- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Medication Adherence and Compliance
- Workplace Health and Well-being
- Multiple and Secondary Primary Cancers
- COVID-19 epidemiological studies
- Geriatric Care and Nursing Homes
- Travel-related health issues
- Primary Care and Health Outcomes
- Economic and Financial Impacts of Cancer
- Vibrio bacteria research studies
- Salmonella and Campylobacter epidemiology
- COVID-19 and healthcare impacts
- Influenza Virus Research Studies
- Diabetes Management and Research
- Health Policy Implementation Science
- Chronic Disease Management Strategies
- Smoking Behavior and Cessation
- Climate Change and Health Impacts
- Long-Term Effects of COVID-19
- Adolescent and Pediatric Healthcare
- Emergency and Acute Care Studies
- Food Security and Health in Diverse Populations
- Infection Control and Ventilation
- Health Promotion and Cardiovascular Prevention
National Center for Chronic Disease Prevention and Health Promotion
2021-2025
Centers for Disease Control and Prevention
2021-2025
National Center for Injury Prevention and Control
2024
Hyattsville Community Development Corporation
2024
RELX Group (United States)
2023
National Center for Emerging and Zoonotic Infectious Diseases
2023
University of Wisconsin–Madison
2018-2021
AID Atlanta
2021
Using nationwide data, this study estimated and compared annual health care expenditures per person between noncancer cancer patients, among patients with the 4 most common cancers. Two-part models were used to estimate mean for each group by source of payment service type. We found that had nearly times higher ($16 346) than those without ($4484). These differences larger individuals aged 18 64 years ≥65 years. Medicare was largest especially Among cancers, costly lung cancer. Ambulatory...
The association between various disparity factors and cardiovascular disease (CVD) prevalence among older US adults with diabetes has not been comprehensively explored. We examined disparities in CVD Medicare beneficiaries diabetes. Data were from the 2015-2019 Current Beneficiary Survey. Diabetes conditions - myocardial infarction (MI), stroke, heart failure self-reported. estimated adjusted ratios (APRs) of by race ethnicity, education, income-to-poverty ratio (IPR), urbanicity, food...
The high and increasing costs of cancer care can lead to financial burden for patients their families. However, no study has specifically examined the association between objective measures health-related quality life (HRQOL) psychological health with cancer.Data on were obtained from 2010 2014 Medical Expenditure Panel Survey. High was defined as a ratio annual family out-of-pocket expenditures income exceeding either 10% or 20%. Multivariable linear regressions used estimate relationship...
<h3>Importance</h3> People experiencing incarceration (PEI) and people homelessness (PEH) have an increased risk of COVID-19 exposure from congregate living, but data on their hospitalization course compared with that the general population are limited. <h3>Objective</h3> To compare hospitalizations for PEI PEH among population. <h3>Design, Setting, Participants</h3> This cross-sectional analysis used Premier Healthcare Database 3415 9434 who were evaluated in emergency department or...
In the United States, typhoid vaccination is recommended for international travelers to areas with a recognized risk of exposure. Using MarketScan® Commercial Database from 2016 through 2022, we estimated costs by route (injectable vs. oral) and provider setting (clinic pharmacy). Of 165,930 vaccinated individuals, 99,471 received injectable 66,459 oral vaccines, 88% 17% respectively administered at clinics. Average were $132.91 per person [95% confidence interval (CI): $132.68-$133.13],...
To assess whether risk of severe outcomes among patients with type 1 diabetes mellitus (T1DM) hospitalized for coronavirus disease 2019 (COVID-19) differs from that without or 2 (T2DM).Using the Premier Healthcare Database Special COVID-19 Release records discharged after hospitalization U.S. hospitals March to November 2020 (N = 269,674 exclusion), we estimated differences (RD) and ratios (RR) intensive care unit admission invasive mechanical ventilation (ICU/MV) death T1DM compared T2DM....
We examined the magnitude of and trends in burden out-of-pocket (OOP) costs among Medicare beneficiaries age 65 years or older with diabetes overall, by income level, race/ethnicity, compared without diabetes.Using data from 1999-2017 Current Beneficiary Survey, we estimated average annual per capita OOP percentage experiencing high burden, defined as >10% >20% household income. used joinpoint regression to examine generalized linear model logistic for comparisons between diabetes. Cost...
OBJECTIVE To estimate productivity losses and costs medical due to type 2 diabetes (T2D) among employees aged 18–64 years. RESEARCH DESIGN AND METHODS Using 2018–2019 MarketScan databases, we identified with T2D or no those records on workplace absences, short-term disability (STD), long-term (LTD). We estimated per capita mean annual time loss attributable its associated costs, calculated by multiplying average hourly wage. direct of in total service (inpatient, outpatient, prescription...
