The Effect of Telehealth Services on Provider Productivity
Conclusion:
Strategies that encourage long-term integration of telehealth into provider practices may contribute to overall health care value. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Brief Reports Source Type: research
Costs of Nonfatal Traumatic Brain Injury in the United States, 2016
Conclusions:
This study presents economic burden estimates for TBI that underscore the importance of developing strategies to prevent TBIs, regardless of severity. Although middle and high severity TBIs were more costly at the individual level, low severity TBIs, and head injuries diagnosed as “head injury unspecified” resulted in higher total estimated annual health care costs attributable to TBI. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Brief Reports Source Type: research
Is Hospital Nurse Staffing Legislation in the Public’s Interest?: An Observational Study in New York State
Conclusions:
Patient-to-nurse staffing varies substantially across NY hospitals and higher ratios adversely affect patients. Our estimates of potential lives and costs saved substantially underestimate potential benefits of improved hospital nurse staffing. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
Understanding Regional Variation in the Cost of Breast Cancer Screening Among Privately Insured Women in the United States
Conclusions:
The mean mammogram cost for privately insured women ages 40–49 varies 7-fold across regions, driving substantial variation in breast cancer screening costs. Reducing this regional variation would substantially decrease the screening costs. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
Geographic Variation of Statin Use Among US Nursing Home Residents With Life-limiting Illness
Background:
Medically compromised nursing home residents continue to be prescribed statins, despite questionable benefits.
Objective:
To describe regional variation in statin use among residents with life-limiting illness.
Research Design:
Cross-sectional study using 2016 Minimum Data Set 3.0 assessments linked to Medicare administrative data and health service utilization area resource files.
Setting:
Nursing homes (n=14,147) within hospital referral regions (n=306) across the United States.
Subjects:
Long-stay residents (aged 65 y and older) with life-limiting illness (eg, serious illnes...
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
A Novel Metric for Developing Easy-to-Use and Accurate Clinical Prediction Models: The Time-cost Information Criterion
Conclusion:
Accounting for the time-costs of potential predictor variables through the use of the TCIC led to the development of an easier-to-use mortality prediction model with similar discrimination. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
Subgroups of High-Risk Veterans Affairs Patients Based on Social Determinants of Health Predict Risk of Future Hospitalization
Conclusion:
Self-reported SDH measures can identify meaningful subgroups that may be used to offer tailored interventions to reduce their risk of hospitalization and other adverse events. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
Racial and Ethnic Differences in Multimorbidity Changes Over Time
Background:
Our understanding of how multimorbidity progresses and changes is nascent.
Objectives:
Assess multimorbidity changes among racially/ethnically diverse middle-aged and older adults.
Design, Setting, and Participants:
Prospective cohort study using latent class analysis to identify multimorbidity combinations over 16 years, and multinomial logistic models to assess change relative to baseline class membership. Health and Retirement Study respondents (age 51 y and above) in 1998 and followed through 2014 (N=17,297).
Measures:
Multimorbidity latent classes of: hypertension, heart disease,...
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
Quality of Buprenorphine Care for Insured Adults With Opioid Use Disorder
Conclusion:
Widespread gaps exist in quality of buprenorphine treatment initiation, engagement, and maintenance among commercially insured and MA enrollees with OUD. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
Plan Type and Opioid Prescriptions for Children in Medicaid
Background:
Opioids are generally an inappropriate acute pain management strategy in children, particularly because of the risk for diversion and subsequent misuse and abuse.
Objectives:
To examine associations between Medicaid plan type [coordinated care organization (CCO), managed care (MC), fee-for-service (FFS)] and whether a child received an opioid prescription.
Research Design:
Secondary analysis of Oregon Medicaid data (January 1, 2016 to December 31, 2017).
Subjects:
Medicaid-enrolled children ages 0–17 (N=200,169).
Measures:
There were 2 outcomes: whether a child received an opio...
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
Health Equity Beyond Data: Health Care Worker Perceptions of Race, Ethnicity, and Language Data Collection in Electronic Health Records
Conclusion:
Emerging racial disparities associated with COVID-19 highlight the high stakes of REAL data collection. However, numerous barriers to health equity remain. Health care workers need greater institutional support for REAL data and related EHR initiatives. Despite data collection’s central importance to policy objectives of disparity reduction, data mandates alone may be insufficient for achieving health equity. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
The J-IDEA Pandemic Planner: A Framework for Implementing Hospital Provision Interventions During the COVID-19 Pandemic
Discussion:
The tool supports decision-makers in delivering a fast and effective response to the pandemic. The unique contribution of the planner is that it allows users to compare the impact of interventions that change some or all inputs. (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Original Articles Source Type: research
Coronavirus Disease 2019 Capacity Response: Where’s the Right Balance?
No abstract available (Source: Medical Care)
Source: Medical Care - April 15, 2021 Category: Health Management Tags: Editorial Source Type: research
Complex Patients Have More Emergency Visits: Don’t Punish the Systems That Serve Them
Conclusion:
To set appropriate benchmarks for comparing health plans, quality measures for ED visits should be adjusted for both medical and social risks. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
The Effects of Accountable Care Organizations Forming Preferred Skilled Nursing Facility Networks on Market Share, Patient Composition, and Outcomes
Conclusions:
After preferred SNF network formation, there is some evidence that ACO hospitals sent more complex patients to preferred SNFs, but there was no change in the volume of patients received by these SNFs. Furthermore, preferred network formation was not associated with improvement in patient outcomes. (Source: Medical Care)
Source: Medical Care - March 14, 2021 Category: Health Management Tags: Original Articles Source Type: research
