Medical care research and review : MCRR最新文献_第3页

The Association Between Scope of Practice Regulations and Nurse Practitioner Prescribing of Buprenorphine After the 2016 Opioid Bill. 2016年阿片类药物法案后，执业范围法规与护士开丁丙诺啡处方之间的关系。

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-04-01 Epub Date: 2021-04-01 DOI: 10.1177/10775587211004311

Thuy Nguyen, Ulrike Muench, Barbara Andraka-Christou, Kosali Simon, W David Bradford, Joanne Spetz

{"title":"The Association Between Scope of Practice Regulations and Nurse Practitioner Prescribing of Buprenorphine After the 2016 Opioid Bill.","authors":"Thuy Nguyen, Ulrike Muench, Barbara Andraka-Christou, Kosali Simon, W David Bradford, Joanne Spetz","doi":"10.1177/10775587211004311","DOIUrl":"https://doi.org/10.1177/10775587211004311","url":null,"abstract":"This article examines the relationship between federal regulations, state scope-of-practice regulations on nurse practitioners (NPs), and buprenorphine prescribing patterns using pharmacy claims data from Optum's deidentified Clinformatics Data Mart between January 2015 and September 2018. The county-level proportion of patients filling prescriptions written by NPs was low even after the 2016 Comprehensive Addiction and Recovery Act (CARA), 2.7% in states that did not require physician oversight of NPs, and 1.1% in states that did. While analyses in rural counties showed higher rates of buprenorphine prescriptions written by NPs, rates were still considerably low: 3.7% in states with less restrictive regulations and 1.1% in other states. These results indicate that less restrictive scope-of-practice regulations are associated with greater NP prescribing following CARA. The small magnitude of the changes indicates that federal attempts to expand treatment access through CARA have been limited.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"290-298"},"PeriodicalIF":2.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10775587211004311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25537654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Labor Market Concentration and Worker Contributions to Health Insurance Premiums. 劳动力市场集中度与工人对健康保险费的贡献。

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-04-01 Epub Date: 2021-05-06 DOI: 10.1177/10775587211012992

Mark K Meiselbach, Matthew D Eisenberg, Ge Bai, Aditi Sen, Gerard F Anderson

{"title":"Labor Market Concentration and Worker Contributions to Health Insurance Premiums.","authors":"Mark K Meiselbach, Matthew D Eisenberg, Ge Bai, Aditi Sen, Gerard F Anderson","doi":"10.1177/10775587211012992","DOIUrl":"https://doi.org/10.1177/10775587211012992","url":null,"abstract":"In concentrated labor markets, where workers have fewer employers to choose from, employers may exploit their monopsony power by contributing less to workers' health benefits. This study examined if labor market concentration was associated with higher worker contributions to health plan premiums. We combined publicly available data from the Census to calculate labor market concentration and the Medical Expenditure Panel Survey Insurance/Employer Component to determine premium contributions from 2010 to 2016 for metropolitan areas. After controlling for year fixed-effects and market characteristics, we found that higher labor market concentration was associated with higher worker contributions to health plan premiums, lower take-home income, and no change in employer contributions to premiums, consistent with the hypothesis that greater labor market concentration is associated with less generous health benefits. When evaluating the effects of mergers and acquisitions on labor markets, regulatory agencies should critically assess worker contributions to health insurance premiums.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"198-206"},"PeriodicalIF":2.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10775587211012992","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38966615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Health Care and Community-Based Organization Partnerships to Address Social Needs: Medicare Advantage Plan Representatives' Perspectives. 医疗保健和以社区为基础的组织伙伴关系解决社会需求:医疗保险优势计划代表的观点。

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-04-01 Epub Date: 2021-04-21 DOI: 10.1177/10775587211009723

Shayla N M Durfey, Emily A Gadbois, David J Meyers, Joan F Brazier, Terrie Wetle, Kali S Thomas

