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https://www.readbyqxmd.com/read/29023928/evaluation-of-medical-and-dental-visits-in-new-york-city-opportunities-to-identify-persons-with-and-at-risk-for-diabetes-mellitus-in-dental-settings
#1
Noreen Myers-Wright, Ira B Lamster, John P Jasek, Shadi Chamany
OBJECTIVE: The identification of persons with or at risk for chronic diseases is a new practice paradigm for oral healthcare. Diabetes mellitus (DM) is a chronic disease of particular importance to oral health providers. This study sought to understand healthcare utilization patterns that would support the introduction of this new practice paradigm. METHODS: The primary and oral healthcare utilization patterns of New York City (NYC) adults were assessed using data collected from the 2013 NYC Community Health Survey...
October 11, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/29021830/emerging-issues-in-public-health-a-perspective-on-ghana-s-healthcare-expenditure-policies-and-outcomes
#2
REVIEW
Eric Adua, Kwasi Frimpong, Xia Li, Wei Wang
Ghana's healthcare expenditure has increased over the past two decades. Increased healthcare expenditures are required to enhance the acquisition of better hospital resources that may improve healthcare. This study presents an overview of healthcare expenditures and health outcomes (i.e. infant mortality, under-5 mortality and life expectancy) from 1995 to 2014 in Ghana. Infant and under-5 mortalities have declined by 50 and 25%, respectively, as of 2014, while life expectancy has increased from 60.7 to 64...
September 2017: EPMA Journal
https://www.readbyqxmd.com/read/29021713/epidemiology-of-bronchiolitis-a-description-of-emergency-department-visits-and-hospitalizations-in-puerto-rico-2010-2014
#3
Andrea Rivera-Sepulveda, Enid J Garcia-Rivera
BACKGROUND: Little is known about the epidemiology of bronchiolitis as a clinical diagnosis and its impact on emergency department visits and hospitalizations in tropical and semitropical regions. We described the epidemiology of bronchiolitis emergency visits and hospitalizations, its temporal trend and geographic distribution in Puerto Rico between 2010 and 2014. METHODS: We performed a retrospective descriptive analysis of a representative sample of privately insured children with bronchiolitis from January 2010 to December 2014...
2017: Tropical Medicine and Health
https://www.readbyqxmd.com/read/29020761/level-of-agreement-and-factors-associated-with-discrepancies-between-nationwide-medical-history-questionnaires-and-hospital-claims-data
#4
Yeon-Yong Kim, Jong Heon Park, Hee-Jin Kang, Eun Joo Lee, Seongjun Ha, Soon-Ae Shin
Objectives: The objectives of this study were to investigate the agreement between medical history questionnaire data and claims data and to identify the factors that were associated with discrepancies between these data types. Methods: Data from self-reported questionnaires that assessed an individual's history of hypertension, diabetes mellitus, dyslipidemia, stroke, heart disease, and pulmonary tuberculosis were collected from a general health screening database for 2014...
September 2017: Journal of Preventive Medicine and Public Health, Yebang Ŭihakhoe Chi
https://www.readbyqxmd.com/read/29019887/factors-predicting-a-home-death-among-home-palliative-care-recipients
#5
Ming-Chung Ko, Sheng-Jean Huang, Chu-Chieh Chen, Yu-Ping Chang, Hsin-Yi Lien, Jia-Yi Lin, Lin-Chung Woung, Shang-Yih Chan
Awareness of factors affecting the place of death could improve communication between healthcare providers and patients and their families regarding patient preferences and the feasibility of dying in the preferred place.This study aimed to evaluate factors predicting home death among home palliative care recipients.This is a population-based study using a national representative sample retrieved from the National Health Insurance Research Database. Subjects receiving home palliative care, from 2010 to 2012, were analyzed to evaluate the association between a home death and various characteristics related to illness, individual, and health care utilization...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29019095/cost-effectiveness-of-surveillance-and-prevention-strategies-in-brca1-2-mutation-carriers
#6
Hideko Yamauchi, Chizuko Nakagawa, Makoto Kobayashi, Yusuke Kobayashi, Toshiki Mano, Seigo Nakamura, Masami Arai
BACKGROUND: Cost-effectiveness analysis is an important aspect of healthcare, including in Japan, where preventive measures for BRCA1/2 mutation carriers are not covered by health insurance. METHODS: We developed Markov models in a simulated cohort of women aged 35-70 years, and compared outcomes of surveillance with risk-reducing mastectomy (RRM) at age 35, risk-reducing salpingo-oophorectomy (RRSO) at age 45, and both (RRM&RRSO). We used breast and ovarian cancer incidences and adverse event rates from the previous studies, adjuvant chemotherapy, and hormonal therapy rates from the Hereditary Breast and Ovarian Cancer Registration 2015 in Japan, mortality rates from the National Cancer Center Hospital, Japan Society of Clinical Oncology, and Ministry of Health, Labour and Welfare, and direct costs from St...
