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Pediatric Asthma: An Opportunity In Payment Reform And Public Health
Editor’s note: The post is informed by a case study, the third in a series made possible through the Merkin Initiative on Physician Payment Reform and Clinical Leadership, a special project to develop clinician leadership in health care delivery and financing reform. The case study will be presented on Wednesday, September 24 using a “MEDTalk” format featuring live story-telling and knowledge-sharing from patients, providers, and policymakers.
The Clinical Challenge: A Chronic, but Manageable Illness
Asthma affects 7 million children – more than 10 percent of kids in the U.S. – and is the most common chronic ch...
Source: Health Affairs Blog - September 18, 2014 Category: Health Management Authors: Kavita Patel, Steve Farmer, Meaghan George, Frank McStay, and Mark McClellan Tags: All Categories Children Chronic Care Health Care Costs Health Care Delivery Health Reform Medicaid Medicare Nonmedical Determinants Payment Policy Public Health Quality States Source Type: blogs
Integrative pediatrics survey: Parents report high demand and willingness to self-pay for complementary and integrative medicine in German hospitals
CONCLUSION: Many parents are already using CIM for their children and are looking forward to CIM being incorporated in clinical primary care. They would also be willing to bear the costs themselves if the therapy in question is not covered by their insurance. pay for the costs themselves if the therapy is not covered by their insurance.PMID:34246995 | DOI:10.1016/j.ctim.2021.102757
Source: Complementary Therapies in Medicine - July 11, 2021 Category: Complementary Medicine Authors: Dennis Anheyer Anna K Koch Melanie Anheyer Catharina Amarell Marion Eckert Gustav Dobos Holger Cramer Source Type: research
Receipt of Life-Sustaining Treatments for Taiwanese Pediatric Patients Who Died of Cancer in 2001 to 2010: A Retrospective Cohort Study
Abstract: Aggressive life-sustaining treatments have the potential to be continued beyond benefit, but have seldom been systematically/nationally explored in pediatric cancer patients. Furthermore, factors predisposing children dying of cancer to receive life-sustaining treatments at end of life (EOL) have never been investigated in a population-based study. This population-based study explored determinants of receiving life-sustaining treatments in pediatric cancer patients’ last month of life.
For this retrospective cohort study, we used administrative data on 1603 Taiwanese pediatric cancer patients who died in 2001 ...
Source: Medicine - April 1, 2016 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Discontinuity in the Transition From Pediatric to Adult Health Care for Patients with Attention-Deficit/Hyperactivity Disorder
Conclusion:If we are to adequately address the health care needs of adolescents and young adults with ADHD, we need to educate primary care providers and support additional research.
Keywords: attention-deficit/hyperactivity disorder; adult; primary care; continuity of patient care; transition planning
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Source: Postgraduate Medicine Online - October 17, 2012 Category: Internal Medicine Authors: admin Source Type: research
Measuring Patient and Family Experiences of Health Care for Children
Conclusions We recommended to the National Advisory Council for Healthcare Research and Quality Subcommittee on Children’s Healthcare Quality Measures for Medicaid and Child Health Insurance Programs (SNAC) the CAHPS® Child Medicaid 4.0 and pediatric Clinician & Group Survey for inclusion in the initial recommended list of core measures for voluntary use by Medicaid and CHIP. The Clinician and Group Survey was not included in the list posted for public comment due to concerns at that time (December 2009) about feasibility. We also recommended that development of a child version of the CAHPS® behavioral and ment...
Source: Academic Pediatrics - October 23, 2014 Category: Pediatrics Source Type: research
The Search For A National Child Health Coverage Policy Insurance Coverage
Thirty-eight percent of US children depend on publicly financed health insurance, reflecting both its expansion and the steady erosion of employment-based coverage. Continued funding for the Children’s Health Insurance Program (CHIP) is an immediate priority. But broader reforms aimed at improving the quality of coverage for all insured children, with a special emphasis on children living in low-income families, are also essential. This means addressing the "family glitch," which bars premium subsidies for children whose parents have access to affordable self-only employer-sponsored benefits. It also means addressing...
Source: Health Affairs - December 8, 2014 Category: Global & Universal Authors: Rosenbaum, S., Kenney, G. M. Tags: Access To Care, Insurance Coverage - Children, Legal/Regulatory Issues, Maternal And Child Health, Public Health, Quality Of Care, Demography, Determinants Of Health Source Type: research
Health care transition from pediatric care to adult care: opportunities and challenges under the Affordable Care Act.
This article analyzes the implications for young adults transitioning from pediatric to adult care with the implementation of the ACA. We review the key characteristics of this population relevant to health care utilization and access as well as the impact of private insurance market reforms, health insurance marketplaces, Medicaid expansion, and workforce development provisions on this population. We then analyze how reform is impacting and will continue to impact specific populations of young adults, including individuals with disabilities, college students, immigrants, young adults who age out of the foster care system ...
Source: Journal of Pediatric Rehabilitation Medicine - November 19, 2015 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research
Implementation of an academic adult primary care clinic for adolescents and young adults with complex, chronic childhood conditions.
