Full Text Journal Articles in
Journal Med Care

Advertisement

Find full text journal articles






Differences in Health Care Utilization, Process of Diabetes Care, Care Satisfaction, and Health Status in Patients With Diabetes in Medicare Advantage Versus Traditional Medicare.

Sungchul Park, Eric B Larson, Paul Fishman, Lindsay White, Norma B Coe,

OBJECTIVE:The objective of this study was to determine differences in health care utilization, process of diabetes care, care satisfaction, and health status for Medicare Advantage (MA) and traditional Medicare (TM) beneficiaries with and without diabetes. METHODS:Using the 2010-2016 Medicare Current Beneficiary Survey, we identified MA and TM beneficiaries with and ... Read more >>

Med Care (Medical care)
[2020, 58(11):1004-1012]

Cited: 0 times

View full text PDF listing >>



Do Insurance-mandated Precertification Criteria and Insurance Plan Type Determine the Utilization of Bariatric Surgery Among Individuals With Private Insurance?

Hamlet Gasoyan, Rohit Soans, Jennifer K Ibrahim, William E Aaronson, David B Sarwer,

BACKGROUND:Access to bariatric surgery is restricted by insurers in numerous ways, including by precertification criteria such as 3-6 months preoperative supervised medical weight management and documented 2-year weight history. OBJECTIVES:To investigate if there is an association between the aforementioned precertification criteria, insurance plan type, and the likelihood of undergoing bariatric ... Read more >>

Med Care (Medical care)
[2020, 58(11):952-957]

Cited: 0 times

View full text PDF listing >>



Advertisement

Racial and Citizenship Disparities in Health Care Among Middle Eastern Americans.

Goleen Samari, Mienah Z Sharif, Héctor E Alcalá,

OBJECTIVE:To assess differences in health access and utilization among Middle Eastern American adults by White racial identity and citizenship. METHODS:Data from the 2011 to 2018 National Health Interview Surveys (N=1013) and survey-weighted logistic regression analyses compare Middle Eastern immigrants by race and citizenship on access and utilization of health care ... Read more >>

Med Care (Medical care)
[2020, 58(11):974-980]

Cited: 0 times

View full text PDF listing >>



Can Continuity of Care Reduce Hospitalization Among Community-dwelling Older Adult Veterans Living With Dementia?

Lianlian Lei, Shubing Cai, Yeates Conwell, Richard H Fortinsky, Orna Intrator,

BACKGROUND:Hospitalization is a difficult experience, especially for patients with dementia. Understanding whether better continuity of care (COC) reduces hospitalizations can indicate interventions that might help curb hospitalizations. OBJECTIVE:To estimate the causal impact of COC on hospitalizations and different reasons for hospitalization among community-dwelling older veterans with dementia. RESEARCH DESIGN:Population-based observational ... Read more >>

Med Care (Medical care)
[2020, 58(11):988-995]

Cited: 0 times

View full text PDF listing >>



2019 American Public Health Association's Medical Care Section Student Awardees.

Katherine S Virgo, Julie M Zito, Linda D Green,

Med Care (Medical care)
[2020, 58(11):943-944]

Cited: 0 times

View full text PDF listing >>



Racial Differences in the Effectiveness of a Multifactorial Telehealth Intervention to Slow Diabetic Kidney Disease.

Elizabeth A Kobe, Clarissa J Diamantidis, Hayden B Bosworth, Clemontina A Davenport, Megan Oakes, Anastasia-Stefania Alexopoulos, Jane Pendergast, Uptal D Patel, Matthew J Crowley,

BACKGROUND:African Americans are significantly more likely than non-African Americans to have diabetes, chronic kidney disease, and uncontrolled hypertension, increasing their risk for kidney function decline. OBJECTIVE:The objective of this study was to compare how African Americans and non-African Americans with diabetes responded to a multifactorial telehealth intervention designed to slow ... Read more >>

Med Care (Medical care)
[2020, 58(11):968-973]

Cited: 0 times

View full text PDF listing >>



A Tertiary Care-based Complex Care Program: Improving Care for Children With Medical Complexity.

