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4316 full-text articles. Page 5 of 174.

Determination Of Massachusetts’ Respite Policies And The Potential Impact Of Unpaid Family Care Giver Support On Home And Community Based Services, Leanne Winchester, Kate Russell, Kelly Love 2017 University of Massachusetts Medical School

Determination Of Massachusetts’ Respite Policies And The Potential Impact Of Unpaid Family Care Giver Support On Home And Community Based Services, Leanne Winchester, Kate Russell, Kelly Love

Commonwealth Medicine Publications

Direct care workforce shortages, increasing health care costs, and limited access to services force many families to make life-changing decisions to care for family members with long term disabilities or who are chronically ill at home. For this project, the authors conducted an environmental scan of current policies and programs for state and federally funded respite services across Massachusetts’ state agencies.

The results of this project demonstrate the variability in Massachusetts’ state policies and program practices in four primary areas:

  • The types of respite services offered by state agencies

  • The agencies definition of respite services

  • Variability in the ability of ...


The Effects Of Insurance Status On Pediatric Traumatic Brain Injury Outcomes: A Literature Review, Anthony Fabio, Austin Murray, Michelle Mellers, Stephen Wisniewski, Michael Bell 2017 University of Pittsburgh

The Effects Of Insurance Status On Pediatric Traumatic Brain Injury Outcomes: A Literature Review, Anthony Fabio, Austin Murray, Michelle Mellers, Stephen Wisniewski, Michael Bell

Journal of Health Disparities Research and Practice

Objective: To review the literature that describes the effects of insurance status on traumatic brain injury (TBI) outcomes among pediatric patients to understand how policies related to access to health insurance changes TBI outcomes. Method: This review was conducted using the Preferred Reporting Items of Systematic Reviews and Meta-Analysis (PRISMA). A search of OVID Medline was conducted in May of 2016 for all years for peer-reviewed articles that included keywords related to “brain injuries” and “insurance status”. Articles were included if authors conducted a separate analysis of children aged 0 to 18. Articles were excluded if the TBI was the ...


Providing Pediatric Asthma Home Visits By Community Workers -- Lessons Learned, David McCarthy 2017 University of Massachusetts Medical School

Providing Pediatric Asthma Home Visits By Community Workers -- Lessons Learned, David Mccarthy

Center for Health Policy and Research (CHPR) Publications

Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, personnel evaluation, technology, and many other forms of evaluation. Evaluation involves assessing the strengths and weaknesses of programs, policies, personnel, products, and organizations to improve their effectiveness.


Do Elections Matter For Private Sector Healthcare Management In Brazil.Pdf, Alecia McGregor, Carlos Eduardo Siqueira, Alan M. Zaslavsky, Robert J. Blendon 2017 Tufts University

Do Elections Matter For Private Sector Healthcare Management In Brazil.Pdf, Alecia Mcgregor, Carlos Eduardo Siqueira, Alan M. Zaslavsky, Robert J. Blendon

C. Eduardo Siqueira

Background: This study analyzed several political determinants of increased private-sector management in Brazilian
health care. In Brazil, the poor depend almost exclusively on the public Unified Health System (the SUS), which
remains severely underfunded. Given the overhead costs associated with privately contracted health services,
increased private management is one driver of higher expenditures in the system. Although left parties campaign
most vocally in support of greater public control of the SUS, the extent to which their stated positions translate
into health care policy remains untested.
Methods: Drawing on multiple publicly available data sources, we used linear regression to analyze how ...


Words Do Matter: A Systematic Review On How Different Terminology For The Same Condition Influences Management Preferences, Brooke Nickel, Alexandra Barratt, Tessa Copp, Ray Moynihan, Kirsten McCaffery 2017 University of Sydney

Words Do Matter: A Systematic Review On How Different Terminology For The Same Condition Influences Management Preferences, Brooke Nickel, Alexandra Barratt, Tessa Copp, Ray Moynihan, Kirsten Mccaffery

Faculty of Health Sciences & Medicine Publications

OBJECTIVES:

Changing terminology for low-risk, screen-detected conditions has now been recommended by several expert groups in order to prevent overdiagnosis and reduce the associated harms of overtreatment. However, the effect of terminology on patients' preferences for management is not well understood. This review aims to synthesise existing studies on terminology and its impact on management decision making.

