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

Implementing a COVID-19 Virtual Observation Unit in Emergency Medicine: Frontline Clinician and Staff Experiences. 急诊医学新型冠状病毒肺炎虚拟观察室的实施:一线临床医生和工作人员的经验。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 DOI: 10.1177/10775587221108750

Olivia S Jung, Ilana Graetz, Stephen C Dorner, Emily M Hayden

{"title":"Implementing a COVID-19 Virtual Observation Unit in Emergency Medicine: Frontline Clinician and Staff Experiences.","authors":"Olivia S Jung, Ilana Graetz, Stephen C Dorner, Emily M Hayden","doi":"10.1177/10775587221108750","DOIUrl":"https://doi.org/10.1177/10775587221108750","url":null,"abstract":"The COVID-19 pandemic pushed hospitals to deliver care outside of their four walls. To successfully scale virtual care delivery, it is important to understand how its implementation affects frontline workers, including their teamwork and patient-provider interactions. We conducted in-depth interviews of 17 clinicians and staff involved with the COVID-19 Virtual Observation Unit (CVOU) in the emergency department (ED) of an academic hospital. The program leveraged remote patient monitoring and mobile integrated health care. In the CVOU (vs. the ED), participants observed increases in interactions among clinicians and staff, patient participation in care delivery, attention to nonmedical factors, and involvement of coordinators and paramedics in patient care. These changes were associated with unintended, positive consequences for staff, namely, feeling heard, experience of meaningfulness, and positive attitudes toward virtual care. This study advances research on reconfiguration of roles following implementation of new practices using digital tools, virtual work interactions, and at-home care delivery.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9806199/pdf/10.1177_10775587221108750.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10645009","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: 5

Growth of Private Pay Senior Housing Communities in Metropolitan Statistical Areas in the United States: 2015-2019. 美国大都会统计区私人付费老年住宅社区的增长：2015-2019.

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 Epub Date: 2022-07-05 DOI: 10.1177/10775587221106121

Katherine E M Miller, Jiayi Zhao, Liisa T Laine, Norma B Coe

引用次数: 0

Traditional Medicare Episode-Related Spending on Postacute Care for Dual-Eligible and Medicare-Only Beneficiaries, 2009-2017. 2009-2017 年双保险和单项医疗保险受益人的传统医疗保险急性期后护理相关支出。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 Epub Date: 2022-06-02 DOI: 10.1177/10775587221095956

Laura M Keohane, Sunil Kripalani, David G Stevenson, Melinda B Buntin

{"title":"Traditional Medicare Episode-Related Spending on Postacute Care for Dual-Eligible and Medicare-Only Beneficiaries, 2009-2017.","authors":"Laura M Keohane, Sunil Kripalani, David G Stevenson, Melinda B Buntin","doi":"10.1177/10775587221095956","DOIUrl":"10.1177/10775587221095956","url":null,"abstract":"Dual-eligible beneficiaries with Medicare and Medicaid coverage generally have greater utilization and spending levels than Medicare-only beneficiaries on postacute services, raising questions about how strategies to curb postacute spending will affect dual-eligible beneficiaries. We compared trends in postacute spending and use related to inpatient episodes at a population and episode level for dual-eligible and Medicare-only beneficiaries over the years 2009-2017. Although dual-eligible beneficiaries had consistently higher inpatient and postacute service use and spending than Medicare-only populations, both populations experienced similar declines in inpatient and postacute measures over time. Conditional on having an inpatient stay, most types of postacute service use increased regardless of dual-eligible status. These consistent patterns in episode-related postacute spending for Medicare-only and dual-eligible beneficiaries-decreased episode-related spending and use on a per beneficiary basis and increased use and spending on a per episode basis-suggest that changing patterns of care affect both populations.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10265692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10000755","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

Nursing Home COVID Relief Under QIP's Performance-Based Formula: Does Performance Actually Matter, and Should It? 在QIP基于绩效的公式下，养老院的COVID缓解:绩效真的很重要吗，应该吗?

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2022-12-01 DOI: 10.1177/10775587221096260

Elizabeth Plummer, William F Wempe

{"title":"Nursing Home COVID Relief Under QIP's Performance-Based Formula: Does Performance Actually Matter, and Should It?","authors":"Elizabeth Plummer, William F Wempe","doi":"10.1177/10775587221096260","DOIUrl":"https://doi.org/10.1177/10775587221096260","url":null,"abstract":"The Quality Incentive Program (QIP) distributed US$2 billion to nursing homes (NHs) that met performance goals primarily related to their COVID-19 infection rates. We examine how QIP affected 15,331 NHs with different facility and community attributes, and the extent to which QIP payments per resident-week (QIP$) were associated with NHs' COVID-related attributes. We find that QIP$ was primarily determined by county (not facility) infection rates. QIP distributed US$2 billion to NHs for months in which they experienced virtually no COVID-19 cases; US$0 was distributed for months in which they experienced more than 300,000 cases. We find that QIP$ was larger for smaller, nonprofit NHs located in more rural and economically distressed communities. Regression analyses reveal that recipients of larger QIP$ maintained greater supplies of personal protective equipment, conducted more staff testing, and limited admissions of infected residents, and that greater staff testing and limited admissions are also associated with NHs' sustained success in receiving QIP payments. Policymakers should consider whether performance-based payment systems are optimal for addressing public health emergencies.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10774959","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

