Health Affairs最新文献_第4页

Medicare, COVID-19, And More 医疗保险、COVID-19 及其他

IF 9.7 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2024.00518

A. Weil

引用次数: 0

Remote Physiologic Monitoring Use Among Medicaid Population Increased, 2019-21. 2019-21 年，医疗补助人群中远程生理监测的使用有所增加。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.00756

Nathan Pauly, Puja Nair, Jared Augenstein

引用次数: 0

Licensure Policies May Help States Ensure Access To Opioid Use Disorder Medication In Specialty Addiction Treatment. 许可政策可帮助各州确保在专业戒毒治疗中获得阿片类药物使用障碍药物。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.01306

Alene Kennedy-Hendricks, Minna Song, Alexander D McCourt, Joshua M Sharfstein, Matthew D Eisenberg, Brendan Saloner

{"title":"Licensure Policies May Help States Ensure Access To Opioid Use Disorder Medication In Specialty Addiction Treatment.","authors":"Alene Kennedy-Hendricks, Minna Song, Alexander D McCourt, Joshua M Sharfstein, Matthew D Eisenberg, Brendan Saloner","doi":"10.1377/hlthaff.2023.01306","DOIUrl":"10.1377/hlthaff.2023.01306","url":null,"abstract":"Despite the devastating toll of the overdose crisis in the United States, many addiction treatment programs do not offer medications for opioid use disorder (MOUD). Several states have incorporated MOUD requirements into their standards for treatment program licensure. This study examined policy officials' and treatment providers' perspectives on the implementation of these policies. During 2020-22, we conducted thirty-one semistructured interviews with forty policy officials and treatment providers in nine states identified through a legal analysis. Of these states, three states required treatment organizations to offer MOUD, and two prohibited organizations from denying admission to people receiving MOUD. Qualitative findings revealed that licensure policies were part of a broader effort to transition the specialty treatment system to a model of care more consistent with medical evidence; states perceived tension between raising quality standards and maintaining adequate treatment capacity; aligning other state policies with MOUD access goals facilitated implementation of the licensure requirement; and measuring compliance was challenging. Licensure may offer states an opportunity to take a more active role in ensuring access to effective treatment.","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":"140860810","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

Extended Paid Maternity Leave Associated With Improved Maternal Mental Health In Hong Kong. 在香港，延长带薪产假与改善产妇心理健康有关。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.00742

Ellie Bostwick Andres, Xinyu Du, Sharon Sze Lu Pang, Jiayi Noel Liang, Jiaxi Ye, Ming Hin Lee, Marie Tarrant, Sofie Shuk-Fei Yung, Janice M Johnston, Kris Yuet Wan Lok, Jianchao Quan

{"title":"Extended Paid Maternity Leave Associated With Improved Maternal Mental Health In Hong Kong.","authors":"Ellie Bostwick Andres, Xinyu Du, Sharon Sze Lu Pang, Jiayi Noel Liang, Jiaxi Ye, Ming Hin Lee, Marie Tarrant, Sofie Shuk-Fei Yung, Janice M Johnston, Kris Yuet Wan Lok, Jianchao Quan","doi":"10.1377/hlthaff.2023.00742","DOIUrl":"10.1377/hlthaff.2023.00742","url":null,"abstract":"In July 2020, Hong Kong extended statutory paid maternity leave from ten weeks to fourteen weeks to align with International Labour Organization standards. We used the policy enactment as an observational natural experiment to assess the mental health implications of this policy change on probable postnatal depression (Edinburgh Postnatal Depression Scores of 10 or higher) and postpartum emotional well-being. Using an opportunistic observational study design, we recruited 1,414 survey respondents with births before (August 1-December 10, 2020) and after (December 11, 2020-July 18, 2022) policy implementation. Participants had a mean age of thirty-two, were majority primiparous, and were mostly working in skilled occupations. Our results show that the policy was associated with a 22 percent decrease in mothers experiencing postnatal depressive symptoms and a 33 percent decrease in postpartum emotional well-being interference. Even this modest change in policy, an additional four weeks of paid leave, was associated with significant mental health benefits. Policy makers should consider extending paid maternity leave to international norms to improve mental health among working mothers and to support workforce retention.","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":"140861160","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

Does Assisted Living Provide Assistance And Promote Living? 生活辅助设施是否能提供帮助并促进生活？

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.00972

Sheryl Zimmerman, Robyn Stone, Paula Carder, Kali Thomas

{"title":"Does Assisted Living Provide Assistance And Promote Living?","authors":"Sheryl Zimmerman, Robyn Stone, Paula Carder, Kali Thomas","doi":"10.1377/hlthaff.2023.00972","DOIUrl":"10.1377/hlthaff.2023.00972","url":null,"abstract":"Assisted living has promised assistance and quality of living to older adults for more than eighty years. It is the largest residential provider of long-term care in the United States, serving more than 918,000 older adults as of 2018. As assisted living has evolved, the needs of residents have become more challenging; staffing shortages have worsened; regulations have become complex; the need for consumer support, education, and advocacy has grown; and financing and accessibility have become insufficient. Together, these factors have limited the extent to which today's assisted living adequately provides assistance and promotes living, with negative consequences for aging in place and well-being. This Commentary provides recommendations in four areas to help assisted living meet its promise: workforce; regulations and government; consumer needs and roles; and financing and accessibility. Policies that may be helpful include those that would increase staffing and boost wages and training; establish staffing standards with appropriate skill mix; promulgate state regulations that enable greater use of third-party services; encourage uniform data reporting; provide funds supporting family involvement; make community disclosure statements more accessible; and offer owners and operators incentives to facilitate access for consumers with fewer resources. Attention to these and other recommendations may help assisted living live up to its name.","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":"140874986","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

