Health affairs (Project Hope)最新文献_第2页

Use Of And Willingness To Use Video Telehealth Through The COVID-19 Pandemic. 在COVID-19大流行期间使用和愿意使用视频远程医疗。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-11-01 DOI: 10.1377/hlthaff.2022.00118

Shira H Fischer, Zachary Predmore, Elizabeth Roth, Lori Uscher-Pines, Matthew Baird, Joshua Breslau

引用次数: 9

Excess Deaths Will Continue In The United States Until The Root Causes Are Addressed. 除非根本原因得到解决，否则美国的死亡人数将继续增加。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-11-01 DOI: 10.1377/hlthaff.2022.01103

Steven H Woolf

引用次数: 4

Congress Extends Enhanced ACA Subsidies. 国会延长ACA补贴。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-11-01 Epub Date: 2022-10-11 DOI: 10.1377/hlthaff.2022.01293

Katie Keith

引用次数: 2

Errata. 勘误表。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-11-01 DOI: 10.1377/hlthaff.2022.01308

引用次数: 0

Excluding People With Disabilities From Clinical Research: Eligibility Criteria Lack Clarity And Justification. 将残疾人排除在临床研究之外:资格标准缺乏明确性和合理性。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00520

Willyanne DeCormier Plosky, Ari Ne'eman, Benjamin C Silverman, David H Strauss, Leslie P Francis, Michael A Stein, Barbara E Bierer

{"title":"Excluding People With Disabilities From Clinical Research: Eligibility Criteria Lack Clarity And Justification.","authors":"Willyanne DeCormier Plosky, Ari Ne'eman, Benjamin C Silverman, David H Strauss, Leslie P Francis, Michael A Stein, Barbara E Bierer","doi":"10.1377/hlthaff.2022.00520","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00520","url":null,"abstract":"The exclusion of people with disabilities from clinical research without appropriate justification is discriminatory, is counter to federal regulations and research guidelines, and limits study generalizability. This matter is understudied, and data on the disability status of trial participants are rarely collected or reported. We analyzed ninety-seven recent interventional protocols in four therapeutic areas registered on ClinicalTrials.gov. Eighty-five percent of protocols allowed broad investigator discretion to determine eligibility, whereas only 18 percent explicitly permitted people with disabilities to use forms of support (such as supported decision making or assistive devices) to facilitate study participation. Eligibility criteria affecting people with disabilities included exclusions for psychiatric (68 percent), substance use (62 percent), HIV or hepatitis (53 percent), cognitive or intellectual (42 percent), visual (34 percent), hearing (10 percent), mobility (9 percent), long-term care (6 percent), and speech and communication (3 percent) disability-related domains. Documented justification was provided for only 24 percent of these exclusions. We recommend greater scrutiny of study eligibility criteria, scientific or ethical justification of exclusions, and accessible study design.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1423-1432"},"PeriodicalIF":9.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40394781","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: 14

Advancing Health Equity And Reducing Health Disparities For People With Disabilities In The United States. 促进美国残疾人的健康公平和减少健康差距。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00499

Monika Mitra, Linda Long-Bellil, Ian Moura, Angel Miles, H Stephen Kaye

引用次数: 9

Delayed Medical Care And Unmet Care Needs Due To The COVID-19 Pandemic Among Adults With Disabilities In The US. 美国成年残疾人因COVID-19大流行而延迟的医疗护理和未满足的护理需求。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00509