DESIGN:

Systematic review.

METHODS:

Studies were included that compared two or more terminologies to describe the same condition and measured the effect on treatment or management preferences and/or choices. Studies were identified via database searches from inception to April 2017, and from ...


Income, Life Expectancy & The Strength Of Public Health Activities In American Communities, Glen P. Mays 2017 University of Kentucky

Income, Life Expectancy & The Strength Of Public Health Activities In American Communities, Glen P. Mays

Glen Mays

Objectives: Landmark research by Raj Chetty and colleagues finds wide geographic and intertemporal variation in the relationship between income and life expectancy in the U.S., using 1.4 billion administrative tax records from the IRS linked to nearly 7 million federal death records. Many questions remain about the underlying causes of these findings and their implications for policy.  This study links Chetty’s income and life expectancy data with the 1998-2014 National Longitudinal Survey of Public Health Systems to examine whether the existence and strength of multi-sector public health activities influence income-related disparities in life expectancy over time. 
 
Study ...


State Differences In The Application Of Medical Frailty Under The Affordable Care Act: 2017 Update, Peter Mosbach, Sherry J. Campanelli 2017 University of Massachusetts Medical School

State Differences In The Application Of Medical Frailty Under The Affordable Care Act: 2017 Update, Peter Mosbach, Sherry J. Campanelli

Commonwealth Medicine Publications

This poster details the effects of Medicaid coverage expansion since the Affordable Care Act began the inclusion of childless adults below the poverty level. This change has created a divide in how different states handle Medicaid coverage and this study examines how states undergoing Medicaid expansion differ in their treatment of individuals who may need the extra benefits offered by traditional Medicaid.

Researchers studied 14 different states and found substantial differences in how each state assessed eligibility for Medicaid coverage. In states like Massachusetts, individuals who were applying for disability-based Medicaid could self-declare that they had special medical needs, while ...


Do We Want To Know About Patients’ Perceptions Of Care? Insights From Implementation Science, Kathleen Mazor 2017 University of Massachusetts Medical School

Do We Want To Know About Patients’ Perceptions Of Care? Insights From Implementation Science, Kathleen Mazor

Kathleen M. Mazor

The presentation will introduce the “We Want to Know” program, the goal of which is to make it easy for patients and family members who have concerns about care to express their concern and get a response. It will also describe how the program is being adopted and implemented across 10 hospitals in the Washington DC/Baltimore area, and will draw on key implementation science concepts to highlight the challenges in translating the program into practice. This presentation is part of the mini-symposium entitled "Building Bridges to "Cross the Quality Chasm": The Challenges of Engaging Clinicians in Patient-Centered Care."


Unmet Needs And Service Utilization By Informal Caregivers, Ryan Marie Diduk-Smith 2017 Old Dominion University

Unmet Needs And Service Utilization By Informal Caregivers, Ryan Marie Diduk-Smith

Health Services Research Dissertations

The number of Americans expected to live into their 80’s and 90’s is growing at an increased rate in the United States, and the numbers of those aging adults with multiple chronic conditions also continues to grow. It is estimated that by 2050, there will be 89 million adults over the age of 65 years living in the United States. For a variety of reasons, including policy, personal, and financial reasons, many aging adults are choosing to “age in place” or to remain in the community. With the increase in the numbers of aging adults in the community ...


Relation Between Narrow Networks And Providers Of Cancer Care, Laura Yasaitis, Justin E. Bekelman, Daniel Polsky 2017 University of Pennsylvania

Relation Between Narrow Networks And Providers Of Cancer Care, Laura Yasaitis, Justin E. Bekelman, Daniel Polsky

Research Briefs

No abstract provided.


