A5083607166- HIV/AIDS Research and Interventions
- Healthcare Policy and Management
- HIV, Drug Use, Sexual Risk
- Primary Care and Health Outcomes
- Pneumocystis jirovecii pneumonia detection and treatment
- HIV-related health complications and treatments
- Healthcare cost, quality, practices
- Health disparities and outcomes
- HIV/AIDS Impact and Responses
- Health Systems, Economic Evaluations, Quality of Life
- HIV/AIDS drug development and treatment
- Emergency and Acute Care Studies
- Adolescent Sexual and Reproductive Health
- HIV/AIDS oral health manifestations
- Hepatitis C virus research
- Patient Satisfaction in Healthcare
- HIV Research and Treatment
- Chronic Disease Management Strategies
- Homelessness and Social Issues
- Blood Pressure and Hypertension Studies
- Innovations in Medical Education
- Food Security and Health in Diverse Populations
- Clinical Reasoning and Diagnostic Skills
- Hospital Admissions and Outcomes
- Geriatric Care and Nursing Homes
Cornell University
1970-2024
Weill Cornell Medicine
2018-2024
Britton Fund
2023
National Center for Advancing Translational Sciences
2022
Institute of Art
2022
National Institute of Arthritis and Musculoskeletal and Skin Diseases
2022
University of California, Los Angeles
2006-2019
National Center for Global Health and Medicine
2017
The University of Tokyo
2017
Saitama Medical University
2017
<h3>Background</h3> There have been no previous nationally representative estimates of the prevalence mental disorders and drug use among adults receiving care for human immunodeficiency virus (HIV) disease in United States. It is also not known which clinical sociodemographic factors are associated with these disorders. <h3>Subjects Methods</h3> We enrolled a probability sample 2864 HIV States 1996. Participants were administered brief structured psychiatric instrument that screened (major...
Mortality from all causes is higher for persons with fewer years of education and blacks, but it unknown which diseases contribute most to these disparities.
Studies of selected populations suggest that not all persons infected with human immunodeficiency virus (HIV) receive adequate care.
In order to elucidate the medical care of patients with human immunodeficiency virus (HIV) infection in United States, we randomly sampled HIV-infected adults receiving contiguous States at a facility other than military, prison, or emergency department during first two months 1996. We interviewed 76 percent 4042 selected from among 145 providers 28 metropolitan areas and 51 25 rural areas.
To establish population-based estimates of the prevalence any alcohol consumption and heavy drinking among individuals who tested positive for human immunodeficiency virus (HIV) to identify factors associated with in this population.Data from HIV Cost Services Utilization Study (HCSUS), a national probability survey HIV-infected adults receiving medical care U.S. early 1996 (N = 2,864: 2,017 men, 847 women), were used estimate drinking. Logistic regression was independent influences...
Background: Antiretroviral therapy has dramatically reduced the morbidity and mortality of infection due to HIV. The emergence drug-resistant virus limited usefulness many drugs. Objective: To determine prevalence HIV drug resistance in population adults receiving care United States. Design methods: susceptibility assays were performed on plasma from a random sample representative 132 500 HIV-infected American who had received medical early 1996 yet viremic with > copies/ml RNA late 1998. A...
To control rising health-care costs, California enacted legislation in 1982 that eliminated its Medicaid program (Medi-Cal) for 270,000 medically indigent adults.1 Medically adults are Medi-Cal recipients aged 21 to 65 who received state benefits because they were poor and needy but not eligible federal assistance programs such as those the aged, blind, or disabled families with dependent children. Although states required provide health residents, 30 some form of optional features their...
Objectives. To examine whether competing subsistence needs and other barriers are associated with poorer access to medical care among persons infected human immunodeficiency virus (HIV), using self-reported data. Design. Survey of a nationally representative sample 2,864 adults receiving HIV care. Main Independent Variables. Going without because needing the money for food, clothing, or housing; postponing not having transportation; being able get out work; too sick. Outcome Measures. Having...
Improving communication and collaboration among doctors nurses can improve satisfaction participants patients' quality of care.To determine the impact a multidisciplinary intervention on an acute inpatient medical unit.During 2-year period, unit was created that differed from control by addition nurse practitioner to each team, appointment hospitalist director, institution daily rounds. Surveys about were administered personnel in both units. Physicians surveyed at completion rotation unit;...
