Articles tagged with Health Care Policy
ACOs with higher percentages of minority patients have lower quality performance and poorer preventive care outcomes. In contrast, ACOs with lower out-of-network primary care rates show no differences in quality performance among different racial and ethnic groups.
A new study reveals funding for fertility preservation policies varies across the UK, with Scotland offering the most inclusive approach. The study highlights the need for standardization of policies to ensure equal access to care for patients.
The study analyzed over 125,000 US health care workers, finding that frontline workers were at highest risk of leaving the workforce due to burnout and stress. The researchers also identified specific factors contributing to turnover, such as inadequate staffing and lack of support from employers.
A new study published in JAMA Oncology finds that Medicaid expansion is associated with improved survival rates and decreased mortality rates among patients diagnosed with de novo stage 4 breast cancer. The study also reveals a significant decrease in racial disparities, with mortality rates decreasing by 5.5% among minority groups.
A recent analysis found that more than half (59%) of cancer survivors and patients experience at least a moderate level of fear of cancer recurrence. Younger people and women are disproportionately affected. Researchers emphasize the need for tailored interventions to address this common concern.
A new study by Harvard Medical School researchers found that people who survive firearm injuries face greater risks of mental health disorders, substance use disorders, and pain in the year following injury. The analysis showed significant increases in healthcare spending, with gunshot survivors averaging $2,495 more per month compared...
A new study reveals that nearly half of all older adults now die with a dementia diagnosis listed on their medical record, a 36% increase from two decades ago. This rise may be attributed to better public awareness, more detailed medical records, and Medicare billing practices, rather than an actual increase in the condition.
The NCCN Annual Conference focuses on the cancer patient journey, featuring state-of-the-art practice algorithms, updates to clinical guidelines, and new therapies. Leading experts present treatment recommendations for various cancer types, including breast, colorectal, and lung cancer.
A report by the British Pharmacological Society and Royal College of Physicians recommends integrating pharmacogenomic testing to ensure medicines work safely and effectively for individual patients. The UK is a world leader in genomic medicine, and expanded testing would further demonstrate this leadership.
The COVID-19 pandemic has led to a setback in global efforts to meet SDG targets for tackling tuberculosis. TB mortality plateaued in Europe between 2019 and 2020, likely due to disruptions in essential TB services. Researchers highlight the need for continued commitment and investments to prevent further progress being reversed.
Investments in primary care research can enhance community-centeredness, reducing inequities in access, quality, and outcomes of care. Strategic research prioritizes whole person care and innovative payment models to support primary care's future success.
Dialysis facilities referred more incident patients, transplant centers evaluated more, but fewer were placed on the waitlist following KAS implementation. This led to a decline in overall waitlisting nationwide.
Health policy experts review existing coverage systems and propose rigorous research to inform the US debate on universal healthcare coverage. They identify areas where additional research and stakeholder input are needed to achieve high-performing universal health insurance.
A national study found a stark paucity of racialized leaders in Canada's high-level healthcare leadership, despite gender parity. Increasing racial diversity can promote culturally sensitive care, address discriminatory policies, and provide a broader perspective on health inequities.
A recent study published in Obstetrics and Gynecology found that birthing parents are at a higher risk of financial burden due to out-of-pocket medical costs, with low-income families facing the highest risks. Public health insurance, including Medicaid, was associated with lower risks of catastrophic health expenditures.
A new study found that dual-eligible patients for Medicare and Medicaid have poorer outcomes and higher costs after cancer surgery, even in high-quality hospitals. These patients are more likely to experience complications, longer hospital stays, and lower chances of going home instead of a nursing facility.
Economists Ed Timmons and Conor Norris suggest reforms such as shorter medical school pathways, expanded physician assistant and nurse practitioner independence, and federal regulation of telemedicine to alleviate the healthcare industry's stress in light of COVID-19. These proposals aim to address staffing shortages, improve access to...
A study examining subnational policy responses to COVID-19 in Latin America found high variation in adopted measures among countries. The authors conclude that governments should focus on evidence-based national policies while coordinating with subnational governments for tailored local responses.
Prices paid to anesthesia practitioners increased by 16.5% in facilities that contracted with a PMC versus non-PMC facilities, and by 19% when facilities contracted with a PMC without PE investment. PE-backed PMCs commanded higher prices, possibly due to market share and negotiating expertise.
A new study by Dartmouth's Geisel School of Medicine found higher mortality rates among older adults with cognitive impairment during the COVID-19 pandemic. The study showed a 24% increase in mortality for individuals with Alzheimer's disease and a 36% increase for nursing home residents with ADRD.
