Comparison of medication persistence and adherence in type 2 diabetes using a once-weekly regimen of DPP-4 inhibitor compared with once-daily and twice-daily regimens: a retrospective cohort study of Japanese health insurance claims data
ConclusionsThe 12-month medication persistence rates were highest for QD, followed by QW and then BID. Adherence was similar for all three regimens. Medication persistence for DPP-4i may be improved by tailoring regimens to patient characteristics and needs. (Source: Diabetology International)
Source: Diabetology International - April 3, 2024 Category: Endocrinology Source Type: research

Health Disparities Among Children in Immigrant Households: New York City 2009 and 2017
AbstractWe tested the hypothesis that children in New York City (NYC) with an immigrant parent were more likely to lack health insurance and report poorer parent-rated health compared to those of US-born parents in this serial, cross-sectional study using existing data from 2009 to 2017 among children age  <  12 years in two NYC health surveys. Main outcomes were parent-reported responses for (1) child insurance coverage and (2) child general health status. In multivariable logistic regression models, we estimated likelihood of outcomes for children of immigrants compared to those of US-born parents, adjusting for c...
Source: Journal of Immigrant and Minority Health - April 3, 2024 Category: International Medicine & Public Health Source Type: research

Population tipping point could arrive by 2030
Two point one: That’s how many children everyone able to give birth must have to keep the human population from beginning to fall. Demographers have long expected the world will dip below this magic number—known as the replacement level—in the coming decades. A new study published last month in The Lancet , however, puts the tipping point startlingly near: as soon as 2030. It’s no surprise that fertility is dropping in many countries, which demographers attribute to factors such as higher education levels among people who give birth, rising incomes, and expanded access to contraceptives. The United ...
Source: Science of Aging Knowledge Environment - April 2, 2024 Category: Geriatrics Source Type: research

Willingness to Pay for Social Health Insurance Among Health Care Professionals in North Wollo Zone, Amhara Region, Ethiopia: Mixed Method Study [Retraction]
(Source: ClinicoEconomics and Outcomes Research)
Source: ClinicoEconomics and Outcomes Research - April 2, 2024 Category: Health Management Tags: ClinicoEconomics and Outcomes Research Source Type: research

Comparative Interrupted Time Series Analysis of Direct Medical Expense and Length of Stay in Elderly Patients with Femoral Neck Fractures Who Underwent Total Hip Arthroplasty and Hemiarthroplasty: A Real World Nationwide Database Study
CONCLUSIONS: When performing THA in elderly patients with femoral neck fractures, the possibility of survival for at least 2 years should be considered from the perspective of medical expense and medical utilization. Additionally, in healthy and active male femoral neck fracture patients under the age of 80 years, THA may be more recommended than HA.PMID:38562640 | PMC:PMC10973615 | DOI:10.4055/cios23282 (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - April 2, 2024 Category: Orthopaedics Authors: Seung-Hoon Kim Suk-Yong Jang Yonghan Cha Bo-Yeon Kim Hyo-Jung Lee Gui-Ok Kim Source Type: research

The association between endometrial cancer and subsequent diabetic retinopathy severity: A retrospective nationwide study
CONCLUSIONS: The endometrial cancer correlates to a higher incidence of subsequent DR, especially within first 5 years of endometrial cancer diagnosis.PMID:38563816 | DOI:10.1002/ijgo.15509 (Source: Cancer Control)
Source: Cancer Control - April 2, 2024 Category: Cancer & Oncology Authors: Chung-Yuan Lee Chiao-Wen Lin Yi-Hung Sun Po-Hui Wang Chia-Yi Lee Jing-Yang Huang Shun-Fa Yang Source Type: research

How The "Great Resignation" and COVID Unemployment Have Eroded the Employer Sponsored Insurance Model and Access to Healthcare
Am J Law Med. 2023 Dec;49(4):415-435. doi: 10.1017/amj.2024.1. Epub 2024 Apr 2.ABSTRACTPre-pandemic, employer-sponsored health insurance (ESI) covered 175 million workers and their dependents, the equivalent of 49% of the country's total population. ESI, a valuable tax preference to employer and employee alike, spurred worker job dependence on employers resulting in access to healthcare dependent upon continued employment. With the advent of the pandemic and the dramatic increase in unemployment, the number of uninsured increased by more than 2.7 million people. Then, unemployment proliferated further by an unprecedented e...
Source: American Journal of Law and Medicine - April 2, 2024 Category: Medical Law Authors: Miriam F Weismann Source Type: research

The roads to managed competition for mixed public-private health systems: a conceptual framework
Health Econ Policy Law. 2024 Apr 2:1-16. doi: 10.1017/S1744133123000373. Online ahead of print.ABSTRACTHealth systems' insurance/funding can be organised in several ways. Some countries have adopted systems with a mixture of public-private involvement (e.g. Australia, Chile, Ireland, South Africa, New Zealand) which creates two-tier health systems, allowing consumers (groups) to have preferential access to the basic standard of care (e.g. skipping waiting times). The degree to which efficiency and equity are achieved in these types of systems is questioned. In this paper, we consider integration of the two tiers by means o...
Source: Health Economics, Policy, and Law - April 2, 2024 Category: Health Management Authors: Josefa Henriquez Wynand van de Ven Adrian Melia Francesco Paolucci Source Type: research

