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Health Services Research

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https://read.qxmd.com/read/30740691/good-samaritan-harm-reduction-policy-and-drug-overdose-deaths
#1
Danielle N Atkins, Christine Piette Durrance, Yuna Kim
OBJECTIVE: To examine the effects of a harm reduction policy, specifically Good Samaritan (GS) policy, on overdose deaths. DATA SOURCES/STUDY SETTING: Secondary data from multiple cause of death, mortality records paired with state harm reduction and substance use prevention policy. STUDY DESIGN: We estimate fixed effects Poisson count models to model the effect of GS policy on overdose deaths for all, prescription, and illicit drugs, controlled substances, and opioids, while controlling for other harm reduction and substance use prevention policies...
February 11, 2019: Health Services Research
https://read.qxmd.com/read/30740696/effectiveness-of-antimalarial-interventions-in-nigeria-evidence-from-facility-level-longitudinal-data
#2
Nopphol Witvorapong, Kolo Yaro Yakubu
OBJECTIVE: To evaluate the effectiveness of a program of antimalarial interventions implemented in 2010-2013 in Niger State, Nigeria. DATA SOURCES: Utilization reports from 99 intervention and 51 non-intervention health facilities from the Niger State Malaria Elimination Program, supplemented by data on facility-level characteristics from the Niger State Primary Health Care Development Agency and Local Government Malaria Control units. STUDY DESIGN: Estimated with mixed-effects negative binomial modeling, a difference-in-differences method was used to quantify the impact of the program on the number of febrile illness cases and confirmed malaria cases...
February 10, 2019: Health Services Research
https://read.qxmd.com/read/30734279/racial-ethnic-disparities-in-specialty-behavioral-health-care-treatment-patterns-and-expenditures-among-commercially-insured-patients-in-managed-behavioral-health-care-plans
#3
Kimberly Narain, Haiyong Xu, Francisca Azocar, Susan L Ettner
OBJECTIVE: To document differences among racial/ethnic/gender groups in specialty behavioral health care (BH) utilization/expenditures; examine whether these differences are driven by probability vs intensity of treatment; and identify whether differences are explained by socioeconomic status (SES). DATA SOURCE: The cohort consists of adults continuously enrolled in Optum plans with BH benefits during 2013. STUDY DESIGN: We modeled each outcome using linear regressions among the entire sample stratified by race/ethnicity, language and gender...
February 7, 2019: Health Services Research
https://read.qxmd.com/read/30729511/measuring-the-integration-of-primary-care-and-behavioral-health-services
#4
Daniel J Mullin, Lee Hargreaves, Andrea Auxier, Stephanie A Brennhofer, Juvena R Hitt, Rodger S Kessler, Benjamin Littenberg, C R Macchi, Matthew Martin, Gail Rose, Felicia Trembath, Constance van Eeghen
OBJECTIVE: To perform a factor analysis of the Practice Integration Profile (PIP), a 30-item practice-level measure of primary care and behavioral health integration derived from the Agency for Healthcare Research and Quality's Lexicon for Behavioral Health and Primary Care Integration. DATA SOURCES: The PIP was completed by 735 individuals, representing 357 practices across the United States. STUDY DESIGN: The study design was a cross-sectional survey...
February 6, 2019: Health Services Research
https://read.qxmd.com/read/30729509/assessing-the-impact-of-minnesota-s-return-to-community-initiative-for-newly-admitted-nursing-home-residents
#5
Zachary Hass, Mark Woodhouse, David C Grabowski, Greg Arling
OBJECTIVE: To evaluate Minnesota's Return to Community Initiative's (RTCI) impact on community discharges from nursing homes. DATA SOURCES: Secondary data were from the Minimum Data Set and RTCI staff (April 2014 - December 2016). The sample consisted of 18 444 non-Medicaid nursing home admissions in Minnesota remaining for at least 45 days, with high predicted probability of community discharge. STUDY DESIGN: The RTCI facilitates community discharge for non-Medicaid nursing home residents by assisting with discharge planning, transitioning to the community, and postdischarge follow-up...
February 6, 2019: Health Services Research
https://read.qxmd.com/read/30729507/explaining-primary-care-physicians-decision-to-quit-patient-centered-medical-homes-evidence-from-quebec-canada
#6
Mehdi Ammi, Mamadou Diop, Erin Strumpf
OBJECTIVE: To examine the factors explaining primary care physicians' (PCPs) decision to leave patient-centered medical homes (PCMHs). DATA SOURCES: Five-year longitudinal data on all the 906 PCPs who joined a PCMH in the Canadian province of Quebec, known there as a Family Medicine Group. STUDY DESIGN: We use fixed-effects and random-effects logit models, with a variety of regression specifications and various subsamples. In addition to these models, we examine the robustness of our results using survival analysis, one lag in the regressions and focusing on a matched sample of quitters and stayers...