Oral health disparities persist despite improved overall health trends, disproportionately affecting marginalized groups. Research and policy initiatives are needed to make oral health care more affordable, accessible, and responsive to communities.
A cost-effectiveness analysis found that adherence promotion programs like MAPS reduce costs and improve outcomes for adolescent kidney transplant recipients. Strategies with similar costs to MAPS can still be cost-effective if they decrease rejection episodes by a small amount.
Young adults are disproportionately excluded from kidney transplantation, with only 1.8% of Black and 4.4% of Hispanic patients receiving the treatment compared to 10.9% of White patients within this age group. The study highlights the need for targeted interventions to address these disparities.
A new study shows that ZIP code social vulnerability index is linked to COVID-19 severity, with more disadvantaged areas experiencing higher symptom rates. However, differences disappear when patients are discharged from hospitals, suggesting equal access to care plays a crucial role in reducing initial disparities.
Researchers find that communicating hope rather than fear is key to motivating fatigued citizens to take protective measures. The study's results suggest that health authorities should focus on providing long-term advice and solutions to build public support.
A survey of over 1,100 people in the US found that lack of COVID-19 testing availability increases intentions for risky behavior, potentially leading to increased transmission. Participants with negative tests showed greater intention to engage in behaviors facilitating viral transmission.
A growing number of US states have passed laws requiring employers to provide paid sick leave, with 27.6% of jobs covered as of 2019. However, some states block local governments from creating their own regulations, exacerbating health disparities and leaving low-wage workers without access to benefits.
The American Roentgen Ray Society has awarded two 2022 ARRS Scholarships to Sean Woolen and Bradley Allen, providing a total of $180,000 in funding for their radiological research projects. The scholarships aim to advance emerging scholars and prepare them for leadership positions.
A new study finds that hospitals in predominantly Black and Hispanic areas have lower rates of offering programs addressing opioid use disorder. The researchers analyzed 446 nonprofit hospitals across the US, finding gaps in hospital-based services that contribute to racial disparities.
Adults with spinal cord injuries have a near-80% increased risk of developing psychological conditions compared to those without the injury. Chronic pain is equally negatively impacting mental health, associated with post-traumatic stress disorder and other mental health conditions in most cases.
A group of experts describe a decade of destitution and ill-health caused by the UK's hostile environment policies. The NHS employs teams that target vulnerable patients, delaying or withholding care, while thousands are wrongly turned away from services.
The opioid crisis in the US has reached epidemic levels, with over 100,000 drug overdose deaths reported for the first time. The US Centers for Disease Control and Prevention attributes the rise to abuse of synthetic opioid fentanyl and the COVID-19 pandemic.
A new European report reveals a massive treatment gap and disparities in osteoporosis care, with significant economic burden and projected increases in fragility fractures. The report emphasizes the need for improved service provision and uptake, particularly in countries with high disease burdens.
The article highlights the disproportionate impact of environmental exposures on the LGBTQ+ community due to social and economic inequalities. The authors recommend implementing a system to collect sexual orientation data and incorporating LGBTQ+ issues into environmental justice research.
A national survey of over 2,000 adults aged 50-80 found that most support steps to reduce firearm injury risk, including safety counseling and background checks. The study highlights opportunities to help older adults recognize and address risks in their homes, particularly for those living with children or experiencing cognitive decline.
A national study by Boston Children's Hospital found that primary care practices caring for children reported significant difficulties in obtaining behavioral health services. The study, published in Annals of Family Medicine, highlights the pressing need for mental health support in children and adolescents.
A new study reveals significant variability in state- and nationwide policies on end-of-life decision making in US prisons. The researchers found that many policies restrict access to advance care planning documents, limit the roles of surrogate decision-makers, and fail to ensure compliance with community standards. The study emphasiz...
A study of over 5 million patients in England found that waiting over 5 hours in emergency care before admission is linked to a heightened risk of death from any cause within the next 30 days. The number needed to harm metric was calculated as 1 extra death for every 82 patients delayed after 6-8 hours.
A study investigated the common use of extended radiation therapy for patients with metastatic cancer nearing the end of life. Despite guidelines advising against this practice, researchers found that it is still used in many cases. The study aims to shed light on this treatment approach and its implications for patient care.
A new study finds that climate change will lead to an increase in kidney stone cases, even with mitigation efforts. Researchers predict a cost of $57-99 million to the US healthcare system over seven decades, with a steeper impact if no action is taken.
