keyword
MENU ▼
Read by QxMD icon Read
search

Underinsurance

keyword
https://www.readbyqxmd.com/read/29878343/migraine-care-challenges-and-strategies-in-us-uninsured-and-underinsured-adults-a-narrative-review-part-2
#1
REVIEW
Larry Charleston, Jeffrey Royce, Teshamae S Monteith, Susan W Broner, Hope L O'Brien, Salvador L Manrriquez, Matthew S Robbins
OBJECTIVE: To review the challenges and potential solutions in treatment options for quality migraine care in adult patients who are under or uninsured. BACKGROUND: The Affordable Care Act has improved access to health care for many; however, those who are underserved continue to face treatment disparities and have inadequate access to appropriate migraine management. METHODS: This manuscript is the second of a 2-part narrative review which was performed after a series of discussions within the Underserved Populations in Headache Medicine Special Interest Section meetings of the American Headache Society...
May 2018: Headache
https://www.readbyqxmd.com/read/29866616/examination-of-universal-purchase-programs-as-a-driver-of-vaccine-uptake-among-us-states-1995-2014
#2
Karen Mulligan, Julia Thornton Snider, Phyllis Arthur, Gregory Frank, Mahlet Tebeka, Amy Walker, Jason Abrevaya
BACKGROUND: Immunization against numerous potentially life-threatening illnesses has been a great public health achievement. In the United States, the Vaccines for Children (VFC) program has provided vaccines to uninsured and underinsured children since the early 1990s, increasing vaccination rates. In recent years, some states have adopted Universal Purchase (UP) programs with the stated aim of further increasing vaccination rates. Under UP programs, states also purchase vaccines for privately-insured children at federally-contracted VFC prices and bill private health insurers for the vaccines through assessments...
June 1, 2018: Vaccine
https://www.readbyqxmd.com/read/29776404/revisiting-out-of-pocket-requirements-trends-in-spending-financial-access-barriers-and-policy-in-ten-high-income-countries
#3
Thomas Rice, Wilm Quentin, Anders Anell, Andrew J Barnes, Pauline Rosenau, Lynn Y Unruh, Ewout van Ginneken
BACKGROUND: Countries rely on out-of-pocket (OOP) spending to different degrees and employ varying techniques. The article examines trends in OOP spending in ten high-income countries since 2000, and analyzes their relationship to self-assessed barriers to accessing health care services. The countries are Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. METHODS: Data from three sources are employed: OECD statistics, the Commonwealth Fund survey of individuals in each of ten countries, and country-specific documents on health care policies...
May 18, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29747516/impact-and-effectiveness-of-a-stand-alone-nrt-starter-kit-in-a-statewide-tobacco-cessation-program
#4
Amy N Kerr, Barbara A Schillo, Paula A Keller, Randi B Lachter, Rebecca K Lien, Heather G Zook
PURPOSE: To examine 2-week nicotine replacement therapy (NRT) starter kit quit outcomes and predictors and the impact of adding this new service on treatment reach. DESIGN: Observational study of a 1-year cohort of QUITPLAN Services enrollees using registration and utilization data and follow-up outcome survey data of a subset of enrollees who received NRT starter kits. SETTING: ClearWay Minnesota's QUITPLAN Services provides a quit line that is available to uninsured and underinsured Minnesotans and NRT starter kits (a free 2-week supply of patches, gum, or lozenges) that are available to all Minnesota tobacco users...
January 1, 2018: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29691078/a-helping-hand-the-case-for-volunteerism
#5
REVIEW
Kaitlyn Reasoner, Mihir J Desai, Donald H Lee
Medical professionals are often regarded as influential community figures, yet their actual civic engagement may not match these expectations. Physicians certainly have a commitment to their own patients, but principles of medical ethics and professionalism suggest that physicians are also responsible for treating patients who lack access to care. Physician volunteerism is beneficial for entire communities, but can be particularly transformative for uninsured, underinsured, or geographically isolated patients...
April 21, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29620813/ensuring-access-to-prescription-medications-in-the-post-aca-healthcare-access-landscape-the-essential-role-of-fqhcs-in-the-safety-net-for-the-underinsured
#6
Lizheng Shi, M Kristina Wharton, Alisha Monnette
OBJECTIVES: Federally qualified health centers (FQHCs) are essential to underinsured populations in the safety net by offering them several means of access to reduced cost medications. This study employed a 2-pronged approach to evaluate FQHCs' role, estimating both the need for patient assistance and the impact of the safety net. STUDY DESIGN: A multiyear panel data study for post-Affordable Care Act (ACA) years 2012 to 2016 and a 2016 cross-sectional analysis design were utilized to analyze FQHCs, their patient populations, and prescription assistance programs...
March 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29605587/disparities-in-access-and-regionalization-of-care-in-testicular-cancer
#7
Liam C Macleod, Shannon S Cannon, Oliver Ko, George R Schade, Jonathan L Wright, Daniel W Lin, Sarah K Holt, John L Gore, Atreya Dash
INTRODUCTION: Timely mobilization of specialized resources are needed to achieve optimal outcomes in testicular cancer. We used the National Cancer Database to investigate the hospital and demographic features driving disparity. PATIENTS AND METHODS: We identified adult men with testicular tumors diagnosed from 2004 to 2013. We a priori examined the association among race/ethnicity, socioeconomic status (SES), travel burden, hospital characteristics, and indicators of delays in testicular cancer care...