February 6, 2019: Health Services Research
https://read.qxmd.com/read/30723891/hospitals-and-substance-use-disorder-services-in-the-time-of-the-opioid-epidemic
#7
Cory E Cronin, Berkeley Franz, Daniel Skinner, Zelalem T Haile
OBJECTIVE: To test whether the opioid epidemic increased hospitals' offerings of substance use services. DATA SOURCES/STUDY SETTING: This study employs data from the 2010 and 2015 American Hospital Association Annual Survey. STUDY DESIGN: A multilevel, cross-sectional design was utilized to examine associations between county-level overdose rates and hospital substance use services. DATA COLLECTION/EXTRACTION METHODS: The analytic sample consisted of 3365 acute care hospitals that answered pertinent survey questions...
February 5, 2019: Health Services Research
https://read.qxmd.com/read/30687928/mental-health-care-among-blacks-in-america-confronting-racism-and-constructing-solutions
#8
Sirry M Alang
OBJECTIVES: To describe reasons for unmet need for mental health care among blacks, identify factors associated with causes of unmet need, examine racism as a context of unmet need, and construct ways to improve service use. DATA SOURCES: Data from the 2011-2015 National Survey on Drug Use and Health were pooled to create an analytic sample of black adults with unmet mental health need (N = 1237). Qualitative data came from focus groups (N = 30) recruited through purposive sampling...
January 27, 2019: Health Services Research
https://read.qxmd.com/read/30675913/linkage-between-utah-all-payers-claims-database-and-central-cancer-registry
#9
Jennifer Hornung Garvin, Kimberly A Herget, Mia Hashibe, Anne C Kirchhoff, Charles W Hawley, Dan Bolton, Carol Sweeney
OBJECTIVE: To evaluate the linkage of claims from the Utah All Payers Claims Database (APCD) and Utah Cancer Registry (UCR). DATA SOURCES: Secondary data from 2013 and 2014 Utah APCD and 2013 UCR cases. STUDY DESIGN: This is a descriptive analysis of the quality of linkage between APCD claims data and cancer registry cases. DATA COLLECTION/EXTRACTION METHODS: We used the LinkPlus software to link Utah APCD and UCR data...
January 24, 2019: Health Services Research
https://read.qxmd.com/read/30665272/county-level-access-to-opioid-use-disorder-medications-in-medicare-part-d-2010-2015
#10
Amanda J Abraham, Grace Bagwell Adams, Ashley C Bradford, William D Bradford
OBJECTIVE: To identify geographic disparities in access to opioid use disorder (OUD) treatment medications and county demographic and economic characteristics associated with access to buprenorphine and oral naltrexone prescribers in Medicare Part D. DATA SOURCES/STUDY SETTING: We utilized data from the Medicare Part D Prescription Drug Event Standard Analytic File (2010-2015). STUDY DESIGN/DATA COLLECTION: We used logistic regression to examine county-level access to OUD medication prescribers...
January 21, 2019: Health Services Research
https://read.qxmd.com/read/30657170/telephone-health-survey-estimates-effects-of-nonresponse-and-sample-limitations
#11
Floyd J Fowler, Philip S Brenner, Trent D Buskirk, Anthony Roman
OBJECTIVE: The objective of this study was to assess nonresponse error in telephone health survey data based on an address-based sample. DATA SOURCES: Telephone and in-person interviews in Greater Boston. STUDY DESIGN/DATA COLLECTION: Interviewers attempted telephone interviews at addresses that were matched to telephone numbers using questions drawn from federal health surveys. In-person household interviews were carried out with telephone nonrespondents and at addresses without matching telephone numbers...
January 18, 2019: Health Services Research
https://read.qxmd.com/read/30656646/the-effect-of-administration-mode-on-cahps-survey-response-rates-and-results-a-comparison-of-mail-and-web-based-approaches
#12
Floyd J Fowler, Carol Cosenza, Lauren A Cripps, Susan Edgman-Levitan, Paul D Cleary
OBJECTIVE: The objective of this study was to compare response rates, respondents' characteristics, and substantive results for CAHPS surveys administered using web and mail protocols. DATA SOURCES: Patients who had one or more primary care visits in the preceding 6 months. STUDY DESIGN/DATA COLLECTION METHODS: Patients for whom primary care practices had email addresses were randomized to one of four survey administration protocols: web via a portal invitation; web via an email invitation; combination of web and mail; and mail only...
January 18, 2019: Health Services Research
https://read.qxmd.com/read/30653660/the-effect-of-assigning-dedicated-general-practitioners-to-nursing-homes
#13
Cecilie Dohlmann Weatherall, Anne Toft Hansen, Sean Nicholson
OBJECTIVE: To determine whether assigning a dedicated general practitioner (GP) to a nursing home reduces hospitalizations and readmissions. DATA SOURCES/STUDY SETTING: Secondary data on hospitalizations and deaths by month for the universe of nursing home residents in Denmark from January 2011 through February 2014. STUDY DESIGN: In 2012, Denmark initiated a program in seven nursing homes that volunteered to participate. We used a difference-in-differences model to estimate the effect of assigning a dedicated GP to a nursing home on the likelihood that a nursing home resident will be hospitalized, will experience a preventable hospitalization, and will be readmitted...
