Article
Public, Environmental & Occupational Health
Francisco Castillo-Zunino, Pinar Keskinocak, Dima Nazzal, Matthew C. Freeman
Summary: The success of vaccination coverage in some low-income countries was not attributed to economic development, total health expenditure, or aggregated development assistance for health. The higher vaccination coverage in LIC+ was associated with increasing government health spending, particularly in routine immunisation vaccines.
Article
Medicine, General & Internal
Stacie B. Dusetzina, Haiden A. Huskamp, Xuanzi Qin, Nancy L. Keating
Summary: Prescription drug spending has become a topic of increased interest, and this study aimed to estimate the proportion of healthcare spending contributed by prescription drugs and assess the spending on retail and clinician-administered prescriptions. The research found that, even after accounting for postsale rebates, approximately 27% of total spending among fee-for-service Medicare beneficiaries enrolled in Part D was spent on prescription drugs in 2019.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2022)
Article
Political Science
Soren K. Foged
Summary: The study examines how local government resources are allocated during low and high fiscal stress, finding that under high fiscal stress, priority setters have greater influence on spending allocations, reflecting a pragmatic approach by local governments to address the need for cutbacks.
PUBLIC ADMINISTRATION
(2022)
Article
Health Care Sciences & Services
Olivia Reszczynski, John Connolly, Kaitlyn Shultz, Sheila Kelly, Nandita Mitra, Jeffrey Hom, Atheendar Venkataramani, Krisda H. Chaiyachati
Summary: Increasing spending in US local public health departments (LPHDs) is associated with higher percentage of elderly population and unemployment rates, but not with the proportion of Black, Hispanic, impoverished, or uninsured individuals. Future funding decisions for LPHDs should focus on increasing investments in counties serving disadvantaged communities.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Multidisciplinary Sciences
In Jeong Lyu, Sei Yeul Oh
Summary: We assessed the impact of menarche on myopia in women in the US by conducting a survey and examination using data from the NHANES. 8,706 women aged ≥20 years were enrolled, and a comparison was made between myopic and non-myopic participants. Logistic regression analysis revealed that age at menarche, along with other factors such as ethnicity, education level, and income, significantly influenced the risk of myopia. Higher age at menarche was associated with a decreased risk of myopia, with a 4% decrease for every 1-year increment. The cut-off value for age at menarche was estimated to be 15 years.
Article
Health Care Sciences & Services
Leonard E. E. Egede, Rebekah J. J. Walker, Jennifer A. A. Campbell, Sebastian Linde, Laura C. C. Hawks, Kaylin M. M. Burgess
Summary: There is emerging evidence showing that structural racism, including historic racist events and recent state-sanctioned racist laws like redlining, contributes to poor health outcomes for ethnic minorities. Redlining, which systematically denies services to residents of specific neighborhoods based on race/ethnicity, is linked to increased risk of diabetes, hypertension, and premature death due to heart disease. This paper highlights the origins of historical redlining, its consequences on health and society, and suggests promising initiatives to address the impact.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Yongkang Zhang, Atul Gupta, Sean Nicholson, Jing Li
Summary: This study aims to construct a new measure, elevated end-of-life (EoL) spending, and examine its associations with quality of care measures and patient and physician preferences. The results show that elevated EoL spending captures different resource use from conventional measures and may be more valuable in identifying potentially wasteful spending. However, there was no evidence of an association between elevated EoL spending and established quality measures or patient preferences.
