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https://www.readbyqxmd.com/read/28535106/value-tools-in-managed-care-decision-making-current-hurdles-and-future-opportunities
#1
Jeremy Schafer, Dominic Galante, Jason Shafrin
BACKGROUND: Organizations such as the National Comprehensive Cancer Network, American Society of Clinical Oncology, Institute for Clinical and Economic Review, and Memorial Sloan Kettering have created distinct tools to help different stakeholders assess the value of oncology treatments. However, the oncology value tools were not necessarily created for payers, and it is unclear whether payers are using these tools as part of their drug management process. OBJECTIVE: To understand what value tools payers are using in oncology management and what benefits and shortcomings the tools may have from the payer perspective...
June 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28535104/measuring-the-value-of-new-drugs-validity-and-reliability-of-4-value-assessment-frameworks-in-the-oncology-setting
#2
Tanya G K Bentley, Joshua T Cohen, Elena B Elkin, Julie Huynh, Arnab Mukherjea, Thanh H Neville, Matthew Mei, Ronda Copher, Russell Knoth, Ioana Popescu, Jackie Lee, Jenelle M Zambrano, Michael S Broder
BACKGROUND: Several organizations have developed frameworks to systematically assess the value of new drugs. OBJECTIVE: To evaluate the convergent validity and interrater reliability of 4 value frameworks to understand the extent to which these tools can facilitate value-based treatment decisions in oncology. METHODS: Eight panelists used the American Society of Clinical Oncology (ASCO), European Society for Medical Oncology (ESMO), Institute for Clinical and Economic Review (ICER), and National Comprehensive Cancer Network (NCCN) frameworks to conduct value assessments of 15 drugs for advanced lung and breast cancers and castration-refractory prostate cancer...
June 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28525833/prevalence-correlates-and-trends-in-tobacco-use-and-cessation-among-current-former-and-never-adult-marijuana-users-with-a-history-of-tobacco-use-2005-2014
#3
Gillian L Schauer, Brian A King, Timothy A McAfee
BACKGROUND: Approximately 70% of current (past 30-day) adult marijuana users are current tobacco users, which may complicate tobacco cessation. We assessed prevalence and trends in tobacco cessation among adult ever tobacco users, by marijuana use status. METHODS: Data came from the National Survey on Drug Use and Health, a cross-sectional, nationally representative, household survey of U.S. civilians. Analyses included current, former, and never marijuana users aged≥18 reporting ever tobacco use (cigarette, cigar, chew/snuff)...
April 29, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28514693/drinking-despite-health-problems-among-individuals-with-liver-disease-across-the-united-states
#4
Jennifer C Elliott, Malka Stohl, Deborah S Hasin
BACKGROUND: Heavy drinking is harmful for individuals with liver disease. However, some of these individuals drink despite knowledge of the risks. The current study aims to identify factors underlying drinking despite health problems among individuals with liver disease. METHODS: The current study utilizes a subsample of individuals reporting past-year liver disease and at least one drink in the past year (n=331), taken from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III), a large nationally representative survey of the United States...
May 9, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28511896/-changes-in-the-prevalence-of-statin-use-in-germany-findings-from-national-health-interview-and-examination-surveys-1997-1999-and-2008-2011
#5
Hildtraud C Knopf, Markus A Busch, Yong Du, Julia Truthmann, Anja Schienkiewitz, Christa Scheidt-Nave
BACKGROUND: Evidence-based guideline recommendations on lipid lowering drug treatment, in particular statin treatment, play an essential role in the management of dyslipidemias and in the prevention of cardiovascular disease events. In Germany, statutory health insurance data provide information on time trends in the prescription of lipid lowering drugs. However, population-based data regarding changes in user prevalence according to socio-demographic and health-related characteristics are lacking...