October 10, 2017: Breast Cancer: the Journal of the Japanese Breast Cancer Society
https://www.readbyqxmd.com/read/29017542/financial-burden-of-healthcare-for-cancer-patients-with-social-medical-insurance-a-multi-centered-study-in-urban-china
#7
Wenhui Mao, Shenglan Tang, Ying Zhu, Zening Xie, Wen Chen
BACKGROUND: Cancer accounts for one-fifth of the total deaths in China and brings heavy financial burden to patients and their families. Chinese government has made strong commitment to develop three types of social medical insurance since 1997 and recently, more attempts were invested to provide better financial protection. To analyze health services utilization and financial burden of insured cancer patients, and identify the gaps of financial protection provided by insurance in urban China...
October 10, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28993541/psychiatrists-attitude-and-use-of-second-generation-antipsychotics-for-the-treatment-of-schizophrenia-in-taiwan
#8
C K Chen, H H Su, I W Sun
OBJECTIVES: This survey aimed to understand the attitude of psychiatrists and their use of commonly prescribed second-generation antipsychotics (SGAs) for the treatment of schizophrenia in Taiwan. It also attempted to identify the factors that might influence their preference for selecting SGAs. METHODS: Psychiatrists were interviewed face-to-face using a structured questionnaire. The questionnaire addressed various issues involved in the treatment of patients with schizophrenia, including the reasons for selecting SGAs, psychiatrists' level of satisfaction with commonly prescribed SGAs, and their current use of SGAs in clinical practice...
September 2017: East Asian Archives of Psychiatry: Official Journal of the Hong Kong College of Psychiatrists
https://www.readbyqxmd.com/read/28992891/patterns-of-medical-utilization-before-the-first-hospitalization-for-women-with-anorexia-nervosa-in-taiwan
#9
Yen-Ni Hung, Chian-Jue Kuo, Shu-Yu Yang, Ming-Chyi Huang, Ying-Yeh Chen, Shih-Ku Lin, Kuan-Yu Chen
OBJECTIVE: The aim of this paper was to analyze medical utilization patterns of female patients with anorexia nervosa before their first inpatient care visit for anorexia nervosa using the National Health Insurance Research Database (NHIRD) of Taiwan. METHOD: We selected female anorexia nervosa patients (n=239) and control participants hospitalized for peptic ulcers (n=478) or appendectomy (n=478) who were matched by age and incident year from two subsets of the NHIRD...
November 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28987963/improving-cancer-patient-emergency-room-utilization-a-new-jersey-state-assessment
#10
Anthony J Scholer, Omar M Mahmoud, Debopyria Ghosh, Jacob Schwartzman, Mohammed Farooq, Javier Cabrera, Robert Wieder, Nabil R Adam, Ravi J Chokshi
INTRODUCTION: Due to its increasing incidence and its major contribution to healthcare costs, cancer is a major public health problem in the United States. The impact across different services is not well documented and utilization of emergency departments (ED) by cancer patients is not well characterized. The aim of our study was to identify factors that can be addressed to improve the appropriate delivery of quality cancer care thereby reducing ED utilization, decreasing hospitalizations and reducing the related healthcare costs...
October 4, 2017: Cancer Epidemiology
https://www.readbyqxmd.com/read/28987332/disparities-in-cancer-screening-by-occupational-characteristics
#11
Stacey A Fedewa, Ann Goding Sauer, Carol DeSantis, Rebecca L Siegel, Ahmedin Jemal
Cancer screening patterns according to occupation characteristics in the United States are not well known, but could be used to help inform cancer control efforts. We examined cervical (CC), breast (BC) and colorectal cancer (CRC) screening prevalence and prevalence ratios (PR) by occupational characteristics in 2010, 2013 and 2015 National Health Interview Surveys (NHIS) among eligible US workers (CC women 21-65years; n=20,997), (BC women ≥40years; n=14,258) and (CRC men and women ≥50years; n=17,333). Cervical, breast and colorectal cancer screening prevalence among US workers was 84...
October 5, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28985090/policies-to-mitigate-nonmedical-use-of-prescription-medications-how-should-emerging-evidence-of-gabapentin-misuse-be-addressed
#12
Alyssa M Peckham, Kathleen A Fairman, David A Sclar
Over the past decade, increased prescription supply has facilitated an epidemic of nonmedical use of controlled substances, including predominantly opioids, as well as benzodiazepines, z-hypnotics, and stimulants. Areas covered: More recently, misuse of noncontrolled prescriptions, such as gabapentin, has been detected. Gabapentin misuse has been associated with drug-related harm and increased healthcare service utilization in a few studies, including a recent large-sample analysis of commercially insured enrollees in the United States (U...