Health Insurance Ad Messages Targeted to English- and Spanish-Speaking Populations in a Period of Limited Federal Investment in Marketplace Outreach. 针对英语和西班牙语人群的健康保险广告信息在有限的联邦市场推广投资时期。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2022-12-01 Epub Date: 2022-06-16 DOI: 10.1177/10775587221101295

Cynthia Pando, Margaret Ellen Tait, Cydney M McGuire, Sarah Perez-Sanz, Laura Baum, Erika Franklin Fowler, Sarah E Gollust

{"title":"Health Insurance Ad Messages Targeted to English- and Spanish-Speaking Populations in a Period of Limited Federal Investment in Marketplace Outreach.","authors":"Cynthia Pando, Margaret Ellen Tait, Cydney M McGuire, Sarah Perez-Sanz, Laura Baum, Erika Franklin Fowler, Sarah E Gollust","doi":"10.1177/10775587221101295","DOIUrl":"10.1177/10775587221101295","url":null,"abstract":"Federal funding cuts to enrollment outreach and marketing of the Affordable Care Act (ACA) marketplace options in 2017 has raised questions about the adequacy of the information the public has received, especially among populations vulnerable to uninsurance. Using health insurance ads aired from January 1, 2018, through December 21, 2018, we conducted a content analysis focused on (a) the messaging differences by ad language (English vs. Spanish) and (b) the messaging appeals used by nonfederally sponsored health insurance ads in 2018. The results reveal that privately sponsored ads focused on benefit appeals (e.g., prescription drugs), while publicly sponsored ads emphasized financial assistance subsidies. Few ads, regardless of language, referenced the ACA explicitly and privately sponsored Spanish-language ads emphasized benefits (e.g., choice of doctor) over enrollment-relevant details. This study emphasizes that private-sponsored television marketing may not provide specific and actionable health insurance information to the public, especially for the Spanish-speaking populations.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10339780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9830694","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: 1

Selection Incentives in the Dutch Basic Health Insurance: To What Extent Does End-of-Life Spending Contribute to Predictable Profits and Losses for Selective Groups? 荷兰基本健康保险的选择激励:临终支出在多大程度上有助于选择性群体的可预测利润和损失?

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2022-12-01 DOI: 10.1177/10775587221099731

A A Withagen-Koster, R C van Kleef, F Eijkenaar

{"title":"Selection Incentives in the Dutch Basic Health Insurance: To What Extent Does End-of-Life Spending Contribute to Predictable Profits and Losses for Selective Groups?","authors":"A A Withagen-Koster, R C van Kleef, F Eijkenaar","doi":"10.1177/10775587221099731","DOIUrl":"https://doi.org/10.1177/10775587221099731","url":null,"abstract":"Existing risk-equalization models in individual health insurance markets with premium-rate restrictions do not completely compensate insurers for predictable profits/losses, confronting insurers with risk selection incentives. To guide further improvement of risk-equalization models, it is important to obtain insight into the drivers of remaining predictable profits/losses. This article studies a specific potential driver: end-of-life spending (defined here as spending in the last 1-5 years of life). Using administrative (N = 16.9 m) and health survey (N = 384 k) data from the Netherlands, we examine the extent to which end-of-life spending contributes to predictable profits/losses for selective groups. We do so by simulating the predictable profits/losses for these groups with and without end-of-life spending while correcting for the overall spending difference between these two situations. Our main finding is that-even under a sophisticated risk-equalization model-end-of-life spending can contribute to predictable losses for specific chronic conditions.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9606011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10400539","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 Policies and Buprenorphine Prescribing by Nurse Practitioners and Physician Assistants. 执业护士和医师助理的国家政策和丁丙诺啡处方。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2022-12-01 Epub Date: 2022-04-18 DOI: 10.1177/10775587221086489

Jordan M Harrison, Rose Kerber, Barbara Andraka-Christou, Mark Sorbero, Bradley D Stein

