet computer or paper...
June 15, 2017: Health Services Research
https://www.readbyqxmd.com/read/28612354/quantifying-disparities-in-accessibility-and-availability-of-pediatric-primary-care-across-multiple-states-with-implications-for-targeted-interventions
#17
Monica Gentili, Pravara Harati, Nicoleta Serban, Jean O'Connor, Julie Swann
OBJECTIVE: To quantify disparities in accessibility and availability of pediatric primary care by modeling interventions across multiple states that compare publicly insured versus privately insured children, and urban versus rural communities. DATA SOURCES: Secondary data sources include 2013 National Plan and Provider Enumeration System, 2009 MAX Medicaid claims, 2012 American Community Survey. STUDY DESIGN: The study models accessibility and availability of care for all children in seven states...
June 13, 2017: Health Services Research
https://www.readbyqxmd.com/read/28608473/food-insecurity-and-health-care-expenditures-in-the-united-states-2011-2013
#18
Seth A Berkowitz, Sanjay Basu, James B Meigs, Hilary K Seligman
OBJECTIVE: To determine whether food insecurity, limited or uncertain food access owing to cost, is associated with greater health care expenditures. DATA SOURCE/STUDY SETTING: Nationally representative sample of the civilian noninstitutionalized population of the United States (2011 National Health Interview Survey [NHIS] linked to 2012-2013 Medication Expenditure Panel Survey [MEPS]). STUDY DESIGN: Longitudinal retrospective cohort. DATA COLLECTION/EXTRACTION METHODS: A total of 16,663 individuals underwent assessment of food insecurity, using the 10-item adult 30-day food security module, in the 2011 NHIS...
June 13, 2017: Health Services Research
https://www.readbyqxmd.com/read/28608413/use-of-veterans-affairs-and-medicaid-services-for-dually-enrolled-veterans
#19
Jean Yoon, Megan E Vanneman, Sharon K Dally, Amal N Trivedi, Ciaran S Phibbs
OBJECTIVES: To examine how dual coverage for nonelderly, low-income veterans by Veterans Affairs (VA) and Medicaid affects their demand for care. DATA SOURCES: Veterans Affairs utilization data and Medicaid Analytic Extract Files. STUDY DESIGN: A retrospective, longitudinal study of VA users prior to and following enrollment in Medicaid 2006-2010. DATA COLLECTION/EXTRACTION METHODS: Veterans Affairs reliance, or proportion of care provided by VA, was estimated with beta-binomial models, adjusting for patient and state Medicaid program factors...
June 13, 2017: Health Services Research
https://www.readbyqxmd.com/read/28608369/a-five-tier-system-for-improving-the-categorization-of-transplant-program-performance
#20
Andrew Wey, Nicholas Salkowski, Bertram L Kasiske, Ajay K Israni, Jon J Snyder
OBJECTIVE: To better inform health care consumers by better identifying differences in transplant program performance. DATA SOURCE: Adult kidney transplants performed in the United States, January 1, 2012-June 30, 2014. STUDY DESIGN: In December 2016, the Scientific Registry of Transplant Recipients instituted a five-tier system for reporting transplant program performance. We compare the differentiation of program performance and the simulated misclassification rate of the five-tier system with the previous three-tier system based on the 95 percent credible interval...
June 13, 2017: Health Services Research
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