May 13, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28511034/school-collective-occupation-movements-and-substance-use-among-adolescents-a-school-level-panel-design
#6
Alvaro Castillo-Carniglia, Jay S Kaufman, Esteban Pizarro, José D Marín, Garen Wintemute, Magdalena Cerdá
BACKGROUND: Recently, social movements across the world have demanded reforms to education systems and other institutions. Although such movements have affected large numbers of people across multiple countries, we know little about the impacts they have had on population health. We focus on one example: the massive strikes and collective occupation of secondary schools across Chile, which occurred contemporaneously with a large increase in marijuana use among students in this age group...
May 10, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28511033/comparing-adult-cannabis-treatment-seekers-enrolled-in-a-clinical-trial-with-national-samples-of-cannabis-users-in-the-united-states
#7
Erin A McClure, Jacqueline S King, Aimee Wahle, Abigail G Matthews, Susan C Sonne, Michelle R Lofwall, Aimee L McRae-Clark, Udi E Ghitza, Melissa Martinez, Kasie Cloud, Harvir S Virk, Kevin M Gray
BACKGROUND: Cannabis use rates are increasing among adults in the United States (US) while the perception of harm is declining. This may result in an increased prevalence of cannabis use disorder and the need for more clinical trials to evaluate efficacious treatment strategies. Clinical trials are the gold standard for evaluating treatment, yet study samples are rarely representative of the target population. This finding has not yet been established for cannabis treatment trials. This study compared demographic and cannabis use characteristics of a cannabis cessation clinical trial sample (run through National Drug Abuse Treatment Clinical Trials Network) with three nationally representative datasets from the US; 1) National Survey on Drug Use and Health, 2) National Epidemiologic Survey on Alcohol and Related Conditions-III, and 3) Treatment: Episodes Data Set - Admissions...
May 10, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28509577/alexithymia-suicidal-ideation-and-health-risk-behaviours-a-survey-of-canadian-men
#8
David Kealy, John S Ogrodniczuk, Simon M Rice, John L Oliffe
OBJECTIVE: Restricted emotional abilities may present significant implications for men's health. The purpose of this study was to examine the relationship between alexithymia and several health-risk behaviours: substance misuse, aggressive and risky behaviours and suicidal ideation. METHODS: A nationally representative sample of 1000 Canadian men responded to a survey containing measures of alexithymia, maladaptive coping behaviours, suicidal ideation and depressive symptoms...
May 16, 2017: International Journal of Psychiatry in Clinical Practice
https://www.readbyqxmd.com/read/28503310/individual-capacity-building-approaches-in-a-global-pharmaceutical-systems-strengthening-program-a-selected-review
#9
Niranjan Konduri, Megan Rauscher, Shiou-Chu Judy Wang, Tanya Malpica-Llanos
BACKGROUND: Medicines use related challenges such as inadequate adherence, high levels of antimicrobial resistance and preventable adverse drug reactions have underscored the need to incorporate pharmaceutical services to help achieve desired treatment outcomes, and protect patients from inappropriate use of medicines. This situation is further constrained by insufficient numbers of pharmaceutical personnel and inappropriate skill mix. Studies have addressed individual capacity building approaches of logistics, supply chain or disease specific interventions but few have documented those involving such pharmacy assistants/professionals, or health workers/professionals charged with improving access and provision of pharmaceutical services...
2017: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/28493261/out-of-pocket-cost-of-drug-abuse-consequences-results-from-iranian-national-mental-health-survey
#10
Masoumeh Amin-Esmaeili, Mitra Hefazi, Reza Radgoodarzi, Abbas Motevalian, Vandad Sharifi, Ahmad Hajebi, Afarin Rahimi-Movaghar
Drug abuse has significant cost to the individual, the family and the society. This study aimed to assess out of-pocket costs of consequences of drug use disorder. Data were drawn from the Iranian Mental Health Survey (IranMHS) through face-to-face interviews with 7841 respondents aged 15-64 years. We used a bottom-up cost-ofillness method for economic analysis. Out-of-pocket costs for treatment of mental and drug problems, treatment of medical illnesses, as well as costs of crimes were assessed. The average of total annual expense was US$ 2120...