{"title":"State Policies and Buprenorphine Prescribing by Nurse Practitioners and Physician Assistants.","authors":"Jordan M Harrison, Rose Kerber, Barbara Andraka-Christou, Mark Sorbero, Bradley D Stein","doi":"10.1177/10775587221086489","DOIUrl":"10.1177/10775587221086489","url":null,"abstract":"Nurse practitioner (NP) and physician assistant (PA) prescribing can increase access to buprenorphine treatment for opioid use disorder. In this cross-sectional study, we used deidentified claims from approximately 90% of U.S. retail pharmacies (2017-2018) to examine the association of state policies with the odds of receiving buprenorphine treatment from an NP/PA versus a physician, overall and stratified by urban/rural status. From 2017 to 2018, the percentage of buprenorphine treatment episodes prescribed by NPs/PAs varied widely across states, from 0.4% in Alabama to 57.2% in Montana. Policies associated with greater odds of buprenorphine treatment from an NP/PA included full scope of practice (SOP) for NPs, full SOP for PAs, Medicaid pay parity for NPs (reimbursement at 100% of the fee-for-service physician rate), and Medicaid expansion. Although most findings with respect to policies were similar in urban and rural settings, the association of Medicaid expansion with NP/PA buprenorphine treatment was driven by rural counties.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282517","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: 5

State Expectations and Medicaid Managed Care Organizations' Efforts to Address the Social Needs of Medicaid Enrollees. 国家期望和医疗补助管理护理组织的努力，以解决医疗补助登记者的社会需求。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2022-12-01 DOI: 10.1177/10775587221096262

Samuel T Opoku, Charles F Owens, Bettye A Apenteng, Linda Kimsey, Angela H Peden

{"title":"State Expectations and Medicaid Managed Care Organizations' Efforts to Address the Social Needs of Medicaid Enrollees.","authors":"Samuel T Opoku, Charles F Owens, Bettye A Apenteng, Linda Kimsey, Angela H Peden","doi":"10.1177/10775587221096262","DOIUrl":"https://doi.org/10.1177/10775587221096262","url":null,"abstract":"Existing work on states' efforts to address the social needs of Medicaid enrollees indicate the implementation of several state-level strategies to move Medicaid Managed Care Organizations (MMCOs) toward the provision of whole-person care. However, less is known about how these expectations drive MMCOs' SDOH efforts. To address this gap, we interviewed representatives of eight MMCOs (N=28) and 12 state Medicaid offices (N=17). Participants described varying state-implemented instruments for encouraging an SDOH-focus among MMCOs, including both coercive (e.g., contractual mandates) and subtle approaches (e.g., request for proposal process and performance measurement expectations). However, regardless of states' expectations, MMCOs, driven by organizational and industry-related factors, recognized the importance of addressing SDOH as part of a holistic approach to health care. Collectively, regulatory pressures, organizational strategy, and market forces influenced MMCOs' efforts to address SDOH leading to a normalization of their role in addressing members' social needs within a medical paradigm.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10409012","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: 1

Societal Costs and Outcomes of Medical and Recreational Marijuana Policies in the United States: A Systematic Review. 美国医疗和娱乐大麻政策的社会成本和结果:系统回顾。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2022-12-01 Epub Date: 2022-01-22 DOI: 10.1177/10775587211067315

Michael T French, Julia Zukerberg, Tara E Lewandowski, Katrina B Piccolo, Karoline Mortensen

{"title":"Societal Costs and Outcomes of Medical and Recreational Marijuana Policies in the United States: A Systematic Review.","authors":"Michael T French, Julia Zukerberg, Tara E Lewandowski, Katrina B Piccolo, Karoline Mortensen","doi":"10.1177/10775587211067315","DOIUrl":"https://doi.org/10.1177/10775587211067315","url":null,"abstract":"Significant support exists in the United States for legalization of marijuana/cannabis. As of 2021, 36 states and four territories approved the legalization of medical cannabis via medical marijuana laws (MMLs), and 15 states and District of Columbia (DC) have adopted recreational marijuana laws (RMLs). We performed structured and systematic searches of articles published from 2010 through September 2021. We assess the literature pertaining to adolescent marijuana use; opioid use and opioid-related outcomes; alcohol use; tobacco use; illicit and other drug use; marijuana growing and cultivation; employment, earnings, and other workplace outcomes; academic achievement and performance; criminal activity; perceived harmfulness; traffic and road safety; and suicide and sexual activity. Overall, 113 articles satisfied our inclusion criteria. Except for opioids, studies on use of other substances (illicit drugs, tobacco, and alcohol) were inconclusive. MMLs and RMLs do not generate negative outcomes in the labor market, lead to greater criminal activity, or reduce traffic and road safety.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39940832","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: 7

Medicaid Payment and Fluoride Varnish Application During Pediatric Medical Visits. 儿科医疗访问期间医疗补助支付和氟化物清漆应用。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2022-12-01 Epub Date: 2022-02-08 DOI: 10.1177/10775587221074766

Ashley M Kranz, Isaac M Opper, Bradley D Stein, Teague Ruder, Grace Gahlon, Mark Sorbero, Andrew W Dick

引用次数: 0