HEALTH SERVICES RESEARCH
(2023)
Article
Critical Care Medicine
Kevin Duan, Maxwell Birger, David H. Au, Laura J. Spece, Laura C. Feemster, Joseph L. Dieleman
Summary: This study estimates healthcare spending for respiratory conditions in the United States from 1996 to 2016, and identifies factors contributing to spending growth. The findings indicate high spending on respiratory conditions, particularly for asthma and chronic obstructive pulmonary disease. The study highlights the importance of addressing service price and intensity, especially for pharmaceuticals, in reducing healthcare spending growth.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2023)
Article
Medicine, General & Internal
John N. Mafi, Rachel O. Reid, Lesley H. Baseman, Scot Hickey, Mark Totten, Denis Agniel, A. Mark Fendrick, Catherine Sarkisian, Cheryl L. Damberg
Summary: This cross-sectional study found that among individuals with fee-for-service Medicare receiving any of 32 measured services, low-value care use and spending decreased marginally from 2014 to 2018, despite a national education campaign in collaboration with clinician specialty societies and increased attention on low-value care. While most use of low-value care came from 3 services, 1 of these was opioid prescriptions, which increased over time despite the harms associated with their use.
Article
Health Care Sciences & Services
Anne B. Martin, Micah Hartman, Joseph Benson, Aaron Catlin
Summary: Health care spending in the US grew at a slower rate of 2.7 percent in 2021, reaching $4.3 trillion, compared to the 10.3 percent increase in 2020. The decrease in growth was primarily due to a 3.5 percent decline in federal government expenditures for health care, which was a response to the COVID-19 pandemic in 2020. However, there was an increase in the use of medical goods and services in 2021. The share of the economy accounted for by the health sector fell from 19.7 percent in 2020 to 18.3 percent in 2021, but it remained higher than the 17.6 percent share in 2019. Additionally, the number of uninsured people decreased for the second consecutive year in 2021 as Medicaid enrollment increased.
Article
Medicine, General & Internal
Sarah Bolongaita, Yeeun Lee, Kjell Arne Johansson, oystein A. Haaland, Mieraf Taddesse Tolla, Jongwook Lee, Stephane Verguet
Summary: Insufficient financial risk protection is a major barrier to achieving universal health coverage, particularly in low-income and lower-middle-income countries.
Article
Chemistry, Physical
Qiong Gao, Jingdong Ai, Shixiang Tang, Minhuan Li, Yanshuang Chen, Jiping Huang, Hua Tong, Lei Xu, Limei Xu, Hajime Tanaka, Peng Tan
Summary: Experimental evidence shows that fast crystallization occurs in charged colloidal systems under deep supercooling, due to a coupled mechanism involving discrete advancement of the crystal growth front and defect repair inside the recently formed solid phase.
Article
Economics
Benedict J. Clements, Sanjeev Gupta, Saida Khamidova
Summary: The study reveals that there is convergence in military spending globally, but it is divided into three distinct groups, influenced by factors such as political stability, social spending levels, and military expenditures of neighboring countries.
ECONOMIC MODELLING
(2021)
Article
Cardiac & Cardiovascular Systems
Maxwell Birger, Alexander S. Kaldjian, Gregory A. Roth, Andrew E. Moran, Joseph L. Dieleman, Brandon K. Bellows
Summary: US adult cardiovascular spending increased from $212 billion in 1996 to $320 billion in 2016, mainly driven by increased spending on treatment of hypertension, hyperlipidemia, and atrial fibrillation/flutter. The increase was primarily associated with higher service price and intensity, while changes in disease prevalence contributed to a reduction in spending over the same period.
Article
Public, Environmental & Occupational Health
Gerard Joseph Abou Jaoude, Ines Garcia Baena, Peter Nguhiu, Andrew Siroka, Tom Palmer, Lara Gosce, Kasim Allel, Edina Sinanovic, Jolene Skordis, Hassan Haghparast-Bidgoli
Summary: This study aimed to assess the overall efficiency of tuberculosis spending in low-income and middle-income countries between 2010 and 2019, and investigate associated factors. The results showed that global tuberculosis spending efficiency ranged from 73.8% to 87.7%, indicating improvements over the study period. However, there were significant differences in efficiency between the most and least efficient countries. Factors such as current health expenditure, out-of-pocket spending on health, and Sustainable Development Goals were found to be associated with efficiency. Increasing treatment coverage and investment in tuberculosis care are necessary to improve efficiency.
LANCET GLOBAL HEALTH
(2022)
