Author Archives: Health Services Research

Income Dynamics and the Affordable Care Act

Objective To examine the sources of family income dynamics leading to movement into and out of Medicaid expansion and subsidy eligibility under the Affordable Care Act.

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Payment Rates for Personal Care Assistants and the Use of Long-Term Services and Supports among…

Objective To examine the association between payment rates for personal care assistants and use of long-term services and supports (LTSS) following hospital discharge among dual eligible Medicare and Medicaid beneficiaries.

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Development of a Novel, Objective Measure of Health Care–Related Financial Burden for U.S….

Objective To develop and validate a theoretically based and empirically driven objective measure of financial burden for U.S.

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Population-Level Cost-Effectiveness of Implementing Evidence-Based Practices into Routine Care

Objective The objective of this research was to apply a new methodology (population-level cost-effectiveness analysis) to determine the value of implementing an evidence-based practice in routine care.

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Optimal Colorectal Cancer Screening in States’ Low-Income, Uninsured Populations—The Case of…

Objective To determine whether, given a limited budget, a state’s low-income uninsured population would have greater benefit from a colorectal cancer (CRC) screening program using colonoscopy or fecal immunochemical testing (FIT).

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The Opportunity Costs of Informal Elder-Care in the United States: New Estimates from the…

Objectives To provide nationally representative estimates of the opportunity costs of informal elder-care in the United States.

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Health Care Utilization among Children Enrolled in Medicaid and CHIP via Express Lane…

Objective To assess health care utilization among children enrolled in Medicaid and CHIP via Express Lane Eligibility (ELE).

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Modeling Hospital-Acquired Pressure Ulcer Prevalence on Medical-Surgical Units: Nurse Workload,…

Objective This study modeled the predictive power of unit/patient characteristics, nurse workload, nurse expertise, and hospital-acquired pressure ulcer (HAPU) preventive clinical processes of care on unit-level prevalence of HAPUs.

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Factors Related to Clinical Quality Improvement for Small Practices Using an EHR

Objective To analyze the impact of three primary care practice transformation program models on performance: Meaningful Use (MU), Patient-Centered Medical Home (PCMH), and a pay-for-performance program (eHearts).

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The Relationships of Physician Practice Characteristics to Quality of Care and Costs

Background Medical group practices are central to many of the proposals for health care reform, but little is known about the relationship between practice-level characteristics and the quality and cost of care.

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Adoption of Electronic Medical Record-Based Decision Support for Otitis Media in Children

Objective Substantial investment in electronic health records (EHRs) has provided an unprecedented opportunity to use clinical decision support (CDS) to increase guideline adherence.

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Effect of Present-on-Admission (POA) Reporting Accuracy on Hospital Performance Assessments…

Objective To evaluate how the accuracy of present-on-admission (POA) reporting affects hospital 30-day acute myocardial infarction (AMI) mortality assessments.

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The Effects of Expanding Public Insurance to Rural Low-Income Childless Adults

Objective This study measures the change in health care use after enrollment into a new public insurance program for low-income childless adults.

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Disaggregating Activities of Daily Living Limitations for Predicting Nursing Home Admission

Objective To examine whether disaggregated activities of daily living (ADL) limitations better predict the risk of nursing home admission compared to conventionally used ADL disability counts.

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