A5063127047- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Diversity and Career in Medicine
- Diabetes Management and Research
- Global Health Workforce Issues
- Pelvic floor disorders treatments
- Diabetes Management and Education
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Healthcare cost, quality, practices
- Dental Education, Practice, Research
- Diabetes Treatment and Management
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diabetes and associated disorders
- Urinary Bladder and Prostate Research
- Pancreatic function and diabetes
- Diverticular Disease and Complications
- Preterm Birth and Chorioamnionitis
- Health Policy Implementation Science
- Global Maternal and Child Health
- Appendicitis Diagnosis and Management
- Anorectal Disease Treatments and Outcomes
- Fetal and Pediatric Neurological Disorders
- Alcohol Consumption and Health Effects
- Adolescent Sexual and Reproductive Health
RTI International
2016-2025
Health and Human Development (2HD) Research Network
2021
Triangle
2019-2021
Research Triangle Park Foundation
2019-2020
ING Direct
2019
Centers for Disease Control and Prevention
2019
Research Network (United States)
2018
University of North Carolina at Chapel Hill
2011-2013
Communities In Schools of Orange County
2012-2013
To identify trends and characteristics of surgeon employment in the United States. Surgeons are increasingly choosing hospital or large group as their practice environment. DESIGN American Medical Association Physician Masterfile data were analyzed for years 2001 to 2009.Surgeons identified within Masterfile.Surgeons defined using definitions from specialty Board Specialties certification included active, nonfederal, nonresident physicians younger than 80 age.Employment status trends.The...
OBJECTIVE To estimate direct medical and indirect costs attributable to diabetes in each U.S. state total per person with diabetes. RESEARCH DESIGN AND METHODS We used an fraction approach using data from the 2013 State Health Expenditure Accounts, Behavioral Risk Factor Surveillance System, Centers for Medicare & Medicaid Services’ 2013–2014 Minimum Data Set. a human capital measured by lost productivity morbidity (absenteeism, presenteeism, household productivity, inability work)...
Sacral neuromodulation and intradetrusor onabotulinumtoxinA injection are therapies for refractory urgency urinary incontinence. involves surgical implantation of a device that can last 4 to 6 years while therapy serial office injections. We assessed the cost-effectiveness 2-stage sacral vs 200 units treatment Prospective economic evaluation was performed concurrent with ROSETTA (Refractory Overactive Bladder: NEuromodulation vs. BoTulinum Toxin Assessment) randomized trial 386 women or more...
In 2010, the Centers for Disease Control and Prevention funded 50 communities to participate in Communities Putting Work (CPPW) program. CPPW supported community-based approaches prevent or delay chronic disease promote wellness by reducing tobacco use obesity. We collected direct costs of 44 through American Recovery Reinvestment Act (ARRA) analyzed per person reached all interventions intervention category.From 2011 2013, we quarterly data on from ARRA-funded communities. estimated program...
Abstract Background and aims Alcohol consumption increased in the early phases of COVID‐19 pandemic United States. use disorder (AUD) risky drinking are linked to harmful health effects. This paper aimed project future cost impacts shifts alcohol during pandemic. Design An individual‐level simulation model long‐term patterns for people with life‐time AUD was used simulate 10 000 individuals outcomes estimated 25.9 million current drinkers The considered three scenarios: (1) no change...
Premature birth is associated with an increased risk of mortality and morbidity, strategies to prevent preterm are few in number resource intensive. In 2020, the ASPIRIN trial showed efficacy low-dose aspirin (LDA) nulliparous, singleton pregnancies for prevention birth. We sought investigate cost-effectiveness this therapy low-income middle-income countries. post-hoc, prospective, study, we constructed a probabilistic decision tree model compare benefits costs LDA treatment compared...