Ilhom Akobirshoev, Michael Vetter, Lisa I Iezzoni, Sowmya R Rao, Monika Mitra

{"title":"Delayed Medical Care And Unmet Care Needs Due To The COVID-19 Pandemic Among Adults With Disabilities In The US.","authors":"Ilhom Akobirshoev, Michael Vetter, Lisa I Iezzoni, Sowmya R Rao, Monika Mitra","doi":"10.1377/hlthaff.2022.00509","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00509","url":null,"abstract":"Pandemic-related disruptions in access to medical care services, along with elevated rates of comorbidity, increase the risk for severe illness and death from COVID-19 for people with disabilities. Analyzing data from the 2020 National Health Interview Survey, we examined the impact of the COVID-19 pandemic on adults' access to medical care services by presence and type of disability. Adults with disabilities, including in each disability category, experienced significant disparities in delayed and unmet need for medical care during the first year of the COVID-19 pandemic. Improving data collection on disabled Americans according to disability status and type of disability, designating people with disabilities as a Special Medically Underserved Population under the Public Health Services Act, and incorporating standardized disability data in electronic health record systems would inform policies, programs, and interventions to achieve equitable access to high-quality medical care services that meet the needs of all people with disabilities during the COVID-19 pandemic and beyond.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1505-1512"},"PeriodicalIF":9.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40394456","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: 11

Loneliness Among Older Adults: The Authors Reply. 老年人的孤独感:作者的回答。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00810

Brian W Powers, Charron L Long, Stephanie M Franklin

引用次数: 1

Assessing The Dangers Of A Hospital Stay For Patients With Developmental Disability In England, 2017-19. 评估2017-19年英国发育障碍患者住院的危险

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00493

Rocco Friebel, Laia Maynou

{"title":"Assessing The Dangers Of A Hospital Stay For Patients With Developmental Disability In England, 2017-19.","authors":"Rocco Friebel, Laia Maynou","doi":"10.1377/hlthaff.2022.00493","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00493","url":null,"abstract":"People with developmental disability have higher health care needs and lower life expectancy compared with the general population. Poor quality of care resulting from interpersonal and systemic discrimination may further entrench existing inequalities. We examined the prevalence of five avoidable in-hospital patient safety incidents (adverse drug reactions, hospital-acquired infections, pressure ulcers, postoperative pulmonary embolism or deep vein thrombosis, and postoperative sepsis) for four developmental disability groups (people with intellectual disability, chromosomal abnormalities, pervasive developmental disorders, and congenital malformation syndrome) in the English National Health Service during the period April 2017-March 2019. We found that the likelihood of experiencing harm in disability groups was up to 2.7-fold higher than in patients without developmental disability. Patient safety incidents led to an excess length-of-stay in hospital of 3.6-15.4 days and an increased mortality risk of 1.4-15.0 percent. We show persisting quality differences in patients with developmental disability, requiring an explicit national policy focus on the needs of such patients to reduce inequalities, reach parity of care, and lower the burden on health system resources.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1486-1495"},"PeriodicalIF":9.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40393932","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

Perinatal Health Risks And Outcomes Among US Women With Self-Reported Disability, 2011-19. 2011- 2019年美国自我报告残疾妇女的围产期健康风险和结果

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 Epub Date: 2022-09-21 DOI: 10.1377/hlthaff.2022.00497

Willi Horner-Johnson, Mekhala Dissanayake, Nicole Marshall, Jonathan M Snowden

{"title":"Perinatal Health Risks And Outcomes Among US Women With Self-Reported Disability, 2011-19.","authors":"Willi Horner-Johnson, Mekhala Dissanayake, Nicole Marshall, Jonathan M Snowden","doi":"10.1377/hlthaff.2022.00497","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00497","url":null,"abstract":"Women with disabilities experience elevated risk for adverse pregnancy outcomes. Most studies have inferred disabilities from diagnosis codes, likely undercounting disabilities. We analyzed data, including self-reported disability status, from the National Survey of Family Growth for the period 2011-19. We compared respondents with and without disabilities on these characteristics: smoking during pregnancy, delayed prenatal care, preterm birth, and low birthweight. A total of 19.5 percent of respondents who had given birth reported a disability, which is a much higher prevalence than estimates reported in US studies using diagnosis codes. Respondents with disabilities were twice as likely as those without disabilities to have smoked during pregnancy (19.0 percent versus 8.9 percent). They also had 24 percent and 29 percent higher risk for preterm birth and low birthweight, respectively. Our findings suggest that studies using diagnosis codes may represent only a small proportion of pregnancies among people with disabilities. Measurement and analysis of self-reported disability would facilitate better understanding of the full extent of disability-related disparities, per the Affordable Care Act.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1477-1485"},"PeriodicalIF":9.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40374386","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