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"Access to care"

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https://www.readbyqxmd.com/read/29044886/reducing-geriatric-outpatient-waiting-times-impact-of-an-advanced-health-practitioner
#1
Robyn L Saxon, Marion A Gray, Florin I Oprescu
OBJECTIVE: To investigate the impact on patient waiting times of a role substitution model introducing an advanced allied health practitioner as the first point of contact within a geriatric outpatient context. METHODS: A pre- to postintervention design was used to determine impact over a five-year period (2008-2012). All patients referred to the geriatric specialist outpatient department were included (n = 1514). Data relating to waiting times were analysed using one-way ANOVA and post hoc Tukey tests to determine effects on patient waiting times...
October 17, 2017: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/29039403/improving-access-to-care-in-rural-africa-through-the-use-of-telemedicine-using-a-mhealth-system-as-a-case-study
#2
Felix Holl, Promise Munteh, Rainer Burk, Walter Swoboda
No abstract text is available yet for this article.
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29035645/factors-that-contributed-to-black-white-disparities-in-survival-among-nonelderly-women-with-breast-cancer-between-2004-and-2013
#3
Ahmedin Jemal, Anthony S Robbins, Chun Chieh Lin, W Dana Flanders, Carol E DeSantis, Elizabeth M Ward, Rachel A Freedman
Purpose To estimate the contribution of differences in demographics, comorbidity, insurance, tumor characteristics, and treatment to the overall mortality disparity between nonelderly black and white women diagnosed with early-stage breast cancer. Patients and Methods Excess relative risk of all-cause death in black versus white women diagnosed with stage I to III breast cancer, expressed as a percentage and stratified by hormone receptor status for each variable (demographics, comorbidity, insurance, tumor characteristics, and treatment) in sequentially, propensity-scored, optimally matched patients by using multivariable hazard ratios (HRs)...
October 16, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29034727/examining-the-impacts-of-health-literacy-on-healthcare-costs-an-evidence-synthesis
#4
Rocco Palumbo
Scholars and practitioners share a significant concern about rising healthcare costs. Health literacy is widely presented as a solution to this momentous issue, paving the way for a more appropriate access to care and therefore, for cost savings. However, to date little is still known about the ultimate effects of better health literacy on healthcare costs. Drawing from the findings of a systematic literature review which ultimately involved 29 papers retrieved from Scopus-Elsevier and PubMed. This manuscript is aimed at shedding light on the relationship between health literacy and healthcare costs...
January 1, 2017: Health Services Management Research
https://www.readbyqxmd.com/read/29034668/-health-expectations-of-the-inhabitants-of-a-health-priority-area-a-qualitative-study
#5
Emmanuel Allory, Agnès Banâtre, Eléonore Bourbonnois, Gaëlle Le Cavil, Bertille Leborgne, Françoise Tattevin, Sidonie Chhor, Laure Fiquet
INTRODUCTION: French law of 4 March 2002 instituted health democracy, making health system users a real partner and active stakeholder in the healthcare system. This role of health system users must be taken into account particularly in health priority areas in order to reduce social inequalities in health. In the context of primary care, multidisciplinary clinics would appear to be ideal places to develop the expression of health democracy. OBJECTIVE: Identify the health expectations of the users of the Villejean clinic (Brittany, France) situated in a health priority area...
October 2, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/29029619/malaria-prevalence-prevention-and-treatment-seeking-practices-among-nomadic-pastoralists-in-northern-senegal
#6
Mame Cheikh Seck, Julie Thwing, Fatou Ba Fall, Jules Francois Gomis, Awa Deme, Yaye Die Ndiaye, Rachel Daniels, Sarah K Volkman, Medoune Ndiop, Mady Ba, Daouda Ndiaye
BACKGROUND: Malaria transmission in Senegal is highly stratified, from low in the dry north to moderately high in the moist south. In northern Senegal, along the Senegal River Valley and in the Ferlo semi-desert region, annual incidence is less than five cases per 1000 inhabitants. Many nomadic pastoralists have permanent dwellings in the Ferlo Desert and Senegal River Valley, but spend dry season in the south with their herds, returning north when the rains start, leading to a concern that this population could contribute to ongoing transmission in the north...
October 13, 2017: Malaria Journal
https://www.readbyqxmd.com/read/29028245/austerity-and-health-the-impact-in-the-uk-and-europe
#7
David Stuckler, Aaron Reeves, Rachel Loopstra, Marina Karanikolos, Martin McKee
Austerity measures-reducing social spending and increasing taxation-hurts deprived groups the most. Less is known about the impact on health. In this short review, we evaluate the evidence of austerity's impact on health, through two main mechanisms: a 'social risk effect' of increasing unemployment, poverty, homelessness and other socio-economic risk factors (indirect), and a 'healthcare effect' through cuts to healthcare services, as well as reductions in health coverage and restricting access to care (direct)...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29026997/a-systematic-review-of-integrative-clinical-trials-for-supportive-care-in-pediatric-oncology-a-report-from-the-international-society-of-pediatric-oncology-t-cm-collaborative
#8
REVIEW
Andrea L Radossi, Katherine Taromina, Stacey Marjerrison, Caroline J Diorio, Raquel Similio, Festus Njuguna, Glenn M Afungchwi, Elena J Ladas
PURPOSE: Traditional and complementary medicine (T&CM) use in children with cancer is well established among high-income, upper middle-income, low-middle-income, and low-income countries (HIC, UMIC, LMIC, LIC, respectively). In HIC, a developing body of evidence exists for several T&CM therapies; however, evidence in other income settings is less well described despite a significantly higher use when compared to reports from HIC. The aim of this systematic review was to evaluate the evidence for T&CM for a variety of supportive care indications among children with cancer...
