Higher Medicare Expenditures Are Associated With Better Integrated Care as Perceived by Patients
Conclusions:
Patients who experience their care as more integrated may have higher expenditures on average. Thoughtful policy choices, further research, and innovations that enable patients to perceive integrated care at lower or neutral cost are needed. (Source: Medical Care)
Source: Medical Care - July 1, 2021 Category: Health Management Tags: Original Articles Source Type: research
Addressing Posttraumatic Stress Disorder in Primary Care: Primary Care Physicians’ Knowledge, Confidence and Screening Practices Related to PTSD Among Military Populations
Conclusions:
PCPs have gaps in their knowledge and screening practices related to PTSD. The absence of a meaningful correlation of knowledge scores with PCP self-assessed knowledge or confidence suggests PCPs may not accurately rate their own knowledge. Targeted, evidence-based training on effective practices may promote PTSD clinical knowledge. (Source: Medical Care)
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Veterans’ Reported Comfort in Disclosing Sexual Orientation and Gender Identity
Conclusions:
These data suggest that the majority of veterans feel comfortable reporting their identities both on surveys and in the context of health care. Understanding these perceptions can assist VHA programs in implementing SOGI data collection and disclosure in clinical care, creating a welcoming environment of care for SGM veterans that does not make veterans from other backgrounds feel uncomfortable. (Source: Medical Care)
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Health Care Use and Out-of-pocket Spending by Persons With Dementia Differ Between Europe and the United States
Conclusions:
Health care use and OOP spending differ between Europe and the United States. The far greater reliance on nursing home care in the United States likely causes much higher expenditures for people with dementia and insurance programs alike. (Source: Medical Care)
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Demographic Characteristics Driving Disparities in Receipt of Long-term Services and Supports in the Community Setting
Conclusion:
Functional need for minority older adults differed by setting while demographics varied in unexpected ways. Factors such as familial and financial support are important to consider when implementing programs to keep older adults out of NHs. (Source: Medical Care)
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Inequities in Access to Care and Health Care Spending for Asian Americans With Cancer
Conclusion:
While Asian Americans without cancer have unmet medical needs due to limited access to care, access to care and spending are relatively equitable between Whites and Asian Americans with cancer. (Source: Medical Care)
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Impact of Adding Pharmacists and Comprehensive Medication Management to a Medical Group’s Transition of Care Services
Conclusions:
Adding a pharmacist-led TOC program to the medical group’s existing outpatient services reduced 30- and 180-day readmissions by “bending the curve” for readmission risk over time. (Source: Medical Care)
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Outcomes Associated With State Policies Enabling Provision of Oral Health Services in Medical Offices Among Medicaid-enrolled Children
This study examined if these Medicaid policies improved oral health, as measured by reductions in dental visits with treatment and preventable emergency department (ED) visits for nontraumatic dental conditions (NTDC).
Methods:
Using data on children aged 6 months to up to 6 years from 38 state Medicaid programs during 2006–2014, we used a generalized difference-in-differences estimation approach to examine the probability of a child having, in a year, any dental visits with caries-related treatment and any ED visits for NTDC, conditional on length of policy enactment. Models included additional child-level and co...
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Brief Report Source Type: research
Perceptions of Care Coordination Among Homeless Veterans Receiving Medical Care in the Veterans Health Administration and Community Care Settings: Results From a National Survey
Conclusions:
Veterans with homeless experiences value community care options. Potential access benefits are balanced with risks of unfavorable coordination experiences for vulnerable Veterans with limited resources. (Source: Medical Care)
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Comparison of Patient Experience Between Primary Care Settings Tailored for Homeless Clientele and Mainstream Care Settings
Background:
More than 1 million Americans receive primary care from federal homeless health care programs yearly. Vulnerabilities that can make care challenging include pain, addiction, psychological distress, and a lack of shelter. Research on the effectiveness of tailoring services for this population is limited.
Objective:
The aim was to examine whether homeless-tailored primary care programs offer a superior patient experience compared with nontailored (“mainstream”) programs overall, and for highly vulnerable patients.
Research Design:
National patient survey comparing 26 US Department of Veteran...
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Payment Discrepancies and Access to Primary Care Physicians for Dual-eligible Medicare-Medicaid Beneficiaries
Conclusions:
Pre-ACA, PCPs’ participation in the dual program appeared to be lower in states with lower reimbursement for duals. Despite the ACA fee bump, dual caseloads declined over time, raising concerns of worsening access to care. (Source: Medical Care)
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Patient Outcomes Associated With Utilization of Education, Case Management, and Advanced Practice Pharmacy Services by American Indian and Alaska Native Peoples With Diabetes
The objective of this study was to evaluate patient outcomes associated with ECP use by AI/AN adults with diabetes.
Research Design:
This observational study included the analysis of IHS data for fiscal years (FY) 2011–2013. Using propensity score models, we assessed FY2013 patient outcomes associated with FY2012 ECP use, controlling for FY2011 baseline characteristics.
Subjects:
AI/AN adults with diabetes who used IHS and Tribal health services (n=28,578).
Measures:
We compared health status and hospital utilization outcomes for ECP users and nonusers.
Results:
Among adults with diabetes, ECP...
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
The Unequal Burden of COVID-19 Deaths in Counties With High Proportions of Black and Hispanic Residents
The objective of this study was to examine the association between COVID-19 deaths and the county-level proportions of non-Hispanic Black and Hispanic residents.
Research Design and Methods:
A retrospective study using COVID-19 mortality data from USA Facts linked to data from the US Census Bureau, the Health Resources & Services Administration Area Health Resources file, and the US Census Bureau. Negative binomial regression was used to estimate the association between the total county COVID-19 deaths during consecutive 30-day intervals and the proportion of non-Hispanic Blacks and Hispanic residents after adjustin...
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Original Articles Source Type: research
Residential Segregation and COVID-19: A “Twindemic” We Can’t Afford to Ignore
No abstract available (Source: Medical Care)
Source: Medical Care - May 27, 2021 Category: Health Management Tags: Editorial Source Type: research
Reimbursement Matters: Overcoming Barriers to Clinical Trial Accrual
Conclusions:
Though concerns about a potential conflict of interest remain paramount and must be addressed in any new system of reimbursement, oncologists believe reimbursement to enhance infrastructure could help overcome barriers to trial accrual. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Brief Reports Source Type: research
