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Functional impairment levels in PACE enrollees. PACE参与者的功能损伤水平。
Health Care Financing Review Pub Date : 2008-01-01
Edith G Walsh, Galina Khatutsky, Louis Johnson
{"title":"Functional impairment levels in PACE enrollees.","authors":"Edith G Walsh, Galina Khatutsky, Louis Johnson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 4","pages":"81-8"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27659764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Green House nursing homes on residents' families. 绿屋养老院对入住者家庭的影响。
Health Care Financing Review Pub Date : 2008-01-01
Terry Y Lum, Rosalie A Kane, Lois J Cutler, Tzy-Chyi Yu
{"title":"Effects of Green House nursing homes on residents' families.","authors":"Terry Y Lum, Rosalie A Kane, Lois J Cutler, Tzy-Chyi Yu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A longitudinal quasi-experimental study with two comparison groups was conducted to test the effects of a Green House (GH) nursing home program on residents' family members. The GHs are individual residences, each serving 10 elders, where certified nursing assistant (CNA)-level resident assistants form primary relationships with residents and family, family is encouraged to visits, and professionals adapted their roles to support the model. GH family were somewhat less involved in providing assistance to their residents although family contact did not differ among the settings at any time period. GH family were more satisfied with their resident's care and with their own experience as family members, and had no greater family burden. Issues in studying family outcomes are discussed as well as implications for roles of various personnel, including social service and activities staff in a GH model.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"30 2","pages":"35-51"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28104231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 work environment characteristics: associated outcomes in psychosocial care. 疗养院工作环境特征:心理社会护理的相关结果。
Health Care Financing Review Pub Date : 2008-01-01
Robin P Bonifas
{"title":"Nursing home work environment characteristics: associated outcomes in psychosocial care.","authors":"Robin P Bonifas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Little is known about how work environment characteristics influence social services professionals' ability to deliver effective psychosocial services in skilled nursing facilities (SNFs) and how such influence translates into resident-centered outcomes. This study combines data from a survey of facility social services directors in Washington State with State inspection outcomes from the Online Survey Certification Reporting database. Logistic regression is used to examine how facility structure and facility culture impact receipt of a survey inspection deficiency in medically-related social services. Results indicate that non-metropolitan location and larger caseload size are the strongest predictors of receiving such a deficiency</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"30 2","pages":"19-33"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28179783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
More accurate racial and ethnic codes for Medicare administrative data. 为医疗保险管理数据提供更准确的种族和民族代码。
Health Care Financing Review Pub Date : 2008-01-01
Celia Eicheldinger, Arthur Bonito
{"title":"More accurate racial and ethnic codes for Medicare administrative data.","authors":"Celia Eicheldinger, Arthur Bonito","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Analyses of health care disparities in Medicare using administrative race and ethnicity data have typically been limited to Black and White beneficiaries. This is in part due to the small size of the other categories, inaccuracies in the race and ethnicity codes, and caveats that more extensive analyses would produce biased results. While previous Medicare efforts certainly improved the accuracy of race and ethnicity coding, we have developed an imputation algorithm that dramatically improves the accuracy of coding for Hispanic and Asian or Pacific Islander beneficiaries. When compared with self-reported race and ethnicity, sensitivity increased from 29.5 to 76.6 percent for Hispanic and from 54.7 to 79.2 percent for Asian and Pacific Islander beneficiaries, with no loss of specificity, and Kappa coefficients reaching 0.80. As a result, 2,245,792 beneficiaries were recoded to Hispanic and 336,363 to Asian or Pacific Islander.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 3","pages":"27-42"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27510880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Access and satisfaction among children in Georgia's Medicaid Program and SCHIP: 2000 to 2003. 格鲁吉亚医疗补助计划和SCHIP中儿童的获取和满意度:2000年至2003年。
Health Care Financing Review Pub Date : 2008-01-01
E Kathleen Adams, Patricia Ketsche, Mei Zhou, Karen Minyard
{"title":"Access and satisfaction among children in Georgia's Medicaid Program and SCHIP: 2000 to 2003.","authors":"E Kathleen Adams,&nbsp;Patricia Ketsche,&nbsp;Mei Zhou,&nbsp;Karen Minyard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The lagging reauthorization of the State Children's Health Insurance Program (SCHIP) affects States' plans for sustaining mature programs. This study used the Consumer Assessment of Healthcare Providers and Systems (CAHPS) program survey in order to assess changes in access and satisfaction for Georgia's SCHIP (PeachCare) and Medicaid children as PeachCare matured 2000 to 2003. Adjusting for family and child characteristics, PeachCare enrollees reported better access and higher satisfaction than Medicaid clientele initially, but access differences narrowed by 2003 while differences in satisfaction grew. This may point to cultural/language issues or treatment stigma for Medicaid clientele. Nonetheless, overall plan ratings remained high for both groups.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 3","pages":"43-57"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27510881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reducing bias in cancer research: application of propensity score matching. 减少癌症研究中的偏倚:倾向评分匹配的应用。
Health Care Financing Review Pub Date : 2008-01-01
Bryce B Reeve, Ashley Wilder Smith, Neeraj K Arora, Ron D Hays