OBJECTIVE Continuous glucose monitoring (CGM) use in older adults with type 1 diabetes (T1D) has shown benefits. However, the impact of CGM use, coupled simplified treatment regimens and personalized glycemic goals that are better suited for patients multiple comorbidities hypoglycemia, is not known. RESEARCH DESIGN AND METHODS Older (≥65 years) T1D hypoglycemia (two or more episodes [blood <70 mg/dL ≥20 min over 2 weeks]) who were naïve users randomized to intervention control...
To determine whether individuals from surgery-specific service areas with a low supply of general surgeons (GSs) are at increased risk for ruptured appendicitis (ruptured is an indicator surgical access).The health care costs and morbidity linked to appendiceal rupture considered preventable in most cases timely access surgery. Among the factors thought affect individual's surgery relative GSs. The maldistribution GSs targeted by Medicare bonus payment although impact GS on has yet be fully...
OBJECTIVE To estimate the diabetes-attributable nursing home costs for each state. RESEARCH DESIGN AND METHODS We used a fraction (AF) approach to attributable diabetes (in 2013 dollars) in aggregate and per person with calculated AFs as difference prevalence between homes community. Centers Medicare & Medicaid Services 2013–2015 Minimum Data Set of adjust intensity care among people homes. Community was estimated using Behavioral Risk Factor Surveillance System (BRFSS). State...
To estimate the health utility impact of diabetes-related complications in a large, longitudinal U.S. sample people with type 2 diabetes.We combined Health Utilities Index Mark 3 data on patients diabetes from Action to Control Cardiovascular Risk Diabetes (ACCORD) and Look AHEAD (Action for Diabetes) trials their follow-on studies. Complications were classified as events if they occurred year preceding measurement; otherwise, history complication. We estimated decrements associated using...
The National Diabetes Prevention Program lifestyle change program demonstrated health benefits and potential for care cost-savings. For many states, employers, insurers, there is a strong business case paying type 2 diabetes prevention, which will likely result in medical nonmedical cost-savings as well improved quality of life after few years. Using an iterative feedback process with multiple stakeholders, the Centers Disease Control developed Impact Tool kit,...
BACKGROUND: Cost-related medication nonadherence-when patients fail to take as prescribed because of the cost medication-has numerous consequences: more hospitalizations, avoidable deaths, and greater health care expenditures. Dispensary Hope is a charitable access program that collects distributes pharmaceuticals pharmacies dispense free charge with no insurance, low incomes, chronic conditions. OBJECTIVE: To estimate differences in medical costs utilization hospital enrolled relative those...
Objective To develop a microsimulation model to estimate the health effects, costs, and cost-effectiveness of public clinical interventions for preventing/managing type 2 diabetes. Methods We combined newly developed equations complications, mortality, risk factor progression, patient utility, cost—all based on U.S. studies—in model. performed internal external validation demonstrate model's we predicted remaining life-years, quality-adjusted life-years (QALYs), lifetime medical cost...
You have accessJournal of UrologyGeneral & Epidemiological Trends Socioeconomics: Practice Patterns, Cost effectiveness (III)1 Apr 2013422 FUTURE SUPPLY OF UROLOGISTS: PROJECTED TO DECREASE DRAMATICALLY BETWEEN 2009-2025 Will Kirby, Jed Ferguson, David Johnson, Simon Neuwahl, Matthew Nielsen, Michael Woods, Eric Wallen, Angela Smith, Mathew Raynor, Raj Pruthi, and Erin Fraher KirbyWill Kirby Chapel Hill, NC More articles by this author , FergusonJed Ferguson JohnsonDavid Johnson NeuwahlSimon...
Abstract Background In the United States, mortality burden of injury is higher among American Indians and Alaska Natives (AI/AN) than any other racial/ethnic group, contributes to considerable medical costs, years potential life lost (YPLL), productivity loss AI/AN. This study assessed economic injuries for AI/AN who are eligible services through Indian Health Service, analyzing direct costs Service’s users (YPLL) value losses from deaths in Service population. Methods Injury-related...