Abstract Recurrent hospitalizations are responsible for considerable health care spending, although prior studies have shown that a substantial proportion of readmissions preventable through effective discharge planning and patient follow-up after the initial hospital visit. This retrospective cohort study was undertaken to determine whether telephonic outreach ensure understanding adherence orders following hospitalization is at reducing within 30 days discharge. Claims data were analyzed...

Objectives: To explore the effects of membership in a fitness program for older adults on social isolation, loneliness, and health. Method: Using survey responses from SilverSneakers members matched nonmembers, regression path analysis was used to examine influence physical activity, health, interrelationships among these concepts. Results: directly increased activity self-rated decreased indirectly loneliness. Decreased isolation loneliness were associated with better health: had...

Background. Imaging self-interpretation refers to interpretation of an imaging study by the study's ordering provider. This phenomenon warrants scrutiny given nonradiologists' limited training in interpretation. Objective. To evaluate frequency office-based diagnostic providers and assess associations provider practice characteristics with self-interpretation, within-practice interpretation, radiologist Methods. retrospective used CMS 5% Research Identifiable File for calendar year 2022...

Adult hippocampal neurogenesis occurs in an exceptional permissive microenvironment. Neuroimmunological mechanisms might be prominently involved the endogenous homeostatic principles that control baseline levels of adult neurogenesis. We show this study homeostasis is partially dependent on CD4-positive T lymphocytes. Systemic depletion lymphocytes led to significantly reduced neurogenesis, impaired reversal learning Morris water maze, and decreased brain-derived neurotrophic factor...

Tailored behavior change programs have proven effective at decreasing health risk factors, but the impact of such on participant well-being has not been tested. This randomized trial evaluated tailored telephone coaching and Internet interventions behaviors individual well-being. Exercise stress management were primary risks interest; improvements in other secondary outcomes. A sample 3391 individuals who reported areas exercise randomly assigned to 3 groups: telephonic that applied...

Evaluation of chronic care management (CCM) programs is necessary to determine the behavioral, clinical, and financial value programs. Financial outcomes members who are exposed interventions (treatment group) typically compared those not (comparison in a quasi-experimental study design. However, because member assignment randomized, reported from these designs may be biased or inefficient if groups comparable balanced prior analysis. Two matching techniques used achieve Propensity Score...

Escalating health care expenditures highlight the need to identify modifiable predictors of short-term utilization and cost. Thus, predictive value individual well-being scores was explored with respect 1-year hospital among 2245 employees members a plan who completed Well-Being Assessment (WBA). The relationship between admissions, emergency room (ER) visits, medical prescription 12-months post WBA evaluated using multivariate statistical models controlling for participant characteristics...

Importance Out-of-pocket costs (OOPCs) have been largely eliminated for screening mammography. However, patients still face OOPCs when undergoing subsequent diagnostic tests after the initial screening, which represents a potential barrier to those who require follow-up testing testing. Objective To examine association between degree of patient cost-sharing and use breast cancer imaging mammogram. Design, Setting, Participants This retrospective cohort study used medical claims from Optum’s...

Objective: To develop a presenteeism assessment, the Well-Being Assessment for Productivity (WBA-P), that provides an informative evaluation of job performance loss due to well-being related barriers. Method: The WBA-P was developed using exploratory and confirmatory factor analysis survey data from 1827 employed individuals. Evidence criterion-related validity established multivariate variance across measures health well-being. Results: A hierarchical, two-factor model demonstrated good fit...

Building upon extensive research from 2 validated well-being instruments, the objective of this was to develop and validate a comprehensive actionable instrument that informs facilitates improvement for individuals, communities, nations. The goals measure were comprehensiveness, validity reliability, significant relationships with health performance outcomes, diagnostic capability intervention. For development validation, questions Well-being Assessment Wellbeing Finder simultaneously...

Geographic disparities in life expectancy are substantial and not fully explained by differences race socioeconomic status. To develop policies that address these inequalities, it is essential to identify other factors account for this variation. In study we investigated whether population well-being—a comprehensive measure of physical, mental, social health—helps explain geographic variation expectancy. At the county level, found every 1-standard-deviation (4.2-point) increase well-being...

Rural Aging in America: Proceedings of the 2017 Connectivity Summit Alexis Skoufalos, EdD, Janice L. Clarke, RN, BBA, Dana Rose Ellis, BA, Vicki Shepard, MSW, MPA, and Elizabeth Y. Rula, PhD Editorial: Creating a Movement to Transform AgingDavid B. Nash, MD, MBA, with Donato J. Tramuto, Joseph F. Coughlin, S-3 Introduction S-4 S-5 Roundtable 1: The Power Community – Enabling Social Connections Access Health Resources Through Community-Based Programs 2: Technology Health: Innovative Solutions...

The use of nonphysician practitioners (NPPs) in the emergency department (ED) continues to expand, yet little is known about associations between NPPs and ED imaging use.To investigate whether state share visits for which an NPP was clinician record associated with studies ordered, given that state-level scopes practice.This cross-sectional study compared diagnostic ordering patterns based on 2005-2020 Medicare claims a nationally representative 5% sample fee-for-service beneficiaries. For...

To evaluate the longitudinal value of a chronic disease management program, My Health Guardian (MHG), in reducing hospital utilization and costs over 4 years. The MHG program provides individualized support via telephonic nurse outreach online tools for self-management, behavior change well-being. In follow up to an initial 18-month analysis MHG, current study evaluated impact A matched-cohort retrospectively compared participants with heart or diabetes (treatment, N = 4,948)...

Objective: To compare employee overall well-being to chronic disease status, which has a long-established relationship productivity, as relative contributors on-the-job productivity. Methods: Data from two annual surveys of three companies were used in longitudinal analyses predictor productivity level and change among 2629 employees with diabetes or without any conditions. Results: Well-being was the most significant cross-sectionally model that included status demographic characteristics....

Objective: To evaluate employee well-being change and associated in productivity, health risk including biometrics, workplace support over 2 years after implementation of a improvement strategy. Methods: This was an employer case study evaluation well-being, productivity (presenteeism, absenteeism, job performance), risk, across three assessment spanning years. Employee compared with independent sample workers the community. Results: Well-being performance increased presenteeism decreased...