Medical Care最新文献

Trends in the U.S. Health Care Workforce: A Decade of Staffing and Compensation Practices Across Care Settings. 趋势在美国卫生保健人力：十年的人员配备和补偿实践在整个护理设置。

IF 2.8 2区医学

Medical Care Pub Date : 2025-09-01 Epub Date: 2025-06-25 DOI: 10.1097/MLR.0000000000002179

Nina Rodriguez, Logan D Cho, Stavros G Memtsoudis, Jashvant Poeran

{"title":"Trends in the U.S. Health Care Workforce: A Decade of Staffing and Compensation Practices Across Care Settings.","authors":"Nina Rodriguez, Logan D Cho, Stavros G Memtsoudis, Jashvant Poeran","doi":"10.1097/MLR.0000000000002179","DOIUrl":"https://doi.org/10.1097/MLR.0000000000002179","url":null,"abstract":"Background: Nurses are integral to patient care in US hospitals, yet high burnout rates exacerbated by staffing shortages and the COVID-19 pandemic pose challenges in retaining nursing staff. Understanding staffing dynamics and trends in the care team composition is vital to improve care and address the well-being of the health care workforce.Objective: To examine trends in employment and compensation among registered nurses (RNs), physicians, nurse practitioners (NPs), physician assistants (PAs), medical assistants (MAs), licensed practical and vocational nurses (LPN/LVNs), and administrative staff from 2012 to 2022.Methods: Data from the Occupational Employment and Wage Statistics (OEWS) was utilized to analyze employment and wage trends in hospitals and physician offices. The annual RN-to-physician, NP-to-physician, and PA-to-physician ratios and change in employment and compensation over time were calculated.Results: Although hospital RN employment increased by 12%, this was outpaced by physician (40%), NP (105%), PA (38%), and MA (44%) employment growth. The hospital RN-to-physician ratio declined by 21%, whereas the NP-to-physician and PA-to-physician ratios increased by 46% and 28%, respectively. In offices, the NP-to-physician ratio increased by 107%, whereas the RN-to-physician ratio remained stable. Wage growth for all clinical hospital staff increased around 30%, while physicians saw wage growth of 43%.Discussion: The declining RN-to-physician ratio in hospitals signals a shift in the care team composition. While APP employment has drastically risen, RN growth has lagged significantly behind. Urgent action is needed to optimize staffing strategies to safeguard patient care.","PeriodicalId":18364,"journal":{"name":"Medical Care","volume":"63 9","pages":"666-671"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceived Health Misinformation on Social Media and Public Trust in Health Care. 社交媒体上的感知健康错误信息与公众对医疗保健的信任。

IF 2.8 2区医学

Medical Care Pub Date : 2025-09-01 Epub Date: 2025-06-27 DOI: 10.1097/MLR.0000000000002180

Jim P Stimpson, Sungchul Park, Emily H Adhikari, David B Nelson, Alexander N Ortega

{"title":"Perceived Health Misinformation on Social Media and Public Trust in Health Care.","authors":"Jim P Stimpson, Sungchul Park, Emily H Adhikari, David B Nelson, Alexander N Ortega","doi":"10.1097/MLR.0000000000002180","DOIUrl":"10.1097/MLR.0000000000002180","url":null,"abstract":"Objectives: Investigate the association between perceptions of health misinformation on social media and trust in the health care system among US adults, and to assess whether this association varies by frequency of health care visits, perceived health care quality and experiences of medical care discrimination.Methods: Cross-sectional survey study using data from the 2022 Health Information National Trends Survey 6 (HINTS 6). Analysis was conducted on data collected from March to November 2022. Participants included 3805 adults who reported using social media and had at least one health care visit in the past year. Survey-weighted, multivariable logistic regression models were used to assess associations.Results: Among those who reported high trust in the health care system, 65.1% perceived less than substantial health misinformation on social media, whereas 34.9% perceived substantial misinformation. In multivariable models, participants who perceived substantial health misinformation on social media had higher odds of reporting low trust in the health care system (OR: 1.66; 95% CI: 1.11-2.48). This association between misinformation and trust varied by perceived health care quality and experiences of discrimination. Among those perceiving less than substantial misinformation, the probability of low trust was 11% (95% CI: 9-13) for individuals without medical care discrimination and 33% (95% CI: 20-45) for those reporting discrimination. The interactions between misinformation and health care visit frequency and quality were not statistically significant.Conclusions: Perceptions of substantial social media health misinformation were associated with lower trust in the US health care system, particularly among individuals reporting experiences of medical care discrimination.","PeriodicalId":18364,"journal":{"name":"Medical Care","volume":"63 9","pages":"686-693"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Impact of Integrated Home-Based Primary Care on Continuity and Outcomes of Care Among the Community Homebound Older Adults in Taiwan. 综合居家初级照护对台湾社区居家长者照护的延续性及结局之影响。

