Health Services Research back issues from April 2008:
25th annual research meeting.(AcademyHealth Update)
Apr 01, 2008 ... June 8-10, Washington, De Join more than 2,000 health services researchers, policymakers, and practitioners to hear the latest research on issues critical to improving the health care delivery system, debate timely ...
HSR methods--new online resource available.(AcademyHealth Update)(www.HSRmethods.org)(Brief article)
Apr 01, 2008 ... AcademyHealth has launched a new online resource, www.HSRmethods.org, that provides researchers collaborating across disciplines with an easy-to-use tool for understanding health services research methods. The site includes an overview of the language, training resources, and ...
HSR Impact Award recognizes risk adjustment research.(AcademyHealth Update)(Health Services Research )(Brief article)
Apr 01, 2008 ... The AcademyHealth Board of Directors created the HSR Impact Award to recognize research that has had a significant impact on health and health care. The award is intended to identify and promote examples of outstanding research that have been successfully translated into health policy, ...
Long-term care workgroup stipends.(AcademyHealth Update)
Apr 01, 2008 ... Starting in 2008, the Building Bridges: Making a Difference in Long-Term Care initiative will be providing stipends ranging up to $2,000 to support a specific project or activity that advances the range of topics introduced at the annual colloquia. These stipends ...
Value and increased cost sharing in the American health care system.(Editorial)
Apr 01, 2008; ... It is not news to readers of this journal that Americans pay more than citizens of other countries for health care. Moreover, along many dimensions of quality it appears that we receive less health in return for this spending. Media reports commonly mention that our health care system is ...
The effect of premium changes on SCHIP enrollment duration.(Public Premiums and Benefit Design)(State Children's Health Insurance Programs )(Report)
Apr 01, 2008; ... In recent years, states have increased beneficiary cost sharing in their public health insurance programs by increasing premiums or copayments. Historically, most cost sharing increases affecting children occurred in the State Children's Health Insurance Programs (SCHIP) because states ...
Impact of multitiered copayments on the use and cost of prescription drugs among Medicare beneficiaries.(Public Premiums and Benefit Design)(Report)
Apr 01, 2008; ... One of the tools most frequently used by drug plans to manage utilization and spending among Medicare beneficiaries is multitiered formularies (Hoadley 2005). Multitiered formularies apply fixed enrollee copayment amounts to different types of prescription medications depending on payer ...
Drug use patterns in severely mentally ill Medicare beneficiaries: impact of discontinuities in drug coverage.(Public Premiums and Benefit Design)(Report)
Apr 01, 2008; ... Although implementation of the new Part D drug benefit is beneficial for Medicare beneficiaries previously without drug coverage, there is increasing concern that the benefit's "doughnut hole" design may result in reduced access to prescribed medicines (Stuart, Simoni-Wastila, and Chauncey ...
How effective are copayments in reducing expenditures for low-income adult Medicaid beneficiaries? Experience from the Oregon Health Plan.(Public Premiums and Benefit Design)(Report)
Apr 01, 2008; ... Cost sharing has been an increasing theme as states' have renewed an emphasis on redesigning Medicaid programs to obtain cost-savings (Ku 2003). These changes include the introduction of substantial copayments for medical services. One impetus for cost sharing is the potential to provide ...
Testing for statistical discrimination by race/ethnicity in panel data for depression treatment in primary care.(Disparities)(Report)
Apr 01, 2008; ... In the Institute of Medicine (IOM) (2003) Unequal Treatment report, "discrimination" refers to a health care provider's treatment of patients with similar health care needs differently due to the patient's race or ethnicity. Investigators have studied three types of ...
Language and regional differences in evaluations of Medicare managed care by Hispanics.(Disparities)(Report)
Apr 01, 2008; ... The Medicare + Choice program was aimed at increasing the managed care options among Medicare beneficiaries. Although the program has not achieved the enrollment envisioned by policy makers, there were approximately 5 million (12 percent) Medicare beneficiaries enrolled in Medicare+Choice ...
Physician characteristics and the reported effect of evidence-based practice guidelines.(Guidelines and Quality)
Apr 01, 2008; ... In 2002, health spending in the United States had climbed to 14.9 percent of the gross domestic product (GDP), advancing much faster than the rest of the U.S. economy and is projected to rise to $3.4 trillion or 18.4 percent in 2013 (Centers for Medicare and Medicaid Services 2004; Levit ...