A Cross-Sectional Analysis Of Pharmaceutical Industry-Funded Events For Health Professionals In Australia, Alice Fabbri, Quinn Grundy, Barbara Mintzes, Swestika Swandari, Ray Moynihan, Emily Walkom, Lisa A Bero 2017 University of Sydney

A Cross-Sectional Analysis Of Pharmaceutical Industry-Funded Events For Health Professionals In Australia, Alice Fabbri, Quinn Grundy, Barbara Mintzes, Swestika Swandari, Ray Moynihan, Emily Walkom, Lisa A Bero

Faculty of Health Sciences & Medicine Publications

OBJECTIVES:

To analyse patterns and characteristics of pharmaceutical industry sponsorship of events for Australian health professionals and to understand the implications of recent changes in transparency provisions that no longer require reporting of payments for food and beverages.

DESIGN:

Cross-sectional analysis.

PARTICIPANTS AND SETTING:

301 publicly available company transparency reports downloaded from the website of Medicines Australia, the pharmaceutical industry trade association, covering the period from October 2011 to September 2015.

RESULTS:

Forty-two companies sponsored 116 845 events for health professionals, on average 608 per week with 30 attendees per event. Events typically included a broad range of health professionals ...


Public Health System Capital And Its Health & Economic Returns, Glen P. Mays 2017 University of Kentucky

Public Health System Capital And Its Health & Economic Returns, Glen P. Mays

Glen Mays

This session summarizes emerging research on the health and economic value of multi-sector networks that support public health improvement strategies.


Bias In The Eyes Of Resident Physicians, Abel H. Irena, Kern A. Reid, Richard Battiola, Anthony Cáceres 2017 Department of Internal Medicine, Aurora Health Care

Bias In The Eyes Of Resident Physicians, Abel H. Irena, Kern A. Reid, Richard Battiola, Anthony Cáceres

Aurora Internal Medicine Faculty

Background: The utilization of patient characteristics can allow health care providers to arrive at diagnosis or decide on treatment options; however, the subjective nature of patient characterization can negatively affect patient care. A 2003 Institute of Medicine report, called Unequal Treatment, recognized that bias or stereotyping may affect provider-patient communication or the care offered. Purpose: To investigate residents’ recognition of bias in an inpatient care setting. Methods: In order to explore the topic of bias among providers, we elected to indirectly assess its recognition among providers by asking their opinion in an anonymous manner about their fellow residents. This, we ...


Multi-Sector Population Health Activities Reduce Income-Related Disparities In Life Expectancy, Glen P. Mays 2017 University of Kentucky

Multi-Sector Population Health Activities Reduce Income-Related Disparities In Life Expectancy, Glen P. Mays

Glen Mays

Research Objective: Landmark research by Raj Chetty and colleagues finds wide geographic and intertemporal variation in the relationship between income and life expectancy in the U.S., using 1.4 billion administrative tax records from the IRS linked to nearly 7 million federal death records. Many questions remain about the underlying causes of these findings and their implications for policy.  This study links Chetty’s income and life expectancy data with the 1998-2014 National Longitudinal Survey of Public Health Systems to examine whether the existence and strength of multi-sector population health improvement activities influence income-related disparities in life expectancy over ...


Geographic Variation In Public Health Preparedness: The Influence Of Federal Financing And Coverage Expansions, Glen P. Mays 2017 University of Kentucky

Geographic Variation In Public Health Preparedness: The Influence Of Federal Financing And Coverage Expansions, Glen P. Mays

Glen Mays

OBJECTIVES: Preparedness for large-scale health emergencies, outbreaks and disasters is not distributed evenly across the U.S., as recent threats like the Zika pandemic and Fint water crisis underscore.  Inequities in public health preparedness are poorly understood as are their causes and their contributions to population health.  This study uses multiple years of data from the National Health Security Preparedness Index to examine geographic and longitudinal variation in preparedness capabilities across U.S. states. Specifically, we estimate how federal financing mechanisms and Affordable Care Act-related health insurance coverage expansions influence state preparedness levels.   

