Health Affairs最新文献_第3页

Colocating Syringe Services, COVID-19 Vaccination, And Infectious Disease Testing: Baltimore's Experience. 集中注射器服务、COVID-19 疫苗接种和传染病检测：巴尔的摩的经验。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00032

Omeid Heidari, Diane Meyer, Kelly Lowensen, Amita Patil, Katie J O'Conor, Jessica LaRicci, Derrick Hunt, Adam P Bocek, Victoria Cargill, Jason E Farley

{"title":"Colocating Syringe Services, COVID-19 Vaccination, And Infectious Disease Testing: Baltimore's Experience.","authors":"Omeid Heidari, Diane Meyer, Kelly Lowensen, Amita Patil, Katie J O'Conor, Jessica LaRicci, Derrick Hunt, Adam P Bocek, Victoria Cargill, Jason E Farley","doi":"10.1377/hlthaff.2024.00032","DOIUrl":"10.1377/hlthaff.2024.00032","url":null,"abstract":"People who inject drugs face many challenges that contribute to poor health outcomes, including drug overdose, HIV, and hepatitis C infections. These conditions require high-quality prevention and treatment services. Syringe services programs are evidence-based harm reduction programs, and they have established track records with people who inject drugs, earning them deep trust within this population. In Baltimore, Maryland, although many syringe support services were limited during the COVID-19 pandemic, the health department's syringe services programs remained operational, allowing for the continuation of harm reduction services, including naloxone distribution. This evaluation describes a collaborative effort to colocate infectious disease testing and COVID-19 vaccination with a syringe services program. Our evaluation demonstrated that colocation of important services with trusted community partners can facilitate engagement and is essential for service uptake. Maintaining adequate and consistent funding for these services is central to program success. Colocation of other services within syringe services programs, such as medications for opioid use disorder, wound care, and infectious disease treatment, would further expand health care access for people who inject drugs.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

Prescription Digital Therapeutics: Evidence. 处方数字疗法：证据。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00068

Frances P Thorndike

引用次数: 0

Transforming Public Health Practice With Generative Artificial Intelligence. 用生成式人工智能改变公共卫生实践。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00050

Monica Bharel, John Auerbach, Von Nguyen, Karen B DeSalvo

引用次数: 0

Community Power-Building Groups And Public Health NGOs: Reimagining Public Health Advocacy. 社区权力建设团体与公共卫生非政府组织：重新认识公共卫生宣传。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00035

Sophia Simon-Ortiz, Sari Bilick, Maddy Frey, Solange Gould, Clara Long, Emma Waugh, Lili Farhang

引用次数: 0

Medicare Advantage Versus Traditional Medicare Resource Use. 医疗保险优势计划与传统医疗保险的资源使用。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2023.01304

John Andrew Updike

引用次数: 0

Spirituality As A Determinant Of Health: Emerging Policies, Practices, And Systems. 精神是健康的决定因素：新兴政策、实践和系统。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2023.01643

Katelyn N G Long, Xavier Symons, Tyler J VanderWeele, Tracy A Balboni, David H Rosmarin, Christina Puchalski, Teresa Cutts, Gary R Gunderson, Ellen Idler, Doug Oman, Michael J Balboni, Laura S Tuach, Howard K Koh

{"title":"Spirituality As A Determinant Of Health: Emerging Policies, Practices, And Systems.","authors":"Katelyn N G Long, Xavier Symons, Tyler J VanderWeele, Tracy A Balboni, David H Rosmarin, Christina Puchalski, Teresa Cutts, Gary R Gunderson, Ellen Idler, Doug Oman, Michael J Balboni, Laura S Tuach, Howard K Koh","doi":"10.1377/hlthaff.2023.01643","DOIUrl":"10.1377/hlthaff.2023.01643","url":null,"abstract":"Reimagining public health's future should include explicitly considering spirituality as a social determinant of health that is linked to human goods and is deeply valued by people and their communities. Spirituality includes a sense of ultimate meaning, purpose, transcendence, and connectedness. With that end in mind, we assessed how recommendations recently issued by an expert panel for integrating spiritual factors into public health and medicine are being adopted in current practice in the United States. These recommendations emerged from a systematic review of empirical evidence on spirituality, serious illness, and population health published between 2000 and 2022. For each recommendation, we reviewed current federal, state, and local policies and practices recognizing spiritual factors, and we considered the ways in which they reflected the panel's recommendations. In this article, we highlight opportunities for broader application and scale while also noting the potential harms and benefits associated with incorporating these recommendations in various contexts. This analysis, while respecting the spiritual and religious diversity of the US population, identifies promising approaches for strengthening US public health by integrating spiritual considerations to inform person- and community-centered policy and practice.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

Prescription Digital Therapeutics: Devices. 处方数字疗法：设备。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00159

Eran Bashan

引用次数: 0

Rural Hospitals Experienced More Patient Volume Variability Than Urban Hospitals During The COVID-19 Pandemic, 2020-21. 2020-21 年 COVID-19 大流行期间，农村医院比城市医院的患者量变化更大。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.00678