January 17, 2019: Health Services Research
https://read.qxmd.com/read/30628070/hospital-uncompensated-care-and-patient-experience-an-instrumental-variable-approach
#14
Susan Camilleri, Jeffrey Diebold
OBJECTIVE: Examine the endogenous relationship between uncompensated care and hospital patient experience scores. DATA SOURCES/STUDY SETTING: The Hospital Consumer Assessment of Healthcare Providers and Systems Survey, CMS Healthcare Cost Report Information System, and the US Census Bureau. STUDY DESIGN: The exogenous change in uncompensated care caused by the 2014 Medicaid expansion was exploited to measure the effect of uncompensated care on patient experience scores using a 2SLS regression with instrumental variables approach...
January 9, 2019: Health Services Research
https://read.qxmd.com/read/30628052/national-racial-ethnic-and-geographic-disparities-in-experiences-with-health-care-among-adult-medicaid-beneficiaries
#15
Steven C Martino, Megan Mathews, Denis Agniel, Nate Orr, Shondelle Wilson-Frederick, Judy H Ng, A Elizabeth Ormson, Marc N Elliott
OBJECTIVES: To investigate whether health care experiences of adult Medicaid beneficiaries differ by race/ethnicity and rural/urban status. DATA SOURCES: A total of 270 243 respondents to the 2014-2015 Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems Survey. STUDY DESIGN: Linear regression was used to estimate case mix adjusted differences in patient experience between racial/ethnic minority and non-Hispanic white Medicaid beneficiaries, and between beneficiaries residing in small urban areas, small towns, and rural areas vs large urban areas...
January 9, 2019: Health Services Research
https://read.qxmd.com/read/30613960/inpatient-care-experiences-differ-by-preferred-language-within-racial-ethnic-groups
#16
Denise D Quigley, Marc N Elliott, Katrin Hambarsoomian, Shondelle M Wilson-Frederick, William G Lehrman, Denis Agniel, Judy H Ng, Elizabeth H Goldstein, Laura A Giordano, Steven C Martino
OBJECTIVE: To describe differences in patient experiences of hospital care by preferred language within racial/ethnic groups. DATA SOURCE: 2014-2015 HCAHPS survey data. STUDY DESIGN: We compared six composite measures for seven languages (English, Spanish, Russian, Portuguese, Chinese, Vietnamese, and Other) within applicable subsets of five racial/ethnic groups (Hispanics, Asian/Pacific Islanders, American Indian/Alaska Natives, Blacks, and Whites)...
January 6, 2019: Health Services Research
https://read.qxmd.com/read/30613955/new-approaches-to-measuring-the-comprehensiveness-of-primary-care-physicians
#17
Ann S O'Malley, Eugene C Rich, Lisa Shang, Tyler Rose, Arkadipta Ghosh, Dmitriy Poznyak, Deborah Peikes
OBJECTIVE: To develop claims-based measures of comprehensiveness of primary care physicians (PCPs) and summarize their associations with health care utilization and cost. DATA SOURCES AND STUDY SETTING: A total of 5359 PCPs caring for over 1 million Medicare fee-for-service beneficiaries from 1404 practices. STUDY DESIGN: We developed Medicare claims-based measures of physician comprehensiveness (involvement in patient conditions and new problem management) and used a previously developed range of services measure...
January 6, 2019: Health Services Research
https://read.qxmd.com/read/30613953/adults-with-diabetes-residing-in-food-swamps-have-higher-hospitalization-rates
#18
Aryn Z Phillips, Hector P Rodriguez
OBJECTIVE: To examine the relationship between food swamps and hospitalization rates among adults with diabetes. DATA SOURCES: Blue Cross Blue Shield Association Community Health Management Hub® 2014, AHRQ Health Care Cost and Utilization Project state inpatient databases 2014, and HHS Area Health Resources File 2010-2014. STUDY DESIGN: Cross-sectional analysis of 784 counties across 15 states. Food swamps were measured using a ratio of fast food outlets to grocers...
January 6, 2019: Health Services Research
https://read.qxmd.com/read/30588608/does-the-use-of-diagnostic-technology-reduce-fetal-mortality
#19
Haywood L Brown
No abstract text is available yet for this article.
December 26, 2018: Health Services Research
https://read.qxmd.com/read/30548243/sample-selection-in-the-face-of-design-constraints-use-of-clustering-to-define-sample-strata-for-qualitative-research
#20
Lane F Burgette, José J Escarce, Susan M Paddock, Marjorie S Ridgely, Warren G Wilder, Dolores Yanagihara, Cheryl L Damberg
OBJECTIVE: To sample 40 physician organizations stratified on the basis of longitudinal cost of care measures for qualitative interviews in order to describe the range of care delivery structures and processes that are being deployed to influence the total costs of caring for patients. DATA SOURCES: Three years of physician organization-level total cost of care data (n = 156 in California) from the Integrated Healthcare Association's value-based pay-for-performance program...
December 11, 2018: Health Services Research
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