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Access to health insurance. 获得医疗保险。
LDI issue brief Pub Date : 2014-01-01 DOI: 10.1007/978-3-319-43827-6_31
B. Sufian, J. Passamano, A. Sopchak
{"title":"Access to health insurance.","authors":"B. Sufian, J. Passamano, A. Sopchak","doi":"10.1007/978-3-319-43827-6_31","DOIUrl":"https://doi.org/10.1007/978-3-319-43827-6_31","url":null,"abstract":"","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"22 1","pages":"1-58"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80026853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managed care. 管理式医疗。
LDI issue brief Pub Date : 2014-01-01 DOI: 10.1007/978-3-642-28753-4_201211
J. Karberg
{"title":"Managed care.","authors":"J. Karberg","doi":"10.1007/978-3-642-28753-4_201211","DOIUrl":"https://doi.org/10.1007/978-3-642-28753-4_201211","url":null,"abstract":"","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"10 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85600691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
National trends in the cost of employer health insurance coverage, 2003-2013. 2003-2013年全国雇主健康保险费用趋势。
LDI issue brief Pub Date : 2014-01-01 DOI: 10.15868/socialsector.25017
S. Collins, D. Radley, C. Schoen, S. Beutel
{"title":"National trends in the cost of employer health insurance coverage, 2003-2013.","authors":"S. Collins, D. Radley, C. Schoen, S. Beutel","doi":"10.15868/socialsector.25017","DOIUrl":"https://doi.org/10.15868/socialsector.25017","url":null,"abstract":"Looking at trends in private employer-based health insurance from 2003 to 2013, this issue brief finds that premiums for family coverage increased 73 percent over the past decade--faster than median family income. Employees' contributions to their premiums climbed by 93 percent over that time frame. At the same time, deductibles more than doubled in both large and small firms. Workers are thus paying more but getting less protective benefits. However, the study also finds that while premiums continued to rise through 2013, the rate of growth slowed between 2010 and 2013, following implementation of the Affordable Care Act. While families experienced slower growth in premium contributions and deductibles over this period, sluggish growth in median family income means families are paying more in premiums and deductibles as a share of their income than ever before.","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"24 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78736446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Americans' experiences in the health insurance marketplaces: results from the first three months. 美国人在医疗保险市场的经历:前三个月的结果。
LDI issue brief Pub Date : 2013-11-04 DOI: 10.15868/socialsector.24987
S. Collins, P. Rasmussen, M. Doty, Tracy Garber, D. Blumenthal
{"title":"Americans' experiences in the health insurance marketplaces: results from the first three months.","authors":"S. Collins, P. Rasmussen, M. Doty, Tracy Garber, D. Blumenthal","doi":"10.15868/socialsector.24987","DOIUrl":"https://doi.org/10.15868/socialsector.24987","url":null,"abstract":"Conducted December 11–29, 2013, The Commonwealth Fund's second Affordable Care Act Tracking Survey interviewed a nationally representative sample of adults who are potentially eligible for the health reform law's new insurance options, whether private plans or Medicaid. Results show that by the end of December, 24 percent of potentially eligible adults had visited a marketplace to find a plan. The first survey, conducted in October, had found that 17 percent of people potentially eligible for coverage had visited the marketplaces during the first month of open enrollment. By the end of December, 41 percent of visitors were ages 19 to 34, and 77 percent reported being in good health. People's ability to compare benefits and premiums improved between October and December, but many reported challenges in plan selection. A majority of respondents say they are determined to gain coverage by the end of this year's open enrollment period.","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"24 1","pages":"1-26"},"PeriodicalIF":0.0,"publicationDate":"2013-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85188518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
The case for baccalaureate-prepared nurses. 为准备学士学位的护士辩护。
LDI issue brief Pub Date : 2013-05-01
Ann Kutney-Lee, Linda H Aiken
{"title":"The case for baccalaureate-prepared nurses.","authors":"Ann Kutney-Lee,&nbsp;Linda H Aiken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The nursing workforce plays a central role in our present health care system, and will likely have an even greater role in the future. Nurses already provide the vast majority of care to patients in hospitals, and so it should come as no surprise that the quality of nursing care affects patient outcomes. Over the past decade, studies have linked certain nursing characteristics--such as staffing levels, education, job satisfaction, and work environment--with better outcomes in hospitals. This Issue Brief adds to that evidence with a longitudinal study that links changes in nurse education with improvements in surgical patients' survival. It also discusses how a more educated nurse workforce could fill a range of new roles in primary care, prevention, and care coordination as health reform is implemented.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"18 6","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31628472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Special issue: three models of community-based participatory research. 特刊:社区参与性研究的三种模式。
LDI issue brief Pub Date : 2013-04-01
Janet Weiner, Jasmine A McDonald
{"title":"Special issue: three models of community-based participatory research.","authors":"Janet Weiner,&nbsp;Jasmine A McDonald","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Community-based participatory research (CBPR) is a collaborative process between community-based organizations and academic investigators. It has the potential to make research more responsive to existing needs and to enhance a community's ability to address important health issues. But CBPR is often unfamiliar territory to academic investigators and community organizations alike. We interviewed CBPR investigators at Penn and community leaders to ascertain best practices in CBPR and to compare academic and community perspectives. A number of models of community-academic partnerships emerged, each with its own advantages and disadvantages. The perspectives of the investigators sometimes matched those of the community leaders, but diverged in important ways.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"18 5","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31379908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genomic variation: what does it mean? 基因组变异:它意味着什么?