Impact of Medicaid reimbursement on mental health quality indicators.(Guidelines and Quality)(Report)
Apr 01, 2008; ... The Minimum Data Set (MDS) is an important measurement tool used by the Centers for Medicare and Medicaid Services (CMS) and state health regulators. MDS data are collected on all nursing facility residents in Medicare and Medicaid certified facilities and are used for two main purposes: ...
Strategic orientation and nursing home response to public reporting of quality measures: an application of the Miles and Snow typology.(Guidelines and Quality)(Report)(Survey)
Apr 01, 2008; ... Nursing homes are an important component of the health care system, serving approximately 1.5 million elderly and disabled Americans in 16,323 Medicare and Medicaid certified nursing homes in 2003 (National Center for Health Statistics 2005). In view of the crucial role these facilities ...
Program structure and counselor-client contact in outpatient substance abuse treatment.(Guidelines and Quality)(Report)
Apr 01, 2008; ... Clients tend to have better treatment outcomes when more counseling sessions (Fiorentine and Anglin 1996, 1997) and case management services (McLellan et al. 1999) are provided and when counselor caseloads are low (McCaughrin and Price 1992; Woodward et al. 2006). While the ideal is to ...
Cost of hospital care for older adults with heart failure: medical, pharmaceutical, and nursing costs.(Hospital Use and Costs)(Report)
Apr 01, 2008; ... Heart failure, the final common pathway of cardiovascular disease, affects about five million Americans and has been referred to as a global epidemic (Moser and Mann 2002). It is a disabling and costly chronic condition. It is becoming more prevalent as the population ages and survival ...
Parental mental and pain-related health and pediatric ambulatory care sensitive emergency department visits and hospitalizations.(Hospital Use and Costs)
Apr 01, 2008; ... Children who do not receive timely medical care for certain medical conditions may be at risk for emergency care and/or hospitalization (Parker and Schoendorf 2000; Kozak, Hall, and Owings 2001). Approximately one-third of all hospitalizations among children occur for medical conditions ...
Risks and causes of hospitalizations among physicians in Taiwan.(Hospital Use and Costs)(Report)
Apr 01, 2008; ... The health of physicians is vital to the quality of care. Since Duffy and Litin (1964) found in 1964 an elevated risk of psychiatric disorders for physicians, the health among physicians has frequently raised attention, including not only psychological (Stavem, Hofoss, and Aasland 2003) ...
Depression and retirement in late middle-aged U.S. workers.(Mental Health and the Life Span)(Report)
Apr 01, 2008; ... BACKGROUND Depression is a prevalent chronic condition which often leads to increased morbidity and functional impairment (Penninx et al. 2000). With 9 percent of all U.S. adults in the labor force estimated to suffer a bout of major depression in a 12-month period (Marcotte, ...
Dementia and Medicare at life's end.(Mental Health and the Life Span)(Report)
Apr 01, 2008; ... Alzheimer's disease and related dementias (ADRD) affect 3-11 percent of the United States elderly (Leon, Cheng, and Neumann 1998; Hill et al. 2002), and prevalence increases dramatically with age such that more than 47 percent of persons aged 85+ years are estimated to have ADRD (U.S ....
Identifying persons with treated asthma using administrative data via latent class modelling.(Methods)
Apr 01, 2008; ... Asthma is a chronic inflammatory disease of the human respiratory system. It is characterized by recurrent exacerbations of symptoms, which include coughing, wheezing, and shortness of breath. Worldwide, asthma is one of the most prevalent chronic diseases, affecting an estimated 300 ...
Regression tree boosting to adjust health care cost predictions for diagnostic mix.(Methods)(Report)
Apr 01, 2008; ... Models that use diagnoses from claims to risk-adjust health care cost predictions are widely employed by health services researchers and public and private payers. In provider profiling applications, risk-adjustment models are used to estimate an expected cost for each of a provider's ...
Development of a measure of physician engagement in addressing racial and ethnic health care disparities.(Methods)(Report)(Survey)
Apr 01, 2008; ... Racial and ethnic health care disparities have been well documented (Institute of Medicine Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care 2003; Agency for Healthcare Research and Quality 2005). Although some causes of disparities are outside any ...
Coping with prescription drug cost sharing: knowledge, adherence, and financial burden.(Research Brief)
Apr 01, 2008; ... In the face of rising prescription drug costs in the United States (Kaiser Family Foundation 2004), cost sharing has become more complex. For example, patients might face different copayment amounts for generic and brand name drugs (multitier benefits), and out-of-pocket costs for the same ...