Article
Health Care Sciences & Services
Charlie M. Wray, Lenny Lopez, Meena Khare, Salomeh Keyhani
Summary: Cost-related access barriers, medical debt, and dissatisfaction with care are common among privately insured individuals, particularly those with poor health status.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Critical Care Medicine
Adam W. Gaffney, Laura Hawks, David Bor, Alexander C. White, Steffie Woolhandler, Danny McCormick, David U. Himmelstein
Summary: Health coverage among adults with asthma and COPD improved after the implementation of the Affordable Care Act (ACA), but affordability of care and medications, as well as disparities based on race, ethnicity, and income, did not show significant improvement from 1997 to 2018. Further reform is necessary to address these gaps.
Article
Medicine, General & Internal
Teresa Janevic, Ellerie Weber, Frances M. Howell, Morgan Steelman, Mahima Krishnamoorthi, Ashley Fox
Summary: Disparities in access to timely prenatal care exist between immigrant women and US-born women. Exclusions from Medicaid eligibility based on immigration status may exacerbate these disparities.
Article
Surgery
Paulina Luna, Kristie Harris, Yulanka Castro-Dominguez, Miguel Algara, Carolina Severiche-Mena, Kim G. Smolderen, Carlos Mena-Hurtado
Summary: This study aimed to compare the risk profiles, access to care, and outcomes of Hispanics and non-Hispanic Whites with lower extremity peripheral artery disease (PAD). The results showed that Hispanics had a higher burden of comorbidities, lower access to outpatient care, and worse outcomes, including higher amputation rates.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Dermatology
Jose L. Cortez, Juan Vasquez, Maria L. Wei
Summary: Melanoma care in the United States faces disparities in providers, patient demographics, residence, insurance, socioeconomic factors, race/ethnicity, and age, impacting outcomes. Melanomas detected by dermatologists tend to be thinner, at an earlier stage, and have better survival rates. Lower socioeconomic status, race/ethnicity, and residence can lead to late-stage melanomas with worse outcomes.
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
(2021)
Article
Public, Environmental & Occupational Health
Aniqa Islam Marshall, Kanang Kantamaturapoj, Kamonwan Kiewnin, Somtanuek Chotchoungchatchai, Walaiporn Patcharanarumol, Viroj Tangcharoensathien
Summary: Participatory and responsive governance in Thailand's Universal Health Coverage (UHC) systems are governed through three public insurance schemes, with each scheme having individual laws. The legislative provisions promote citizen representation and involvement in UHC governance, implementation and management, but not all schemes equally bolster citizen participation and government responsiveness. Adequate implementation capacity and commitment to the legislative provisions are crucial for the success of UHC.
Article
Medicine, General & Internal
E. Hope Weissler, Cassie B. Ford, Dennis I. Narcisse, Steven J. Lippmann, Michelle M. Smerek, Melissa A. Greiner, N. Chantelle Hardy, Benjamin O'Brien, R. Casey Sullivan, Adam J. Brock, Chandler Long, Lesley H. Curtis, Manesh R. Patel, W. Schuyler Jones
Summary: Clinician specialty is not associated with worse outcomes in peripheral artery disease patients, but certain socioeconomic factors play a role. The effects of clinician specialty and socioeconomic status may have been attenuated by the fact that all patients in the study had health insurance.
AMERICAN JOURNAL OF MEDICINE
(2022)
Article
Gerontology
Hankyung Jun, Soeren Mattke, Alice Chen, Emma Aguila
Summary: This study examines the impact of health insurance, particularly Medicare, on the depressive symptoms of older immigrants in the United States. The results show that Medicare coverage significantly reduces the probability of reporting depressive symptoms for immigrants with low socioeconomic status and for non-White immigrants.