H Joanna Jiang, Rachel Mosher Henke, Kathryn R Fingar, Lan Liang, Denis Agniel, Marc I Roemer

{"title":"Rural Hospitals Experienced More Patient Volume Variability Than Urban Hospitals During The COVID-19 Pandemic, 2020-21.","authors":"H Joanna Jiang, Rachel Mosher Henke, Kathryn R Fingar, Lan Liang, Denis Agniel, Marc I Roemer","doi":"10.1377/hlthaff.2023.00678","DOIUrl":"10.1377/hlthaff.2023.00678","url":null,"abstract":"Fluctuations in patient volume during the COVID-19 pandemic may have been particularly concerning for rural hospitals. We examined hospital discharge data from the Healthcare Cost and Utilization Project State Inpatient Databases to compare data from the COVID-19 pandemic period (March 8, 2020-December 31, 2021) with data from the prepandemic period (January 1, 2017-March 7, 2020). Changes in average daily medical volume at rural hospitals showed a dose-response relationship with community COVID-19 burden, ranging from a 13.2 percent decrease in patient volume in periods of low transmission to a 16.5 percent increase in volume in periods of high transmission. Overall, about 35 percent of rural hospitals experienced fluctuations exceeding 20 percent (in either direction) in average daily total volume, in contrast to only 13 percent of urban hospitals experiencing similar magnitudes of changes. Rural hospitals with a large change in average daily volume were more likely to be smaller, government-owned, and critical access hospitals and to have significantly lower operating margins. Our findings suggest that rural hospitals may have been more vulnerable operationally and financially to volume shifts during the pandemic, which warrants attention because of the potential impact on these hospitals' long-term sustainability.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

Guaranteed Cash Incentives Boosted COVID-19 Vaccinations Of Young Adults: Evidence From West Virginia. 有保证的现金奖励促进了年轻人接种 COVID-19 疫苗：来自西弗吉尼亚州的证据

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.00734

Yin Wang, Charles Stoecker, Kevin Callison, Julie Hernandez

{"title":"Guaranteed Cash Incentives Boosted COVID-19 Vaccinations Of Young Adults: Evidence From West Virginia.","authors":"Yin Wang, Charles Stoecker, Kevin Callison, Julie Hernandez","doi":"10.1377/hlthaff.2023.00734","DOIUrl":"10.1377/hlthaff.2023.00734","url":null,"abstract":"Guaranteed small cash incentives were widely employed by policy makers during the COVID-19 vaccination campaign, but the impact of these programs has been largely understudied. We were the first to exploit a statewide natural experiment of one such program implemented in West Virginia in 2021 that provided a $100 incentive to fully vaccinated adults ages 16-35. Using individual-level data from the Census Bureau's Household Pulse Survey, we isolated the policy effect through a difference-in-discontinuities design that exploited the discontinuity in incentive eligibility at age thirty-five. We found that the $100 incentive was associated with a robust increase in the proportion of people ever vaccinated against COVID-19 and the proportion who completed or intended to complete the primary series of COVID-19 vaccines. The policy effects were also likely to be more pronounced among people with low incomes, those who were unemployed, and those with no prior COVID-19 infection. The guaranteed cash incentive program may have created more equitable access to vaccines for disadvantaged populations. Additional outreach may also be needed, especially to unvaccinated people with prior COVID-19 infections.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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

States' Abortion Laws Associated With Intimate Partner Violence-Related Homicide Of Women And Girls In The US, 2014-20. 2014-20年美国各州堕胎法与亲密伴侣暴力导致的妇女和女童凶杀案的相关性。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.01098

Maeve E Wallace, Charles Stoecker, Sydney Sauter, Dovile Vilda

{"title":"States' Abortion Laws Associated With Intimate Partner Violence-Related Homicide Of Women And Girls In The US, 2014-20.","authors":"Maeve E Wallace, Charles Stoecker, Sydney Sauter, Dovile Vilda","doi":"10.1377/hlthaff.2023.01098","DOIUrl":"10.1377/hlthaff.2023.01098","url":null,"abstract":"Women who are pregnant or recently gave birth are significantly more likely to be killed by an intimate partner than nonpregnant, nonpostpartum women of reproductive age, implicating the risk of fatal violence conferred by pregnancy itself. The rapidly increasing passage of state legislation has restricted or banned access to abortion care across the US. We used the most recent and only source of population-based data to examine the association between state laws that restrict access to abortion and trends in intimate partner violence-related homicide among women and girls ages 10-44 during the period 2014-20. Using robust difference-in-differences ecologic modeling, we found that enforcement of each additional Targeted Regulation of Abortion Providers (TRAP) law was associated with a 3.4 percent increase in the rate of intimate partner violence-related homicide in this population. We estimated that 24.3 intimate partner violence-related homicides of women and girls ages 10-44 were associated with TRAP laws implemented in the states and years included in this analysis. Assessment of policies that restrict access to abortion should consider their potential harm to reproductive-age women through the risk for violent death.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11515949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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