Medical Care Research and Review最新文献_第2页

Medicaid Reimbursement for Doula Care: Policy Considerations From a Scoping Review. 杜拉护理的医疗补助报销：范围审查的政策考虑因素。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2024-08-01 Epub Date: 2023-12-20 DOI: 10.1177/10775587231215221

Cara B Safon, Lois McCloskey, Sarah H Gordon, Megan B Cole, Jack Clark

引用次数: 0

Differential Privacy Protections in 2020 U.S. Decennial Census Data Do Not Impede Measurement of Racial and Ethnic Disparities. 2020 年美国十年一次人口普查数据中的隐私保护差异不会妨碍对种族和民族差异的测量。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2024-08-01 Epub Date: 2024-05-14 DOI: 10.1177/10775587241251870

Joshua Snoke, Ann Haas, Steven C Martino, Marc N Elliott

引用次数: 0

The Consequences of Unmet Needs for Assistance With Daily Life Activities Among Older Adults: A Systematic Review. 老年人日常生活活动援助需求得不到满足的后果：系统回顾

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2024-08-01 Epub Date: 2024-03-07 DOI: 10.1177/10775587241233798

Jing Huang, Xingxing Qian, Edmond Pui Hang Choi, Pui Hing Chau

引用次数: 0

Health care Utilization and Expenditures in Health Professional Shortage Areas. 卫生专业人员短缺地区的医疗保健使用和支出。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2024-08-01 Epub Date: 2024-03-14 DOI: 10.1177/10775587241235705

Chandler B McClellan

引用次数: 0

State-Level Adverse Outcomes Among Long-Term Services and Supports Users With Alzheimer's Disease and Related Dementias. 长期服务和支持阿尔茨海默病及相关痴呆症患者的州级不良结果。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2024-06-01 Epub Date: 2023-10-23 DOI: 10.1177/10775587231207668

Hyunjee Kim, Angela Senders, Erika Simeon, Clint Sergi, Sean Shenghsiu Huang, Hiroko H Dodge, K John McConnell

{"title":"State-Level Adverse Outcomes Among Long-Term Services and Supports Users With Alzheimer's Disease and Related Dementias.","authors":"Hyunjee Kim, Angela Senders, Erika Simeon, Clint Sergi, Sean Shenghsiu Huang, Hiroko H Dodge, K John McConnell","doi":"10.1177/10775587231207668","DOIUrl":"10.1177/10775587231207668","url":null,"abstract":"Home- and community-based services (HCBS) users, on average, experience hospitalizations more frequently than nursing facility residents. However, little is known about state-level variation in such adverse events among these groups. Using 2018 Medicare and Medicaid claims for dual-eligible beneficiaries with Alzheimer's disease and related dementias, we described hospitalization and emergency department (ED) visit rates among HCBS users and nursing facility residents and observed substantial state-level variation. In addition, consistent with prior evidence, we found more frequent hospitalizations and ED visits among HCBS users than nursing facility residents. The magnitude of this difference varied considerably across states, and the degree of variation was greatest among beneficiaries with six or more comorbid conditions. Our findings represent a crucial initial exploration of the state-level variation in adverse events among HCBS users and nursing facility residents, paving the way for further investigations into factors that contribute to this variability.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693745","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

Managing Surges in Demand: A Grounded Conceptual Framework of Surge Management Capability. 管理需求激增：浪涌管理能力的基础概念框架。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2024-06-01 Epub Date: 2024-01-25 DOI: 10.1177/10775587241226485

Jeffrey D Larson, Alden Yuanhong Lai, Matthew J DePuccio, Brian Hilligoss

引用次数: 0

Social Risk Factors and Racial and Ethnic Disparities in Health Care Resource Utilization Among Medicare Advantage Beneficiaries With Psychiatric Disorders. 有精神障碍的医疗保险优势受益人在医疗资源利用方面的社会风险因素及种族和民族差异。

IF 2.4 3区医学

Medical Care Research and Review Pub Date : 2024-06-01 Epub Date: 2024-01-18 DOI: 10.1177/10775587231222583

Benjamin Lê Cook, Jeremiah Rastegar, Nikesh Patel

{"title":"Social Risk Factors and Racial and Ethnic Disparities in Health Care Resource Utilization Among Medicare Advantage Beneficiaries With Psychiatric Disorders.","authors":"Benjamin Lê Cook, Jeremiah Rastegar, Nikesh Patel","doi":"10.1177/10775587231222583","DOIUrl":"10.1177/10775587231222583","url":null,"abstract":"The intersection of social risk and race and ethnicity on mental health care utilization is understudied. This study examined disparities in health care treatment, adjusting for clinical need, among 25,780 Medicare Advantage beneficiaries with a diagnosis of a psychiatric disorder. We assessed contributions to disparities from racial and ethnic differences in the composition and returns of social risk variables. Black and Hispanic beneficiaries had lower rates of mental health outpatient visits than Whites. Assessing composition, Black and Hispanic beneficiaries experienced greater financial, food, and housing insecurity than White beneficiaries, factors associated with greater mental health treatment. Assessing returns, food insecurity was associated with an exacerbation of Hispanic-White disparities. Health care systems need to address the financial, food and housing insecurity of racial and ethnic minority groups with psychiatric disorder. Accounting for racial and ethnic differences in social risk adjustment-based payment reforms has significant implications for provider reimbursement and outcomes.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11168608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486802","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