IF 2.8 2区医学

Medical Care Pub Date : 2025-09-01 Epub Date: 2025-06-26 DOI: 10.1097/MLR.0000000000002183

Meng-Tse Li, Yu-Chi Tung, Kuan-Liang Kuo

{"title":"The Impact of Integrated Home-Based Primary Care on Continuity and Outcomes of Care Among the Community Homebound Older Adults in Taiwan.","authors":"Meng-Tse Li, Yu-Chi Tung, Kuan-Liang Kuo","doi":"10.1097/MLR.0000000000002183","DOIUrl":"https://doi.org/10.1097/MLR.0000000000002183","url":null,"abstract":"Objectives: The homebound older adults are often at risk of poor care outcomes due to disability and limited access to health care. Home health care services have been developed to improve various outcomes of care. Since the initiation of the integrated home-based primary care (iHBPC) program in Taiwan, this study aimed to evaluate the effect of the iHBPC program on continuity and outcomes of care among the homebound older adults.Methods: Electronic medical records of all homebound older adults receiving home health care services from March 1, 2016 to April 30, 2022, in a hospital system in Taiwan were analyzed. Continuity and outcomes of care 12 months before and after participation in the iHBPC program were observed and compared with the control group by the propensity score matching method. Multivariate generalized estimating equation regression with the difference-in-difference method was performed after adjustment for patient characteristics to evaluate the impact of the iHBPC program on the number of physicians seen, emergency department visits, hospitalizations, and inpatient days.Results: A total of 912 patients were included. After propensity score matching, the intervention group participating in the iHBPC program for 12 months decreased the number of physicians seen, emergency department visits, hospitalizations, and inpatient days compared with the control group.Conclusions: The iHBPC program under Taiwan's universal health care system improved continuity and outcomes of care for the homebound older adults by enhancing the accessibility, comprehensiveness, and coordination of health care. The promotion of this feasible and effective policy is anticipated to create additional benefits in the future.","PeriodicalId":18364,"journal":{"name":"Medical Care","volume":"63 9","pages":"703-710"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patterns of Medical Care Cost by Service Type Associated With Lung Cancer Screening. 不同服务类型与肺癌筛查相关的医疗费用模式。

IF 2.8 2区医学

Medical Care Pub Date : 2025-09-01 Epub Date: 2025-06-02 DOI: 10.1097/MLR.0000000000002169

Kris Wain, Mahesh Maiyani, Nikki M Carroll, Rafael Meza, Robert T Greenlee, Christine Neslund-Dudas, Michelle R Odelberg, Caryn Oshiro, Debra P Ritzwoller

{"title":"Patterns of Medical Care Cost by Service Type Associated With Lung Cancer Screening.","authors":"Kris Wain, Mahesh Maiyani, Nikki M Carroll, Rafael Meza, Robert T Greenlee, Christine Neslund-Dudas, Michelle R Odelberg, Caryn Oshiro, Debra P Ritzwoller","doi":"10.1097/MLR.0000000000002169","DOIUrl":"10.1097/MLR.0000000000002169","url":null,"abstract":"Introduction: Lung cancer screening (LCS) enhances early stage cancer detection; however, its impact on health care costs in real-world clinical settings is not well understood. The objective of this study was to assess changes in health care costs during the 12 months before LCS compared with the 12 months after.Methods: This retrospective study analyzed health care costs based upon Medicare's fee-for-service reimbursement system using data from the Population-based Research to Optimize the Screening Process Lung Consortium. We included individuals who met age and smoking LCS eligibility criteria and were engaged within 4 health care systems between February 5, 2015, and December 31, 2021. Generalized linear models estimated health care costs from the payer perspective during 12 months prior and 12 months post baseline LCS. We compared these costs to eligible individuals who did not receive LCS. Secondary analyses examined costs among the sample who completed LCS by positive versus negative scan results. We reported mean predicted costs with average values for all other explanatory variables.Results: We identified 10,049 eligible individuals who received baseline LCS and 15,233 who did not receive LCS. Receipt of LCS was associated with additional costs of $3698 compared with individuals not receiving LCS. Secondary analyses found costs increased by $11,664 among individuals with positive scans; however, no increases occurred among individuals with negative scans.Conclusion: These findings suggest LCS was only associated with increased health care costs among patients with a positive scan. LCS is a potentially cost-effective approach to identify early stage lung cancer. Healthcare systems should prioritize strategies to improve LCS participation.","PeriodicalId":18364,"journal":{"name":"Medical Care","volume":" ","pages":"656-665"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Economic Costs of Chronic Pain-United States, 2021. 慢性疼痛的经济成本——美国，2021年。

