Medical Care Research and Review最新文献

Effective Roles of Primary Care Clinics in Lowering Total Cost of Care Among Commercially Insured Populations: A Systematic Review. 初级保健诊所在降低商业参保人群医疗总成本中的有效作用：一项系统回顾。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2025-08-01 Epub Date: 2025-03-18 DOI: 10.1177/10775587251323636

Arindam Debbarma, Roshani Dahal, Bryan E Dowd

引用次数: 0

New Opportunities or More of the Same? Health Industry Entrants in the Post-Pandemic Era. 新机遇还是一成不变？后大流行病时代的健康产业进入者。

IF 2.2 3区医学

Medical Care Research and Review Pub Date : 2025-08-01 Epub Date: 2025-03-13 DOI: 10.1177/10775587251320684

Kyla F Woodward, LaTonya Trotter, Janette Dill, Bianca Frogner

{"title":"New Opportunities or More of the Same? Health Industry Entrants in the Post-Pandemic Era.","authors":"Kyla F Woodward, LaTonya Trotter, Janette Dill, Bianca Frogner","doi":"10.1177/10775587251320684","DOIUrl":"10.1177/10775587251320684","url":null,"abstract":"This cross-sectional study examines shifts in health industry entry and sector choice among women, racially minoritized workers, and immigrants during the pandemic era. Using data from the Annual Social and Economic Supplement of the Current Population Survey (2018-2023), we compare entrant characteristics before and during the pandemic era, focusing on demographic composition and sector choice. Results show minimal shifts by gender, race, or education but highlight a rise in entrants from outside the labor force, particularly among White women and racially minoritized men. There were changes in sector choice: ambulatory care saw the greatest increase in racially minoritized entrants, with small increases for hospitals and a decrease for long-term care. Despite these sector-specific shifts, overall opportunities for minoritized workers did not expand, nor did workforce diversity significantly improve. These findings underscore the need for research that examines how policies outside the workplace shape worker behavior, particularly among marginalized groups.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"346-353"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12197824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Provider Perspectives on Implementation of Adult Community-Based Palliative Care: A Scoping Review. 成人社区姑息治疗实施的提供者观点：范围审查。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2025-08-01 Epub Date: 2025-01-02 DOI: 10.1177/10775587241303963

Nicole Dussault, Dorian Ho, Haripriya Dukkipati, Judith B Vick, Lesley A Skalla, Jessica Ma, Christopher A Jones, Brystana G Kaufman

{"title":"Provider Perspectives on Implementation of Adult Community-Based Palliative Care: A Scoping Review.","authors":"Nicole Dussault, Dorian Ho, Haripriya Dukkipati, Judith B Vick, Lesley A Skalla, Jessica Ma, Christopher A Jones, Brystana G Kaufman","doi":"10.1177/10775587241303963","DOIUrl":"10.1177/10775587241303963","url":null,"abstract":"While community-based palliative care (CBPC) programs have been expanding, there remain important obstacles to widespread use. Since provider perspectives on CBPC remain underexplored, we conducted a scoping review to summarize provider perspectives regarding barriers and facilitators to implementation of adult CBPC in the United States. We systematically searched OVID, MEDLINE, and CINAHL for peer-reviewed qualitative research published from January 1, 2010 to January 9, 2024, then used PRISM framework synthesis to organize themes into provider, organization, and external environment levels. Thirty-four articles were included. At the provider level, barriers included misperceptions of palliative care (PC) by referring providers and poor communication, while facilitators included multidisciplinary teams and referring provider education. At the organizational level, time constraints were barriers, while leadership buy-in and co-located clinics were facilitators. At the external environment level, limited PC workforce and inadequate reimbursement were barriers. Our findings suggest that efforts aimed at scaling CBPC must address factors at the provider, organizational, and policy levels.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"301-318"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

The Effects of Care Coordination on Service Utilization for Individuals Dually Enrolled in Medicare and Medicaid: Evidence From the Washington Health Home Managed Fee-For-Service Demonstration. 护理协调对医疗保险和医疗补助双重登记个人服务利用的影响：来自华盛顿健康之家管理的服务收费示范的证据。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2025-08-01 Epub Date: 2025-03-18 DOI: 10.1177/10775587251321607

Laura Barrie Smith, Timothy A Waidmann, Kyle J Caswell, Keqin Wei

{"title":"The Effects of Care Coordination on Service Utilization for Individuals Dually Enrolled in Medicare and Medicaid: Evidence From the Washington Health Home Managed Fee-For-Service Demonstration.","authors":"Laura Barrie Smith, Timothy A Waidmann, Kyle J Caswell, Keqin Wei","doi":"10.1177/10775587251321607","DOIUrl":"10.1177/10775587251321607","url":null,"abstract":"Individuals dually enrolled in Medicare and Medicaid often experience fragmented care that fails to meet their health care needs and is unduly expensive due to a lack of coordination between Medicare and Medicaid programs. Washington state's Health Home Managed Fee-For-Service demonstration, part of the Financial Alignment Initiative, sought to improve care and reduce costs for high-cost, high-risk dual enrollees through care coordination. Using Medicare and Medicaid administrative claims data from 2016 to 2019, we evaluate the impact of the Washington demonstration on health care utilization using a modified regression discontinuity design. We find that for relatively healthy enrollees on the margin of eligibility for the demonstration, enrollment in the demonstration modestly reduced emergency department visits, ambulatory care visits, and some types of home and community-based service (HCBS) use and reduced nursing facility stays for older enrollees, but did not impact inpatient or skilled nursing facility admissions. Addressing the fragmentation of coverage, care, and financing for dual enrollees remains an important policy and research priority.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"336-345"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Hospital Entry Improves Quality: Evidence From Common Medical Conditions. 入院提高质量：来自常见医疗状况的证据。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2025-08-01 Epub Date: 2025-03-18 DOI: 10.1177/10775587251321208