CONCLUSIONS: The results suggest that a clinic serving AYACCC requires physicians and support staff familiar with the aforementioned issues that are willing to spend a considerable amount of time and effort outside of routine office visits in health care coordination. Because many of these patients are covered by publicly funded health insurance, enhanced reimbursement must be considered to keep clinics like the TMC self-sustaining. Future research is needed to demonstrate adult-based care delivery models, develop clinical care guidelines, and evaluate key clinical outcomes.
PMID: 25737343 [PubMed - in process]
Source: Journal of Pediatric Rehabilitation Medicine - November 19, 2015 Category: Rehabilitation Tags: J Pediatr Rehabil Med Source Type: research
Research and Reviews in the Fastlane 189
This study compares emergency medical care statistics for an urban metropolitan community in Oregon before and after the implementation of the Affordable Care Act in the USA. With the incidence of cardiac arrest approximately 17 percent lower post ACA than before it certainly brings home the potential implications of repealing and replacing the ACA.
Recommended by: Virginia Newcombe
Emergency Medicine
van der Hulle T, et al; YEARS study group. Simplified diagnostic management of suspected pulmonary embolism (the YEARS study): a prospective, multicentre, cohort study. Lancet 2017. PMID: 28549662
The largest demonstratio...
Source: Life in the Fast Lane - July 12, 2017 Category: Emergency Medicine Authors: Jeremy Fried Tags: Emergency Medicine R&R in the FASTLANE Resuscitation EBM Education recommendations research and reviews Source Type: blogs
Identifying metrics of success for transitional care practices in childhood cancer survivorship: A qualitative interview study of parents
ConclusionsFor parents of AYA CCS, the optimal pediatric to adult care transition model should include mechanisms that facilitate communication between parents, CCS, and survivor-focused providers while also supporting self-efficacy and financial literacy as it relates to health insurance.
Source: Cancer Medicine - August 6, 2021 Category: Cancer & Oncology Authors: Karim Thomas Sadak,
Milki Gemeda,
Michelle C. Grafelman,
Taiwo O. Aremu,
Joseph P. Neglia,
David R. Freyer,
Eileen Harwood,
Jude Mikal Tags: RESEARCH ARTICLE Source Type: research
Can Our Dysfunctional Health Care System Contain Ebola?
Not to bury the lede, I think it can, but it will be a lot harder than the talking heads on television predict.I have been writing about health care dysfunction since 2003. Lots of US politicians would have us believe we have the best health care system in the world (e.g., House of Representatives Speaker John Boehner (R-Ohio), here), Much of the commentary on Ebola also seems based on this "best health care system in the world" notion. For example, in an interview today (5 October, 2014) on Meet the Press, Dan Pfieffer, "senior White House adviser," saidThere is no country in the world better prepa...
Source: Health Care Renewal - October 6, 2014 Category: Health Management Tags: Ebola virus financialization generic managers ill-informed management perverse incentives public health organizations Source Type: blogs
Having consistent source of health care is key factor in limiting kids’ repeat visits to the hospital
It’s a question of major importance to parents, health policy makers and health care professionals — and a focus of national health care quality improvement initiatives. What keeps children from being readmitted to hospitals in the weeks after they’re discharged?
Previous research on the subject has focused on the role that hospitals play in the equation. But a new study by doctors at UCLA looked at five factors revolving around the primary physician’s office.
Those factors, collectively known as the “primary care medical home,” consider whether the child has a personal doctor or nurse, a “usual place” to r...
Source: UCLA Newsroom: Health Sciences - November 3, 2015 Category: Universities & Medical Training Source Type: news
Part of the Solution, or Part of the Problem? - Health Care Corporate CEOs on Physician Burnout
Physician burnout is in the news again. Late in 2015, an article by Shaneyfelt and colleagues in the Mayo Clinic Proceedings showed an increase in the proportion of physicians reporting at least one symptom of burnout to 54.4% in 2014(1), up from the 45.5% they reported in 2012(2). A March 28, 2017,post in the Health Affairs blog based on the latest article warning about burnout and suggesting how to address it got considerable attention.Background - Physician BurnoutHowever, physician burnout is hardly new. As wewrote in 2012 about the predecessor the 2012 Shaneyfelt article, this is just the latest in a...
Source: Health Care Renewal - April 2, 2017 Category: Health Management Tags: burnout conflicts of interest corporate physician generic management governance leadership managerialism mission-hostile management physicians Source Type: blogs
Survivors of acute respiratory distress syndrome often experience delays in returning to work
FINDINGSForty-four percent of people who held jobs before contracting a condition called acute respiratory distress syndrome were jobless one year after they were discharged from the hospital, costing them an average of about $27,000 in earnings. After one year, fewer of them had private health insurance (30 percent, down from 44 percent) and more of them were enrolled in Medicare and Medicaid (49 percent versus 33 percent). There was little change in the number of jobless survivors who were uninsured.The study found that the people who experienced the longest delays in returning to work tended to be older and non-white, a...
Source: UCLA Newsroom: Health Sciences - April 28, 2017 Category: Universities & Medical Training Source Type: news
