Medical Care Research and Review最新文献_第10页

COVID-19 Vaccination Among Skilled Nursing Facility Staff: Challenges and Strategies Identified by Administrators. 熟练护理机构工作人员的COVID-19疫苗接种:管理员确定的挑战和策略。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-12-01 Epub Date: 2023-05-12 DOI: 10.1177/10775587231168435

Emily A Gadbois, Joan F Brazier, Amy Meehan, Caroline Madrigal, Elizabeth M White, Aseel Rafat, David Grabowski, Renee R Shield

{"title":"COVID-19 Vaccination Among Skilled Nursing Facility Staff: Challenges and Strategies Identified by Administrators.","authors":"Emily A Gadbois, Joan F Brazier, Amy Meehan, Caroline Madrigal, Elizabeth M White, Aseel Rafat, David Grabowski, Renee R Shield","doi":"10.1177/10775587231168435","DOIUrl":"10.1177/10775587231168435","url":null,"abstract":"COVID-19 vaccinations are critical for mitigating outbreaks and reducing mortality for skilled nursing facility (SNF) residents and staff, yet uptake among SNF staff varies widely and remains suboptimal. Understanding which strategies are successful for promoting staff vaccination, and examining the relationship between vaccination policies and staff retention/turnover is key for identifying best practices. We conducted repeated interviews with SNF administrators at 3-month intervals between July 2020 and December 2021 (n = 156 interviews). We found that COVID-19 vaccines were initially met with both enthusiasm and skepticism by SNF staff. Administrators reported strategies to increase staff vaccine acceptance, including incentives, one-on-one education, and less stringent personal protective equipment requirements. Federal and state vaccination mandates further promoted vaccine uptake. This combination of mandates with prioritization of the vaccine by SNFs and their leadership was successful at increasing staff vaccination acceptance, which may be critical to increase staff booster uptake from its current suboptimal levels.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":" ","pages":"608-618"},"PeriodicalIF":2.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185450/pdf/10.1177_10775587231168435.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476142","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

Coding Intensity Through Health Risk Assessments and Chart Reviews in Medicare Advantage: Does It Explain Resource Use? 通过健康风险评估的编码强度和医疗保险优势的图表回顾:它能解释资源使用吗?

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2023-12-01 Epub Date: 2023-08-04 DOI: 10.1177/10775587231191169

Jeah Jung, Roger Feldman, Caroline Carlin

引用次数: 0

Left Behind: Medicaid Immigrant Exclusions and Access to Maternal Health Care Across the Reproductive-Perinatal Continuum. 落后:医疗补助移民排斥和获得孕产妇保健在生殖-围产期连续体。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-12-01 Epub Date: 2023-05-16 DOI: 10.1177/10775587231170066

Ashley Fox, Frances M Howell, Ellerie Weber, Teresa Janevic

引用次数: 1

Out-of-Pocket Medical Expenditures in the Redesigned Current Population Survey: Evaluating Improvements to Data Processing. 重新设计的当前人口调查中的自费医疗支出：评估数据处理的改进。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2023-10-01 Epub Date: 2023-05-13 DOI: 10.1177/10775587231170951

Heide Jackson, Katherine Keisler-Starkey

引用次数: 0

Facilitating and Inhibiting Factors in the Design, Implementation, and Applicability of Value-Based Payment Models: A Systematic Literature Review. 基于价值的支付模型的设计、实施和适用性中的促进和抑制因素：系统文献综述。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2023-10-01 Epub Date: 2023-03-23 DOI: 10.1177/10775587231160920

Diogo L L Leao, Henricus-Paul Cremers, Dennis van Veghel, Milena Pavlova, Frederique J Hafkamp, Wim N J Groot