Administrator Perspectives on the Impact of COVID-19 on the Administration of the Patient Driven Payment Model in U.S. Skilled Nursing Facilities. 管理者对 COVID-19 对美国专业护理机构患者驱动付费模式管理影响的看法。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2024-06-01 Epub Date: 2024-02-29 DOI: 10.1177/10775587241233018

Amy Meehan, Joan F Brazier, David C Grabowski, Momotazur Rahman, Renee R Shield, Emily A Gadbois

{"title":"Administrator Perspectives on the Impact of COVID-19 on the Administration of the Patient Driven Payment Model in U.S. Skilled Nursing Facilities.","authors":"Amy Meehan, Joan F Brazier, David C Grabowski, Momotazur Rahman, Renee R Shield, Emily A Gadbois","doi":"10.1177/10775587241233018","DOIUrl":"10.1177/10775587241233018","url":null,"abstract":"The Patient Driven Payment Model (PDPM) was implemented in U.S. skilled nursing facilities (SNFs) in October 2019, shortly before COVID-19. This new payment model aimed to reimburse SNFs for patients' nursing needs rather than the previous model which reimbursed based on the volume of therapy received. Through 156 semi-structured interviews with 40 SNF administrators from July 2020 to December 2021, this qualitative study clarifies the impact of COVID-19 on the administration of PDPM at SNFs. Interview data were analyzed using modified grounded theory and thematic analysis. Our findings show that SNF administrators shifted focus from management of the PDPM to COVID-19-related delivery of care adaptations, staff shortfalls, and decreased admissions. As the pandemic abated, administrators re-focused their attention to PDPM. Policy makers should consider the continued impacts of the pandemic at SNFs, particularly on delivery of care, admissions, and staffing, on the ability of SNF administrators to administer a new payment model.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991789","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

Interventions and Hospital Characteristics Associated With Patient Experience: An Update of the Evidence. 与患者体验相关的干预措施和医院特征：最新证据。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2024-06-01 Epub Date: 2024-01-18 DOI: 10.1177/10775587231223292

Megan K Beckett, Denise D Quigley, William G Lehrman, Laura A Giordano, Christopher W Cohea, Elizabeth H Goldstein, Marc N Elliott

{"title":"Interventions and Hospital Characteristics Associated With Patient Experience: An Update of the Evidence.","authors":"Megan K Beckett, Denise D Quigley, William G Lehrman, Laura A Giordano, Christopher W Cohea, Elizabeth H Goldstein, Marc N Elliott","doi":"10.1177/10775587231223292","DOIUrl":"10.1177/10775587231223292","url":null,"abstract":"Patient experience is a key hospital quality measure. We review and characterize the literature on interventions, care and management processes, and structural characteristics associated with better inpatient experiences as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Prior reviews identified several promising interventions. We update these previous efforts by including more recent peer-reviewed literature and expanding the review's scope to include observational studies of HCAHPS measures with process measures and structural characteristics. We used PubMed to identify U.S. English-language peer-reviewed articles published in 2017 to 2020 and focused on hospital patient experience. The two HCAHPS domains for which we found the fewest potential quality improvement interventions were Communication with Doctors and Quietness. We identified several modifiable processes that could be rigorously evaluated in the future, including electronic health record patient engagement functionality, care management processes, and nurse-to-patient ratios. We describe implications for future policy, practice, and research.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492868","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

Burnout Among Nursing Home Care Aides and the Effects on Resident Outcomes. 养老院护理员的职业倦怠及其对住院结果的影响。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2024-06-01 Epub Date: 2023-12-30 DOI: 10.1177/10775587231220072

Andrea Gruneir, Stephanie A Chamberlain, Charlotte Jensen, Greta Cummings, Matthias Hoben, Sheila Boamah, Clarisse Bosco, Sadaf Ekhlas, Sascha R Bolt, Tim Rappon, Whitney B Berta, Janet Squires, Carole A Estabrooks

{"title":"Burnout Among Nursing Home Care Aides and the Effects on Resident Outcomes.","authors":"Andrea Gruneir, Stephanie A Chamberlain, Charlotte Jensen, Greta Cummings, Matthias Hoben, Sheila Boamah, Clarisse Bosco, Sadaf Ekhlas, Sascha R Bolt, Tim Rappon, Whitney B Berta, Janet Squires, Carole A Estabrooks","doi":"10.1177/10775587231220072","DOIUrl":"10.1177/10775587231220072","url":null,"abstract":"While burnout among health care workers has been well studied, little is known about the extent to which burnout among health care workers impacts the outcomes of their care recipients. To test this, we used a multi-year (2014-2020) survey of care aides working in approximately 90 nursing homes (NHs); the survey focused on work-life measures, including the Maslach Burnout Inventory (MBI) and work-unit identifier. Resident Assessment Instrument Minimum Data Set (RAI-MDS 2.0) data were obtained on all residents in the sampled NHs during this time and included a unit identifier for each resident. We used multi-level models to test associations between the MBI emotional exhaustion and cynicism sub-scales reported by care aides and the resident outcomes of antipsychotics without indication, depressive symptoms, and responsive behaviors among residents on units. In 2019/2020, our sample included 3,547 care aides and 10,117 residents in 282 units. The mean frequency of emotional exhaustion and cynicism across units was 43% and 50%, respectively. While residents frequently experienced antipsychotics without indication 1,852 (18.3%), depressive symptoms 2,089 (20.7%), and responsive behaviors 3,891 (38.5%), none were found to be associated with either emotional exhaustion or cynicism among care aides.","PeriodicalId":51127,"journal":{"name":"Medical Care Research and Review","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11092296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075793","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