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Articles 1 - 30 of 1883

Full-Text Articles in Medicine and Health Sciences

Changes In Subjective Versus Objective Well-Being In India, Vani S. Kulkarni, Veena S. Kulkarni, Katsushi S. Imai, Raghav Gaiha May 2021

Changes In Subjective Versus Objective Well-Being In India, Vani S. Kulkarni, Veena S. Kulkarni, Katsushi S. Imai, Raghav Gaiha

Population Center Working Papers (PSC/PARC)

Although there is abundant literature on subjective well-being (SWB), there is virtually none for India. Growing recognition of the validity and accuracy of measures of SWB of well-being underlies the rapid growth of literature on SWB in recent decades but it has mainly focused on developed countries. Ours is, to our knowledge, the first study of SWB at the all-India level, and one of the few on developing countries, with a rigorous validation of the results. Applying robust OLS and ordered probit models to the India Human Development Survey (IHDS) panel data in 2005 and 2012, we assess SWB changes ...


Curtailing Covid-19 On A Dollar-A-Day In Malawi: Implications For The Ongoing Pandemic, Iliana V. Kohler, Fabrice Kämpfen, Alberto Ciancio, James Mwera, Victor Mwapasa, Hans-Peter Kohler Mar 2021

Curtailing Covid-19 On A Dollar-A-Day In Malawi: Implications For The Ongoing Pandemic, Iliana V. Kohler, Fabrice Kämpfen, Alberto Ciancio, James Mwera, Victor Mwapasa, Hans-Peter Kohler

Population Center Working Papers (PSC/PARC)

Utilizing population-based data from the COVID-19 phone survey (N=2,262$) of the Malawi Longitudinal Study of Families and Health (MLSFH) collected during June 2nd--August 17th, 2020, we investigate behavioral, economic and social responses COVID-19 and focus on the crucial role that community leadership and trust in institutions play towards shaping these responses. We argue that the effective response of Malawi to limit the spread of the virus was facilitated by the engagement of local leaders to mobilize communities to adapt and adhere to COVID-19 prevention strategies. Village heads (VHs) played pivotal role in shaping individual's knowledge about the ...


Family Companionship And Elderly Suicide: Evidence From The Chinese Lunar New Year, Hanming Fang, Ziteng Lei, Liguo Lin, Peng Zhang Mar 2021

Family Companionship And Elderly Suicide: Evidence From The Chinese Lunar New Year, Hanming Fang, Ziteng Lei, Liguo Lin, Peng Zhang

Population Center Working Papers (PSC/PARC)

Mental health problems among the elderly have attracted increasing attention. The most serious mental health problems may result in suicide, and lack of family companionship is often speculated to be a major cause. In this paper, we use high-frequency suicide rate data and utilize a novel temporal variation in the lunisolar calendar to provide evidence on the protective effects of the Chinese Lunar New Year (when the elderly people receive unusually high level of family companionship) on elderly suicide. We find that elderly suicide rate decreases by 8.7% during the Chinese Lunar New Year. In addition, the protective effects ...


Water, Sanitation, And Hygiene In Healthcare Facilities In The Covid-19 Pandemic: The Case Of Water Mission Mexico, Julia C. Sherry, Kausha Dierker Mar 2021

Water, Sanitation, And Hygiene In Healthcare Facilities In The Covid-19 Pandemic: The Case Of Water Mission Mexico, Julia C. Sherry, Kausha Dierker

wH2O: The Journal of Gender and Water

Water, sanitation, and hygiene (WASH) services in healthcare facilities (HCFs) are critical for infection prevention and control, however, these services are often lacking in hospitals and clinics around the world. Water Mission is a nonprofit that designs, builds, and implements safe water, sanitation, and hygiene solutions in various contexts, including healthcare facilities. Two staff members from the Water Mission headquarters in Charleston, SC interviewed the Water Mission Mexico country director, Johnny Bermudez, to share about the role of WASH in HCFs in Mexico and speak on Water Mission’s response to the COVID-19 pandemic.


