Teresa M. Waters
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View article: Persons Experiencing Housing Instability: Perspectives on Medicaid Managed Care Organizations and Homeless Shelters
Persons Experiencing Housing Instability: Perspectives on Medicaid Managed Care Organizations and Homeless Shelters Open
Background: Persons experiencing housing instability (PEHIs) are medically vulnerable and at increased risk for poor health outcomes, high clinical service utilization, and mortality. Unstable housing is just one of many social determinant…
View article: <scp>COVID</scp>‐19‐Related Financial Hardship and Adherence to Adjuvant Endocrine Therapy Among Women With Early‐Stage Breast Cancer
<span>COVID</span>‐19‐Related Financial Hardship and Adherence to Adjuvant Endocrine Therapy Among Women With Early‐Stage Breast Cancer Open
Objective To examine the association between COVID‐19‐related hardship and 1‐year adjuvant endocrine therapy (AET) adherence among women with early‐stage hormone‐receptor‐positive breast cancer. Study Setting and Design This post hoc analy…
View article: The impact of the COVID-19 pandemic on vaccinations in United States primary care practices
The impact of the COVID-19 pandemic on vaccinations in United States primary care practices Open
Background The COVID-19 pandemic caused substantial burdens for patients and our healthcare delivery system. Many patients delayed seeking care for essential medical needs, and providers struggled to deliver services. This study aimed to e…
View article: The Impact of COVID-19 on Cervical Cancer Screening in Primary Care
The Impact of COVID-19 on Cervical Cancer Screening in Primary Care Open
CC screening rates remained below prepandemic levels throughout the 2 years of the pandemic. Policy makers and health care professionals should strategize approaches to enhance CC screening rates, including the exploration of alternative m…
View article: Demographic variation in continuous glucose monitoring utilisation among patients with type 1 diabetes from a US regional academic medical centre: a retrospective cohort study, 2018–2021
Demographic variation in continuous glucose monitoring utilisation among patients with type 1 diabetes from a US regional academic medical centre: a retrospective cohort study, 2018–2021 Open
Objective While continuous glucose monitoring (CGM) utilisation has been increasing among patients with type 1 diabetes (T1D), few studies have examined patterns of use across age, race/ethnicity and insurance status together. In this stud…
View article: Remote Monitoring App for Endocrine Therapy Adherence Among Patients With Early-Stage Breast Cancer
Remote Monitoring App for Endocrine Therapy Adherence Among Patients With Early-Stage Breast Cancer Open
Importance Adjuvant endocrine therapy (AET) use among women with early-stage, hormone receptor–positive breast cancer reduces the risk of cancer recurrence, but its adverse symptoms contribute to lower adherence. Objective To test whether …
View article: Overweight/obesity, gestational weight gain, postpartum weight retention, and maternal/neonatal complications in the military
Overweight/obesity, gestational weight gain, postpartum weight retention, and maternal/neonatal complications in the military Open
Objective The objective of this study was to examine the prevalence of overweight/obesity and excessive gestational weight gain (GWG) among military beneficiaries and to assess associations of these risk factors with maternal/neonatal comp…
View article: The Appalachian Gap in Preventable Hospitalizations
The Appalachian Gap in Preventable Hospitalizations Open
Introduction: Previous studies have documented geographic variation in preventable hospitalizations between rural and urban areas, but much less is known about preventable hospitalization patterns between heterogeneous rural areas. Unique …
View article: Medicare Fee-For-Service Spending for Fall Injury and Nonfall Events: The Health, Aging, and Body Composition Study
Medicare Fee-For-Service Spending for Fall Injury and Nonfall Events: The Health, Aging, and Body Composition Study Open
Background and Objectives Fall injuries are prevalent in older adults, yet whether higher spending occurs after nonfracture (NFFI) and fracture is unknown. We examined whether incident fall injuries, including NFFI and fractures, were asso…
View article: Longitudinal Trends in Insurer Participation in Multisector Population Health Activities
Longitudinal Trends in Insurer Participation in Multisector Population Health Activities Open
Healthcare organizations increasingly engage in activities to identify and address social determinants of health (SDOH) among their patients to improve health outcomes and reduce costs. While several studies to date have focused on the evo…
View article: A Postpartum Weight Loss-focused Stepped-care Intervention in a Military Population: A Randomized Controlled Trial
A Postpartum Weight Loss-focused Stepped-care Intervention in a Military Population: A Randomized Controlled Trial Open
Objective Postpartum weight retention is associated with adverse health among both civilian and military women. Purpose The current study evaluated a stepped-care weight management intervention, Moms Fit 2 Fight, adapted for use in a pregn…
View article: An analysis of state-reported hospital transfer data of urology patients