Article
Public, Environmental & Occupational Health
James B. Kirby, Leticia M. Nogueira, Jingxuan Zhao, K. Robin Yabroff, Stacey A. Fedewa
Summary: This study examines the association between disruptions in health insurance coverage and access to care. It finds that previous disruptions in coverage have persistent effects on access to care even after coverage is regained. Therefore, improving access to care in the U.S. may require policies and programs that focus on strengthening coverage continuity among insured individuals.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2023)
Article
Obstetrics & Gynecology
Jennifer F. Kawwass, Alan S. Penzias, Eli Y. Adashi
Summary: State infertility mandates in the United States have varying qualifications and requirements, leading to disparities in access to care for certain groups; despite the increasing number of states with mandates, significant gaps remain in implementation and access; advocacy by providers, patients, and legislators is needed to expand insurance coverage and maximize reproductive outcomes.
FERTILITY AND STERILITY
(2021)
Article
Oncology
Anna Jo Bodurtha Smith, Thrusha Puttaraju, Jeremy Applebaum, Amanda N. Fader
Summary: The dependent coverage mandate in the 2010 Affordable Care Act allows young adults to stay on a parent's private insurance through age 26. Its impact on survival in patients with gynecologic cancer is unknown.
GYNECOLOGIC ONCOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Yaoguang Zhang, Di Dong, Ling Xu, Zhiwen Miao, Wenhui Mao, Frank Sloan, Shenglan Tang
Summary: China has achieved significant progress in advancing universal health coverage through the introduction of the New Cooperative Medical Scheme (NCMS) in 2003. The study assessed the impact of changing NCMS policies on service utilization, financial burden, and equity for NCMS enrollees between 2003 and 2013. The findings showed increased service utilization, reduced financial risk, and identified priority targets for future reforms to improve equity and financial protection for the rural population.
Article
Oncology
Cathy J. Bradley, Jennifer L. Stevens, Lindsey Enewold, Joan L. Warren
Summary: A national data source is needed to evaluate cancer care for low-income, publicly insured patients. This study compared characteristics and outcomes of cancer patients enrolled in Medicaid with those who were not enrolled. The study found that Medicaid patients had a higher proportion of racial/ethnic minorities, more late-stage diagnoses, and higher mortality rates compared to non-Medicaid patients.
Article
Geriatrics & Gerontology
David H. Sommerfeld, Elise Trott Jaramillo, Erik Lujan, Emily Haozous, Cathleen E. Willging
Summary: The study explored factors influencing health care use among American Indian elders through concept mapping, revealing the need for actions across multiple domains to improve their access and utilization of health care. This includes health system navigation services, workforce improvements, and tribal, state, and federal policy changes.
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES
(2021)
Article
Obstetrics & Gynecology
Jacqueline C. Lee, Carol E. DeSantis, Anthony K. Yartel, Dmitry M. Kissin, Jennifer F. Kawwass
Summary: This study examines the association between state-mandated insurance coverage for fertility services and the discontinuation of assisted reproductive technology (ART) care. The results show that comprehensive state mandates for ART insurance coverage are associated with lower rates of care discontinuation. Patient age, distance from clinic, previous live birth, and race/ethnicity also influence the rates of discontinuation.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2023)
Article
Surgery
Alexander T. Hawkins, Molly M. Ford, Timothy M. Geiger, M. Benjamin Hopkins, Lisa A. Kachnic, Roberta L. Muldoon, Sean C. Glasgow
Article
Anesthesiology
Britany L. Raymond, Jonathan P. Wanderer, Alexander T. Hawkins, Timothy M. Geiger, Jesse M. Ehrenfeld, John W. Stokes, Matthew D. McEvoy