To evaluate the adequacy of cervical and breast cancer screening in United States, data were analyzed from a 1986 nationwide telephone survey (n = 4659). Papanicolaou smears within recommended three- to five-year interval reported by 79% women aged 20 years or older. Within preceding year, 55% 40 older had examinations performed physicians, 20% 50 mammograms. Women who uninsured lower socioeconomic status less likely have each these three preventive measures, independent age, health status,...
The introduction of expensive but very effective antiviral medications has led to questions about the effects on total use resources for care patients with human immunodeficiency virus (HIV) infection. We examined expenditures HIV-infected since highly active antiretroviral therapy.
OBJECTIVE: Little is known about the impact of comorbid psychiatric symptoms in persons with HIV. This study estimates burden on health-related quality life associated conditions a nationally representative sample METHOD: The authors conducted multistage sampling urban and rural areas to produce national probability HIV receiving medical care contiguous United States (N=2,864). Subjects were screened for short form Composite International Diagnostic Interview. Heavy drinking was assessed...
Objective: To assess both the accuracy of scientific data presented in print pharmaceutical advertisements and compliance these with current Food Drug Administration (FDA) standards. Design: Cross-sectional survey. Measurements: Each full-page advertisement (n = 109) appearing 10 leading medical journals, along all available references cited (82% were available) sent to three reviewers: two physicians relevant clinical area who experienced peer review one academic pharmacist. Reviewers, 95%...
<h3>Background</h3> The need for mental health and substance abuse services is great among those with human immunodeficiency virus (HIV), but little information available on used by this population or individual factors associated access to care. <h3>Methods</h3> Data are from the HIV Cost Services Utilization Study, a national probability survey of 2864 HIV-infected adults receiving medical care in United States 1996. We estimated 6-month use problems examined socioeconomic, illness,...
Although there is concern that minority groups and women are underrepresented in research involving patients with human immunodeficiency virus (HIV) infection, the available data inconclusive.
OBJECTIVES: This study estimated the proportion of HIV-infected adults who have been assaulted by a partner or someone important to them since their HIV diagnosis and extent which they reported HIV-seropositive status as cause violence. METHODS: Study participants were from nationally representative probability sample 2864 receiving medical care enrolled in Costs Service Utilization Study. All interviews (91% person, 9% telephone) conducted with computer-assisted personal interviewing...
IN 1982, California terminated Medi-Cal benefits for the state's 270,000 medically indigent adults and transferred responsibility their care to county system. A adult is a person who previously received because of economic or medical need but was not eligible assistance from federal program aged, blind, disabled families with dependent children. Although counties were required provide adults, they free charge. Most Los Angeles County health facilities charged $20 $30 an outpatient .
To evaluate access to health care for American children and adolescents, a telephone survey of national random sample households was conducted in which 2182 17 years or younger were studied. Approximately 10% had no medical insurance; regular source care; 18% identified emergency rooms, community clinics, hospital outpatient departments as their usual site care. Children who uninsured, poor, nonwhite less likely have seen physician the past year (P &lt; .001), uninsured up-to-date...
Objective: To compare nurse practitioner/physician management of hospital care, multidisciplinary team-based planning, expedited discharge, and assessment after discharge to usual management. Background: In the context managed goal academic medical centers is provide quality care at lowest cost minimize length stay (LOS) while not compromising quality. Methods: Comparative, 2-group, quasiexperimental design was used; 1,207 general medicine patients (n = 581 in experimental group n 626...
Both dietary modification and use of statins can lower blood cholesterol. The increase in caloric intake among the general population is reported to have plateaued last decade, but no study has examined relationship between time trends statin use.To examine difference temporal fat users nonusers US adults.A repeated cross-sectional a nationally representative sample 27,886 adults, 20 years or older, from National Health Nutrition Examination Survey, 1999 through 2010.Statin use.Caloric...
Although recent studies have shown that 30-day readmissions following sepsis are common, the overall fiscal impact of these rehospitalizations and their variability between hospitals relative to other high-risk conditions, such as congestive heart failure acute myocardial infarction, unknown. The objectives this study were characterize frequency, cost, patient-level risk factors, hospital-level variation in compared with infarction.A retrospective cohort analysis hospitalizations from 2009...
Maximizing the value of critical care services requires understanding relationship between intensive unit (ICU) utilization, clinical outcomes, and costs.To examine whether hospitals had consistent patterns ICU utilization across 4 common medical conditions association higher use hospital costs, invasive procedures, mortality.Retrospective cohort study 156 842 hospitalizations in 94 acute-care nonfederal for diabetic ketoacidosis (DKA), pulmonary embolism (PE), upper gastrointestinal...