The Health Impacts Of Eviction: Evidence From The National Longitudinal Study Of Adolescent To Adult Health, Morgan Hoke, Courtney E. Boen Feb 2021

The Health Impacts Of Eviction: Evidence From The National Longitudinal Study Of Adolescent To Adult Health, Morgan Hoke, Courtney E. Boen

Population Center Working Papers (PSC/PARC)

Eviction represents an urgent social and economic issue in the United States, with nearly two million evictions occurring annually in the U.S. Still, the population health impacts of evictions, as well as the pathways linking eviction to health, are not well documented or understood, particularly among young adults. Using nationally-representative, longitudinal data from the National Longitudinal Study of Adolescent to Adult Health (1994-2008) (n=9,029), the present study uses a combination of analytic methods—including prospective lagged dependent variable regression models, inverse probabilities of treatment weighting, longitudinal first difference models, causal mediation techniques—to comprehensively assess whether and ...


The Future Of Value-Based Payment: A Road Map To 2030, Rachel M. Werner, Ezekiel J. Emanuel, Hoangmai H. Pham, Amol S. Navathe Feb 2021

The Future Of Value-Based Payment: A Road Map To 2030, Rachel M. Werner, Ezekiel J. Emanuel, Hoangmai H. Pham, Amol S. Navathe

Issue Briefs

EXECUTIVE SUMMARY

A decade after the passage of the Affordable Care Act, the vision of moving the U.S. health care system “from volume to value” has been partially realized, with few value-based payment initiatives systematically reducing spending or improving quality. While participation in value-based payments continues to grow, the adoption of advanced forms of value-based payment through alternative payment models lags behind both the goals set by the Secretary of Health and Human Services in 2015 and the threshold required for widespread practice transformation. Furthermore, the complexity of the current suite of alternative payment models and allure of traditional ...


Pennsylvania Scope Of Practice Policy Brief, Janet Weiner Jan 2021

Pennsylvania Scope Of Practice Policy Brief, Janet Weiner

Issue Briefs

Pennsylvania is one of 28 states that has not expanded the scope of practice in its licensure laws for certified registered nurse practitioners (NPs), who must maintain formal collaborative agreements with physicians to practice. For many years, proposals to update licensure and adapt it to make it more compatible with current models of collaborative care could not overcome legislative logjams. Recognizing an opportunity to break the logjam, the University of Pennsylvania held a virtual workshop on November 20, 2020, bringing together researchers, health professionals, and consumers to chart a new path forward. This policy brief summarizes their recommendations to update ...


Physical Models Of Living Systems 2nd Ed, New Chapter: Demographic Variation In Epidemic Spread, Philip C. Nelson Dec 2020

Physical Models Of Living Systems 2nd Ed, New Chapter: Demographic Variation In Epidemic Spread, Philip C. Nelson

Department of Physics Papers

This chapter extends the first edition of Physical Models of Living Systems (WH Freeman 2015). This preliminary version is made freely available as-is in the hope that it will be useful.


Duty Hour Reform And The Outcomes Of Patients Treated By New Surgeons, Rachel R. Kelz, Bijan A. Niknam, Morgan M. Sellers, James E. Sharpe, Paul R. Rosenbaum, Alexander S. Hill, Hong Zhou, Lauren L. Hochman, Karl Y. Bilimoria, Kamal Itani, Patrick S. Romano, Jeffrey H. Silber Dec 2020

Duty Hour Reform And The Outcomes Of Patients Treated By New Surgeons, Rachel R. Kelz, Bijan A. Niknam, Morgan M. Sellers, James E. Sharpe, Paul R. Rosenbaum, Alexander S. Hill, Hong Zhou, Lauren L. Hochman, Karl Y. Bilimoria, Kamal Itani, Patrick S. Romano, Jeffrey H. Silber

Research Briefs

Despite concerns that duty hour reform might adversely affect the performance of new surgeons, this national study found no impact on patient outcomes, including 30-day mortality rates, failure-to-rescue, length of stay, and use of intensive care units. These findings should allay fears that reduced work hours during residency would produce surgeons less prepared for practice than their more experienced colleagues.


Are There Enough Experienced Physicians To Treat Patients Hospitalized With Covid?, Kira L. Ryskina Nov 2020

Are There Enough Experienced Physicians To Treat Patients Hospitalized With Covid?, Kira L. Ryskina

Research Briefs

In this national study of 438,895 physicians, 45% provided care to hospitalized patients and 7% provided critical care. At the high estimate of patients requiring hospitalization at the projected peak of the pandemic, 18 states and Washington, DC would have patient to physician ratios greater than 15:1 (a level associated with poor outcomes among hospitalized patients). There was considerable geographic variation in the availability of physicians: 41% of hospital service areas did not have a physician with critical care experience.


