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View article: Inpatient to Outpatient Shifts in Surgical Care: Persistence of COVID-19 Era Changes and Socioeconomic Variations
Inpatient to Outpatient Shifts in Surgical Care: Persistence of COVID-19 Era Changes and Socioeconomic Variations Open
The COVID-19 pandemic disrupted surgical care delivery, yet the extent to which shifts from inpatient to outpatient settings have persisted remains unclear. Using medical claims data from Independence Blue Cross (2018–2022), we examined ch…
View article: Measuring hospital inpatient Procedure Access Inequality in the United States
Measuring hospital inpatient Procedure Access Inequality in the United States Open
Geographic disparities in access to inpatient procedures are a significant issue within the US healthcare system. This study introduces the Procedure Access Inequality (PAI) index, a standardized metric to quantify these disparities while …
View article: Inequities in Access to Tricuspid Valve Treatments
Inequities in Access to Tricuspid Valve Treatments Open
Patients in higher socioeconomic deprivation areas travel longer distances to hospitals meeting procedure volume requirements. Policymakers and patient advocacy groups should consider this to ensure equitable access to potentially life-sav…
View article: Limited Access to Aortic Valve Procedures in Socioeconomically Disadvantaged Areas
Limited Access to Aortic Valve Procedures in Socioeconomically Disadvantaged Areas Open
Background To explore how differences in local socioeconomic deprivation impact access to aortic valve procedures and the treatment of aortic valve disease, in comparison to other open and minimally invasive surgical procedures. Methods an…
View article: Hospital ownership and admission rates from the emergency department, evidence from Florida
Hospital ownership and admission rates from the emergency department, evidence from Florida Open
Objective In light of Department of Justice investigations of for‐profit chains for over‐admitting patients, we sought to evaluate whether for‐profit hospitals are more likely to admit patients from the emergency department. Data Sources W…
View article: A systematic review of research on empathy in health care
A systematic review of research on empathy in health care Open
Objective To summarize the predictors and outcomes of empathy by health care personnel, methods used to study their empathy, and the effectiveness of interventions targeting their empathy, in order to advance understanding of the role of e…
View article: The Role of Schedule Volatility in Home Health Nursing Turnover
The Role of Schedule Volatility in Home Health Nursing Turnover Open
Despite considerable research on nursing turnover, few studies have considered turnover among nurses working in home health care. Using novel administrative data from one of the largest home health care organizations in the United States, …
View article: Model Homes
Model Homes Open
Background: The patient-centered medical home (PCMH) model has been widely adopted, but the evidence on its effectiveness remains mixed. One potential explanation for these mixed findings is variation in how the model is implemented by pra…
View article: Delayed emergencies: The composition and magnitude of non‐respiratory emergency department visits during the COVID‐19 pandemic
Delayed emergencies: The composition and magnitude of non‐respiratory emergency department visits during the COVID‐19 pandemic Open
COVID-19 has resulted in significant avoidance of ED care, comprising a mix of deferrable and high severity care. Hospital and public health pronouncements should emphasize appropriate care seeking.
View article: The Impact of the Non-essential Business Closure Policy on Covid-19 Infection Rates
The Impact of the Non-essential Business Closure Policy on Covid-19 Infection Rates Open
In response to the Covid-19 pandemic, many localities instituted non-essential business closure orders, keeping individuals categorized as essential workers at the frontlines while sending their non-essential counterparts home.We examine t…
View article: Understanding Nursing Turnover: The Case of Home Health Care
Understanding Nursing Turnover: The Case of Home Health Care Open
Only a few studies of nursing turnover have examined post-acute home health care. This study examines factors that are associated with home health licensed nurse turnover using linked employee-level and patient-level data from one of the f…
View article: Disruptions in preventive care: Mammograms during the COVID‐19 pandemic
Disruptions in preventive care: Mammograms during the COVID‐19 pandemic Open
Objective To measure the extent to which the provision of mammograms was impacted by the COVID‐19 pandemic and surrounding guidelines. Data Sources De‐identified summary data derived from medical claims and eligibility files were provided …
View article: ANTITRUST TREATMENT OF NONPROFITS: SHOULD HOSPITALS RECEIVE SPECIAL CARE?
ANTITRUST TREATMENT OF NONPROFITS: SHOULD HOSPITALS RECEIVE SPECIAL CARE? Open
Nonprofit hospitals receive favorable tax treatment in exchange for providing socially beneficial activities. Extending this rationale suggests that nonprofit hospital mergers should be evaluated differently than mergers of for‐profit hosp…
View article: Reduced Health Care Utilization among Elderly Patients with Informal Caregivers
Reduced Health Care Utilization among Elderly Patients with Informal Caregivers Open
By calculating the impact of informal caregiving on patterns of health care utilization, we support the need to integrate the availability of caregivers into discharge planning. Future quantification of differences by caregiver characteris…
View article: Clinical and economic benefits of advanced microplegia delivery system in cardiac surgery: evidence from 250 hospitals
Clinical and economic benefits of advanced microplegia delivery system in cardiac surgery: evidence from 250 hospitals Open
Aim: Determine the impact of a second generation microplegia delivery system (MPS2) compared with traditional cardioplegia. Materials & methods: Multivariable difference-in-differences analysis using fixed effects was performed for each ou…
View article: The Effects of Home Health Visit Length on Hospital Readmission
The Effects of Home Health Visit Length on Hospital Readmission Open
Home health care has experienced significant growth as an industry and is viewed as one of the avenues for achieving reductions in the cost and utilization of expensive downstream health care services.Using a novel dataset on home health c…
View article: Iso-osmolar contrast media and adverse renal and cardiac events after percutaneous cardiovascular intervention
Iso-osmolar contrast media and adverse renal and cardiac events after percutaneous cardiovascular intervention Open
Aim: To assess the relationship between type of contrast media (CM), iso-osmolar contrast media (IOCM) or low-osmolar contrast media (LOCM), and major adverse renal and cardiovascular events (MARCE). Materials & methods: Coronary or periph…
View article: Personalized Medicine When Physicians Induce Demand
Personalized Medicine When Physicians Induce Demand Open
Advocates for "personalized medicine" tests claim they can reduce health care spending by identifying patients unlikely to benefit from costly treatments.But most tests are imperfect, and so physicians have considerable discretion in how t…
View article: Accuracy of Emergency Medical Services Dispatcher and Crew Diagnosis of Stroke in Clinical Practice
Accuracy of Emergency Medical Services Dispatcher and Crew Diagnosis of Stroke in Clinical Practice Open
Prehospital diagnosis of stroke has limited sensitivity, resulting in a high proportion of missed stroke cases. Dispatchers identified many strokes that EMS crews did not. Incorporating EMS dispatcher impression into regional protocols may…
View article: The Impact of Family Support on Health Care Utilization After Inpatient Care
The Impact of Family Support on Health Care Utilization After Inpatient Care Open
Background: Effective post-acute care following an inpatient stay is important to high-quality care, as it has been shown to prevent readmissions and complications. It has been argued that the presence of a family member serves as a substi…