February 23, 2018: Clinical Genitourinary Cancer
https://www.readbyqxmd.com/read/29552599/identifying-successful-practices-to-overcome-access-to-care-challenges-in-community-health-centers-a-positive-deviance-approach
#8
Tammy Toscos, Maria Carpenter, Mindy Flanagan, Kislaya Kunjan, Bradley N Doebbeling
Background: Despite health care access challenges among underserved populations, patients, providers, and staff at community health clinics (CHCs) have developed practices to overcome limited access. These "positive deviant" practices translate into organizational policies to improve health care access and patient experience. Objective: To identify effective practices to improve access to health care for low-income, uninsured or underinsured, and minority adults and their families...
January 2018: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29516470/migraine-care-challenges-and-strategies-in-us-uninsured-and-underinsured-adults-a-narrative-review-part-1
#9
REVIEW
Larry Charleston, Jeffrey Royce, Teshamae S Monteith, Susan W Broner, Hope L O'Brien, Salvador L Manrriquez, Matthew S Robbins
OBJECTIVE: To review the scope of the problem facing individuals with migraine who are under- or uninsured. In this first of a 2-part narrative review, we will explore migraine epidemiology and the challenges that face this vulnerable population. BACKGROUND: Implementation of the Affordable Care Act has improved access to health care for many individuals who were previously uninsured, but there are many, particularly those of certain demographics, who are at high risk for worse outcomes...
April 2018: Headache
https://www.readbyqxmd.com/read/29503306/healing-skills-from-the-underserved-patient-perspective
#10
Kathleen M Nemer, Larry R Churchill
The purpose of this study was to identify physician actions that facilitate meaningful doctor-patient relationships, from the perspective of the medically underserved patient. Twenty-five patients were interviewed at the United Neighborhood Health Services Northeast Clinic in Nashville, Tennessee, which serves an underinsured patient population. Patients were asked to identify the qualities of engagement with their doctor that move beyond simple diagnosis and treatment. Interviews were audio-recorded, professionally transcribed, made anonymous, and analyzed by the grounded theory method of qualitative research...
2018: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/29482529/competing-priorities-that-rival-health-in-adults-on-probation-in-rhode-island-substance-use-recovery-employment-housing-and-food-intake
#11
Kimberly R Dong, Aviva Must, Alice M Tang, Curt G Beckwith, Thomas J Stopka
BACKGROUND: Individuals on probation experience economic disadvantage because their criminal records often prohibit gainful employment, which compromises their ability to access the basic components of wellbeing. Unemployment and underemployment have been studied as distinct phenomenon but no research has examined multiple determinants of health in aggregate or explored how these individuals prioritize each of these factors. This study identified and ranked competing priorities in adults on probation and qualitatively explored how these priorities impact health...
February 27, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29480975/insurance-access-in-adults-with-congenital-heart-disease-in-the-affordable-care-act-era
#12
Chien-Jung Lin, Eric Novak, Michael W Rich, Joseph J Billadello
BACKGROUND: Adults with congenital heart disease (ACHD) have traditionally been viewed as an underinsured population. Whether this is true in the Affordable Care Act era is unknown. We determined insurance patterns in ACHD patients compared to the non-ACHD cardiology population in a contemporary cohort. METHODS: All cardiology outpatient visits between July 2016 and February 2017 to a large referral center in the United States were reviewed. The primary payer was categorized as health maintenance organization (HMO), preferred provider organization (PPO), Medicare, Medicaid, self-pay, or other...
February 26, 2018: Congenital Heart Disease
https://www.readbyqxmd.com/read/29473483/patient-perceptions-of-text-messaging-to-improve-antiretroviral-therapy-adherence-a-qualitative-study-of-patients-in-a-ryan-white-clinic
#13
Elizabeth Sherman, Kevin Alan Clauson, Shara Elrod, Paula Eckardt, Fadi Alkhateeb, Robin Jacobs
Evidence on the use of short message service (SMS) to improve medication adherence in people living with HIV (PLHIV) is mounting, yet qualitative research on patient perceptions regarding SMS content and utility for HIV/AIDS remains nascent. To explore the experience of receiving medication reminders via SMS among PLHIV, 45 uninsured and underinsured PLHIV nested within the intervention arm of a larger study received daily, 1-way SMS adherence reminders. Qualitative data were collected by face-to-face, structured interview and were analyzed using conventional content analysis methods...
January 2018: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/29452563/code-red-the-essential-yet-neglected-role-of-emergency-care-in-health-law-reform
#14
Shaun Ossei-Owusu
The United States' health care system is mired in uncertainty. Public opinion on the Patient Protection and Affordable Care Act ("ACA") is undeniably mixed and politicized. The individual mandate, tax subsidies, and Medicaid expansion dominate the discussion. This Article argues that the ACA and reform discourse have given short shrift to a more static problem: the law of emergency care. The Emergency Medical Treatment and Active Labor Act of 1986 ("EMTALA") requires most hospitals to screen patients for emergency medical conditions and provide stabilizing treatment regardless of patients' insurance status or ability to pay...
