Health Affairs最新文献_第7页

My Story Of Trauma And Reproductive Health. 我的创伤与生殖健康故事

IF 9.7 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2023.01444

Angelica L Al Janabi

引用次数: 0

Perinatal Mental Health: The Need For Broader Understanding And Policies That Meet The Challenges. 围产期心理健康：需要更广泛的理解和应对挑战的政策。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-04-01 DOI: 10.1377/hlthaff.2023.01455

Emily C Dossett, Alison Stuebe, Twylla Dillion, Karen M Tabb

{"title":"Perinatal Mental Health: The Need For Broader Understanding And Policies That Meet The Challenges.","authors":"Emily C Dossett, Alison Stuebe, Twylla Dillion, Karen M Tabb","doi":"10.1377/hlthaff.2023.01455","DOIUrl":"10.1377/hlthaff.2023.01455","url":null,"abstract":"Perinatal mental health is gaining recognition as a key antecedent of adverse maternal and child outcomes as the United States experiences a maternal mortality and morbidity crisis. Recent policy efforts have attempted to mitigate adverse outcomes through legislation such as the Taskforce Recommending Improvements for Unaddressed Mental Perinatal and Postpartum Health (TRIUMPH) for New Moms Act of 2021 and postpartum coverage through Medicaid expansion. Even with progress, perinatal mental health policy continues to grapple with a basic truth: The United States lacks an overarching health care system capable of meeting the mental health care needs of perinatal people and their families.  Moreover, the burden of undiagnosed and untreated perinatal mental health challenges remains greatest among racially minoritized populations, such as Black, Asian, and multiracial people. A broader understanding of perinatal mental health is needed, grounded in the tenets of reproductive justice. From this perspective, we articulate specific policies to meet perinatal mental health challenges and promote thriving for birthing people and their families.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 4","pages":"462-469"},"PeriodicalIF":8.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337522","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

Nursing Homes, Medicaid, Physicians, And More. 养老院、医疗补助、医生等。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-03-01 DOI: 10.1377/hlthaff.2024.00221

Alan R Weil

引用次数: 0

PrEP Discontinuation In A US National Cohort Of Sexual And Gender Minority Populations, 2017-22. 2017-22 年美国全国性与性别少数群体队列中的 PrEP 停用情况。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-03-01 DOI: 10.1377/hlthaff.2023.00867

Yan Guo, Drew A Westmoreland, Alexa D'Angelo, Chloe Mirzayi, Michelle Dearolf, Pedro B Carneiro, Meredith Ray, David W Pantalone, Adam W Carrico, Viraj V Patel, Sarit A Golub, Sabina Hirshfield, Donald Hoover, Denis Nash, Christian Grov

引用次数: 0

Losing Our Way In A Rare Disease Diagnostic Odyssey. 在罕见病诊断奥德赛中迷失方向

IF 8.6 1区医学

Health Affairs Pub Date : 2024-03-01 DOI: 10.1377/hlthaff.2023.01001

Kara A Ayik

引用次数: 0

Meals On Wheels Clients: Measurable Differences In The Likelihood Of Aging In Place Or Being Hospitalized. 轮餐服务对象：居家养老或住院可能性的显著差异。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-03-01 DOI: 10.1377/hlthaff.2023.00822

Sarah E Walsh, France Marie Weaver, Jennifer Chubinski

{"title":"Meals On Wheels Clients: Measurable Differences In The Likelihood Of Aging In Place Or Being Hospitalized.","authors":"Sarah E Walsh, France Marie Weaver, Jennifer Chubinski","doi":"10.1377/hlthaff.2023.00822","DOIUrl":"10.1377/hlthaff.2023.00822","url":null,"abstract":"Little is known about how participation in home-delivered meal programs (known as Meals on Wheels), financed in part through the Older Americans Act, relates to the use of health services and the ability to age in place for elder Medicare beneficiaries. Using 2013-20 data from the National Health and Aging Trends Study, we evaluated the relationship between Meals on Wheels use and two outcomes-likelihood of continued community residence and risk for hospitalization-in the following year for Medicare beneficiaries ages sixty-five and older, overall and by gender, race, Medicaid enrollment, and frailty. Overall, Meals on Wheels users and nonusers were equally likely to still reside in the community one year later; however, continued community residence was more likely among users than nonusers who were Black, were enrolled in Medicaid, or were frail. Program use was marginally associated with increased likelihood of hospitalization in the following year overall, but more strongly so among frail users. Our findings are consistent with the heterogeneity of Medicare-age Meals on Wheels users nationwide and suggest that program benefits differ among specific populations.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 3","pages":"408-415"},"PeriodicalIF":8.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029482","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

