A5076937868- Healthcare Policy and Management
- Ear Surgery and Otitis Media
- Mental Health Treatment and Access
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Hearing Loss and Rehabilitation
- Global Health Care Issues
- Global Cancer Incidence and Screening
- Substance Abuse Treatment and Outcomes
- Hearing, Cochlea, Tinnitus, Genetics
- Adolescent and Pediatric Healthcare
- Opioid Use Disorder Treatment
- Child and Adolescent Psychosocial and Emotional Development
- Patient Satisfaction in Healthcare
- Digital Radiography and Breast Imaging
- Emergency and Acute Care Studies
- Suicide and Self-Harm Studies
- Nasal Surgery and Airway Studies
- Homelessness and Social Issues
- Schizophrenia research and treatment
- Fish Ecology and Management Studies
- Medical Practices and Rehabilitation
- Pharmaceutical industry and healthcare
- Smoking Behavior and Cessation
- AI in cancer detection
Medizinische Hochschule Hannover
2015-2025
Yale New Haven Health System
2013-2024
Yale University
2015-2024
Hearing4all
2013-2024
New York University
2018-2024
Berufsverband Niedergelassener Gynäkologischer Onkologen
2023
Yale Cancer Center
2020-2022
Dartmouth Institute for Health Policy and Clinical Practice
2011-2022
University of New Haven
2022
Public Health Department
2022
<h3>Importance</h3> Opioid-dependent patients often use the emergency department (ED) for medical care. <h3>Objective</h3> To test efficacy of 3 interventions opioid dependence: (1) screening and referral to treatment (referral); (2) screening, brief intervention, facilitated community-based services (brief intervention); (3) ED-initiated with buprenorphine/naloxone, primary care 10-week follow-up (buprenorphine). <h3>Design, Setting, Participants</h3> A randomized clinical trial involving...
More than 45 million individuals in the United States lack health insurance, potentially limiting their access to and use of appropriate care services. Although uninsured comprise a range income levels, little attention has been directed at higher-income adults patterns care.To examine whether having higher attenuates association between being using fewer recommended services.Cross-sectional analysis data from 2002 Behavioral Risk Factor Surveillance System, drawn nationally representative...
Abstract Background and Aims In a recent randomized trial, patients with opioid dependence receiving brief intervention, emergency department (ED)‐initiated buprenorphine ongoing follow‐up in primary care (buprenorphine) were twice as likely to be engaged addiction treatment compared referral community‐based (referral) or intervention (brief intervention). Our aim was evaluate the relative cost‐effectiveness of these three methods intervening on ED. Design Measured health‐care use converted...
Low-income and minority communities are disproportionately affected by incarceration, which exacerbates health disparities. Through enhanced primary care, the Transitions Clinic Network (TCN) seeks to improve of people with chronic conditions who return their from prison. Using TCN data, we assessed impact early engagement in care referral correctional systems on use acute (emergency department visits hospitalizations) recidivism. Of 751 patients, 29.8 percent were referred partners, 52.7...
Insurance coverage for young adults has increased since 2010, when the Affordable Care Act (ACA) required insurers to permit children remain on parental policies until age 26 as dependents. This study estimated association between dependent provision and changes in adults' use of hospital-based services substance disorders non-substance psychiatric disorders.The authors conducted a quasi-experimental comparison national sample non-childbirth-related inpatient admissions general hospitals (a...
Nowadays, several options are available to treat patients with conductive or mixed hearing loss. Whenever surgical intervention is not possible contra-indicated, and amplification by a conventional device (e.g., behind-the-ear device) feasible, then implantable devices an indispensable next option. Implantable bone-conduction middle-ear implants have advantages but also limitations concerning complexity/invasiveness of the surgery, medical complications, effectiveness. To counsel patient,...
Objective To examine trends in disparities children's mental health care. Data 2002–2007 Medical Expenditure Panel Survey. Study Design We used the Institute of Medicine ( IOM ) definition care and estimated two‐part expenditure models to disparity any use, outpatient care, psychotropic drug as well expenditures these three categories, conditional on use. 2‐year longitudinal panel data determine initiation among children with unmet need. Principal Findings Assessing over time between 2002...
The Paul Wellstone and Pete Domenici Mental Health Parity Addiction Equity Act of 2008 requires commercial insurers providing group coverage for substance use disorder services to offer benefits those at a level equal medical or surgical benefits. Unlike previous parity policies instituted federal employees in individual states, the law extends out-of-network services. We conducted an interrupted time-series analysis using insurance claims from large self-insured employers evaluate whether...
This study uses administrative claims from an insurance database to examine adoption of digital breast tomosynthesis for cancer screening and describe regional patterns sociodemographic characteristics associated with its use.
Objective: This observational study examined the effects of electroconvulsive therapy (ECT) on suicide and all-cause mortality risk in older psychiatric patients. Methods: Participants were Medicare-insured inpatients age 65 or older. Patients receiving ECT exact-matched to control subjects (in a 1:3 ratio) age, gender, principal hospital diagnosis, past-year hospitalizations, attempts, Elixhauser comorbidity index. Cox proportional hazard models risk-adjusted for race, year hospitalization,...
It is well known that caring for a sick child creates an economic burden families. Less about how this differs by condition. We found with mental health care needs affects financial well-being more than other special needs. Parents of children disorders are also likely parents to cut work hours, quit work, and spend time arranging their child's care. Equalizing private insurance coverage providing cash support could play vital role in easing the toll disorders.
We examined health literacy and care spending utilization by linking responses of three questions to 2006 claims data enrollees new consumer-driven plans (n = 4,130). Better on all four measures (three item their sum) was associated with lower total spending, specifically, emergency department inpatient admission (p < .05). Similarly, fewer admissions visits were higher adequate scores better self-reports the ability read learn about medical conditions (p-value <.05). Members appear use...
Since September 2010 the Affordable Care Act (ACA) has required that insurers allow children to remain as dependents on their parents' private insurance plans until age twenty-six. Studies have shown this provision increased coverage rates among young adults. In article we analyze whether also protected adults from large and uncertain out-of-pocket expenses. We found policy was associated with a statistically significant reduction in share of facing annual expenditures greater than $1,500...
Provisions in the Affordable Care Act (ACA) are likely to expand access substance use disorder treatment for low-income individuals. The aim of study was provide information on need among individuals who may be eligible Medicaid under ACA.
To account for tobacco users' excess health care costs and encourage cessation, the Affordable Care Act (ACA) allowed insurers to impose a surcharge on premiums plans offered insurance exchanges, or Marketplaces. Low-income tax credits Marketplace coverage were based non–tobacco users, which means that these did not offset any costs. Thus, this policy greatly increased out-of-pocket many users. Using data 2011–14 from Behavioral Risk Factor Surveillance System, we examined effect of...