Incidence of < em > Clostridioides difficile < /em > Infections in Republic of Korea: A Prospective Study With Active Surveillance vs. National Data From Health Insurance Review & amp; Assessment Service
CONCLUSION: The incidence of CDI in Korea has been gradually increasing, and its recent value is as high as that in the United State and Europe. CDI is underestimated, particularly in general hospitals in Korea.PMID:38565175 | DOI:10.3346/jkms.2024.39.e118 (Source: Journal of Korean Medical Science)
Source: Journal of Korean Medical Science - April 2, 2024 Category: Biomedical Science Authors: Jieun Kim Rangmi Myung Bongyoung Kim Jinyeong Kim Tark Kim Mi Suk Lee Uh Jin Kim Dae Won Park Yeon-Sook Kim Chang-Seop Lee Eu Suk Kim Sun Hee Lee Hyun-Ha Chang Seung Soon Lee Se Yoon Park Hee Jung Choi Hye In Kim Young Eun Ha Yu Mi Wi Sungim Choi So Youn Source Type: research

Prevalence, Incidence, and Treatment Pattern of Wilson's Disease Using National Health Insurance Data From 2010-2020, Korea
CONCLUSION: The prevalence of WD in Korea is 3.06/100,000 and approximately 1,800 patients use medical services annually. A significant proportion of patients are diagnosed at the cirrhotic stage and not treated with Cu-chelating therapeutics, suggesting the need for early diagnosis and adequate treatment to improve prognosis.PMID:38565173 | DOI:10.3346/jkms.2024.39.e115 (Source: Journal of Korean Medical Science)
Source: Journal of Korean Medical Science - April 2, 2024 Category: Biomedical Science Authors: Eun Sun Jang Hwa Young Choi Moran Ki Bo Hyun Kim Kyung-Ah Kim Sook-Hyang Jeong Source Type: research

Comparative Interrupted Time Series Analysis of Direct Medical Expense and Length of Stay in Elderly Patients with Femoral Neck Fractures Who Underwent Total Hip Arthroplasty and Hemiarthroplasty: A Real World Nationwide Database Study
CONCLUSIONS: When performing THA in elderly patients with femoral neck fractures, the possibility of survival for at least 2 years should be considered from the perspective of medical expense and medical utilization. Additionally, in healthy and active male femoral neck fracture patients under the age of 80 years, THA may be more recommended than HA.PMID:38562640 | PMC:PMC10973615 | DOI:10.4055/cios23282 (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - April 2, 2024 Category: Orthopaedics Authors: Seung-Hoon Kim Suk-Yong Jang Yonghan Cha Bo-Yeon Kim Hyo-Jung Lee Gui-Ok Kim Source Type: research

How The "Great Resignation" and COVID Unemployment Have Eroded the Employer Sponsored Insurance Model and Access to Healthcare
Am J Law Med. 2023 Dec;49(4):415-435. doi: 10.1017/amj.2024.1. Epub 2024 Apr 2.ABSTRACTPre-pandemic, employer-sponsored health insurance (ESI) covered 175 million workers and their dependents, the equivalent of 49% of the country's total population. ESI, a valuable tax preference to employer and employee alike, spurred worker job dependence on employers resulting in access to healthcare dependent upon continued employment. With the advent of the pandemic and the dramatic increase in unemployment, the number of uninsured increased by more than 2.7 million people. Then, unemployment proliferated further by an unprecedented e...
Source: American Journal of Law and Medicine - April 2, 2024 Category: Medical Law Authors: Miriam F Weismann Source Type: research

Incidence of < em > Clostridioides difficile < /em > Infections in Republic of Korea: A Prospective Study With Active Surveillance vs. National Data From Health Insurance Review & amp; Assessment Service
CONCLUSION: The incidence of CDI in Korea has been gradually increasing, and its recent value is as high as that in the United State and Europe. CDI is underestimated, particularly in general hospitals in Korea.PMID:38565175 | DOI:10.3346/jkms.2024.39.e118 (Source: J Korean Med Sci)
Source: J Korean Med Sci - April 2, 2024 Category: General Medicine Authors: Jieun Kim Rangmi Myung Bongyoung Kim Jinyeong Kim Tark Kim Mi Suk Lee Uh Jin Kim Dae Won Park Yeon-Sook Kim Chang-Seop Lee Eu Suk Kim Sun Hee Lee Hyun-Ha Chang Seung Soon Lee Se Yoon Park Hee Jung Choi Hye In Kim Young Eun Ha Yu Mi Wi Sungim Choi So Youn Source Type: research

Prevalence, Incidence, and Treatment Pattern of Wilson's Disease Using National Health Insurance Data From 2010-2020, Korea
CONCLUSION: The prevalence of WD in Korea is 3.06/100,000 and approximately 1,800 patients use medical services annually. A significant proportion of patients are diagnosed at the cirrhotic stage and not treated with Cu-chelating therapeutics, suggesting the need for early diagnosis and adequate treatment to improve prognosis.PMID:38565173 | DOI:10.3346/jkms.2024.39.e115 (Source: J Korean Med Sci)
Source: J Korean Med Sci - April 2, 2024 Category: General Medicine Authors: Eun Sun Jang Hwa Young Choi Moran Ki Bo Hyun Kim Kyung-Ah Kim Sook-Hyang Jeong Source Type: research

The roads to managed competition for mixed public-private health systems: a conceptual framework
Health Econ Policy Law. 2024 Apr 2:1-16. doi: 10.1017/S1744133123000373. Online ahead of print.ABSTRACTHealth systems' insurance/funding can be organised in several ways. Some countries have adopted systems with a mixture of public-private involvement (e.g. Australia, Chile, Ireland, South Africa, New Zealand) which creates two-tier health systems, allowing consumers (groups) to have preferential access to the basic standard of care (e.g. skipping waiting times). The degree to which efficiency and equity are achieved in these types of systems is questioned. In this paper, we consider integration of the two tiers by means o...
Source: Health Economics, Policy, and Law - April 2, 2024 Category: Health Management Authors: Josefa Henriquez Wynand van de Ven Adrian Melia Francesco Paolucci Source Type: research