Adjunctive Therapy Of Periodontal Disease With Minocycline Microspheres In Dental School Settings: A Retrospective Chart Review., Artem Shurduk Nov 2020

Adjunctive Therapy Of Periodontal Disease With Minocycline Microspheres In Dental School Settings: A Retrospective Chart Review., Artem Shurduk

Dental Theses

Background: The chronic periodontitis is a highly prevalent disease that affects over 60% of people older than 65 and 10-15% is a prevalence of severe form. The Scaling and root planing procedure (SRP) is a gold standard of periodontal treatment which effectiveness was proven through numerous longitudinal studies. The nature of this treatment is to mechanically disrupt bacterial biofilm, remove subgingival calculus, and infected cement layer from the affected root surface to create favorable conditions for repair and regeneration. Different adjunctive therapies are utilized to further improve outcomes with a range of 0.2-0.6 mm of CAL improvement (compared ...


Fda Restrictions On Mifepristone: Time For A Change?, Janet Weiner, Courtney A. Schreiber Sep 2020

Fda Restrictions On Mifepristone: Time For A Change?, Janet Weiner, Courtney A. Schreiber

Issue Briefs

Mifepristone, a drug used to manage early miscarriage or end an early pregnancy, carries unique restrictions imposed by the U.S. Food and Drug Administration (FDA). Patients are required to pick up the drug in person from a doctor or a clinic, even though they can take the drug at home. In July, a federal court ruled that the FDA must suspend these restrictions during the COVID-19 pandemic, for patients seeking an early abortion, although the ruling did not apply to women with an early pregnancy loss. But the challenges to FDA restrictions on mifepristone predate the pandemic. This Issue ...


The Rise Of Health Disparities In The United States: An Investigation Into Medicaid Expansionary Policies, Rachel Goldstein Sep 2020

The Rise Of Health Disparities In The United States: An Investigation Into Medicaid Expansionary Policies, Rachel Goldstein

Social Impact Research Experience (SIRE)

Since the passage of the Affordable Care Act, the variations in health spending and health outcomes across states have further diverged. While some states have increased their overall funding of Medicaid, others, like Texas, have not increased Medicaid coverage nor have they kept funding equal to inflation levels. This research paper examines and compares the health outcomes of states with higher uninsured populations and the ability to meet UNESCO defined standards for social responsibility in the health care sector. Based on literature review and a case study of health outcomes for low-income patients and disabled individuals, this paper finds that ...


Chronic Hospital Nurse Understaffing Meets Covid-19, Karen B. Lasater, Linda H. Aiken, Douglas M. Sloane, Rachel French, Brendan Martin, Kyrani Reneau, Maryann Alexander, Matthew D. Mchugh Aug 2020

Chronic Hospital Nurse Understaffing Meets Covid-19, Karen B. Lasater, Linda H. Aiken, Douglas M. Sloane, Rachel French, Brendan Martin, Kyrani Reneau, Maryann Alexander, Matthew D. Mchugh

Research Briefs

A study of hospitals in New York and Illinois at the start of the COVID-19 pandemic found that most did not meet benchmark patient-to-nurse staffing ratios for medical-surgical or intensive care units. New York City hospitals had especially low staffing ratios. Understaffed hospitals were associated with less job satisfaction among nurses, unfavorable grades for patient safety and quality of care, and hesitance by nurses and patients to recommend their hospitals.


The Art Of Flourishing: Integrating Positive Psychology With Art Therapy To Promote Growth From Trauma, Sophia R. Heiser Aug 2020

The Art Of Flourishing: Integrating Positive Psychology With Art Therapy To Promote Growth From Trauma, Sophia R. Heiser

Master of Applied Positive Psychology (MAPP) Capstone Projects

This capstone project analyzes potential opportunities for integration between the fields of positive psychology and art therapy in the treatment of trauma. The experience of trauma is widespread: between 60-89% of people will likely experience at least one traumatic event during their lifetime (Kilpatrick, Resnick, & Acierno, 2009; Mills et al., 2011; Resnick et al., 1993). Extensive research on trauma over the past few decades has been essential to more deeply understand trauma and recovery. Still, traumatized persons deserve the opportunity to not just survive, but flourish. After reviewing valuable historical information on both fields, four related positive psychology constructs of meaning, posttraumatic ...