May 1, 2017: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/28489491/risk-factors-for-symptoms-of-prescription-opioid-misuse-do-older-adults-differ-from-younger-adult-patients
#11
Gerald Cochran, Daniel Rosen, Rebecca M McCarthy, Rafael J Engel
Limited research is available regarding the health risks associated with opioid medication misuse among middle age (50-64 years) and older adults (65 and older). Understanding the misuse symptom risk profiles of these populations has potential to advance the national opioid epidemic response. A survey was conducted in four community pharmacies in southwestern Pennsylvania among adult, non-cancer patients filling opioid medications (N = 318) regarding opioid medication misuse symptoms and misuse risk factors...
May 10, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28482108/psychological-distress-among-smokers-in-the-united-states-2008-to-2014
#12
Michael J Zvolensky, Charles Jardin, Melanie M Wall, Misato Gbedemah, Deborah Hasin, Stewart A Shankman, Matthew Gallagher, Jafar Bakhshaie, Renee D Goodwin
INTRODUCTION: Decline in smoking in the United States (U.S.) has slowed over the past 25 years. Mental health problems are common among smokers, and may be an impediment to quitting and remaining abstinent. The study investigated the relationship between serious (past-30-day) psychological distress (SPD) and smoking, estimated trends in the prevalence of SPD among current, former and never smokers in the U.S. from 2008 to 2014, and investigated whether heterogeneity in these trends varied by sociodemographic characteristics...
May 6, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/28479634/clinical-management-of-children-with-fever-a-cross-sectional-study-of-quality-of-care-in-rural-zambia
#13
Karsten Lunze, Godfrey Biemba, J Joseph Lawrence, William B MacLeod, Kojo Yeboah-Antwi, Kebby Musokotwane, Toyin Ajayi, Simon Mutembo, Chilunga Puta, Duncan Earle, Rick Steketee, Davidson H Hamer
OBJECTIVE: To evaluate current practices and standards of evaluation and treatment of childhood febrile illness in Southern Province, Zambia. METHODS: From November to December 2013, we conducted a cross-sectional survey of facilities and health workers and we observed the health workers' interactions with febrile children and their caregivers. The facility survey recorded level of staffing, health services provided by the facility, availability and adequacy of medical equipment, availability of basic drugs and supplies and availability of treatment charts and guidelines...
May 1, 2017: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/28472197/utilization-of-alternative-systems-of-medicine-as-health-care-services-in-india-evidence-on-ayush-care-from-nss-2014
#14
Shalini Rudra, Aakshi Kalra, Abhishek Kumar, William Joe
AYUSH, an acronym for Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy represents the alternative systems of medicine recognized by the Government of India. Understanding the patterns of utilization of AYUSH care has been important for various reasons including an increased focus on its mainstreaming and integration with biomedicine-based health care system. Based on a nationally representative health survey 2014, we present an analysis to understand utilization of AYUSH care across socioeconomic and demographic groups in India...
2017: PloS One
https://www.readbyqxmd.com/read/28472151/management-of-vertebral-compression-fracture-in-general-practice-beach-program
#15
Rodrigo Z Megale, Allan Pollack, Helena Britt, Jane Latimer, Vasi Naganathan, Andrew J McLachlan, Manuela L Ferreira
IMPORTANCE: The pain associated with vertebral compression fractures can cause significant loss of function and quality of life for older adults. Despite this, there is little consensus on how best to manage this condition. OBJECTIVE: To describe usual care provided by general practitioners (GPs) in Australia for the management of vertebral compression fractures. DESIGN, SETTING AND PARTICIPANTS: Data from the Bettering the Evaluation And Care of Health (BEACH) program collected between April 2005 and March 2015 was used for this study...