Annique K Hogan, Meghan M Galligan, Noelle J Stack, Kathryn F Leach, Brenna L Aredas, Rachel English, Matthew Dye, David Rubin,

OBJECTIVE:Children with medical complexity (CMC) have significant health care costs, but they also experience substantial unmet health care needs, hospitalizations, and medical errors. Their parents often report psychosocial stressors and poor care satisfaction. Complex care programs can improve the care for CMC. At our tertiary care institution, we developed a ... Read more >>

Med Care (Medical care)
[2020, 58(11):958-962]

Cited: 0 times

View full text PDF listing >>



Disparities in Care Experienced by American Indian and Alaska Native Medicare Beneficiaries.

Steven C Martino, Marc N Elliott, Katrin Hambarsoomian, Andrea N Garcia, Shondelle Wilson-Frederick, Sarah Gaillot, Robert Weech-Maldonado, Amelia M Haviland,

BACKGROUND:Little is known about the health care experiences of American Indians and Alaska Natives (AIANs) due to limited data. OBJECTIVE:The objective of this study was to investigate the health care experiences of AIAN Medicare beneficiaries relative to non-Hispanic Whites using national survey data pooled over 5 years. SUBJECTS:A total of ... Read more >>

Med Care (Medical care)
[2020, 58(11):981-987]

Cited: 0 times

View full text PDF listing >>



Patient Coded Severity and Payment Penalties Under the Hospital Readmissions Reduction Program: A Machine Learning Approach.

Jun Li, Devraj Sukul, Ushapoorna Nuliyalu, Andrew M Ryan,

OBJECTIVE:The objective of this study was to examine variation in hospital responses to the Centers for Medicare and Medicaid's expansion of allowable secondary diagnoses in January 2011 and its association with financial penalties under the Hospital Readmission Reduction Program (HRRP). DATA SOURCES/STUDY SETTING:Medicare administrative claims for discharges between July 2008 ... Read more >>

Med Care (Medical care)
[2020, 58(11):1022-1029]

Cited: 0 times

View full text PDF listing >>



Correlates of Homelessness Among Patients in Methadone Maintenance Treatment.

Marina Gaeta, Mark Beitel, Lindsay M S Oberleitner, David E Oberleitner, Lynn M Madden, Joseph F Tamberelli, Declan T Barry,

BACKGROUND:Although homelessness and opioid use disorder (OUD) are important public health issues, few studies have examined their cooccurrence. OBJECTIVES:The aim of this study was to evaluate the correlates of homelessness among patients enrolled in low-barrier-to-treatment-access methadone maintenance treatment (MMT) programs for OUD. METHODS:Demographic, diagnosis-related, and treatment-related correlates were assessed by ... Read more >>

Med Care (Medical care)
[2020, 58(11):1030-1034]

Cited: 0 times

View full text PDF listing >>



The Effects of Market Competition on Cardiologists' Adoption of Transcatheter Aortic Valve Replacement.

Peter W Groeneveld, Lin Yang, Andrea G Segal, Pinar Karaca-Mandic, Genevieve P Kanter,

BACKGROUND:For decades, the prevailing assumption regarding the diffusion of high-cost medical technologies has been that competitive markets favor more aggressive adoption of new treatments by health care providers (ie, the "Medical Arms Race"). However, novel regulations governing the adoption of transcatheter aortic valve replacement (TAVR) may have disrupted this paradigm ... Read more >>

Med Care (Medical care)
[2020, 58(11):996-1003]

Cited: 0 times

View full text PDF listing >>



The Impact of Medicaid Expansion for Adults Under the Affordable Care Act on Preventive Care for Children: Evidence From the Southern United States.

Shreya Roy, Fernando A Wilson, Li-Wu Chen, Jungyoon Kim, Fang Yu,

INTRODUCTION:The Affordable Care Act of 2010 expanded Medicaid to low-income adults at or below 138% of the Federal Poverty Level (FPL). The aim of this study was to examine if expanding Medicaid to adults had an impact on preventive health care utilization of children from low-income families (focusing on families ... Read more >>

Med Care (Medical care)
[2020, 58(11):945-951]

Cited: 0 times

View full text PDF listing >>



The Impact of Various Risk Assessment Time Frames on the Performance of Opioid Overdose Forecasting Models.