Leadership After Covid-19 [Spoiler: There Is Something Beyond Recovery And Resilience For Individuals And Organizations], Thomas Payne Aug 2020

Leadership After Covid-19 [Spoiler: There Is Something Beyond Recovery And Resilience For Individuals And Organizations], Thomas Payne

Master of Applied Positive Psychology (MAPP) Capstone Projects

Throughout history, humans have found ways to recycle energy in ways that benefit them and would otherwise be wasted. Examples of this processing include learning to use fire for warmth, light, and cooking or identifying how to redirect the wind to navigate a ship in a preferred direction as opposed to a undetermined random route. Today, leaders can learn how to harvest uncertainty and randomness into tasks that utilize their strengths, as well as those on the team, to fuel optimal business outcomes and well-being for their employees. The author provides two workshop outlines. The first will help leaders correct ...


Poverty Transitions, Health, And Socio-Economic Disparities In India, Veena S. Kulkarni, Vani S. Kulkarni, Raghav Gaiha Jul 2020

Poverty Transitions, Health, And Socio-Economic Disparities In India, Veena S. Kulkarni, Vani S. Kulkarni, Raghav Gaiha

Population Center Working Papers (PSC/PARC)

SDGs offer an inclusive and just vision for 2030, in which the interrelationships between (near) elimination of poverty, health reforms and elimination of socio-economic disparities play an important role. The present study focuses on the associations between poverty transitions over a period, and health indicators such as NCDs, disabilities, socio-economic disparities, state affluence and inequality in income distribution. These health indicators reflect their growing importance in recent years. We have used a Multinomial Probit specification which is an improvement on the methodologies used in earlier research. The analysis is based on panel data from the India Human Development Survey 2015 ...


What Do We Know About Health Insurance Choice?, Megan Mccarthy-Alfano Jun 2020

What Do We Know About Health Insurance Choice?, Megan Mccarthy-Alfano

Issue Briefs

No abstract provided.


Genetic Risks, Adolescent Health And Schooling Attainment, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Hans-Peter Kohler Jun 2020

Genetic Risks, Adolescent Health And Schooling Attainment, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Hans-Peter Kohler

Population Center Working Papers (PSC/PARC)

We provide new evidence on the effect of adolescent health behaviors/outcomes (obesity, depression, smoking, and attention deficit hyperactivity disorder (ADHD)) on schooling attainment using the National Longitudinal Study of Adolescent to Adult Health. We take two different approaches to deal with omitted variable bias and reverse causality. Our first approach attends to the issue of reverse causality by using health polygenic scores (PGSs) as proxies for actual adolescent health. Second, we estimate the effect of adolescent health using sibling fixed-effects models that control for unmeasured genetic and family factors shared by siblings. We use the PGSs as additional controls ...


Payment And Pricing Decisions In Health Care Reform, Aaron Glickman Jun 2020

Payment And Pricing Decisions In Health Care Reform, Aaron Glickman

Issue Briefs

Any effort to reform health insurance in the United States must tackle the prices we pay for health care. There are many complex challenges to addressing prices. Some proposals build on the existing Medicare fee schedule, while others suggest promoting alternative payment mechanisms—or even starting from scratch. The stakes are substantial, as many reform proposals rely on reining in prices to achieve the savings necessary to expand health insurance to the uninsured. At Penn’s LDI Medicare for All and Beyond conference, a panel of researchers, hospital administrators, and policy experts considered issues related to health care payment and ...


Setting Standards For Affordable Health Care, Janet Weiner Jun 2020

Setting Standards For Affordable Health Care, Janet Weiner

Issue Briefs

In the run-up to the presidential election, the affordability of health care remains a top concern of the American voting public. But how do we know when health care is affordable? On a policy level, how do we set a standard for affordability that can be implemented in a reformed system? Sometimes policy debates about affordability focus only on whether insurance premiums are affordable, although consumers tend to be concerned about both premiums and out-of-pocket costs. At Penn LDI’s Medicare for All and Beyond conference, a panel of researchers, policy experts, and consumer advocates discussed and debated affordability ...


