A5089569098- Cardiovascular Health and Risk Factors
- Health Systems, Economic Evaluations, Quality of Life
- Health disparities and outcomes
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Economic and Financial Impacts of Cancer
- Cardiac Health and Mental Health
- Global Health Care Issues
- Lipoproteins and Cardiovascular Health
- Medication Adherence and Compliance
- Employment and Welfare Studies
- Health Promotion and Cardiovascular Prevention
- Obesity, Physical Activity, Diet
- Chronic Disease Management Strategies
- Health and Lifestyle Studies
- Global Public Health Policies and Epidemiology
- Pharmaceutical Economics and Policy
- Cardiac Imaging and Diagnostics
- Food Security and Health in Diverse Populations
- Healthcare Systems and Public Health
- Patient Satisfaction in Healthcare
- Blood Pressure and Hypertension Studies
- Nutritional Studies and Diet
- Influenza Virus Research Studies
- Healthcare Systems and Reforms
Houston Methodist
2019-2024
Methodist Hospital
2020-2023
Tecnológico de Monterrey
2016-2020
Yale New Haven Hospital
2016-2020
Valero Energy (United States)
2016-2020
East Carolina University
2020
Yale University
2016-2019
Yale New Haven Health System
2018-2019
Baptist Hospital of Miami
2016-2018
Baptist Health South Florida
2016-2018
Statins remain a mainstay in the prevention and treatment of atherosclerotic cardiovascular disease (ASCVD).To detail trends use total out-of-pocket (OOP) expenditures associated with statins representative US adult population from 2002 to 2013.This retrospective longitudinal cohort study was conducted January December 2013. Demographic, medical condition, prescribed medicine information adults 40 years older between 2013 were obtained Medical Expenditure Panel Survey database.Estimated...
The elimination of racial and ethnic differences in health status care access is a US goal, but it unclear whether the country has made progress over last 2 decades.To determine 20-year trends self-reported measures affordability among adults US.Serial cross-sectional study National Health Interview Survey data, 1999-2018, that included 596 355 adults.Self-reported race, ethnicity, income level.Rates affordability.The (mean [SE] age, 46.2 [0.07] years, 51.8% [SE, 0.10] women), whom 4.7% were...
This study examined the association between social determinants of health (SDOH) burden and overweight/obesity in a nationally representative sample adults United States.Data for 161,795 aged ≥18 years from 2013 to 2017 National Health Interview Survey were used. A total 38 SDOH aggregated create cumulative score, which was divided into quartiles (Q1-Q4) denote levels burden. Prevalence overweight obesity across population by age, sex, race/ethnicity. Multinomial logistic regression models...
Medication nonadherence is associated with worse outcomes in patients atherosclerotic cardiovascular disease (ASCVD), a group who requires long-term therapy for secondary prevention. It important to understand what extent drug costs, which are potentially actionable factors, contribute medication nonadherence.In nationally representative survey of US adults the National Health Interview Survey (2013-2017), we identified individuals ≥18 years reported history ASCVD. Participants were...
Background Atherosclerotic cardiovascular disease ( ASCVD ) accounts for approximately one third of deaths in women. Although there is an established relationship between positive patient experiences, health-related quality life, and improved health outcomes, little known about gender differences patient-reported outcomes among patients. We therefore compared patient-centered individuals with . Methods Results Data from the 2006 to 2015 Medical Expenditure Panel Survey, a nationally...
<h3>Importance</h3> Health insurance is effective in preventing financial hardship from unexpected major health care events. However, it also essential to assess whether vulnerable patients, particularly those low-income families, are adequately protected longitudinal costs for common chronic conditions such as atherosclerotic cardiovascular disease (ASCVD). <h3>Objective</h3> To examine the annual burden of total out-of-pocket expenses among families that included a member with ASCVD....
Background: The trend of increasing total and out-of-pocket expenditure among patients with diabetes mellitus represents a risk financial hardship for Americans threat to medical nonmedical needs. We aimed describe the national scope associated tradeoffs from bills nonelderly individuals mellitus. Methods Results: used National Health Interview Survey data 2013 2017, including adults ≤64 years old self-reported diagnosis Among 164 696 surveyed individuals, 8967 reported having mellitus,...