An analysis of state-reported hospital transfer data of urology patients Open
Background We examined the trends over time of urology patient transfers in rural and urban settings, at the state level, to better characterize transfer trends in the United States. Materials and methods Data were collected from the State…
View article: Reaching high-risk Black adults for diabetes prevention programming during a pandemic: The design of Fit & Faithful a randomized controlled community trial
Reaching high-risk Black adults for diabetes prevention programming during a pandemic: The design of Fit & Faithful a randomized controlled community trial Open
Obesity is a key risk factor for Type 2 diabetes (T2D). Alarmingly, 87% of US adults have overweight or obesity, with non-Hispanic black adults having higher obesity and T2D prevalence than non-Hispanic white. The Diabetes Prevention Progr…
View article: An interim analysis of a gestational weight gain intervention in military personnel and other <scp>TRICARE</scp> beneficiaries
An interim analysis of a gestational weight gain intervention in military personnel and other <span>TRICARE</span> beneficiaries Open
Objective Despite military fitness regulations, women in the military frequently experience overweight/obesity, excessive gestational weight gain (GWG), and the postpartum implications. This interim analysis of the Moms Fit 2 Fight study e…
View article: Combined Impact of Medicare’s Hospital Pay for Performance Programs on Quality and Safety Outcomes is Mixed
Combined Impact of Medicare’s Hospital Pay for Performance Programs on Quality and Safety Outcomes is Mixed Open
BACKGROUND Three major hospital pay for performance (P4P) programs were introduced by the Affordable Care Act and intended to improve the quality, safety and efficiency of care provided to Medicare beneficiaries. The financial risk to hosp…
View article: Nudges for Networks: <scp>Community‐Level</scp> Effects of a Health Plan Initiative to Address Social Determinants
Nudges for Networks: <span>Community‐Level</span> Effects of a Health Plan Initiative to Address Social Determinants Open
Research Objective Health plans are among the many stakeholders seeking to improve health and reduce costs by screening and intervening on social determinants of health (SDOH). Humana Health Plan launched its Bold Goal Initiative in 2015 t…
View article: Measurement Matters: Changing Penalty Calculations under the Hospital Acquired Condition Reduction Program (HACRP) Cost Hospitals Millions
Measurement Matters: Changing Penalty Calculations under the Hospital Acquired Condition Reduction Program (HACRP) Cost Hospitals Millions Open
Background Since October 2014, the Centers for Medicare and Medicaid Services has penalized 25% of U.S. hospitals with the highest rates of hospital-acquired conditions under the Hospital Acquired Conditions Reduction Program (HACRP). Whil…
View article: Assessing Technical Assistance Needs Among Recovery Residence Operators in the United States
Assessing Technical Assistance Needs Among Recovery Residence Operators in the United States Open
Background: Recovery support services such as recovery housing may assist individuals with increasing their access to social support, employment services, and systems of care. Lack of evidence-based practices and calls for increased oversi…
View article: “Nobody Will Tell You. You’ve Got to Ask!”: An Examination of Patient-Provider Communication Needs and Preferences among Black and White Women with Early-Stage Breast Cancer
“Nobody Will Tell You. You’ve Got to Ask!”: An Examination of Patient-Provider Communication Needs and Preferences among Black and White Women with Early-Stage Breast Cancer Open
Patient-provider communication is a critical component of healthcare and is associated with treatment quality and outcomes for women with breast cancer. This qualitative study examines similarities and differences in patient perspectives o…
View article: THRIVE intervention development: using participatory action research principles to guide a mHealth app-based intervention to improve oncology care
THRIVE intervention development: using participatory action research principles to guide a mHealth app-based intervention to improve oncology care Open
THRIVE app content reflects researchers' partnership with a racially diverse sample of breast cancer survivors and healthcare providers and adherence to participatory design by incorporating patient-requested app features, app aesthetics, …
View article: Healthcare Reform in the U.S. Must Be Driven by Policy and Data, Not Politics and Ideology
Healthcare Reform in the U.S. Must Be Driven by Policy and Data, Not Politics and Ideology Open
Background U.S. healthcare spending will reach 20% of GDP by 2026. Despite this spending, almost 14% of our under-65 population still lacks health insurance and out-of-pocket healthcare spending is high. To date, much of the healthcare ref…
View article: Cost‐Effectiveness of a Weight Loss Intervention: An Adaptation of the Look AHEAD Lifestyle Intervention in the US Military
Cost‐Effectiveness of a Weight Loss Intervention: An Adaptation of the Look AHEAD Lifestyle Intervention in the US Military Open
Objective This study aimed to assess whether a counselor‐initiated (CI) adaptation of the Look AHEAD (Action for Health in Diabetes) intensive lifestyle intervention in a military setting was cost‐effective relative to a self‐paced (SP) ad…