Hsien-Yen Chang, Lindsey Ferris, Matthew Eisenberg, Noa Krawczyk, Kristin E Schneider, Klaus Lemke, Thomas M Richards, Kate Jackson, Vijay D Murthy, Jonathan P Weiner, Brendan Saloner,

BACKGROUND:An individual's risk for future opioid overdoses is usually assessed using a 12-month "lookback" period. Given the potential urgency of acting rapidly, we compared the performance of alternative predictive models with risk information from the past 3, 6, 9, and 12 months. METHODS:We included 1,014,033 Maryland residents aged 18-80 with ... Read more >>

Med Care (Medical care)
[2020, 58(11):1013-1021]

Cited: 0 times

View full text PDF listing >>



BRCA1/2 Testing in Massachusetts Among Women With Private Insurance or Medicaid, 2011-2015.

Lydia E Pace, Christopher F Baum, Krisztina Horvath, Sahitya C Raja, Jessica Cohen, Summer S Hawkins,

PURPOSE:Testing for BRCA1/2 mutations has increased among privately insured women in the United States. However, little is known about testing rates or trends among women with Medicaid. We sought to determine whether BRCA1/2 testing rates differed between women with private insurance compared with women with Medicaid in a state where ... Read more >>

Med Care (Medical care)
[2020, 58(11):963-967]

Cited: 0 times

View full text PDF listing >>



Understanding the Relationship Between Nursing Home Experience With Human Immunodeficiency Virus and Patient Outcomes.

David J Meyers, Ira B Wilson, Yoojin Lee, Momotazur Rahman,

BACKGROUND:As the population with human immunodeficiency virus (HIV) continues to age, the need for nursing home (NH) care is increasing. OBJECTIVES:To assess whether NH's experience in treating HIV is related to outcomes. RESEARCH DESIGN:We used claims and assessment data to identify individuals with and without HIV who were admitted to ... Read more >>

Med Care (Medical care)
[2020, :]

Cited: 0 times

View full text PDF listing >>



Predicting 2-Day Mortality of Thrombocytopenic Patients Based on Clinical Laboratory Data Using Machine Learning.

Frank Lien, Hsin-Yao Wang, Jang-Jih Lu, Ying-Hao Wen, Tzong-Shi Chiueh,

BACKGROUND:Clinical laboratories have traditionally used a single critical value for thrombocytopenic events. This system, however, could lead to inaccuracies and inefficiencies, causing alarm fatigue and compromised patient safety. OBJECTIVES:This study shows how machine learning (ML) models can provide auxiliary information for more accurate identification of critical thrombocytopenic patients when compared ... Read more >>

Med Care (Medical care)
[2020, :]

Cited: 0 times

View full text PDF listing >>



The Effect of Centers for Medicare and Medicaid's Inpatient Psychiatric Facility Quality Reporting Program on the Use of Restraint and Seclusion.

Morgan C Shields, Alisa B Busch,

BACKGROUND:Patients in inpatient psychiatry settings are uniquely vulnerable to harm. As sources of harm, research and policy efforts have specifically focused on minimizing and eliminating restraint and seclusion. The Centers for Medicare and Medicaid's Inpatient Psychiatric Facility Quality Reporting (IPFQR) program attempts to systematically measure and reduce restraint and seclusion. ... Read more >>

Med Care (Medical care)
[2020, 58(10):889-894]

Cited: 0 times

View full text PDF listing >>



Learning and the "Early Joiner" Effect for Medical Conditions in Medicare's Bundled Payments for Care Improvement Program: Retrospective Cohort Study.

Karen E Joynt Maddox, E John Orav, Jie Zheng, Arnold M Epstein,

BACKGROUND:Studies of medical conditions in the Bundled Payments for Care Improvement (BPCI) initiative did not show reductions in Medicare payments for the majority of conditions, but this could mask heterogeneity. OBJECTIVE:To determine whether earlier enrollment and/or longer participation in BPCI were associated with performance. DESIGN:We divided BPCI hospitals into wave ... Read more >>

Med Care (Medical care)
[2020, 58(10):895-902]

Cited: 0 times

View full text PDF listing >>



Development and Testing of Compatible Diagnosis Code Lists for the Functional Comorbidity Index: International Classification of Diseases, Ninth Revision, Clinical Modification and International Classification of Diseases, 10th Revision, Clinical Modification.

Jeanne M Sears, Sean D Rundell,

BACKGROUND:The Functional Comorbidity Index (FCI) was developed for community-based adult populations, with function as the outcome. The original FCI was a survey tool, but several International Classification of Diseases (ICD) code lists-for calculating the FCI using administrative data-have been published. However, compatible International Classification of Diseases, Ninth Revision, Clinical Modification ... Read more >>

Med Care (Medical care)
[2020, :]

Cited: 0 times

View full text PDF listing >>



Role of Nurse Practitioners in Caring for Patients With Complex Health Needs.