{"title":"Health Care and Community-Based Organization Partnerships to Address Social Needs: Medicare Advantage Plan Representatives' Perspectives.","authors":"Shayla N M Durfey, Emily A Gadbois, David J Meyers, Joan F Brazier, Terrie Wetle, Kali S Thomas","doi":"10.1177/10775587211009723","DOIUrl":"https://doi.org/10.1177/10775587211009723","url":null,"abstract":"Payers and providers are increasingly being held accountable for the overall health of their populations and may choose to partner with community-based organizations (CBOs) to address members' social needs. This study examines the opportunities and challenges that health care entities, using Medicare Advantage (MA) plans as an example, encounter when forming these relationships. We conducted interviews with 38 representatives of 17 MA organizations, representing 65% of MA members nationally. Transcripts were qualitatively analyzed to understand overarching themes. Participants described qualities they look for in community partners, including an alignment of organizational missions and evidence of improved outcomes. Participants also described challenges in working with CBOs, including needing an evidence base for CBOs' services and an absence of organizational infrastructure. Results demonstrate areas where CBOs may target their efforts to appeal to payers and providers and reveal a need for health care entities to assist CBOs in acquiring skills necessary for partnerships.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"244-254"},"PeriodicalIF":2.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10775587211009723","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38827693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Health Care Expenditures and Financial Burden: A Comparison of Adults in Same-Sex Couples and Different-Sex Couples. 成人同性伴侣与异性伴侣的医疗保健支出与经济负担比较

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-04-01 Epub Date: 2021-03-30 DOI: 10.1177/10775587211004308

Kyle A Gavulic, Gilbert Gonzales

{"title":"Health Care Expenditures and Financial Burden: A Comparison of Adults in Same-Sex Couples and Different-Sex Couples.","authors":"Kyle A Gavulic, Gilbert Gonzales","doi":"10.1177/10775587211004308","DOIUrl":"https://doi.org/10.1177/10775587211004308","url":null,"abstract":"We used data from the 2014-2017 Medical Expenditure Panel Survey to compare health care expenditures and financial burden between adults in same-sex couples (n = 514) and adults in different-sex couples (n = 41,043). Compared with men in different-sex couples ($3,994), men in same-sex couples ($6,896) were more likely to spend more on health care, especially on prescription medications ($2,745 vs. $1,050), which was primarily driven by antiviral medications ($1,061 vs. $35). Women in same-sex couples ($5,886) reported similar health care expenditures compared with women in different-sex couples ($5,619). However, women in same-sex couples were significantly more likely to experience financial burden compared with women in different-sex couples (25.7% vs. 11.3%). We speculate that the disparities reported here are due to a variety of issues, including elevated health needs requiring prescriptions for lesbian, gay, bisexual, and transgender (LGBT) men and lower incomes for LGBT women. More research is needed to understand health services utilization and expenditure patterns among LGBT populations.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"281-289"},"PeriodicalIF":2.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10775587211004308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25541032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Utilization Impact of Cost-Sharing Elimination for Preventive Care Services: A Rapid Review. 取消费用分担对预防保健服务的利用影响:快速回顾。

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-04-01 Epub Date: 2021-06-22 DOI: 10.1177/10775587211027372

Hope C Norris, Haley M Richardson, Marie-Anais C Benoit, Beth Shrosbree, Judith E Smith, A Mark Fendrick

{"title":"Utilization Impact of Cost-Sharing Elimination for Preventive Care Services: A Rapid Review.","authors":"Hope C Norris, Haley M Richardson, Marie-Anais C Benoit, Beth Shrosbree, Judith E Smith, A Mark Fendrick","doi":"10.1177/10775587211027372","DOIUrl":"https://doi.org/10.1177/10775587211027372","url":null,"abstract":"Consumer cost-sharing has been shown to diminish utilization of preventive services. Recent efforts, including provisions within the Affordable Care Act, have sought to increase use of preventive care through elimination of cost-sharing for clinically indicated services. We conducted a rapid review of the literature to determine the impact of cost-share elimination on utilization of preventive services. Searches were conducted in PubMed, Scopus, and CINAHL Complete databases as well as in grey literature. A total of 35 articles were included in qualitative synthesis and findings were summarized for three clinical service categories: cancer screenings, contraceptives, and additional services. Impacts of cost-sharing elimination varied depending on clinical service, with a majority of findings showing increases in use. Studies that included socioeconomic status reported that those who were financially vulnerable incurred substantial increases in utilization. Future investigations on additional clinical services are warranted as is research to better elucidate populations who most benefit from cost-sharing elimination.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"175-197"},"PeriodicalIF":2.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10775587211027372","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39097375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Motivational Mechanisms Underlying Physicians' Occupational Health: A Self-Determination Theory Perspective. 医师职业健康的动机机制:自我决定理论视角。