IF 2.8 2区医学

Medical Care Pub Date : 2025-09-01 Epub Date: 2025-07-03 DOI: 10.1097/MLR.0000000000002181

Gery P Guy, Gabrielle F Miller, Jaswinder K Legha, S Michaela Rikard, Andrea E Strahan, Christina Mikosz, Curtis S Florence

{"title":"Economic Costs of Chronic Pain-United States, 2021.","authors":"Gery P Guy, Gabrielle F Miller, Jaswinder K Legha, S Michaela Rikard, Andrea E Strahan, Christina Mikosz, Curtis S Florence","doi":"10.1097/MLR.0000000000002181","DOIUrl":"10.1097/MLR.0000000000002181","url":null,"abstract":"Background: Chronic pain affects more than 1 in 5 adults in the United States. Understanding the economic burden of chronic pain can inform interventions and strategies to improve the quality of life for individuals with chronic pain.Objective: To estimate the economic cost of chronic pain in the United States in 2021.Research design: A cross-sectional analysis estimating the economic costs of chronic pain in 2021.Subjects: In 2021, 6445 (representing 65.8 million) adults with chronic pain were identified using ICD-10-CM codes from the nationally representative Medical Expenditure Panel Survey.Measures: Direct medical costs were examined by source of payment and service type. Indirect morbidity costs were estimated from lost productivity from employment disability and missed workdays. We evaluated the economic burden of chronic pain by estimating excess costs among individuals with chronic pain compared with individuals without chronic pain using multivariable regression.Results: Individuals with chronic pain had additional total annual medical expenditures of $8068 and additional lost productivity of $2923 per person compared with individuals without chronic pain. In 2021, the economic costs of chronic pain in the United States were estimated to be $722.8 billion, including $530.6 billion in medical care costs and $192.2 billion in lost work productivity.Conclusions: The economic costs of chronic pain are substantial, resulting in excess health care expenditures and lost productivity costs. These findings highlight the importance of interventions and strategies aimed at providing high-quality, accessible, low-barrier, cost-effective pain care to improve quality of life and reduce disruptions in work among adults with chronic pain.","PeriodicalId":18364,"journal":{"name":"Medical Care","volume":" ","pages":"679-685"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to Letter to the Editor by Drs Goyal and Taylor. 对Goyal博士和Taylor博士给编辑的信的回应。

IF 2.8 2区医学

Medical Care Pub Date : 2025-09-01 Epub Date: 2025-06-30 DOI: 10.1097/MLR.0000000000002172

Sang Bin You, Jiyoun Song, Jesse Y Hsu, Kathryn H Bowles

引用次数: 0

Racial Disparities in Quality of Dental Care Among Publicly Insured Children. 公共保险儿童牙科护理质量的种族差异。

IF 2.8 2区医学

Medical Care Pub Date : 2025-09-01 Epub Date: 2025-07-07 DOI: 10.1097/MLR.0000000000002184

