Health affairs (Project Hope)最新文献_第8页

Catastrophic Spending On Insulin In The United States, 2017-18. 2017-18年，美国在胰岛素上的灾难性支出。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-07-01 DOI: 10.1377/hlthaff.2021.01788

Baylee F Bakkila, Sanjay Basu, Kasia J Lipska

{"title":"Catastrophic Spending On Insulin In The United States, 2017-18.","authors":"Baylee F Bakkila, Sanjay Basu, Kasia J Lipska","doi":"10.1377/hlthaff.2021.01788","DOIUrl":"https://doi.org/10.1377/hlthaff.2021.01788","url":null,"abstract":"Insulin is considered an essential medicine for people with diabetes, but its price has doubled during the past decade, posing substantial financial barriers to patients in the US. In this article we describe out-of-pocket spending on insulin and consider risk factors that could contribute to the likelihood of a person experiencing catastrophic spending, defined as spending more than 40 percent of their postsubsistence family income on insulin alone. Using nationally representative data from the 2017 and 2018 Medical Expenditure Panel Surveys, we examined out-of-pocket spending on insulin among people who filled at least one insulin prescription. Among Americans who use insulin, 14.1 percent reached catastrophic spending over the course of one year, representing almost 1.2 million people. Nearly two-thirds of patients who experienced catastrophic spending on insulin were Medicare beneficiaries. Catastrophic spending was 61 percent less likely among Medicaid beneficiaries than among Medicare beneficiaries, suggesting that factors other than income, such as different types of insurance coverage, may influence catastrophic insulin spending. Policy reform is needed to curb out-of-pocket spending, especially for Medicare beneficiaries and people with low incomes, who appear to be particularly vulnerable to catastrophic spending.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1053-1060"},"PeriodicalIF":9.7,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40571152","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: 5

Type 2 Diabetes And More. 2型糖尿病和更多。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-07-01 DOI: 10.1377/hlthaff.2022.00771

Alan R Weil

引用次数: 0

Phantom Networks Prevent Children And Adolescents From Obtaining The Mental Health Care They Need. 幻影网络阻止儿童和青少年获得他们需要的心理健康护理。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-07-01 DOI: 10.1377/hlthaff.2022.00588

Brett Dolotina, Jack Turban

引用次数: 0

Effect Of Nonpharmaceutical Interventions On COVID-19 Cases And Deaths In Brazil. 非药物干预措施对巴西COVID-19病例和死亡的影响

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-07-01 DOI: 10.1377/hlthaff.2021.01613

Louise B Russell, Lara Livia Santos da Silva, Rodrigo Fracalossi de Moraes, Risha Gidwani, Paula M Luz, Cristiana M Toscano

{"title":"Effect Of Nonpharmaceutical Interventions On COVID-19 Cases And Deaths In Brazil.","authors":"Louise B Russell, Lara Livia Santos da Silva, Rodrigo Fracalossi de Moraes, Risha Gidwani, Paula M Luz, Cristiana M Toscano","doi":"10.1377/hlthaff.2021.01613","DOIUrl":"https://doi.org/10.1377/hlthaff.2021.01613","url":null,"abstract":"Lacking national direction, in 2020 Brazilian states adopted a variety of nonpharmaceutical interventions to combat COVID-19, adjusting their stringency over time. We took advantage of this variation across states and over time to estimate the independent effect of seven interventions on the growth rate ratios of COVID-19 cases and deaths. Panel regressions using daily data from March to December 2020 for twelve states show that two interventions, suspension of public events and masking mandates, significantly reduced the spread of the disease. Partial and full suspension of public events were equally effective. Full masking mandates were more effective than partial ones. Together, suspension of public events and full masking mandates reduced the growth rate ratios of both cases and deaths almost to 1, the point at which cases and deaths are no longer increasing. Policy makers may find this analysis useful as they aim to choose the most effective nonpharmaceutical interventions to reduce COVID-19's social and economic burdens.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1005-1012"},"PeriodicalIF":9.7,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40571151","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: 0

Advance Care Planning. 提前护理计划。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-07-01 DOI: 10.1377/hlthaff.2022.00112

Jason Lesandrini, Gretchen Agans, Rebecca Chester, Jana Dunkley, Nikketta Lewis, Eve McClennen, Eric Nelson, Lindsey Parrish, Jordan Potter

引用次数: 0

Record ACA Enrollment; 2023 Payment Rule. ACA注册记录;2023支付规则。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-03-01 Epub Date: 2022-02-14 DOI: 10.1377/hlthaff.2022.00137

Katie Keith

引用次数: 0

The Effectiveness Of Government Masking Mandates On COVID-19 County-Level Case Incidence Across The United States, 2020. 2020年美国政府对COVID-19县级病例发病率的掩盖命令的有效性。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-03-01 Epub Date: 2022-02-16 DOI: 10.1377/hlthaff.2021.01072

Jing Huang, Brian T Fisher, Vicky Tam, Zi Wang, Lihai Song, Jiasheng Shi, Caroline La Rochelle, Xi Wang, Jeffrey S Morris, Susan E Coffin, David M Rubin

{"title":"The Effectiveness Of Government Masking Mandates On COVID-19 County-Level Case Incidence Across The United States, 2020.","authors":"Jing Huang, Brian T Fisher, Vicky Tam, Zi Wang, Lihai Song, Jiasheng Shi, Caroline La Rochelle, Xi Wang, Jeffrey S Morris, Susan E Coffin, David M Rubin","doi":"10.1377/hlthaff.2021.01072","DOIUrl":"https://doi.org/10.1377/hlthaff.2021.01072","url":null,"abstract":"Evidence for the effectiveness of masking on SARS-CoV-2 transmission at the individual level has accumulated, but the additional benefit of community-level mandates is less certain. In this observational study of matched cohorts from 394 US counties between March 21 and October 20, 2020, we estimated the association between county-level public masking mandates and daily COVID-19 case incidence. On average, the daily case incidence per 100,000 people in masked counties compared with unmasked counties declined by 23 percent at four weeks, 33 percent at six weeks, and 16 percent across six weeks postintervention. The beneficial effect varied across regions of different population densities and political leanings. The most concentrated effects of masking mandates were seen in urban counties; the benefit of the mandates was potentially stronger within Republican-leaning counties. Although benefits were not equally distributed in all regions, masking mandates conferred benefit in reducing community case incidence during an early period of the COVID-19 pandemic.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"445-453"},"PeriodicalIF":9.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39928769","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: 21

Beyond Research, Taking Action Against Racism. 超越研究，采取行动反对种族主义。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-02-01 DOI: 10.1377/hlthaff.2021.02040

Heather Tirado Gilligan

引用次数: 4

Structural Racism In Historical And Modern US Health Care Policy. 历史和现代美国医疗保健政策中的结构性种族主义。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-02-01 DOI: 10.1377/hlthaff.2021.01466

Ruqaiijah Yearby, Brietta Clark, José F Figueroa

引用次数: 110

Honoring Dr. Shalon Irving, A Champion for Health Equity. 表彰沙隆·欧文博士，健康公平的捍卫者。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-02-01 DOI: 10.1377/hlthaff.2021.01447

Tanjala S Purnell, Wanda Irving, Soleil Irving, Lauren Underwood, Raegan McDonald-Mosley, Chidinma Ibe, Debra Hickman, Janice Bowie

引用次数: 2