LDI issue brief Pub Date : 2013-02-01
Marian Reiff, Barbara A Bernhardt, Surabhi Mulchandani
{"title":"Genomic variation: what does it mean?","authors":"Marian Reiff,&nbsp;Barbara A Bernhardt,&nbsp;Surabhi Mulchandani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>New technologies have given us the ability to detect genomic variation at resolutions 50-100 times greater than earlier tests. The good news is that we can now detect variations that help explain developmental delays, autism, or multiple congenital anomalies in up to 20% of children. The bad news is that we can also detect small missing or extra pieces of chromosomes that remain unexplained: that is, we don't know whether they have any clinical significance at all. The rapid pace of technological change may have outpaced the lab's ability to interpret, providers' abilities to explain, and patients' abilities to understand the test results. This Issue Brief summarizes a series of studies examining the uncertainties revolving around chromosomal microarray testing, which has become the new standard of practice in genetic testing of children with unexplained anomalies.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"18 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2013-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31379914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of conflict-of-interest policies in psychiatry residency on antidepressant prescribing. 精神科住院医师利益冲突政策对抗抑郁药处方的影响。
LDI issue brief Pub Date : 2013-01-01
Andrew J Epstein, David A Asch, Colleen L Barry
{"title":"Effects of conflict-of-interest policies in psychiatry residency on antidepressant prescribing.","authors":"Andrew J Epstein,&nbsp;David A Asch,&nbsp;Colleen L Barry","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Concerns about the pharmaceutical industry's influence in academic medical centers and on medical education have led many medical schools and teaching hospitals to adopt conflict-of-interest (COI) policies. Although the restrictiveness of these policies differs, the goal is the same: to shield physicians-in-training from the persuasive aspects of pharmaceutical promotion. But do these policies work? This Issue Brief examines how COI policies affect the prescribing patterns of antidepressants, one of the most heavily promoted drug classes in the past decade. As such, it provides the first empirical evidence of the effects of COI policies in residency on the subsequent prescribing patterns of practicing physicians.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"18 3","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31379907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accountable care organizations: back to the future? 问责医疗机构:回到未来?
LDI issue brief Pub Date : 2012-11-01
Lawton R Burns, Mark V Pauly
{"title":"Accountable care organizations: back to the future?","authors":"Lawton R Burns,&nbsp;Mark V Pauly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Accountable Care Organizations (ACOs) are networks of providers that assume risk for the quality and total cost of the care they deliver. Public policymakers and private insurers hope that ACOs will achieve the elusive \"triple aim\" of improving quality of care, improving population health, and reducing costs. The model is still evolving, but the premise is that ACOs will accomplish these aims by coordinating care, managing chronic disease, and aligning financial incentives for hospitals and physicians. If this sounds familiar, it may be because the integrated care networks of the 1990s tried some of the same things, and mostly failed in their attempts. This Issue Brief summarizes the similarities and differences between the new ACOs and the integrated delivery networks of the 1990s, and presents the authors' analysis of the likely success of these new organizations in affecting the costs and quality of health care.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"18 2","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31379911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exposure and vulnerability of California kindergarteners to intentionally unvaccinated children. 加州幼儿园儿童对故意未接种疫苗儿童的暴露和脆弱性。
LDI issue brief Pub Date : 2012-09-01
Alison Buttenheim
{"title":"Exposure and vulnerability of California kindergarteners to intentionally unvaccinated children.","authors":"Alison Buttenheim","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Widespread vaccination coverage among children is responsible for reducing or eliminating 14 serious childhood diseases in the United States. Despite this success, some parents remain concerned about the health effects of vaccines, and choose to keep their children unvaccinated. When population rates of vaccinations remain high enough, even unvaccinated children are protected because everyone around them is immune (so-called \"herd immunity\"). But clusters of unvaccinated children may threaten herd immunity and lead to increasing outbreaks of preventable diseases. This Issue Brief summarizes a new study that investigates the extent of such clustering, and quantifies the exposure of all California kindergartners to their intentionally unvaccinated schoolmates.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"18 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31101668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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