Comparison Of Bone- And Tooth-Anchored, Bone-Anchored, And Surgically Assisted Bone-Anchored Rapid Palatal Expansion: A Pilot Retrospective Cbct Study, Douglas Kim Jun 2020

Comparison Of Bone- And Tooth-Anchored, Bone-Anchored, And Surgically Assisted Bone-Anchored Rapid Palatal Expansion: A Pilot Retrospective Cbct Study, Douglas Kim

Dental Theses

Introduction: The purpose of this retrospective pilot study is to evaluate and compare the transverse dental and skeletal changes in three different approaches to miniscrew-assisted rapid palatal expansion (MARPE) including bone- and tooth-anchored (BTAME), bone-anchored (BAME), and surgically assisted bone-anchored maxillary expansion (SRBAME) maxillary expansion. The secondary purpose is to formulate new research questions and develop methods for future MARPE studies.

Materials and Methods: Pre- (T1) and post-expansion (T2) Cone Beam Computed Tomography (CBCT) radiographs from 12 patients treated with BAME (median age = 15.5, 95% CI 14.0-18.1), 7 patients treated with BTAME (median age = 19, 95% CI ...


Where To Next For Optimizing Adherence In Large-Scale Trials Of Cpap?, Amy M. Sawyer, Douglas M. Wallace, Luis F. Buenaver, Alexa J. Watach, Amy Blase, Bruno Saconi, Sanjay R. Patel, Samuel T. Kuna, Naresh M. Punjabi May 2020

Where To Next For Optimizing Adherence In Large-Scale Trials Of Cpap?, Amy M. Sawyer, Douglas M. Wallace, Luis F. Buenaver, Alexa J. Watach, Amy Blase, Bruno Saconi, Sanjay R. Patel, Samuel T. Kuna, Naresh M. Punjabi

School of Nursing Departmental Papers

Large-scale randomized trials of positive airway pressure (PAP) efficacy have been largely negative yet PAP adherence was notably sub-optimal across the trials. To address this limitation, evidence-based PAP adherence protocols embedded within the larger trial protocol are recommended. The complexity of such protocols will be dependent on adequacy of resources, including funding and inclusion of behavioral scientist experts on the scientific team, and trial-specific considerations (e.g., target population) and methods. Recommendations for optimizing PAP adherence in large-scale trials are set forth that address rigor and reproducibility.


Transforming Mental Health Care Through Implementation Of Evidence-Based Practices, Aaron Glickman, Janet Weiner, Rinad Beidas May 2020

Transforming Mental Health Care Through Implementation Of Evidence-Based Practices, Aaron Glickman, Janet Weiner, Rinad Beidas

Issue Briefs

Changing clinical practice is hard, and changing practices within larger organizations is even harder. Increasingly, policymakers are looking to implementation science—the study of why some changes prove more durable than others—to understand the dynamics of successful transformation. In this brief, we summarize the results of an ongoing community-academicpartnership to increase the uptake of evidence-based practices in Philadelphia’s public behavioral health care system. Over five years, researchers found that widescale initiatives did successfully change the way care was delivered, albeit modestly and slowly. The evidence suggests that organizational factors, such as a proficient work culture, are more important ...


The Interplay Of Hypoxia And Autophagy In Epithelial-Derived Ameloblastoma Cell Survival: A Pilot Study, Anwar A A Y Almuzaini May 2020

The Interplay Of Hypoxia And Autophagy In Epithelial-Derived Ameloblastoma Cell Survival: A Pilot Study, Anwar A A Y Almuzaini

Dental Theses

Ameloblastoma is the most clinically-significant benign odontogenic jaw tumor with a locally-aggressive growth pattern and high malignant transformation rate. Epithelial-derived ameloblastoma cells (EPAMCs) demonstrate enhanced basal autophagy but the etiopathogenesis of ameloblastoma and the roles of hypoxia and autophagy in EPAMCs survival and recurrence are still unknown. The goals of this study were to assess expression of ameloblastoma-specific markers and the roles of hypoxia and autophagy on EPAMC survival. Primary and recurrent ameloblastoma tissues from two patients were immunostained with pan-cytokeratin, vimentin and SQSTM1/p62. Additionally, EPAMCs were subjected to severe hypoxia (0.1% O2) to define responsiveness to ...


Formation Of Nanoparticles For The Oral Delivery Of Small Molecules By Flash Nanoprecipitation, Jing Zhi Lo May 2020

Formation Of Nanoparticles For The Oral Delivery Of Small Molecules By Flash Nanoprecipitation, Jing Zhi Lo

Master of Chemical Sciences Capstone Projects

Nanoparticles have shown considerable potential in many biological applications including drug delivery, bio-imaging, and medical diagnostics. Specifically, the development of nanoparticle-based drug formulations holds opportunities to improve the dissolution rate and oral availability of poorly water-soluble drugs. The goal of this project is to improve oral bioavailability of a small molecule drug (“G-1”) through the formation of nanoparticles using the flash nanoprecipitation (FNP) process. Interestingly, “G-1” formed ~80 nm particles that are electrostatically stabilized without the use of stabilizing polymers and concentration as high as 160 mg/mL of “G-1” formed nanoparticles. Additionally, trehalose was found to be an effective ...


