Medical Care Research and Review最新文献_第9页

The Effects of the Medicaid Expansion on Hospital Utilization, Employment, and Capital. 医疗补助扩大对医院利用、就业和资本的影响。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-04-01 DOI: 10.1177/10775587221133165

Giacomo Meille, Brady Post

引用次数: 0

COVID-19 Hospitalization Trends in Rural Versus Urban Areas in the United States. 美国农村与城市地区COVID-19住院趋势

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-04-01 DOI: 10.1177/10775587221111105

Yi Zhu, Caitlin Carroll, Khoa Vu, Soumya Sen, Archelle Georgiou, Pinar Karaca-Mandic

引用次数: 4

Measuring Nursing Home Performance Using Administrative Data. 使用行政数据衡量养老院绩效。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-04-01 DOI: 10.1177/10775587221108247

Bram Wouterse, Pieter Bakx, Albert Wong

引用次数: 3

Effects of Medicaid Automatic Enrollment on Disparities in Insurance Coverage and Caregiver Burden for Children with Special Health Care Needs. 医疗补助自动登记对特殊医疗需求儿童保险覆盖和照顾者负担差异的影响。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 DOI: 10.1177/10775587221106116

Stephanie Rennane, Andrew Dick

{"title":"Effects of Medicaid Automatic Enrollment on Disparities in Insurance Coverage and Caregiver Burden for Children with Special Health Care Needs.","authors":"Stephanie Rennane, Andrew Dick","doi":"10.1177/10775587221106116","DOIUrl":"https://doi.org/10.1177/10775587221106116","url":null,"abstract":"We analyze how Medicaid automatic enrollment policies for children with special health care needs (CSHCN) who are enrolled in Supplemental Security Income (SSI) reduce disparities in health insurance coverage and caregiving burden. Using the 2009-2010 National Survey of Children with Special Health Care Needs, we implement a difference-in-differences regression model comparing insurance enrollment rates between CSHCN receiving SSI and CSHCN not receiving SSI, in states with and without automatic enrollment policies. We find that Medicaid automatic enrollment has a meaningful impact on insurance enrollment for low-income CSHCN who participate in SSI and can be an effective method for mitigating disparities in insurance coverage (reducing uninsurance by 38%). Medicaid automatic enrollment also reduces caregiver burden among socioeconomically disadvantaged families with CSHCN. The effects of these policies are largest families who might be on the margin of eligibility or who face high administrative burden.","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/PMC10218366/pdf/nihms-1895686.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9528591","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: 2

Employee Engagement in Quality Improvement and Patient Sociodemographic Characteristics in Federally Qualified Health Centers. 联邦合格医疗中心员工参与质量改进和患者社会人口特征。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 DOI: 10.1177/10775587221118157

Olivia S Jung, Janet R Cummings

{"title":"Employee Engagement in Quality Improvement and Patient Sociodemographic Characteristics in Federally Qualified Health Centers.","authors":"Olivia S Jung, Janet R Cummings","doi":"10.1177/10775587221118157","DOIUrl":"https://doi.org/10.1177/10775587221118157","url":null,"abstract":"Quality improvement (QI) work is critical, particularly in federally qualified health centers (FQHCs) that treat underserved populations. In a national sample of 45 FQHCs, we examined how patients' sociodemographic characteristics were associated with employee engagement in QI, via innovation contests that solicited ideas for improving care and offered opportunities to vote on ideas. We posited that patients' sociodemographic characteristics influence the complexity and intensity of clinical work and thus employees' capacity to engage in QI. Regression results indicated that the percentage of patients living in poverty was negatively associated with employee participation in idea submission and voting. Moreover, the percentage of Hispanic patients was negatively associated with participation in voting. The percentage of Black patients, however, was not associated with either outcome. FQHCs that serve a higher share of low income and/or Hispanic patients may face resource and personnel constraints that reduce employees' capacity to contribute to QI efforts.","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://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b9/65/10.1177_10775587221118157.PMC9806475.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9211122","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

A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions. 跨专业团队合作预防感染的定性研究：制定模式和解决方案。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 Epub Date: 2022-06-25 DOI: 10.1177/10775587221103973

Megan E Gregory, Sarah R MacEwan, Lindsey N Sova, Alice A Gaughan, Ann Scheck McAlearney