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-04-01 Epub Date: 2021-04-28 DOI: 10.1177/10775587211007748

Arlen C Moller, Anja H Olafsen, Andrew J Jager, Audiey C Kao, Geoffrey C Williams

{"title":"Motivational Mechanisms Underlying Physicians' Occupational Health: A Self-Determination Theory Perspective.","authors":"Arlen C Moller, Anja H Olafsen, Andrew J Jager, Audiey C Kao, Geoffrey C Williams","doi":"10.1177/10775587211007748","DOIUrl":"https://doi.org/10.1177/10775587211007748","url":null,"abstract":"Numerous studies have documented deteriorating occupational health among practicing physicians. This trend poses a serious risk not only for physicians but also for the many patients under their care. Past research finds that one protective factor involves the quality of physicians' motivation. When physicians are more autonomously motivated, they tend to experience better occupational health. However, few studies have identified antecedent factors that support physicians' autonomous work motivation. To identify and model potential root causes of physicians' autonomous work motivation and occupational health, the current study assessed physicians' intrinsic aspirations and need satisfaction at work. Hypotheses were tested in a sample of 2,116 U.S. practicing physicians. Structural equation modeling showed that physicians who endorsed intrinsic aspirations more strongly reported better occupational health, and that this association was mediated by physicians' need satisfaction and autonomous work motivation. Implications for designing more effective individual- and system-level interventions to improve physician occupational health are discussed.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"255-266"},"PeriodicalIF":2.5,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10775587211007748","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38914084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

The Affordable Care Act Young Adult Mandate and Suicidal Behavior. 《平价医疗法案》年轻人授权和自杀行为。

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-02-01 Epub Date: 2020-11-19 DOI: 10.1177/1077558720974144

Lauren Marie O'Reilly, Blake A Froberg, Cong Thanh Gian, Brian Matthew D'Onofrio, Kosali I Simon

{"title":"The Affordable Care Act Young Adult Mandate and Suicidal Behavior.","authors":"Lauren Marie O'Reilly, Blake A Froberg, Cong Thanh Gian, Brian Matthew D'Onofrio, Kosali I Simon","doi":"10.1177/1077558720974144","DOIUrl":"https://doi.org/10.1177/1077558720974144","url":null,"abstract":"This article aimed to determine the association between the Affordable Care Act young adult mandate and suicidal behavior. From 2007 to 2013, we used the Nationwide/National Inpatient Sample and National Poison Data System to examine suicide attempt, and Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research to examine suicide. We aggregated each outcome by quarter/year and conducted a difference-in-differences linear regression to compare young adults aged 19 to 25 years with those 27 to 29 years before and after implementation. There were not statistically significant associations between the mandate and suicide attempt inpatient hospitalizations (unstandardized beta coefficient [b] = -0.72, p = .12, standard error [SE] = 0.42) and percentage of poisoning cases due to suspected suicidal intent (b = 0.23, p = .19, SE = 0.16). There was a statistically significant association when examining suicide prevalence (b = -0.03, p = .01, SE = 0.001). The results suggest that health insurance may buffer against but is unlikely to reverse the increasing suicide rate.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"17-27"},"PeriodicalIF":2.5,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1077558720974144","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38621528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Eligibility for and Enrollment in Medicaid Among Nonelderly Adults After Implementation of the Affordable Care Act. 《平价医疗法案》实施后，非老年人获得医疗补助的资格和登记情况。

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-02-01 Epub Date: 2021-03-03 DOI: 10.1177/1077558721996851