2017: PloS One
https://www.readbyqxmd.com/read/28470547/disparities-in-us-healthcare-provider-screening-and-advice-for-cessation-across-chronic-medical-conditions-and-tobacco-products
#16
Diana R Keith, Cassandra A Stanton, Diann E Gaalema, Janice Y Bunn, Nathan J Doogan, Ryan Redner, Allison N Kurti, Antonio Cepeda-Benito, Alexa A Lopez, Adam L Morehead, Megan E Roberts, Stephen T Higgins
BACKGROUND: Disparities in tobacco use are worsening in the United States, disproportionately affecting those with chronic medical conditions. One possible contributor is that physicians may not screen and advise cessation uniformly across patients and/or tobacco products. OBJECTIVE: This study examined provider communications regarding cigarette and non-cigarette tobacco products among adults with chronic conditions. DESIGN: Cross-sectional study drawn from two waves (2013-2014) of the National Survey on Drug Use and Health (NSDUH)...
May 3, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28467153/correlates-of-blunt-smoking-among-african-american-hispanic-latino-and-white-adults-results-from-the-2014-national-survey-on-drug-use-and-health
#17
LaTrice Montgomery, Dale S Mantey
BACKGROUND: Blunt use is highly prevalent in the United States and has been associated with several negative health consequences, such as an increased risk for cardiovascular and pulmonary diseases. Although recent studies have identified characteristics (e.g., gender) that are associated with blunt use, it is unclear if these factors correlate with blunt use equally across racial/ethnic groups. METHODS: Using cross-sectional data from the 2014 National Survey on Drug Use and Health, this study aimed to determine if demographic, health and substance use correlates of current (i...
May 3, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28464584/-the-impact-of-broadened-diagnostic-criteria-on-the-prevalence-of-hypertension-hyperlipidemia-and-diabetes-mellitus-in-china
#18
X F Hu, X R Han, Z Y Yang, Y H Hu, J L Tang
Objective: The burden of chronic disease has been continuously increasing in China since the early 1980s. Besides the worsening of risk factors, the change in diagnostic criteria is very likely an important explanation for the increase in the prevalence of hypertension, hyperlipidemia and diabetes mellitus, three commonest, major chronic conditions that can lead to major vascular events and deaths. This study aims to estimate the contribution of changes in diagnostic criteria to the increase in the prevalence of the three conditions in China...
May 6, 2017: Zhonghua Yu Fang Yi Xue za Zhi [Chinese Journal of Preventive Medicine]
https://www.readbyqxmd.com/read/28461346/medicaid-expansion-increased-coverage-improved-affordability-and-reduced-psychological-distress-for-low-income-parents
#19
Stacey McMorrow, Jason A Gates, Sharon K Long, Genevieve M Kenney
Despite receiving less attention than their childless counterparts, low-income parents also experienced significant expansions of Medicaid eligibility under the Affordable Care Act (ACA). We used data for the period 2010-15 from the National Health Interview Survey to examine the impacts of the ACA's Medicaid expansion on coverage, access and use, affordability, and health status for low-income parents. We found that eligibility expansions increased coverage, reduced problems paying medical bills, and reduced severe psychological distress...
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28458268/exploring-the-link-between-substance-use-and-mental-health-status-what-can-we-learn-from-the-self-medication-theory
#20
L Lerissa Smith, Fengxia Yan, Mikayla Charles, Kamal Mohiuddin, Dawn Tyus, Oluwatoyosi Adekeye, Kisha B Holden
The high rate of co-occurring mental health issues and substance-use disorders has been well documented. The primary objective of this research was to evaluate the association between use of alcohol, marijuana, and other illicit drugs, and unmet mental health need and service use. A secondary aim of this research was to determine if the observed patterns of alcohol, marijuana, and other illicit drugs use and unmet mental health need and mental health service use are consistent with a theory of self-medication theory...
2017: Journal of Health Care for the Poor and Underserved
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