Cost-effectiveness (CE) of lifestyle change programs (LCP) for type 2 diabetes (T2D) prevention is influenced by a participant's risk. We identified the risk threshold developing T2D in intervention population that was cost-effective three formats LCP: delivered in-person individually or groups, virtually. compared cost-effectiveness across program when there were more than one formats.Using CDC-RTI CE Simulation model, we estimated CEs associated with 3 8 groups an annual incidence 1% to...
OBJECTIVE To assess national trends in out-of-pocket (OOP) costs among adults aged 18–64 years with diabetes the U.S. RESEARCH DESIGN AND METHODS Using data from 2001–2017 Medical Expenditure Panel Survey, we estimated total per person annual OOP (insurance premiums, prescription drug costs, inpatient and outpatient deductibles, copays, other payments not covered by insurance) high cost rate, defined as percentage of people spending &gt;10% their family’s pretax income. We examined...
Schools close in reaction to seasonal influenza outbreaks and, on occasion, pandemic influenza. The unintended costs of reactive school closures associated with or influenza-like illness (ILI) has not been studied previously. We estimated the ILI-related United States over eight academic years.
Background Community-based mask wearing has been shown to reduce the transmission of SARS-CoV-2. However, few studies have conducted an economic evaluation mandates, specifically in public transportation settings. This study evaluated cost-effectiveness implementing mandates for subway passengers United States by evaluating its potential COVID-19 during travel. Materials and methods We assessed health impacts costs compared recommendations based on number infections that would occur travel...
Abstract Background Hypertension is a major risk factor for cardiovascular and renal diseases, significantly contributing to morbidity mortality. The COVID-19 pandemic has heightened concerns about the impact of hypertension on severe outcomes. Methods We conducted cross-sectional analysis using 2021 MarketScan Commercial Health Productivity Management databases. study included adults aged 18-64 with continuous employer-sponsored private insurance, excluding those pregnancy or capitated...
Abstract In the United States, typhoid vaccination is recommended for international travelers to areas with a recognized risk of exposure. Using MarketScan® Commercial Database from 2016 through 2022, we estimated costs by route (injectable vs. oral) and provider setting (clinic pharmacy). Of 165,930 vaccinated individuals, 99,471 received injectable 66,459 oral vaccines, 88% 17% respectively administered at clinics. Average were $132.91 per person [95% confidence interval (CI):...
Background The Centers for Disease Control and Prevention’s Drug Overdose Surveillance Epidemiology (DOSE) system captures non-fatal overdose data from health departments’ emergency department (ED) inpatient hospitalisation discharge data; however, these have not been compared with other established state-level surveillance systems, which may lag by several years depending on the state. This analysis rates DOSE Healthcare Cost Utilization Project (HCUP) in order to compare against an...
Abstract We estimated inpatient and outpatient payments for malaria treatment in the USA. The mean cost per hospitalized patient was significantly higher than non-hospitalized patients (e.g. $27 642 vs $1177 among with private insurance). Patients severe payed two to four times more those uncomplicated malaria.
To estimate the impact of Medicare Part D coverage gap reform under Affordable Care Act (ACA) on utilization and expenditures for prescription drugs within first five years policy's implementation.2008-2015 Current Beneficiary Survey (MCBS).We used a difference-in-differences approach to year-by-year changes in drug use before (2006-2010) after (2011-2015) ACA's between beneficiaries not receiving Low-Income Subsidy (LIS) those LIS.The study sample included (a) aged 65 or older; (b) disabled...
<b>Objective</b> <p>We examined the magnitude of and trends in burden out-of-pocket (OOP) costs among Medicare beneficiaries ages 65 years or older with diabetes overall, by income level, race/ethnicity, compared to without diabetes. </p> <p><b>Research Design Methods </b></p> <p>Using data from 1999−2017 Current Beneficiary Survey, we estimated average annual per capita OOP percentage experiencing high burden, defined as >10% >20%...
Abstract Introduction Schools close in reaction to seasonal influenza outbreaks and, on occasion, pandemic influenza. The unintended costs of reactive school closures associated with or influenza-like illness (ILI) has not been studied previously. We estimated the ILI-related United States over eight academic years. Methods used prospectively collected data from August 1, 2011 June 30, 2019 estimate closures, which included productivity for parents, teachers, and non-teaching staff....
People with diabetes face higher out-of-pocket (OOP) health care costs than those without diabetes. This burden can lead to low adherence treatments and adverse outcomes, particularly among older adults. The OOP in adults has not been studied the U.S. We estimated from 1999-2015 Medicare beneficiaries aged ≥65 using Current Beneficiary Survey. included premiums, deductibles, copays, coinsurance, payments covered by insurance. High was defined as a person’s ≥ 10% of their income. prevalence...