October 6, 2017: Expert Opinion on Drug Safety
https://www.readbyqxmd.com/read/28984659/a-cross-sectional-study-of-variations-in-reimbursement-for-breast-reconstruction-is-a-healthcare-disparity-on-the-horizon
#13
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/28982347/outcome-measures-for-oral-health-based-on-clinical-assessments-and-claims-data-feasibility-evaluation-in-practice
#14
Riët Hummel, Josef Bruers, Onno van der Galiën, Wil van der Sanden, Geert van der Heijden
BACKGROUND: It is well known that treatment variation exists in oral healthcare, but the consequences for oral health are unknown as the development of outcome measures is still in its infancy. The aim of this study was to identify and develop outcome measures for oral health and explore their performance using health insurance claims records and clinical data from general dental practices. METHODS: The Dutch healthcare insurance company Achmea collaborated with researchers, oral health experts, and general dental practitioners (GDPs) in a proof of practice study to test the feasibility of measures in general dental practices...
October 5, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28979826/what-can-i-do-about-a-negative-online-review
#15
Donna Vanderpool
This ongoing column is dedicated to providing information to our readers on managing legal risks associated with medical practice. We invite questions from our readers. The answers are provided by PRMS, Inc. (www.prms.com), a manager of medical professional liability insurance programs with services that include risk management consultation, education and onsite risk management audits, and other resources to healthcare providers to help improve patient outcomes and reduce professional liability risk. The answers published in this column represent those of only one risk management consulting company...
May 2017: Innovations in Clinical Neuroscience
https://www.readbyqxmd.com/read/28977123/-processes-of-expansion-and-limits-to-privatization-of-healthcare-in-latin-america-beyond-typologies
#16
Maria José Luzuriaga, Lígia Bahia
The aim was to conduct a literature review on health systems and comparative studies of health policies and systems to identify the leading contributions to the analysis of privatization, especially the role of health maintenance organizations and health insurance companies in national health systems in Latin America. The review focused on analyzing the adequacy of theoretical and methodological perspectives or proposals and their indicators to measure the private health sector's participation and interaction with national health systems...
October 2, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28972923/medicaid-insurance-as-primary-payer-predicts-increased-mortality-after-total-hip-replacement-in-the-state-inpatient-databases-of-california-florida-and-new-york
#17
Hannah F Xu, Robert S White, Dahniel L Sastow, Michael H Andreae, Licia K Gaber-Baylis, Zachary A Turnbull
STUDY OBJECTIVE: To confirm the relationship between primary payer status as a predictor of increased perioperative risks and post-operative outcomes after total hip replacements. DESIGN: Retrospective cohort study. SETTING: Administrative database study using 2007-2011 data from California, Florida, and New York from the State Inpatient Databases (SID), Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. PATIENTS: 295,572 patients age≥18years old who underwent total hip replacement with non-missing insurance data were collected, using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnoses and procedures code (ICD-9-CM code 81...
September 30, 2017: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/28972501/-screening-level-environmental-health-risk-assessment-by-health-data-in-some-small-areas-of-upper-imereti-chiatura-district
#18
G Kvarackhelia, R Kverenchkhiladze, M Buleishvili, G Sharashenidze, T Sanikidze, G Ormotsadze
The article presents the results of a comparative analysis of health data in villages Rgani, Perevisa and Khreiti population (Chiatura municipality), Which were obtained by the initiative group of the ak. N. Kipshidze Republican Hospital within the framework of the universal healthcare program of population insurance. The villages differ as by their remoteness from sources of ecological danger - manganese quarries, and scales of its achievement, which gives grounds to rank them according to the degree of ecological tension The purpose of the research is to develop optimal for Georgia approach to obtain and analyze information for site-specific environmental health risks assessment The analysis of the data was carried out using exploratory and evidentiary statistics: Cluster analysis, Logarithmic linear analysis and 2x2 conjugacy tables, correlation analysis, nonparametric statistics methods...
September 2017: Georgian Medical News
https://www.readbyqxmd.com/read/28972386/designing-a-new-payment-model-for-oral-care-in-seniors
#19
Judith A Jones, Michael Monopoli
With 10,000 baby boomers turning 65 every day, many will be on fixed incomes and will lose dental insurance upon retirement. This article presents why a dental benefit in Medicare might save the US government money, and who would likely benefit. It details an approach to estimating costs of inclusion of a dental benefit in Medicare, and compares the proposed approach to existing proposals. Additionally, the ensuing steps needed to advance the conversation to include oral health in healthcare for the aged will be discussed...
October 2017: Compendium of Continuing Education in Dentistry
https://www.readbyqxmd.com/read/28968780/high-dimensional-multivariate-additive-regression-for-uncovering-contributing-factors-to-healthcare-expenditure
#20
Rodrigue Ngueyep, Nicoleta Serban
Many studies in health services research rely on regression models with a large number of covariates or predictors. In this article, we introduce novel methodology to estimate and perform model selection for high-dimensional non-parametric multivariate regression problems, with application to many healthcare studies. We particularly focus on multi-responses or multi-task regression models. Because of the complexity of the dependence between predictors and the multiple responses, we exploit model selection approaches that consider various level of groupings between and within responses...
September 13, 2017: Biostatistics
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