{"title":"Facilitating and Inhibiting Factors in the Design, Implementation, and Applicability of Value-Based Payment Models: A Systematic Literature Review.","authors":"Diogo L L Leao, Henricus-Paul Cremers, Dennis van Veghel, Milena Pavlova, Frederique J Hafkamp, Wim N J Groot","doi":"10.1177/10775587231160920","DOIUrl":"10.1177/10775587231160920","url":null,"abstract":"Evidence on the potential for value-based payment models to improve quality of care and ensure more efficient outcomes is limited and mixed. We aim to identify the factors that enhance or inhibit the design, implementation, and application of these models through a systematic literature review. We used the PRISMA guidelines. The facilitating and inhibiting factors were divided into subcategories according to a theoretical framework. We included 143 publications, each reporting multiple factors. Facilitators on objectives and strategies, such as realistic/achievable targets, are reported in 56 studies. Barriers regarding dedicated time and resources (e.g., an excessive amount of time for improvements to manifest) are reported in 25 studies. Consensus within the network regarding objectives and strategies, trust, and good coordination is essential. Health care staff needs to be kept motivated, well-informed, and actively involved. In addition, stakeholders should manage expectations regarding when results are expected to be achieved.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":"80 5","pages":"467-483"},"PeriodicalIF":2.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10469482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10529182","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

Do High-Deductible Health Plans Incentivize Changing the Timing of Substance Use Disorder Treatment? 高免赔健康计划是否激励改变药物使用障碍治疗的时机？

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-10-01 Epub Date: 2023-06-21 DOI: 10.1177/10775587231180667

Mara A G Hollander, Alene Kennedy-Hendricks, Cameron Schilling, Mark K Meiselbach, Elizabeth A Stuart, Haiden A Huskamp, Alisa B Busch, Julia C P Eddelbuettel, Colleen L Barry, Matthew D Eisenberg

引用次数: 0

Facilitators and Barriers to Care Coordination Between Medicaid Accountable Care Organizations and Community Partners: Early Lessons From Massachusetts. 医疗补助责任护理组织和社区合作伙伴之间护理协调的推动者和障碍：马萨诸塞州的早期教训。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2023-10-01 Epub Date: 2023-04-26 DOI: 10.1177/10775587231168010

Aparna G Kachoria, Laura Sefton, Faye Miller, Amy Leary, Sarah L Goff, Joanne Nicholson, Jay Himmelstein, Matthew Alcusky

{"title":"Facilitators and Barriers to Care Coordination Between Medicaid Accountable Care Organizations and Community Partners: Early Lessons From Massachusetts.","authors":"Aparna G Kachoria, Laura Sefton, Faye Miller, Amy Leary, Sarah L Goff, Joanne Nicholson, Jay Himmelstein, Matthew Alcusky","doi":"10.1177/10775587231168010","DOIUrl":"10.1177/10775587231168010","url":null,"abstract":"Care coordination is central to health care delivery system reform efforts to control costs, improve quality, and enhance patient outcomes, especially for individuals with complex medical and social needs. The potential impact of addressing health-related social needs further illustrates the importance of coordinating health care services with community-based organizations that provide social services and support. This study offers early findings from a unique approach to care coordination delivered by 17 Medicaid Accountable Care Organizations and 27 partnering community-based organizations for individuals with behavioral health conditions and/or those needing long-term services and supports. Interview data from 54 key informants were qualitatively analyzed to understand factors affecting cross-sector integrated care. Key themes emerged, essential to implementing the new model statewide: clarifying roles and responsibilities; promoting communication; facilitating information exchange; developing workforce capacity; building essential relationships; and responsive, supportive program management through real-time feedback, financial incentives, technical assistance, and flexibility from the state Medicaid program.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":"80 5","pages":"507-518"},"PeriodicalIF":2.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/88/10.1177_10775587231168010.PMC10469475.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10547190","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

Internal and Environmental Predictors of Physician Practice Use of Screening and Medications for Opioid Use Disorders. 医生在实践中使用阿片类药物使用障碍筛查和药物治疗的内部和环境预测因素。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2023-08-01 Epub Date: 2023-04-10 DOI: 10.1177/10775587231162681

Chris Miller-Rosales, Susan H Busch, Ellen R Meara, Ashleigh King, Thomas A D'Aunno, Carrie H Colla