Protecting Patients And Society In An Era Of Private Equity Provider Ownership: Challenges And Opportunities For Policy. 在私募股权供应商所有权时代保护患者和社会：政策的挑战与机遇。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.00942

Christopher Cai, Zirui Song

{"title":"Protecting Patients And Society In An Era Of Private Equity Provider Ownership: Challenges And Opportunities For Policy.","authors":"Christopher Cai, Zirui Song","doi":"10.1377/hlthaff.2023.00942","DOIUrl":"10.1377/hlthaff.2023.00942","url":null,"abstract":"Private equity (PE) acquisitions in health care delivery nearly tripled from 2010 to 2020. Despite concerns around clinical and economic implications, policy responses have remained limited. We discuss the US policy landscape around PE ownership, using policies in the European Union for comparison. We present four domains in which policy can be strengthened. First, to improve oversight of acquisitions, policy makers should lower reporting thresholds, review sequential acquisitions that together affect market power, automate reviews with potential denials based on market concentration effects, consider new regulatory mechanisms such as attorney general veto, and increase funding for this work. Second, policy makers should increase the longer-run transparency of PE ownership, including the health care prices garnered by acquired entities. Third, policy makers should protect patients and providers by establishing minimum staffing ratios, spending floors for direct patient care, and limits on layoffs and the sale of real estate after acquisition (forms of \"asset stripping\"). Finally, policy makers should mitigate risky financial behavior by limiting the amount or proportion of debt used to finance PE acquisitions in health care.","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":"140858849","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

COVID-19 Vaccines: Moderna And Pfizer-BioNTech Use Varied By Urban, Rural Counties. COVID-19 疫苗：Moderna 和 Pfizer-BioNTech 在城市和农村地区的使用情况各不相同。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.00813

Katherine Wen, Daniel A Harris, Preeti Chachlani, Kaleen N Hayes, Ellen McCarthy, Andrew R Zullo, Renae L Smith-Ray, Tanya Singh, Djeneba Audrey Djibo, Cheryl N McMahill-Walraven, Jeffrey Hiris, Rena M Conti, Jonathan Gruber, Vincent Mor

引用次数: 0

Physician Group Practices Accrued Large Bonuses Under Medicare's Bundled Payment Model, 2018-20. 在 2018-20 年医疗保险捆绑支付模式下，医生团体诊所获得了巨额奖金。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.00915

Sukruth A Shashikumar, Zoey Chopra, Jason D Buxbaum, Karen E Joynt Maddox, Andrew M Ryan

引用次数: 0

'Just Get A Hysterectomy'. 切除子宫吧

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.01433

Joyvina Evans

引用次数: 0

California's COVID-19 Vaccine Equity Policy: Cases, Hospitalizations, And Deaths Averted In Affected Communities. 加州 COVID-19 疫苗公平政策：受影响社区避免的病例、住院和死亡。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-05-01 DOI: 10.1377/hlthaff.2023.01163

Christopher M Hoover, Emily Estus, Ada Kwan, Kristal Raymond, Tanu Sreedharan, Tomás León, Seema Jain, Priya B Shete

{"title":"California's COVID-19 Vaccine Equity Policy: Cases, Hospitalizations, And Deaths Averted In Affected Communities.","authors":"Christopher M Hoover, Emily Estus, Ada Kwan, Kristal Raymond, Tanu Sreedharan, Tomás León, Seema Jain, Priya B Shete","doi":"10.1377/hlthaff.2023.01163","DOIUrl":"10.1377/hlthaff.2023.01163","url":null,"abstract":"In March 2021, California implemented a vaccine equity policy that prioritized COVID-19 vaccine allocation to communities identified as least advantaged by an area-based socioeconomic measure, the Healthy Places Index. We conducted quasi-experimental and counterfactual analyses to estimate the effect of this policy on COVID-19 vaccination, case, hospitalization, and death rates. Among prioritized communities, vaccination rates increased 28.4 percent after policy implementation. Furthermore, an estimated 160,892 COVID-19 cases, 10,248 hospitalizations, and 679 deaths in the least-advantaged communities were averted by the policy. Despite these improvements, the share of COVID-19 cases, hospitalizations, and deaths in prioritized communities remained elevated. These estimates were robust in sensitivity analyses that tested exchangeability between prioritized communities and those not prioritized by the policy; model specifications; and potential temporal confounders, including prior infections. Correcting for disparities by strategically allocating limited resources to the least-advantaged or most-affected communities can reduce the impacts of COVID-19 and other diseases but might not eliminate health disparities.","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":"140867201","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