{"title":"A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions.","authors":"Megan E Gregory, Sarah R MacEwan, Lindsey N Sova, Alice A Gaughan, Ann Scheck McAlearney","doi":"10.1177/10775587221103973","DOIUrl":"10.1177/10775587221103973","url":null,"abstract":"Health care-associated infections (HAIs), such as central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs), are associated with patient mortality and high costs to the health care system. These are largely preventable by practices such as prompt removal of central lines and Foley catheters. While seemingly straightforward, these practices require effective teamwork between physicians and nurses to be enacted successfully. Understanding the dynamics of interprofessional teamwork in the HAI prevention context requires further examination. We interviewed 420 participants (physicians, nursing, others) across 18 hospitals about interprofessional collaboration in this context. We propose an Input-Mediator-Output-Input (IMOI) model of interprofessional teamwork in the context of HAI prevention, suggesting that various organizational processes and structures facilitate specific teamwork attitudes, behaviors, and cognitions, which subsequently lead to HAI prevention outcomes including timeliness of line and Foley removal, ensuring sterile technique, and hand hygiene. We then propose strategies to improve interprofessional teamwork around HAI prevention.","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/PMC10278586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014194","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

Demand for and Occurrence of Medication Cost Conversations: A Narrative Review. 药费对话的需求与发生:一个叙事回顾。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 DOI: 10.1177/10775587221108042

Jordan Everson, Sarah C Henderson, Audrey Cheng, Nicole Senft, Christine Whitmore, Stacie B Dusetzina

引用次数: 10

Examining Medicaid Participation and Medicaid Entry Among Senior Medicare Beneficiaries With Linked Administrative and Survey Data. 用相关的行政和调查数据检查老年医疗保险受益人的医疗补助参与和医疗补助进入。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 DOI: 10.1177/10775587221101297

Renee Garrow, Jennifer M Mellor, Melissa McInerney, Lindsay M Sabik

{"title":"Examining Medicaid Participation and Medicaid Entry Among Senior Medicare Beneficiaries With Linked Administrative and Survey Data.","authors":"Renee Garrow, Jennifer M Mellor, Melissa McInerney, Lindsay M Sabik","doi":"10.1177/10775587221101297","DOIUrl":"https://doi.org/10.1177/10775587221101297","url":null,"abstract":"Because Medicare beneficiaries can qualify for Medicaid through several pathways, duals who newly enroll in Medicaid may have experienced various financial and/or health changes that impact their Medicaid eligibility. Alternatively, new enrollment could reflect changes in awareness of the program among those previously eligible. Using monthly enrollment data linked to Health and Retirement Study survey data, we examine financial and health changes that occur around the time new Medicaid participants enter the program, and we compare those with changes experienced by both those continuously enrolled in Medicaid and those not enrolled. We find that Medicaid entry is often timed with a marked increase in out-of-pocket medical expenses, a substantial decrease in assets for some, and increases in activities of daily living (ADL) limitations. We also observe financial changes among persons continuously enrolled in Medicaid. Our results inform discussions about Medicaid eligibility policies and potential gaps in the protection that Medicaid offers from financial risk.","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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10643682","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

Synchronous Home-Based Telemedicine for Primary Care: A Review. 同步家庭远程医疗用于初级保健:综述。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 DOI: 10.1177/10775587221093043

Zoe Lindenfeld, Carolyn Berry, Stephanie Albert, Rachel Massar, Donna Shelley, Lorraine Kwok, Kayla Fennelly, Ji Eun Chang

{"title":"Synchronous Home-Based Telemedicine for Primary Care: A Review.","authors":"Zoe Lindenfeld, Carolyn Berry, Stephanie Albert, Rachel Massar, Donna Shelley, Lorraine Kwok, Kayla Fennelly, Ji Eun Chang","doi":"10.1177/10775587221093043","DOIUrl":"https://doi.org/10.1177/10775587221093043","url":null,"abstract":"Synchronous home-based telemedicine for primary care experienced growth during the coronavirus disease 2019 pandemic. A review was conducted on the evidence reporting on the feasibility of synchronous telemedicine implementation within primary care, barriers and facilitators to implementation and use, patient characteristics associated with use or nonuse, and quality and cost/revenue-related outcomes. Initial database searches yielded 1,527 articles, of which 22 studies fulfilled the inclusion criteria. Synchronous telemedicine was considered appropriate for visits not requiring a physical examination. Benefits included decreased travel and wait times, and improved access to care. For certain services, visit quality was comparable to in-person care, and patient and provider satisfaction was high. Facilitators included proper technology, training, and reimbursement policies that created payment parity between telemedicine and in-person care. Barriers included technological issues, such as low technical literacy and poor internet connectivity among certain patient populations, and communication barriers for patients requiring translators or additional resources to communicate.","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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9196081","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: 8

Assessing the Impact of Interorganizational Linkages on Medical Home Model Adoption by U.S. Acute Care Hospitals. 评估组织间联系对美国急症护理医院采用医疗之家模式的影响。

IF 2.5 3区医学

Medical Care Research and Review Pub Date : 2023-02-01 DOI: 10.1177/10775587221104655

Larry R Hearld, Aurora Tafili

引用次数: 1