METHODS: Initiated by the U.S. Centers ...


Shared Decision Making In Australia In 2017, Lyndal Trevena, Heather L. Shepherd, Carissa Bonner, Jesse Jansen, Anne E. Cust, Julie Leask, Narelle Shadbolt, Chris del Mar, Kirsten McCaffery, Tammy C. Hoffmann 2017 University of Sydney

Shared Decision Making In Australia In 2017, Lyndal Trevena, Heather L. Shepherd, Carissa Bonner, Jesse Jansen, Anne E. Cust, Julie Leask, Narelle Shadbolt, Chris Del Mar, Kirsten Mccaffery, Tammy C. Hoffmann

Tammy Hoffmann

Shared Decision Making (SDM) is now firmly established within national clinical standards for accrediting hospitals, day procedure services, public dental services and medical education in Australia, with plans to align general practice, aged care and disability service. Implementation of these standards and training of health professionals is a key challenge for the Australian health sector at this time. Consumer involvement in health research, policy and clinical service governance has also increased, with a major focus on encouraging patients to ask questions during their clinical care. Tools to support shared decision making are increasingly used but there is a need for ...


Retention In Health: Improving Hiv Retention Within The Sf Community Health Network, Miguel A. Ibarra 2017 University of San Francisco

Retention In Health: Improving Hiv Retention Within The Sf Community Health Network, Miguel A. Ibarra

Master's Projects and Capstones

Previous work on HIV retention improvement has focused on improving access to care for communities who are either at-risk of falling out of care or who have difficulty engaging in medical care for the first time due to socio-cultural barriers. The San Francisco Department of Public Health (SFDPH), with the support of Project PRIDE, a CDC three-year demonstration project geared towards supporting health departments in implementing public health strategies to reduce new HIV infections within the men who have sex with men (MSM) and transgender communities, is seeking to improve HIV patient retention throughout the San Francisco Community Health Network ...


Assuring Quality Of Limited English Proficiency (Lep) Services, Sherry J. Campanelli, Laura Newhall 2017 University of Massachusetts Medical School

Assuring Quality Of Limited English Proficiency (Lep) Services, Sherry J. Campanelli, Laura Newhall

Commonwealth Medicine Publications

Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, personnel evaluation, technology, and many other forms of evaluation. Evaluation involves assessing the strengths and weaknesses of programs, policies, personnel, products, and organizations to improve their effectiveness.


Prevalence And Predictors Of Herbal Medicine Use Among Adults In The United States, Mohamed Rashrash, Jon C. Schommer, Lawrence M. Brown 2017 Chapman University

Prevalence And Predictors Of Herbal Medicine Use Among Adults In The United States, Mohamed Rashrash, Jon C. Schommer, Lawrence M. Brown

Pharmacy Faculty Articles and Research

Objective: To describe the prevalence of herbal medicine use among US adults and to assess factors associated with and predictors of herbal use. Design: The data for herbal products use were collected from the 2015 National Consumer Survey on the Medication Experience and Pharmacists’ Roles. Chi-square test was used to analyz factors associated with herbal use, and predictors of herbal use were assessed with logistic regression analysis. Results: Factors associated with herbal supplement use include age older than 70, having a higher than high school education, using prescription medications or over-thecounter (OTC) medications, and using a mail-order pharmacy.” All Disease ...


Health Plan Member Outreach And Engagement: Best Practices, Jeff A. Auger 2017 University of Massachusetts Medical School

Health Plan Member Outreach And Engagement: Best Practices, Jeff A. Auger

Commonwealth Medicine Publications

Health plans can no longer ignore what happens after their members walk out of the doctor’s office. Too often members fail to follow through on the advice given by their primary physicians, leaving prescriptions unfilled or putting off badly needed diet and lifestyle changes. This can lead to costlier health problems and medical procedures down the line.

As a result, health plans are ramping up efforts to connect with their members, with the growth of member outreach and engagement filling a significant gap in today’s health care system. Read this white paper to learn best practices that boost ...


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