Taressa K Fraze, Adam D M Briggs, Elizabeth K Whitcomb, Kristen A Peck, Ellen Meara,

OBJECTIVE:The objective of this study was to estimate trends in the percentage of Medicare beneficiaries cared for by nurse practitioners from 2012 to 2017, to characterize beneficiaries cared for by nurse practitioners in 2017, and to examine how the percentage of beneficiaries cared for by nurse practitioners varies by practice ... Read more >>

Med Care (Medical care)
[2020, 58(10):853-860]

Cited: 0 times

View full text PDF listing >>



Practice Patterns of Physicians and Nurse Practitioners in Primary Care.

Hannah T Neprash, Laura Barrie Smith, Bethany Sheridan, Katherine Hempstead, Katy B Kozhimannil,

BACKGROUND:Primary care practices increasingly include nurse practitioners (NPs), in addition to physicians. Little is known about how the patient mix and clinical activities of colocated physicians and NPs compare. OBJECTIVES:To describe the clinical activities of NPs, compared with physicians. RESEARCH DESIGN:We used claims and electronic health record data from athenahealth ... Read more >>

Med Care (Medical care)
[2020, 58(10):934-941]

Cited: 0 times

View full text PDF listing >>



Relative Cost Differences of Initial Treatment Strategies for Newly Diagnosed Opioid Use Disorder: A Cohort Study.

Marc R Larochelle, Sarah E Wakeman, Omid Ameli, Christine E Chaisson, Jeffrey T McPheeters, William H Crown, Francisca Azocar, Darshak M Sanghavi,

BACKGROUND:Relative costs of care among treatment options for opioid use disorder (OUD) are unknown. METHODS:We identified a cohort of 40,885 individuals with a new diagnosis of OUD in a large national de-identified claims database covering commercially insured and Medicare Advantage enrollees. We assigned individuals to 1 of 6 mutually exclusive ... Read more >>

Med Care (Medical care)
[2020, 58(10):919-926]

Cited: 0 times

View full text PDF listing >>



Associations of 4 Nurse Staffing Practices With Hospital Mortality.

Christian M Rochefort, Marie-Eve Beauchamp, Li-Anne Audet, Michal Abrahamowicz, Patricia Bourgault,

BACKGROUND:Cross-sectional studies of hospital-level administrative data have suggested that 4 nurse staffing practices-using adequate staffing levels, higher proportions of registered nurses (RNs) (skill mix), and more educated and experienced RNs-are each associated with reduced hospital mortality. To increase the validity of this evidence, patient-level longitudinal studies assessing the simultaneous associations ... Read more >>

Med Care (Medical care)
[2020, 58(10):912-918]

Cited: 0 times

View full text PDF listing >>



National Evaluation of Patient Preferences in Selecting Hospitals and Health Care Providers.

Ryan J Ellis, Tarik K Yuce, Daniel B Hewitt, Ryan P Merkow, Christine V Kinnier, Julie K Johnson, Karl Y Bilimoria,

BACKGROUND:Patient utilization of public reporting has been suboptimal despite attempts to encourage use. Lack of utilization may be due to discordance between reported metrics and what patients want to know when making health care choices. OBJECTIVE:The objective of this study was to identify measures of quality that individuals want to ... Read more >>

Med Care (Medical care)
[2020, 58(10):867-873]

Cited: 0 times

View full text PDF listing >>



Facility Variation in Troponin Ordering Within the Veterans Health Administration.

Philip W Chui, Denise Esserman, Lori A Bastian, Jeptha P Curtis, Parul U Gandhi, Lindsey Rosman, Nihar Desai, Ronald G Hauser,

BACKGROUND:Current United States guidelines recommend troponin as the preferred biomarker in assessing for acute coronary syndrome, but recommendations are limited about which patients to test. Variations in troponin ordering may influence downstream health care utilization. METHODS:We performed a cross-sectional analysis of 3,308,131 emergency department (ED) visits in all 121 acute ... Read more >>

Med Care (Medical care)
[2020, :]

Cited: 0 times

View full text PDF listing >>



Advertisement

Disclaimer
0.8641 s