November 2017: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29447263/insurance-status-and-cancer-treatment-mediate-the-association-between-race-ethnicity-and-cervical-cancer-survival
#15
Sarah C Markt, Tianyu Tang, Angel M Cronin, Ingrid T Katz, Brooke E Howitt, Neil S Horowitz, Larissa J Lee, Alexi A Wright
Cervical cancer outcomes remain poor among disadvantaged populations, including ethnic minorities, low-income, and underinsured women. The aim of this study was to evaluate the mechanisms that underlie the observed association between race/ethnicity and cervical cancer survival. We identified 13,698 women, ages 21 to 64 years, diagnosed with stages I-III primary cervical cancer between 2007-2013 in Surveillance, Epidemiology, and End Results (SEER). Multivariable Cox proportional hazards regression models evaluated associations between race/ethnicity (Non-Hispanic White, Non-Hispanic Black, Hispanic, Other) and cervical cancer-specific mortality...
2018: PloS One
https://www.readbyqxmd.com/read/29435742/information-needs-expressed-during-patient-oriented-oncology-consultations-quantity-variation-and-barriers
#16
Anesa Ahamad, Paul Wallner, Sharon Salenius, Rudi Ross, Eduardo Fernandez
High-quality oncology consultation includes patient-oriented communication tailored to patients' individualized needs. Common methods used in studies to increase question-asking are prompt lists and coaching pre-consultations. However, our patients were encouraged to ask questions by the physician during their visit. We aimed to estimate the quantity, nature, and variation of their questions when they were invited to ask by their oncologist. During radiotherapy consultations from 2012 to 2016, patient's questions were deliberately elicited and physician-transcribed...
February 12, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29398897/perceptions-of-severe-storms-climate-change-ecological-structures-and-resiliency-three-years-post-hurricane-sandy-in-new-jersey
#17
Joanna Burger, Michael Gochfeld
Global warming is leading to increased frequency and severity of storms that are associated with flooding, increasing the risk to urban, coastal populations. This study examined perceptions of the relationship between severe storms, sea level rise, climate change and ecological barriers by a vulnerable environmental justice population in New Jersey. Patients using New Jersey's Federally Qualified Health Centers were interviewed after Hurricane [Superstorm] Sandy because it is essential to understand the perceptions of uninsured, underinsured, and economically challenged people to better develop a resiliency strategy for the most vulnerable people...
December 2017: Urban Ecosystems
https://www.readbyqxmd.com/read/29397280/the-affordability-of-providing-sexually-transmitted-disease-services-at-a-safety-net-clinic
#18
Lorraine T Dean, Madeline C Montgomery, Julia Raifman, Amy Nunn, Thomas Bertrand, Alexi Almonte, Philip A Chan
INTRODUCTION: Sexually transmitted diseases continue to increase in the U.S. There is a growing need for financially viable models to ensure the longevity of safety-net sexually transmitted disease clinics, which provide testing and treatment to high-risk populations. This micro-costing analysis estimated the number of visits required to balance cost and revenue of a sexually transmitted disease clinic in a Medicaid expansion state. METHODS: In 2017, actual and projected cost and revenues were estimated from the Rhode Island sexually transmitted disease clinic in 2015...
April 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29395026/association-of-shared-decision-making-on-patient-reported-health-outcomes-and-healthcare-utilization
#19
Tasha M Hughes, Katiuscha Merath, Qinyu Chen, Steven Sun, Elizabeth Palmer, Jay J Idrees, Victor Okunrintemi, Malcolm Squires, Eliza W Beal, Timothy M Pawlik
BACKGROUND: Shared decision-making (SDM) is a process that respects the rights of patients to be fully involved in decisions about their care. By evaluating all available healthcare options and weighing patients' personal values and preferences against available unbiased evidence, patients and healthcare professionals can make health-related decisions together, as partners. We sought to evaluate the impact of perceived SDM on patient-reported outcomes, healthcare quality, and healthcare utilization...
January 31, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29360645/breast-cancer-stage-at-diagnosis-in-a-new-jersey-cancer-education-and-early-detection-site
#20
Bonnie Jerome-D'Emilia, Debashis Kushary, Sherry A Burrell, Patricia D Suplee, Katherine Hansen
OBJECTIVES: The National Breast and Cervical Cancer Early Detection Program provides free or low-cost screening to uninsured or underinsured women and has had positive results; however, only a few state programs have been evaluated. This study will provide a first snapshot of the effectiveness of the New Jersey program, by comparing stage at diagnosis for enrollees as compared with nonenrollees who received definitive treatment for breast cancer at the same academic medical center. MATERIALS AND METHODS: A retrospective analysis of 5 years of breast cancer data abstracted from the Cancer Registry of a large urban hospital in the Northeast United States...
January 22, 2018: American Journal of Clinical Oncology
keyword
keyword
60479
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"