Trauma Center Hospitals Charged Higher Prices For Some Nontrauma Care Than Non-Trauma Center Hospitals, 2012-18. 2012-18 年间，创伤中心医院的部分非创伤护理收费高于非创伤中心医院。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-03-01 DOI: 10.1377/hlthaff.2023.00249

Daniel P Kessler, Richard Sweeney, Glenn A Melnick

引用次数: 0

Medicare Part D Plans Greatly Increased Utilization Restrictions On Prescription Drugs, 2011-20. 2011-20 年，医疗保险 D 部分计划大幅提高了对处方药的使用限制。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-03-01 DOI: 10.1377/hlthaff.2023.00999

Geoffrey Joyce, Barbara Blaylock, Jiafan Chen, Karen Van Nuys

引用次数: 0

Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing. 养老院越来越多地依赖人事代理机构提供直接护理服务。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-03-01 Epub Date: 2024-02-14 DOI: 10.1377/hlthaff.2023.01101

John R Bowblis, Christopher S Brunt, Huiwen Xu, Robert Applebaum, David C Grabowski

{"title":"Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing.","authors":"John R Bowblis, Christopher S Brunt, Huiwen Xu, Robert Applebaum, David C Grabowski","doi":"10.1377/hlthaff.2023.01101","DOIUrl":"10.1377/hlthaff.2023.01101","url":null,"abstract":"When nursing homes experience a shortage in directly employed nursing staff, they may rely on temporary workers from staffing agencies to fill this gap. This article examines trends in the use of staffing agencies among nursing homes during the prepandemic and COVID-19 pandemic era (2018-22). In 2018, 23 percent of nursing homes used agency nursing staff, accounting for about 3 percent of all direct care nursing hours worked. When used, agency staff were commonly present for ninety or fewer days in a year. By 2022, almost half of all nursing homes used agency staff, accounting for 11 percent of all direct care nursing staff hours. Agency staff were increasingly used to address chronic staffing shortages, with 13.8 percent of nursing homes having agency staff present every day. Agency staff were 50-60 percent more expensive per hour than directly employed nursing staff, and nursing homes that used agency staff often had lower five-star ratings. Policy makers need to consider postpandemic changes to the nursing home workforce as part of nursing home reform, as increased reliance on agency staff may reduce the financial resources available to increase nursing staff levels and improve the quality of care.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":" ","pages":"327-335"},"PeriodicalIF":8.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10955789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736591","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

County-Level Mandates Were Generally Effective At Slowing COVID-19 Transmission. 县级强制措施在减缓 COVID-19 传播方面基本有效。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-03-01 DOI: 10.1377/hlthaff.2023.00431

Courtney E Baird, Derek Lake, Orestis A Panagiotou, Pedro Gozalo

{"title":"County-Level Mandates Were Generally Effective At Slowing COVID-19 Transmission.","authors":"Courtney E Baird, Derek Lake, Orestis A Panagiotou, Pedro Gozalo","doi":"10.1377/hlthaff.2023.00431","DOIUrl":"10.1377/hlthaff.2023.00431","url":null,"abstract":"Throughout the COVID-19 pandemic in the US, counties adopted numerous nonpharmaceutical interventions, such as mask mandates and stay-at-home orders, to slow COVID-19 transmission and prevent hospitals from reaching full capacity. Early evidence has been mixed about whether these interventions are effective. However, most studies only covered the early waves of COVID-19 and did not account for county-level variation in the adoption and repeal of such policies. Using daily county-level data from the Centers for Disease Control and Prevention, we evaluated the joint impact of bans on large gatherings, stay-at-home orders, mask mandates, and bar and restaurant closures on slowing COVID-19 transmission during waves 1-4 of the pandemic in the US (March 1, 2020-June 30, 2021). Our survival analysis showed that these interventions were generally effective at slowing COVID-19 transmission during this period. The mitigating effect was particularly strong during waves 2 and 3 and less substantial during waves 1 and 4. We also found strong evidence of the overall protective effect of mask mandates and, to a lesser degree, anticongregation policies. These study findings provide crucial evidence for public health officials to reference for support when using nonpharmaceutical interventions to flatten the curve of future waves of COVID-19 or other infectious disease outbreaks.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 3","pages":"433-442"},"PeriodicalIF":8.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029474","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