{"title":"Reducing bias in cancer research: application of propensity score matching.","authors":"Bryce B Reeve,&nbsp;Ashley Wilder Smith,&nbsp;Neeraj K Arora,&nbsp;Ron D Hays","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In cancer observational studies, differences between groups on confounding variables may have a significant effect on results when examining health outcomes. This study demonstrates the utility of propensity score matching to balance a non-cancer and cancer cohort of older adults on multiple relevant covariates. This approach matches cases to controls on a single indicator, the propensity score, rather than multiple variables. Results indicated that propensity score matching is an efficient and useful way to create a matched case-control study out of a large cohort study, and allows confidence in the strength of the observed outcomes of the study.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 4","pages":"69-80"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27659763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alternative comorbidity adjustors for the Medicare inpatient psychiatric facility PPS. 医疗保险住院病人精神病设施 PPS 的替代合并症调整器。
Health Care Financing Review Pub Date : 2008-01-01
Edward M Drozd, Jan Maier, Jan F Hales, Frederick G Thomas
{"title":"Alternative comorbidity adjustors for the Medicare inpatient psychiatric facility PPS.","authors":"Edward M Drozd, Jan Maier, Jan F Hales, Frederick G Thomas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The inpatient psychiatric facility prospective payment system (IPF-PPS), provides per diem payments for psychiatric hospitals and units, including 17 comorbid condition payment adjustors that cover 11 percent of patients. This study identifies an alternative set of 16 adjustors identifying three times as many high-cost patients and evaluates the improved predictive power in log per diem cost regression models. A model using the IPF-PPS adjustors achieved 8.8 percent of the feasible improvement from a no-adjustor baseline, while the alternative adjustors achieved 22.1 percent of the feasible improvement. The current adjustors may therefore be too restrictive, resulting in systematic over- or underpayment for many patients.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"30 2","pages":"67-82"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28104233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disparities in HRQOL of cancer survivors and non-cancer managed care enrollees. 癌症幸存者和非癌症管理医疗参保人HRQOL的差异。
Health Care Financing Review Pub Date : 2008-01-01
Steven B Clauser, Neeraj K Arora, Keith M Bellizzi, Samuel C Haffer, Marie Topor, Ron D Hays
{"title":"Disparities in HRQOL of cancer survivors and non-cancer managed care enrollees.","authors":"Steven B Clauser,&nbsp;Neeraj K Arora,&nbsp;Keith M Bellizzi,&nbsp;Samuel C Haffer,&nbsp;Marie Topor,&nbsp;Ron D Hays","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health plan member survey and cancer registry data were analyzed to understand differences in health-related quality of life (HRQOL) among cancer survivors and those without a cancer diagnosis enrolled in Medicare managed care. HRQOL was measured by the physical component summary score (PCS) and mental component summary score (MCS) of the Medical Outcomes Study SF-36, version 1.0. Cancer survivors enrolled in Medicare managed care have lower PCS and MCS scores than those enrollees who have never been diagnosed with cancer. PCS scores are worse than the MCS scores, and lowest for cancer survivors who are Hispanic, Medicaid enrollees, and those who have low income or education. HRQOL disparities are greatest among cancer survivors diagnosed with lung cancer and those with multiple primary cancer diagnoses. The influence of these variables persists when controlling for multiple variables including comorbidity status. Health plans should focus on addressing these disparities.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 4","pages":"23-40"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27659760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer, comorbidities, and health-related quality of life of older adults. 老年人的癌症、合并症和健康相关生活质量
Health Care Financing Review Pub Date : 2008-01-01
Ashley Wilder Smith, Bryce B Reeve, Keith M Bellizzi, Linda C Harlan, Carrie N Klabunde, Marni Amsellem, Arlene S Bierman, Ron D Hays
{"title":"Cancer, comorbidities, and health-related quality of life of older adults.","authors":"Ashley Wilder Smith,&nbsp;Bryce B Reeve,&nbsp;Keith M Bellizzi,&nbsp;Linda C Harlan,&nbsp;Carrie N Klabunde,&nbsp;Marni Amsellem,&nbsp;Arlene S Bierman,&nbsp;Ron D Hays","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined the physical and mental health of 126,685 males and females age 65 or over, with and without cancer that completed a Medicare Health Outcomes Survey (MHOS) between 1998-2002. Cancer information was ascertained through the National Cancer Institute's (NCI's) Surveillance, Epidemiology and End Results (SEER) program and linked to MHOS data. Results indicated that across most cancer types, cancer patients reported significantly more comorbid conditions and poorer physical and mental health compared with patients without cancer. Negative associations were most pronounced in those with two or more comorbidities and in those diagnosed with cancer within the past year.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 4","pages":"41-56"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3142673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27659761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medication patterns for Medicare beneficiaries with SNF/LTC facility stays. SNF/LTC医疗保险受益人的用药模式。
Health Care Financing Review Pub Date : 2008-01-01
Bruce Stuart, Linda Simoni-Wastila, Thomas Shaffer
{"title":"Medication patterns for Medicare beneficiaries with SNF/LTC facility stays.","authors":"Bruce Stuart,&nbsp;Linda Simoni-Wastila,&nbsp;Thomas Shaffer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Under the new Medicare drug benefit, beneficiaries residing in nursing homes and other long-term care (LTC) facilities have the same wide selection of Part D prescription drug plans available to community-dwelling beneficiaries. However, Part D does not alter Part A coverage for drugs during qualified skilled nursing facility (SNF) stays. This raises questions of whether drug utilization patterns differ for beneficiaries who transition between SNF episodes and other LTC facility stays and whether the presence of prescription coverage makes any difference. This study used regression analysis of the Medicare Current Beneficiary Survey (MCBS) data from 2001 to address these questions. We found that beneficiaries received between 7-30 percent fewer medication administrations during SNF months compared to months spent only in other LTC facility stays (p < 0.01). We found no evidence that prescription coverage influenced medication utilization patterns during non-Medicare qualified LTC facility stays.</p>","PeriodicalId":55071,"journal":{"name":"Health Care Financing Review","volume":"29 3","pages":"13-25"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27510879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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