Matthew C Baker, Thomas Stratmann

引用次数: 0

The Impact of Rural Hospital Closures and Mergers on Health System Ecologies: A Scoping Review. 农村医院关闭和合并对卫生系统生态的影响：范围审查。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2025-07-24 DOI: 10.1177/10775587251355671

Alison Coates, Janice Probst, Kanika Sarwal, Suhaib Riaz, Agnes Grudniewicz

引用次数: 0

Mission vs. Margin: The Effects of Catholic Health System Ownership on Hospital Operations. 使命与边际：天主教医疗系统所有权对医院运营的影响。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2025-07-24 DOI: 10.1177/10775587251355541

Alex Schulte, Becky Staiger, Hector P Rodriguez, Amanda L Brewster

{"title":"Mission vs. Margin: The Effects of Catholic Health System Ownership on Hospital Operations.","authors":"Alex Schulte, Becky Staiger, Hector P Rodriguez, Amanda L Brewster","doi":"10.1177/10775587251355541","DOIUrl":"https://doi.org/10.1177/10775587251355541","url":null,"abstract":"The number of Catholic hospitals grew by 28% between 2001 and 2020, and today almost one-fifth of U.S. nonprofit hospitals are Catholic. Catholic systems face conflicting institutional pressures to provide mission-oriented services while remaining financially competitive. Using 2009-2022 data from the American Hospital Association (n = 33,552 hospital-years), we applied difference-in-differences methods to compare changes in hospital operations after acquisition by Catholic and non-Catholic systems relative to the control group of never-acquired hospitals. Catholic-acquired hospitals were more likely to offer some mission-oriented services, including chaplaincy and charity care (average treatment effect on the treated, ATT, 10.41 percentage-point [pp] and 3.97 pp, respectively), while non-Catholic-acquired hospitals were less likely to operate an obstetrics unit (ATT -3.45 pp) after acquisition relative to the control group. Hospitals experienced similar cost-cutting measures after acquisition relative to the control group, including reduced operating expenses and employment, regardless of system ownership type. Our findings provide rigorous empirical evidence to inform ongoing policy debates regarding the expansion of Catholic health care.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"10775587251355541"},"PeriodicalIF":2.4,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Hospital Patient Experience Worsened With the COVID-19 Pandemic, Especially for Older Adults, and Remains Worse than Before. 随着COVID-19大流行，医院患者的体验恶化，尤其是老年人，并且仍然比以前更糟。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2025-07-07 DOI: 10.1177/10775587251349053

Megan K Beckett, Christopher W Cohea, Debra Saliba, Paul D Cleary, Laura A Giordano, Marc N Elliott

{"title":"Hospital Patient Experience Worsened With the COVID-19 Pandemic, Especially for Older Adults, and Remains Worse than Before.","authors":"Megan K Beckett, Christopher W Cohea, Debra Saliba, Paul D Cleary, Laura A Giordano, Marc N Elliott","doi":"10.1177/10775587251349053","DOIUrl":"https://doi.org/10.1177/10775587251349053","url":null,"abstract":"Adults age 75+ report worse inpatient experiences than patients 55 to 74. Older adults may have been especially vulnerable to changes such as family access and reduced staffing during the COVID-19 pandemic. We examined 2018-2023 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys from 14,760,049 respondents discharged from 4,462 hospitals. We examined changes in an HCAHPS summary score (HCAHPS-SS), controlling for pre-pandemic quarterly and linear trends. HCAHPS-SS declined 4.1pp, a medium-to-large drop by Q3/2022, recovering only slightly by Q4/2023 (to -3.5pp). HCAHPS-SS decreased fastest for patients 75+ and least for maternity patients, even controlling for age. Differences by age may reflect older patients' greater need for instrumental support and differential impacts of visitor restrictions. Hospitals' quality improvement efforts should focus on understanding the need for patient support and on restoring prior patient experience gains. The failure to return to pre-pandemic levels points to the need to understand and address the residual factors that continue to alter patient experience.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"10775587251349053"},"PeriodicalIF":2.4,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Immigrant Staff in Nursing Homes: Mitigating Staffing Shortages During the COVID-19 Pandemic. 养老院的移民工作人员：缓解COVID-19大流行期间的人员短缺。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2025-06-29 DOI: 10.1177/10775587251349064

Hankyung Jun, Fangli Geng, Brian E McGarry, Momotazur Rahman, Elizabeth M White, Emily A Gadbois, David C Grabowski

引用次数: 0

Medicare Advantage Plan and Chronic Kidney Disease Care Management Company Partnerships After the 21st Century Cures Act. 医疗保险优势计划和慢性肾脏疾病护理管理公司在21世纪治愈法案后的合作关系。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2025-06-28 DOI: 10.1177/10775587251349298

Denise A Tyler, Emily A Gadbois, Joan F Brazier, Amal N Trivedi

引用次数: 0