Sung Eun Choi, Rindala Fayyad, Sharon-Lise Normand

{"title":"Racial Disparities in Quality of Dental Care Among Publicly Insured Children.","authors":"Sung Eun Choi, Rindala Fayyad, Sharon-Lise Normand","doi":"10.1097/MLR.0000000000002184","DOIUrl":"10.1097/MLR.0000000000002184","url":null,"abstract":"Background: Reducing oral health disparities requires identifying subgroups experiencing gaps in quality of dental care and the sizes of those gaps. This study measured magnitudes and trends of racial/ethnic disparities in overall quality of dental care and examined factors contributing to the disparities.Methods: This retrospective cohort study used claims data from beneficiaries under age 21 enrolled in Medicaid and Children's Health Insurance Program in 6 states during 2015-2019. A standardized composite score of dental care quality was derived from 6 dental quality measures using Item Response Theory. Robust mixed-effect regression estimated the magnitudes and trends of quality disparities, adjusting for person-level covariates. A Blinder-Oaxaca decomposition quantified the relative contributions of the social and structural factors in the estimated racial/ethnic disparities.Results: Among 3.4 million beneficiaries, compared with White counterparts, Black children had lower baseline quality scores in 2 states and experienced decreases in quality in most states. Children of other race had lower baseline quality scores in 4 states with the largest gap of -0.16 (95% CI: -0.18,-0.15) and experienced decreases in quality in 3 states. Hispanic children had the higher baseline quality scores in all states with the largest gap of 0.34 (95% CI: 0.34,0.35) and experienced increases in quality in 4 states. Decomposition analysis indicated that structural factors, such as residential segregation, place of dental care, and dentist supply, explained portions of the quality gaps.Conclusion: Dental care quality was lower among Black and children of other race and higher among Hispanic and Asian children relative to their White counterparts. Tailored quality improvement efforts and refinements in Medicaid policy would be encouraged to reduce disparities in dental care and oral health.","PeriodicalId":18364,"journal":{"name":"Medical Care","volume":" ","pages":"646-655"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Toward a Better Understanding of Primary Care Physician Career Typologies. 更好地理解初级保健医生职业类型。

IF 2.8 2区医学

Medical Care Pub Date : 2025-09-01 Epub Date: 2025-06-02 DOI: 10.1097/MLR.0000000000002167

Erin Fraher, Todd Jensen, Alberta Tran, Evan Galloway, Jasmine Weiss, Brianna Lombardi

{"title":"Toward a Better Understanding of Primary Care Physician Career Typologies.","authors":"Erin Fraher, Todd Jensen, Alberta Tran, Evan Galloway, Jasmine Weiss, Brianna Lombardi","doi":"10.1097/MLR.0000000000002167","DOIUrl":"10.1097/MLR.0000000000002167","url":null,"abstract":"Background: The nation faces a persistent shortage and maldistribution of primary care physicians (PCPs). A better understanding of PCP career typologies could help policy makers target interventions toward certain subgroups, rather than using a \"one-size fits all\" approach to improving PCP supply, distribution and diversity across settings and in rural areas.Methods: This study used cross-sectional data from 2009 and 2019, derived from the North Carolina (NC) Medical Board, on PCPs in active practice in family medicine, general internal medicine, general pediatrics, geriatrics, and obstetrics and gynecology in NC. We used latent class analysis (LCA) to investigate: (1) whether different career typologies exist in the primary care physician workforce; (2) if so, whether career typologies changed in the 10-year period before the COVID-19 pandemic (2009 and 2019); and (3) whether a physician's generational cohort, age, sex, race/ethnicity, career stage, and medical school location were associated with different career typologies.Results: The LCA yielded 4 distinct career typologies in both 2009 and 2019 with high levels of class separation. The 4 typologies were relatively stable over the decade. Distinguishing factors between typologies included practice in a rural area, hospital, and ambulatory care employment, and provision of obstetric and prenatal care.Conclusions: Understanding PCP career typologies could be used to tailor interventions to improve the supply and distribution of PCP workforce. Medical schools could use this information to support trainees' decision-making about future careers and policy makers to target funding for training to support careers in rural and ambulatory settings.","PeriodicalId":18364,"journal":{"name":"Medical Care","volume":" ","pages":"637-645"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Geographic Access to Cancer Care and Breast Cancer Treatment in Low-Income Women. 低收入妇女癌症护理和乳腺癌治疗的地理可及性。

IF 2.8 2区医学

Medical Care Pub Date : 2025-09-01 Epub Date: 2025-07-03 DOI: 10.1097/MLR.0000000000002178