October 13, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29025634/catastrophic-costs-potentially-averted-by-tuberculosis-control-in-india-and-south-africa-a-modelling-study
#9
Stéphane Verguet, Carlos Riumallo-Herl, Gabriela B Gomez, Nicolas A Menzies, Rein M G J Houben, Tom Sumner, Marek Lalli, Richard G White, Joshua A Salomon, Ted Cohen, Nicola Foster, Susmita Chatterjee, Sedona Sweeney, Inés Garcia Baena, Knut Lönnroth, Diana E Weil, Anna Vassall
BACKGROUND: The economic burden on households affected by tuberculosis through costs to patients can be catastrophic. WHO's End TB Strategy recognises and aims to eliminate these potentially devastating economic effects. We assessed whether aggressive expansion of tuberculosis services might reduce catastrophic costs. METHODS: We estimated the reduction in tuberculosis-related catastrophic costs with an aggressive expansion of tuberculosis services in India and South Africa from 2016 to 2035, in line with the End TB Strategy...
November 2017: Lancet Global Health
https://www.readbyqxmd.com/read/29025484/-it-makes-the-patient-s-spirit-weaker-tuberculosis-stigma-and-gender-interaction-in-dar-es-salaam-tanzania
#10
C Miller, J Huston, L Samu, S Mfinanga, P Hopewell, E Fair
SETTING: Dar es Salaam, Tanzania. OBJECTIVES: To describe tuberculosis (TB) related stigma and to understand how it interacts with gender to affect access to care. DESIGN: Eight focus group discussions were held among 48 TB patients and their household members, and a thematic content analysis was carried out. RESULTS: The main components of stigma were fear, self-isolation, ostracization, loss of status in the community, and discrimination by providers...
November 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/29016436/trends-and-disparities-in-cervical-spine-fusion-procedures-utilization-in-the-new-york-state
#11
Rui Feng, Mark Finkelstein, Khawaja Bilal, Eric K Oermann, Michael Palese, John Caridi
STUDY DESIGN: A retrospective review of the Statewide Planning and Research Cooperative System database of the New York State. OBJECTIVE: This study examined the rate of increase of cervical spine fusion procedures at low-, medium-, and high-volume hospitals, and analyzed racial and socioeconomic characteristics of the patient population treated at these three volume categories. SUMMARY OF BACKGROUND DATA: There has been a steady increase in spinal fusion procedures performed each year in the US, especially cervical and lumbar fusion...
October 9, 2017: Spine
https://www.readbyqxmd.com/read/29016286/chagas-disease-infection-among-migrants-at-the-mexico-guatemala-border
#12
Erin E Conners, Teresa López Ordoñez, Celia Cordon-Rosales, Carmen Fernández Casanueva, Sonia Morales Miranda, Kimberly C Brouwer
Chagas disease results in the largest burden in terms of disability-adjusted-life-years of any parasitic disease in the Americas. Monitoring Chagas disease among migrants is critical to controlling its spread and to serving the needs of the migrant community. Therefore, we determined the prevalence and correlates of Chagas disease in regional and international migrant populations at the Mexico/Guatemala border. Data were collected as part of a larger study of human immunodeficiency virus (HIV) and migration...
September 5, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28993075/call-to-action-aprns-in-u-s-nursing-homes-to-improve-care-and-reduce-costs
#13
Marilyn J Rantz, Nancy M Birtley, Marcia Flesner, Charles Crecelius, Cathy Murray
BACKGROUND: Centers for Medicare and Medicaid Innovation Center sponsored the initiative to reduce avoidable hospitalizations among nursing facility residents. PURPOSE: Missouri Quality Initiative (MOQI) designed inter-professional model in nursing homes with advanced practice registered nurses (APRNs). METHOD: MOQI APRN model was implemented for 4 years in 16 nursing homes in a metro area of the Midwest. Hospitalizations were reduced (40% all-cause, 58% potentially avoidable), emergency room visits (54% all-cause, 65% potentially avoidable), Medicare expenditures for hospitalizations (34% all-cause, 45% potentially avoidable), and Medicare expenditures for emergency room visits (50% all-cause, 60% potentially avoidable) for long-stay nursing home residents...