ANESTHESIA AND ANALGESIA
(2019)
Article
Gastroenterology & Hepatology
Molly M. Ford, Janey V. Camp, Timothy M. Geiger, M. Benjamin Hopkins, Roberta L. Muldoon, Anna Prestwich, David C. LaNeve, Alexander T. Hawkins
DISEASES OF THE COLON & RECTUM
(2019)
Article
Gastroenterology & Hepatology
T. McCutcheon, A. T. Hawkins, R. L. Muldoon, M. B. Hopkins, T. M. Geiger, M. M. Ford
TECHNIQUES IN COLOPROCTOLOGY
(2019)
Article
Surgery
M. Benjamin Hopkins, Timothy M. Geiger, Alva J. Bethurum, Molly M. Ford, Roberta L. Muldoon, David E. Beck, Thomas G. Stewart, Alexander T. Hawkins
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2020)
Article
Surgery
Lillias H. Maguire, Alexander T. Hawkins
JOURNAL OF SURGICAL RESEARCH
(2019)
Article
Surgery
Sandra L. Kavalukas, Rebeccah B. Baucom, Timothy M. Geiger, Molly M. Ford, Roberta L. Muldoon, Nicholas A. Cavin, Benjamin E. Killion, M. Benjamin Hopkins, Russell L. Rothman, David F. Penson, Alexander T. Hawkins
Summary: The study found significant variation in Press Ganey scores among different colorectal disease diagnoses, with patients with neoplasia reporting higher overall satisfaction. Adjustment for disease condition is important when assessing patient satisfaction and quality indicators for reimbursement. The study adds evidence of bias in these satisfaction scores.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Medicine, Research & Experimental
Myrick C. Shinall, Aimee Hoskins, Alexander T. Hawkins, Christina Bailey, Alaina Brown, Rajiv Agarwal, Maria C. Duggan, Laura M. Beskow, Vyjeyanthi S. Periyakoil, David F. Penson, Ryan T. Jarrett, Rameela Chandrasekhar, E. Wesley Ely
Article
Surgery
M. Benjamin Hopkins, Alexander T. Hawkins, Vikram Tiwari, Mosope Soda, Barbara J. Martin, Roberta L. Muldoon, Molly M. Ford, David Beck, Timothy M. Geiger
Summary: The study aimed to investigate the cost association between robotic-assisted surgery and minimally invasive right hemicolectomy. Results showed that robotic surgery was associated with significantly higher technical variable direct cost, increased supply cost, and overall cost compared to laparoscopic surgery, while there were no significant differences in post-operative outcomes.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Gastroenterology & Hepatology
Shannon L. McChesney, Alexander T. Hawkins
Summary: This article reviews important surgical considerations when creating a colorectal anastomosis in the setting of diverticular disease, including timing of surgery and preoperative assessment, minimally invasive approaches, and intraoperative maneuvers and considerations.
CLINICS IN COLON AND RECTAL SURGERY
(2023)
Article
Surgery
Noah J. Harrison, Andrea A. Lopez, Megan M. Shroder, Justin M. Bachmann, Emily Burnell, Michael B. Hopkins, Timothy M. Geiger, Alexander T. Hawkins
Summary: This study aimed to collect patient-reported outcome measures (PROMs) in colorectal surgery clinics and increase the utilization of PROMs by colorectal surgeons through a quality improvement project. The results showed that educational interventions can improve the utilization of PROMs, and collecting PROMs in clinical practice is feasible. Barriers include poor user interface and user experience, as well as a lack of knowledge, time, and relevance.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Surgery
Matthew D. Spann, Noah J. Harrison, Wayne J. English, Aaron R. Bolduc, Chetan Aher, D. Brandon Williams, Alexander T. Hawkins
Article
Surgery
Jonathan B. Greer, Alexander T. Hawkins
SEMINARS IN COLON AND RECTAL SURGERY
(2019)
Article
Surgery
Sandra L. Kavalukas, Alexander T. Hawkins, Rebeccah B. Baucom, Roberta L. Muldoon, M. Benjamin Hopkins, Timothy M. Geiger, Molly M. Ford
Article
Oncology
Ayesiga M. Herman, Alexander T. Hawkins, Kennedy Misso, Christian Issangya, Murad Tarmohamed, Alex Mremi, Furaha Serventi, David Msuya, Rune Philemon
JCO GLOBAL ONCOLOGY
(2020)