{"title":"Internal and Environmental Predictors of Physician Practice Use of Screening and Medications for Opioid Use Disorders.","authors":"Chris Miller-Rosales, Susan H Busch, Ellen R Meara, Ashleigh King, Thomas A D'Aunno, Carrie H Colla","doi":"10.1177/10775587231162681","DOIUrl":"10.1177/10775587231162681","url":null,"abstract":"Medications for opioid use disorder (MOUD) remain highly inaccessible despite demonstrated effectiveness. We examine the extent of screening for opioid use and availability of MOUD in a national cross-section of multi-physician primary care and multispecialty practices. Drawing on an existing framework to characterize the internal and environmental context, we assess socio-technical, organizational-managerial, market-based, and state-regulation factors associated with the use of opioid screening and offering of MOUD in a practice. A total of 26.2% of practices offered MOUD, while 69.4% of practices screened for opioid use. Having advanced health information technology functionality was positively associated with both screening for opioid use and offering MOUD in a practice, while access to on-site behavioral clinicians was positively associated with offering MOUD in adjusted models. These results suggest that improving access to information and expertise may enable physician practices to respond more effectively to the nation's ongoing opioid epidemic.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":"80 4","pages":"410-422"},"PeriodicalIF":2.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10949918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9736259","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

State Policy and the Breadth of Buprenorphine-Prescriber Networks in Medicaid Managed Care. 医疗补助管理医疗中丁丙诺啡处方网络的国家政策和广度。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2023-08-01 Epub Date: 2023-04-21 DOI: 10.1177/10775587231167514

Mark K Meiselbach, Coleman Drake, Jane M Zhu, Brynna Manibusan, Dylan Nagy, Mark J Sorbero, Brendan Saloner, Bradley D Stein, Daniel Polsky

{"title":"State Policy and the Breadth of Buprenorphine-Prescriber Networks in Medicaid Managed Care.","authors":"Mark K Meiselbach, Coleman Drake, Jane M Zhu, Brynna Manibusan, Dylan Nagy, Mark J Sorbero, Brendan Saloner, Bradley D Stein, Daniel Polsky","doi":"10.1177/10775587231167514","DOIUrl":"10.1177/10775587231167514","url":null,"abstract":"Provider networks in Medicaid Managed Care (MMC) play a crucial role in ensuring access to buprenorphine, a highly effective treatment for opioid use disorder. Using a difference-in-differences approach that compares network breadth across provider specialties and market segments within the same state, we investigated the association between three Medicaid policies and the breadth of MMC networks for buprenorphine prescribers: Medicaid expansion, substance use disorder (SUD) network adequacy criteria, and SUD carveouts. We found that both Medicaid expansion and SUD network adequacy criteria were associated with substantially increased breadth in buprenorphine-prescriber networks in MMC. In both cases, we found that the associations were largely driven by increases in the network breadth of primary care physician prescribers. Our findings suggest that Medicaid expansion and SUD network adequacy criteria may be effective strategies at states' disposal to improve access to buprenorphine.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":"80 4","pages":"423-432"},"PeriodicalIF":2.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9680843","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

Adoption and Value of the Medicare Annual Wellness Visit: A Mixed-Methods Study. 医疗保险年度健康检查的采用和价值：混合方法研究。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2023-08-01 Epub Date: 2023-04-26 DOI: 10.1177/10775587231166037

Mika K Hamer, Matthew DeCamp, Cathy J Bradley, Donald E Nease, Marcelo C Perraillon

{"title":"Adoption and Value of the Medicare Annual Wellness Visit: A Mixed-Methods Study.","authors":"Mika K Hamer, Matthew DeCamp, Cathy J Bradley, Donald E Nease, Marcelo C Perraillon","doi":"10.1177/10775587231166037","DOIUrl":"10.1177/10775587231166037","url":null,"abstract":"Medicare's Annual Wellness Visit (AWV) was introduced in 2011 to encourage the utilization of preventive services, but many clinicians and patients still do not participate in the visit. We qualitatively and quantitatively assessed motivations and clinical and financial value of AWVs from a primary care perspective using interviews and Medicare claims from 2012 to 2019. Primary care providers with the highest acuity patients had AWV utilization rates 11.2 percentage points lower than providers with the lowest acuity patients; utilization rates were 3.8 percentage points lower in rural counties. Adoption was motivated by patient needs and financial incentives. AWVs closed gaps in preventive care, strengthened patient-provider relationships, facilitated advance care planning, and provided an opportunity to improve quality metrics. Overall, the AWV has the potential to increase the use of high-value preventive services although not all clinics have an economic incentive to adopt the visit, which may explain some of the variability in utilization rates.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":"80 4","pages":"433-443"},"PeriodicalIF":2.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11520687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9682279","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