The ACA Medicaid expansion significantly improved preconception and postpartum insurance coverage for pregnant people, leading to reduced uninsurance and insurance churn. However, the study found limited evidence that it improved overall perinatal healthcare use or infant birth outcomes.
A recent study led by Harvard Medical School researchers found significant racial and ethnic disparities in hospital mortality for both COVID-19 and non-COVID patients. Hispanic Medicare patients were more likely to die from COVID-19, while existing pre-pandemic disparities widened during the crisis.
A survey of 17,302 healthcare workers in 57 countries found that male participants and nurses had higher preparedness scores than women and doctors. Preparedness varied across national wealth and sociodemographic characteristics, with East Asia and the Pacific having significantly higher scores.
A new study reveals that poor women in rural India are more likely to die during childbirth due to lack of access to safe hospital births. The research found that only 26% of women in low-performing states deliver in hospitals, compared to 87% of those exposed to mass media.
The study estimates the risk of severe outcomes among symptomatic children aged 0-17 years in the European Union, with hospitalization rates highest among youngest age groups. The authors also note that most children with symptomatic COVID-19 have a low risk of death or hospitalization.
A third of US kids lack good and consistent health insurance, with inadequate insurance driving the trend. Families with private insurance and children with special needs are disproportionately affected.
A new analysis proposes four solutions states can implement to improve Medicaid eligibility for seniors, including eliminating the asset test or increasing its limit. This could lead to lower administrative burdens and improved health outcomes for eligible individuals.
A Norwegian study reveals that out-of-hours emergency doctors with higher admission rates inflict significant unnecessary costs on hospitals. The study found that patients seen by these doctors have a greater chance of hospital stays, particularly those over 69 years old.
A study found that many Medicaid-enrolled women in Virginia were unaware of dental pregnancy benefits, despite comprehensive coverage enacted in 2015. The survey revealed significant gaps in oral health knowledge among reproductive-age women by insurance status, with Medicaid-enrolled women facing barriers to care at higher rates.
Two new studies published by researchers at the University of Illinois Chicago show that sugar-sweetened beverages taxes are effective and sustainable in reducing consumption. The Seattle data analysis found a 59% tax pass-through rate, a 22% reduction in volume sold of taxed beverages, and a net 19% reduction in grams of sugar sold fr...
A large-scale study of over 1.2 million people found breakthrough COVID-19 infections are rare but more frequent and severe in those with weakened immune systems. The study supports the introduction of a third vaccine dose for immunocompromised individuals to increase protection.
Pharmacy standing orders led to a significant increase in naloxone dispensing in Massachusetts, but gaps in access persist in rural communities and Hispanic neighborhoods. Communities with higher rates of opioid overdose deaths and buprenorphine treatment also dispensed more naloxone.
Researchers found no significant difference in mortality rates between rural and urban emergency departments for life-threatening conditions like stroke and heart attack. Despite facing funding challenges, rural ERs have proven lifesaving for patients treated at these facilities.
Analysis of COVID-19 pandemic policy changes found that federal and state governments have ensured opioid treatment availability, with few states adopting comprehensive approaches. The study highlights the importance of standardized policies to improve treatment access and outcomes for individuals with opioid use disorder.
A University at Buffalo study explores how social and economic characteristics influence hospital readmissions and health inequity in the US. The research found that patients with lower household income, male gender, or treated in urban hospitals have a higher risk of being readmitted within a month of discharge.
A KU study reveals that individuals' political ideologies play a crucial role in shaping their health behaviors during the COVID-19 pandemic. The research, conducted using two surveys and a review of existing data, found that ideology was a significant predictor of health behavior, especially when compared to other factors such as age,...
A new study at the University of Missouri found that telehealth reduced stress for nursing home residents while increasing access to convenient care. However, it also removed socialization opportunities and created confusion for residents with cognitive difficulties.
A new study found that chronic hepatitis C patients in hospital clinics spent five times more on out-of-pocket costs than those treated in community clinics. Patients lost an average of $743 in time over three months due to CHC, while caregivers also bear a significant financial burden.
A recent study in Indonesia found that full subsidies increased enrollment by 18.6 percentage points, while registration assistance alone boosted signups by 3.5 percent. The experiment also highlighted the importance of infrastructure and administrative capacity in addressing the challenges of universal health insurance.
Severe vomiting during pregnancy, known as hyperemesis gravidarum, drives women to terminate wanted pregnancies. The condition also affects mental health, with 25.5% experiencing suicidal thoughts. Improving support systems is crucial for these women.