A5100448598- Health Systems, Economic Evaluations, Quality of Life
- Diabetes Management and Research
- Healthcare Policy and Management
- Global Maternal and Child Health
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Maternal Mental Health During Pregnancy and Postpartum
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Maternal and Perinatal Health Interventions
- Primary Care and Health Outcomes
- Diabetes Treatment and Management
- Health disparities and outcomes
- COVID-19 epidemiological studies
- Health Promotion and Cardiovascular Prevention
- Obesity, Physical Activity, Diet
- Cancer survivorship and care
- Meta-analysis and systematic reviews
- Healthcare Systems and Reforms
- Maternal and fetal healthcare
- Food Security and Health in Diverse Populations
- Public Health Policies and Education
- Healthcare cost, quality, practices
- Adolescent Sexual and Reproductive Health
- Childhood Cancer Survivors' Quality of Life
- Medication Adherence and Compliance
Health Resources and Services Administration
2021-2024
United States Department of Health and Human Services
2017-2021
Centers for Disease Control and Prevention
2008-2021
National Center for Chronic Disease Prevention and Health Promotion
2010-2021
The Centers
2018
Puerto Rico Department of Health
2016
<h3>Importance</h3> Previous efforts to examine severe maternal morbidity (SMM) in the US have focused on delivery hospitalizations. Little is known about de novo SMM that occurs after discharge. <h3>Objective</h3> To investigate incidence, timing, factors, and characteristics associated with discharge among women US. <h3>Design, Setting, Participants</h3> In this retrospective cohort study, data from IBM MarketScan Multi-State Medicaid database Commercial Claims Encounters were used...
Purpose The prevalence of cancer survivorship and chronic health conditions is increasing. Limited information exists on the economic burden among survivors cancer. This study examines effect Methods Using 2008 to 2013 Medical Expenditure Panel Survey, we present nationally representative estimates (heart disease, high blood pressure, stroke, emphysema, cholesterol, diabetes, arthritis, asthma) multiple (MCCs) incremental annual care use, medical expenditures, lost productivity for...
OBJECTIVE Diabetes care has changed substantially in the past 2 decades. We examined change medical spending and use related to diabetes between 1987 2011. RESEARCH DESIGN AND METHODS Using National Medical Expenditure Survey Panel Surveys 2000–2001 2010–2011, we compared per person expenditures uses among adults ≥18 years of age with or without at three time points. Types services included inpatient care, emergency room (ER) visits, outpatient prescription drugs, others. also changes unit...
Abstract We modeled the potential cost-effectiveness of increasing access to contraception in Puerto Rico during a Zika virus outbreak. The intervention is projected cost an additional $33.5 million family planning services and likely be cost-saving for healthcare system overall. It could reduce virus–related costs by $65.2 ($2.8 from less testing monitoring $62.3 avoided virus–associated microcephaly [ZAM]). estimates are influenced methods used, frequency ZAM, lifetime incremental ZAM....
High out-of-pocket (OOP) costs can be an obstacle to health care access and treatment compliance. This study investigated trends in high OOP burden people with diabetes.Using Medical Expenditure Panel Survey 2001-2011 data, we examined the proportion of aged 18-64 years diabetes facing a burden. We also whether trend differed by insurance status (private insurance, public or no insurance) income level (poor near poor, low income, middle income).In 2011, 23% faced Between 2001-2002 fell 5...
To promote vigorously the excellent traditional culture and virtues of nation is a cultural response strategy adopted by most countries in era globalization. The purpose to show unique civilization world. In promotion progress for world civilization, strengthen its own identity enhance cohesion attractiveness their soft power every nation. Along with our country's deeper integration into globalization, carrying out education teenage students, it has also received more attention from all...
OBJECTIVE To determine the impact of a health system–wide primary care diabetes management system, which included targeted guidelines for type 2 (T2DM) and prediabetes (dysglycemia) screening, on detection previously undiagnosed dysglycemia cases. RESEARCH DESIGN AND METHODS Intervention electronic record (EHR)–based decision support standardized providers staff training using American Diabetes Association screening. Using EHR data, we identified 40,456 adults without T2DM or recent...
The COVID-19 pandemic has resulted in a disproportionate burden on racial and ethnic minority groups, but incompleteness surveillance data limits understanding of disparities. CDC’s case-based system contains most cases the United States. Data analyzed this paper contain with case-level information through September 25, 2020, which represent 70.9% all reported to CDC during period. Case-level are used investigate disparities by race/ethnicity, sex, age. However, demographic race ethnicity is...
Research on self-care for chronic disease has not examined time requirements. Translating into Action Diabetes (TRIAD), a multi-site study of managed care patients with diabetes, is among the first to assess time.To examine associations between socioeconomic position and extra spend foot care, shopping/cooking, exercise due diabetes.Eleven thousand nine hundred twenty-seven patient surveys from 2000 2001.Bayesian two-part models were used estimate self-reported spent race/ethnicity,...
46 U.S. states and the District of Columbia have passed laws regulations mandating that health insurance plans cover diabetes treatment preventive care. Previous research on state mandates suggested these policies had little impact, since many already covered benefits. Here, we analyze contents model effect mandates. We examined how impacted likelihood using three types care: annual eye exams, foot performing daily self-monitoring blood glucose (SMBG).We collected information benefits...
The primary objective of this study was to estimate the costs and incremental cost-effectiveness maternal newborn care associated with Saving Mothers, Giving Life (SMGL) initiative-a comprehensive district-strengthening approach addressing 3 delays mortality-in Uganda Zambia. To assess effectiveness, we used a before-after design comparing facility outcome data from 2012 (before) 2016 (after). costs, unit collected comparison districts in coupled on health services utilization SMGL-supported...
To assess the long-term cost-effectiveness of aspirin use among adults aged >or=40 years with newly diagnosed type 2 diabetes.We used a validated model diabetes to lifetime health and cost consequences or nonuse aspirin. The simulates progression accompanying complications for cohort subjects diabetes. predicts outcomes along five disease paths (nephropathy, neuropathy, retinopathy, coronary heart disease, stroke) from time diagnosis until age 94 death.Over lifetime, users gained 0.31...
The Affordable Care Act (ACA)-dependent coverage Provision (the Provision), implemented in 2010, extended family insurance to adult children until age 26.To examine the impact of ACA on and care among women with a recent live birth.We conducted difference-in-difference analysis assess effect using data from Pregnancy Risk Assessment Monitoring System 22,599 aged 19-25 (treatment group) 22,361 27-31 years (control group). Outcomes include month before during pregnancy, at delivery, receipt...
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...
To understand differences in health care utilization and medical expenditures by perinatal depression (PND) status during pregnancy 1-year postpartum overall rural/urban status.
Objectives: Evidence is limited on differences in cesarean rates for nulliparous, term, singleton, vertex (NTSV) births across racial and ethnic groups at the national state level during COVID-19 pandemic. We assessed changes levels trends of NTSV before after stay-at-home orders (SAHOs) were implemented United States (1) overall, (2) by groups, (3) 50 US states from January 2017 through December 2021. Methods: used birth certificate data 2021, restricted to hospital births, calculate...