Min Lian, James Struthers, Tracy Greever-Rice, Chester Schmaltz, Ying Liu

{"title":"Geographic Access to Cancer Care and Breast Cancer Treatment in Low-Income Women.","authors":"Min Lian, James Struthers, Tracy Greever-Rice, Chester Schmaltz, Ying Liu","doi":"10.1097/MLR.0000000000002178","DOIUrl":"10.1097/MLR.0000000000002178","url":null,"abstract":"Background: Little is known about the role of geographic access to oncologists in breast cancer treatment among low-income patients.Methods: Using Missouri Cancer Registry-Medicaid claims data, we identified Medicaid enrollees aged 18-64 with newly diagnosed breast cancer from 2007 to 2015 (n=3930). Census tract-level geographic access to radiation oncologists (ROs), medical oncologists (MOs), and primary care physicians (PCPs) was quantified using the 2-step floating catchment area approach and categorized into tertiles. Logistic regression was used to estimate odds ratios (ORs) of undergoing mastectomy (vs. breast-conserving surgery), utilizing (yes/no), timely initiating (≤90 d post-surgery), and completing radiotherapy and chemotherapy, as well as being adherent to (medication possession ratio ≥80%) and continuing (<90-consecutive day gap) endocrine therapy (ET) in the first year.Results: Compared with patients in census tracts with the greatest access to ROs, those in census tracts with the lowest access to ROs had higher odds of mastectomy (OR=1.23, 95% CI: 1.02-1.48, Ptrend =0.04), lower odds of radiotherapy completion (OR=0.68, 95% CI: 0.49-0.95, Ptrend =0.02), and similar odds of utilization and timely initiation of radiotherapy. Patients in census tracts with the lowest (vs. highest) access to MOs had comparable odds of utilization and timely initiation of chemotherapy but lower odds of chemotherapy completion (OR=0.71, 95% CI: 0.51-0.97, Ptrend =0.06). Geographic access to MOs and PCPs was unrelated to ET.Conclusions: Geographic access to oncologists was associated with choice of surgery and completion of radiotherapy/chemotherapy for breast cancer among Medicaid enrollees, highlighting the importance of addressing geographic barriers to oncologists to improve their treatment adherence.","PeriodicalId":18364,"journal":{"name":"Medical Care","volume":" ","pages":"694-702"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association Between Paid Sick Leave and Dental Services Utilization Among Working Adults in the United States. 带薪病假和牙科服务的利用之间的联系在美国工作的成年人。

IF 2.8 2区医学

Medical Care Pub Date : 2025-08-22 DOI: 10.1097/MLR.0000000000002208

Rashmi Lamsal, Hyo Jung Tak, Fernando A Wilson, Melissa K Tibbits, Li-Wu Chen, David Palm

{"title":"Association Between Paid Sick Leave and Dental Services Utilization Among Working Adults in the United States.","authors":"Rashmi Lamsal, Hyo Jung Tak, Fernando A Wilson, Melissa K Tibbits, Li-Wu Chen, David Palm","doi":"10.1097/MLR.0000000000002208","DOIUrl":"https://doi.org/10.1097/MLR.0000000000002208","url":null,"abstract":"Background: Timely access to regular dental visits allows the detection of preventable conditions at an earlier stage. Nonetheless, 37% of adults aged 18 and above had no dental visits in 2020. Various factors affect utilization, but little is known about the influence of job characteristics. This study examined the association between paid sick leave (PSL) and different types of dental services utilization among working adults aged 18-64 in the United States.Methods: The study sample population included employed adults aged 18-64 in the 2019 Medical Expenditure Panel Survey (N=7645). The four outcome variables were a binary variable of having any dental care, including preventive, diagnostic, and treatment dental care in the past 12 months. The primary independent variable was having PSL as a job benefit. A multivariable logistic model was used, adjusting for demographics, socioeconomic status, and general health status. All analyses were adjusted for complex survey design.Results: Seventy-three percent of working adults had paid sick leave benefits. Availability of PSL was significantly associated with higher utilization of any dental visits [Adjusted odds ratio (aOR): 1.38, 95% CI: 1.17-1.63], preventive dental care (aOR: 1.33, 95% CI: 1.12-1.57), and diagnostic dental care (aOR: 1.31, 95% CI: 1.11-1.55).Conclusions: PSL is associated with a significant increase in dental services, preventive dental, and diagnostic dental visits. The study offers insights for medical practitioners and policymakers aiming to prevent adverse oral health outcomes, reduce disparities, and manage health care costs.","PeriodicalId":18364,"journal":{"name":"Medical Care","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144959839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0