Cost-Effectiveness Analysis Of Radical Prostatectomy, External Beam Radiotherapy And External Beam Radiotherapy With Brachytherapy Boost For Very High-Risk Prostate Cancer, Grace Patrice May 2020

Cost-Effectiveness Analysis Of Radical Prostatectomy, External Beam Radiotherapy And External Beam Radiotherapy With Brachytherapy Boost For Very High-Risk Prostate Cancer, Grace Patrice

Wharton Research Scholars

Objective: To evaluate the cost-effectiveness of radical prostatectomy (RP), external beam radiotherapy (EBRT) monotherapy, and EBRT+brachytherapy for men with very high-risk prostate cancer (VHRPC). Methods: Using a decision tree with embedded Markov process models, a cost-utility analysis was performed comparing the three treatment strategies for hypothetical cohorts of men with VHRPC. The base case time horizon was ten years; consistent with the maximum follow-up reported in the literature. The model parameters for distant metastases and mortality were derived from a multi-institutional study utilizing patient-level data. Costs were from a societal standpoint and health state utilities were obtained via standard ...


From Burnout To Wellness: Using Appreciative Inquiry To Shift Midmichigan Health Towards A Strengths-Based Perspective, Kunal Chohan, Karen Fetzer, Sophia R. Heiser, Seth Norman May 2020

From Burnout To Wellness: Using Appreciative Inquiry To Shift Midmichigan Health Towards A Strengths-Based Perspective, Kunal Chohan, Karen Fetzer, Sophia R. Heiser, Seth Norman

Master of Applied Positive Psychology (MAPP) Service Learning Projects

Over half of providers in the healthcare field experience burnout. Burnout syndrome is defined by the prolonged psychological and physiological response to chronic and interpersonal job stressors, and can result in a number of symptoms that negatively affect workplace morale and performance, including physical exhaustion, job dissatisfaction, and feelings of hopelessness. MidMichigan Health (MMH), a division of the University of Michigan Health system that serves nearly 1 million people in Michigan, has created the Provider Wellness and Burnout Council (PWBC) to address issues of burnout within the organization. To build on their initial work, we propose a long-term intervention based ...


The Role Of Lgr5+ Epithelial Stem-Like Cells In 3d-Organoid Modeling And Pathogenesis Of Ameloblastoma, Ting-Han Chang Apr 2020

The Role Of Lgr5+ Epithelial Stem-Like Cells In 3d-Organoid Modeling And Pathogenesis Of Ameloblastoma, Ting-Han Chang

Dental Theses

Ameloblastoma (AM) is a benign yet locally aggressive tumor with high recurrences. Currently, the underlying pathophysiology remains elusive and radical surgery remains the most definitive treatment with severe morbidities. Our group first reported that AM harbors a subpopulation of tumor epithelial stem-like cells (AM-EpiSCs). Herein, this study further explored whether LGR5+ epithelial cells in AM possess unique stem-like cell properties and their potential contribution to the pathogenesis and recurrence of AM. Our findings demonstrated that LGR5 and stem cell-related genes were simultaneously expressed in a subpopulation of AM epithelial cells, both in vivo and in vitro, which were markedly enriched ...


Policy Options For Financing Long-Term Care In The U.S., Janet Weiner, Norma B. Coe, Allison K. Hoffman, Rachel M. Werner Apr 2020

Policy Options For Financing Long-Term Care In The U.S., Janet Weiner, Norma B. Coe, Allison K. Hoffman, Rachel M. Werner

Issue Briefs

Unlike many other developed nations, the U.S. has no system that protects its residents against the high costs of long-term care, which many people will need as they age. Medicaid coverage kicks in only after families have exhausted their resources. Until then, families bear the financial and caregiving burden of LTC themselves. In the absence of a national system, several states have considered or passed programs that offer some support for LTC. Many peer nations have more comprehensive systems to spread the risk for LTC costs across their population, through social insurance or other mechanisms. This Issue Brief reviews ...