Sandra L Decker, Salam Abdus, Brandy J Lipton

{"title":"Eligibility for and Enrollment in Medicaid Among Nonelderly Adults After Implementation of the Affordable Care Act.","authors":"Sandra L Decker, Salam Abdus, Brandy J Lipton","doi":"10.1177/1077558721996851","DOIUrl":"https://doi.org/10.1177/1077558721996851","url":null,"abstract":"The Affordable Care Act's (ACA) Medicaid expansion resulted in substantial gains in coverage. However, little research has documented eligibility or participation rates among eligible adults in the post-ACA period in part because of the complexities involved in assigning eligibility status. We used simulation modeling to examine Medicaid eligibility and participation during 2014 to 2017. More than one in five adults were Medicaid eligible in expansion states in the post-ACA period. In contrast, about one in 30 adults were Medicaid eligible in nonexpansion states. While eligibility rates differed substantially by expansion status, participation rates among Medicaid-eligible adults were similar in both sets of states (44% to 46%). These estimates indicate that differences in eligibility rather than in participation rates explained differences in enrollment between expansion and nonexpansion states during the study period. Participation in Medicaid is expected to grow during the coronavirus pandemic. Our study provides baseline estimates for future analyses of enrollment trends.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"125-132"},"PeriodicalIF":2.5,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1077558721996851","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25432301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Mixed Methods Evaluation of Reasons Why Care Deviates From Clinical Guidelines Among Patients With Multimorbidity. 多病患者护理偏离临床指南原因的混合方法评价。

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-02-01 Epub Date: 2020-12-02 DOI: 10.1177/1077558720975543

Chandra J Cohen-Stavi, Calanit Key, Tchiya Molcho, Mili Yacobi, Ran D Balicer, Efrat Shadmi

{"title":"Mixed Methods Evaluation of Reasons Why Care Deviates From Clinical Guidelines Among Patients With Multimorbidity.","authors":"Chandra J Cohen-Stavi, Calanit Key, Tchiya Molcho, Mili Yacobi, Ran D Balicer, Efrat Shadmi","doi":"10.1177/1077558720975543","DOIUrl":"https://doi.org/10.1177/1077558720975543","url":null,"abstract":"Reasons why care does not conform to single-disease guideline recommendations for multimorbid patients have not been systematically measured in practice. Using a mixed methods approach, we identified and quantified types of reasons why care deviates from nine sets of disease guideline recommendations for multimorbid patients. Utilizing a focus group concept mapping technique, we built on a categorization of reasons explaining guideline deviation, and surveyed treating nurses about these reasons for patients' specific care processes. Directed content analysis was conducted to classify the responses into reasons categories. Of 4,386 guideline-recommended care processes evaluated, 920 were not guideline-concordant (944 reasons). Three broad categories of reasons and 18 specific reasons were identified: Biomedical-related occurred 35.2% of the time, patient personal-related (30.4%), context-related (18.4%), and unknown (16.0%). Patient- and context-related factors are prevalent drivers for guideline deviation in multimorbidity, demonstrating that patient-centered aspects are as much a part of care decisions as biomedical aspects.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"102-113"},"PeriodicalIF":2.5,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1077558720975543","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38667459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Documenting Horizontal Integration Among Urologists Who Treat Prostate Cancer. 记录泌尿科医生治疗前列腺癌的横向整合。

IF 2.5

Medical care research and review : MCRR Pub Date : 2022-02-01 Epub Date: 2020-12-17 DOI: 10.1177/1077558720980552

Jean M Mitchell, Carole Roan Gresenz

{"title":"Documenting Horizontal Integration Among Urologists Who Treat Prostate Cancer.","authors":"Jean M Mitchell, Carole Roan Gresenz","doi":"10.1177/1077558720980552","DOIUrl":"https://doi.org/10.1177/1077558720980552","url":null,"abstract":"Relatively little is known about the extent and effects of horizontal mergers among physician specialists. We developed and implemented a methodology to document changes in physician practice structure resulting from horizontal integration among urology groups. We merged cancer registry records from four large states with Medicare Part B claims to identify all urologists who treated men with prostate cancer. We added information from SK & A surveys and extensive internet searches to assign a practice structure to each urologist-year (2005-2014). Horizontal integration among small urology groups led to a sharp increase in the proportion of urologists who belong to large urology practices with ownership in intensity modulated radiation therapy and/or anatomical pathology services. By 2014, more than half of New Jersey urologists and about 43% of urologists in Florida and Texas were members of such large practices, whereas small percentages (7%-16%) were employed by a health system. In contrast, more than 27% of California urologists were employed but only 17.5% had ownership in intensity modulated radiation therapy and/or pathology services. Importantly, we found our indicators of market share of urologists associated with each practice structure type were highly concordant with indicators of market share based on number of prostate cancer episodes treated by each practice structure type.","PeriodicalId":169610,"journal":{"name":"Medical care research and review : MCRR","volume":" ","pages":"141-150"},"PeriodicalIF":2.5,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1077558720980552","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38383157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2