Background Heart failure (HF) poses a major public health burden in the United States. We examined of out‐of‐pocket healthcare costs on patients with HF and their families. Methods Results In Medical Expenditure Panel Survey, we identified all families ≥1 adult member during 2014 to 2018. Total expenditures included yearly care‐specific insurance premiums. evaluated 2 outcomes financial toxicity: (1) high burden—total expense postsubsistence income ratio >20%, (2) catastrophic >40%—a...
<h3>Importance</h3> Historically marginalized racial and ethnic groups are generally more likely to experience sleep deficiencies. It is unclear how these duration disparities have changed during recent years. <h3>Objective</h3> To evaluate 15-year trends in differences self-reported among adults the US. <h3>Design, Setting, Participants</h3> This serial cross-sectional study used US population-based National Health Interview Survey data collected from 2004 2018. A total of 429 195...
Health-related expenditures resulting from diabetes are rising in the U.S. Medication nonadherence is associated with worse health outcomes among adults diabetes. We sought to examine extent of reported cost-related medication (CRN) individuals U.S.We studied age ≥18 years self-reported National Health Interview Survey (NHIS) (2013-2018), a nationally representative survey. Adults reporting skipping doses, taking less medication, or delaying filling prescription save money past year were...
Background Although there is research on the impact of social determinants health (SDOHs) cardiovascular health, most existing evidence based individual SDOH components. We evaluated cumulative burden risk factors, subclinical atherosclerosis, and incident disease events. Methods Results included 6479 participants from MESA (Multi-Ethnic Study Atherosclerosis). A weighted aggregate score representing number unfavorable SDOHs, identified 14 components across 5 domains (economic stability,...
Abstract Introduction Educational attainment is an important social determinant of health (SDOH) for cardiovascular disease (CVD). However, the association between educational and all-cause CVD mortality has not been longitudinally evaluated on a population-level in US, especially individuals with atherosclerotic (ASCVD). In this nationally representative study, we assessed risk (CVD) general adult population adults ASCVD US. Methods We used data from 2006–2014 National Death Index-linked...
Consumer-reported patient-provider communication (PPC) assessed by Consumer Assessment of Health Plans Survey in ambulatory settings is incorporated as a complementary value metric for patient-centered care chronic conditions pay-for-performance programs. In this study, we examine the relationship PPC with select indicators nationally representative US adult population established atherosclerotic cardiovascular disease.The study consisted sample 6810 individuals (aged ≥18 years),...
Prompt recognition of myocardial infarction symptoms is critical for timely access to lifesaving emergency cardiac care. However, patients with continue have a delayed presentation the hospital.To understand variation and disparities in awareness among adults United States.This cross-sectional study used data from 2017 National Health Interview Survey adult residents States, assessing 5 following common different sociodemographic subgroups: (1) chest pain or discomfort, (2) shortness breath,...
To date, the extent to which social determinants of health (SDOH) may help identify individuals with atherosclerotic cardiovascular disease (ASCVD) - beyond traditional risk factors has not been quantified using a cumulative disadvantage approach. The objective this study was develop, and validate, polysocial score (PsRS) for prevalent ASCVD in nationally representative sample adults United States (US).We used data from 2013-2017 National Health Interview Survey. A total 38 SDOH were...
Social determinants of health (SDOH) play a significant role in the development cardiovascular risk factors. We investigated SDOH associations with factors among Asian American subgroups.
Physical activity (PA) has an established favorable impact on cardiovascular disease (CVD) outcomes and quality of life. In this study, we aimed to estimate the economic effect moderate-vigorous PA medical expenditures utilization from a nationally representative cohort with without CVD.The 2012 Medical Expenditure Panel Survey data were analyzed. Our study population was limited noninstitutionalized US adults ≥18 years age. Variables interest included CVD (coronary artery disease, stroke,...
ABSTRACT Importance Racial and ethnic disparities plague the US health care system despite efforts to eliminate them. To understand what has been achieved amid these efforts, a comprehensive study from population perspective is needed. Objectives determine trends in rates racial/ethnic of key access measures among adults last two decades. Design Cross-sectional. Setting Data National Health Interview Survey, 1999–2018. Participants Individuals >18 years old. Exposure Race ethnicity:...