September 21, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28989816/social-determinants-of-health-associated-with-hbv-testing-and-access-to-care-among-foreign-born-persons-residing-in-the-united-states-2009-2012
#14
Kevin M Greene, Wayne A Duffus, Jian Xing, Hope King
OBJECTIVES: To describe how select Social Determinants of Health (SDH) are associated with the burden of hepatitis B virus (HBV) infection among foreign-born persons residing in the United States. METHODS: Multivariate logistic regression was used to examine the Racial and Ethnic Approaches to Community Health (REACH) 2010 Risk Factor Survey data to investigate the independent relationship between SDH and HBV testing and access to care. RESULTS: HBV infected persons with insurance were more likely to see a physician than those without...
2017: Journal of Health Disparities Research and Practice
https://www.readbyqxmd.com/read/28987999/novel-technology-as-platform-for-interventions-for-caregivers-and-individuals-with-severe-mental-health-illnesses-a-systematic-review
#15
REVIEW
Thomas D Meyer, Rebecca Casarez, Satyajit S Mohite, Nikki La Rosa, M Sriram Iyengar
BACKGROUND: Severe mental illnesses (SMIs) have been found to be associated with both increases in morbidity-mortality, need for treatment care in patients themselves, and burden for relatives as caregivers. A growing number of web-based and mobile software applications have appeared that aim to address various barriers with respect to access to care. Our objective was to review and summarize recent advancements in such interventions for caregivers of individuals with a SMI. METHODS: We conducted a systematic search for papers evaluating interactive mobile or web-based software (using no or only minimal support from a professional) specifically aimed at supporting informal caregivers...
September 14, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28985881/discontinuous-insurance-coverage-predicts-prolonged-hospital-stay-after-pediatric-adenotonsillectomy
#16
Dmitry Tumin, Adele King, Hina Walia, Joseph D Tobias, Vidya T Raman
BACKGROUND: Changes in health insurance coverage have been implicated in limiting access to care and increasing morbidity risk. The consequences of insurance discontinuity for surgical outcomes are unclear. In this study, we explored whether recent insurance discontinuity was associated with prolonged inpatient hospitalization after adenotonsillectomy in children. MATERIALS AND METHODS: We retrospectively evaluated single-center data on children aged 2-18 y undergoing adenotonsillectomy with overnight stay in 2009-2014...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28985516/assessment-of-spatial-variation-in-breast-cancer-specific-mortality-using-louisiana-seer-data
#17
Rachel Carroll, Andrew B Lawson, Chandra L Jackson, Shanshan Zhao
BACKGROUND: Previous studies suggest spatial differences in mortality for many types of cancer, including breast cancer. Identifying explanations for these spatial differences results in a better understanding of what leads to longer survival time. METHODS: We used a Bayesian accelerated failure time model with spatial frailty terms to investigate potential spatial differences in breast cancer mortality following breast cancer diagnosis using 2000-2013 Louisiana SEER data...
September 28, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28984659/a-cross-sectional-study-of-variations-in-reimbursement-for-breast-reconstruction-is-a-healthcare-disparity-on-the-horizon
#18
Elizabeth B Odom, Alexandra C Schmidt, Terence M Myckatyn, Donald W Buck
BACKGROUND: Despite growing demand for breast reconstruction, financial disincentives to perform breast reconstruction in patients with government-sponsored insurance plans may lead to longer wait times and decreased access to care. We identify the variation in reimbursement for implant and autologous reconstruction as a step toward understanding these financial implications, to develop safeguards to minimize effects on access to care. METHODS: Billing data were collected over a 10-year period for patients undergoing implant-based (19357) or free-flap (19364) breast reconstruction...
October 3, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28983436/the-unified-behavioral-health-center-for-military-veterans-and-their-families-documenting-structure-process-and-outcomes-of-care
#19
Nicole K Eberhart, Michael Stephen Dunbar, Olena Bogdan, Lea Xenakis, Eric R Pedersen, Terri Tanielian
Many veterans and their families struggle with behavioral health problems, family reintegration difficulties, and relationship problems. Although many veterans are eligible to receive care at Department of Veterans Affairs health facilities, family members are generally not eligible and therefore must seek care elsewhere. This situation can pose a barrier to family members' access to care and also make it more difficult for veterans and families to receive high-quality services that are coordinated across providers...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28983430/evaluating-the-impact-of-policies-to-regulate-involuntary-out-of-network-charges-on-new-jersey-hospitals
#20
Soeren Mattke, Chapin White, Mark Hanson, Virginia I Kotzias
Policymakers must balance the complex and sometimes conflicting objectives of ensuring access to care, limiting the financial burden on patients, and controlling overall costs. States differ in how they handle involuntary out-of-network charges-i.e., payment for care when a patient does not have the option of selecting a hospital in his or her health plan's network. New Jersey's current regulations emphasize patient protection, in that patients are only responsible for the portion of the cost that they would have incurred for in-network care, and health plans must pay the remainder of the provider's charges...
January 2017: Rand Health Quarterly
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