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Caregiver experiences of healthcare-related administrative burden: a scoping review.

INTRODUCTION: Patients with chronic disease often face administrative burden (eg, dealing with insurance paperwork) that affects their health and their care. Informal caregivers (family and close friends) provide important support to patients, but little is known about how they help patients address administrative burden. METHODS: To address this gap, we conducted a scoping review about caregivers' experiences of healthcare-related administrative burden using Herd and Moynihan's Administrative Burden Framework, which describes learning, compliance, and psychological costs. We reviewed US-base…

Incidence and factors associated with reoperation after rotator cuff repair in Korea: A nationwide cohort study.

INTRODUCTION: With the growing interest in rotator cuff repair (RCR), substantial evidence on factors associated with reoperation is crucial for decision-making. This retrospective longitudinal cohort study aimed to investigate the rate of rotator cuff reoperation after repair in Korea and identify factors associated with reoperation while considering the medical services implemented in Korea using the Korean National Health Insurance Database from 2011 to 2021. METHODS: Reoperation rates in patients who underwent RCR during a 3.5-year follow-up period were analyzed using Kaplan-Meier analysi…

Neonatal Outcome Ascertainment in Mother-Infant Paired Claims.

PURPOSE: Claims data are a valuable source to study neonatal outcomes across a wide range of clinical questions. Infants' delayed enrollment in infant insurance poses challenges in capture of neonatal outcomes, which may be charged to the maternal health plan, posing misclassification risks. We evaluated outcome ascertainment across three infant enrollment scenarios. METHODS: We used Merative MarketScan databases (2012-2018) in the United States to construct a mother-infant linked cohort and assess the outcome ascertaiment precision with varying infant enrollment requirement. RESULT: We foun…

Institutional tensions in HIV treatment: challenges in providing free antiretroviral drugs under China's 'Four Frees and One Care' policy.

China's 'Four Frees and One Care' policy provides people living with HIV (PLHIV) with free antiretroviral drugs (ARVs), while the recent inclusion of new ARVs in medical insurance policy has created policy overlap. Guided by the Institutional Analysis and Development (IAD) framework, this qualitative study used semi-structured interviews with 42 Centers for Disease Control and Prevention (CDC) and medical staff across China to examine institutional interactions and tensions in implementing the 'Four Frees and One Care' policy under policy overlap. The findings indicate that CDC and medical ins…

Национальное обследование использования медицинских ресурсов для лечения раковых заболеваний с использованием данных о состоянии здоровья населения Японии 2011 в адрес 2022.

Многодисциплинарное лечение рака значительно продвинулось вперед, особенно в том, что касается молекулярной целевой терапии, способствующей прогнозированию. Хотя эти расходы являются дорогостоящими, их финансовые последствия остаются непроверенными. Цель этого исследования заключалась в изучении общего использования ресурсов здравоохранения и выявлении факторов, определяющих стоимость лечения рака в Японии. В этом ретроспективном когортном исследовании пациенты диагностировали недуги в период с апреля 2011 и март 2022 были классифицированы по типам раковых заболеваний, и были проанализированы

Совпадение в аннотации оригинала
Multidisciplinary cancer treatments have advanced significantly, especially with molecular targeted therapies improving prognosis. Although … sed with malignancies between April 2011 and March 2022 were classified by cancer type, and monthly insurance claims and applicable medications were analyzed. Breast cancer was the most common, followed by stomach and colon cancers. Cost analysis by cancer type revealed that lung cancer was the most expensive overall, whereas multiple myeloma was the most e …

A multi-domain qualitative study on factors influencing access to preventive hepatitis B care among rural population.

OBJECTIVES: This study aimed to explore barriers precluding hepatitis B virus (HBV) preventive care among the rural population. METHODS: Gu … ns, underestimated needs, and access barriers related to labor, mobility, and misaligned healthcare insurance policy. CONCLUSIONS: These barriers perpetuate late HBV diagnosis, low vaccine uptake, and poor treatment adherence among the rural population. This highlights the need for mobile health services to overcome geographic barriers; culturally appropri …

Initial Experience With Proton Beam Therapy for Pancreatic Cancer at Shonan Kamakura General Hospital.

BACKGROUND/AIM: In Japan, proton beam therapy (PBT) for locally advanced pancreatic cancer was administered under an advanced medical treatment system until 2022; since then, it has been covered by national insurance. Our hospital initiated PBT for pancreatic cancer in July 2022. This study evaluated the clinical outcomes of PBT for pancreatic cancer after the initiation of national insurance coverage and assessed whether our initial experience at our hospital reproduced previously reported results. PATIENTS AND METHODS: This study included 10 patients with pancreatic cancer confirmed as inop…

Mobile COVID-19 Vaccination Clinics Reach Disadvantaged Populations and Increase Vaccination Rates.

COVID-19 vaccines are a critical intervention for controlling the spread of COVID-19 and may be administered at fixed clinic locations or mo … 2021 and May 2022. Data collected included location of vaccination, age, sex, primary race, health insurance provider, and billing zip code. Mobile clinics vaccinated younger patients on average (P<.001). Native Hawaiians and other Pacific Islanders (risk-adjusted odds ratio = 2.03, 95% CI=1.96, 2.11) as well as those with non-commercial health insurance ( …

Prescription Behaviors and Rational Drug Use Awareness Among Future Dentists: A Class-Based Comparative Study.

OBJECTIVE: This study aimed to evaluate dental students' knowledge, attitudes, and behaviors regarding rational drug use (RDU), including antibiotics and analgesics, and to analyze how the educational process influences this awareness. MATERIALS AND METHODS: This cross-sectional study included 408 dental students (170 third-year, 132 fourth-year, and 106 fifth-year students). Data were collected using a structured questionnaire covering demographic characteristics, prescribing habits, patient education practices, drug selection criteria, and the influence of social insurance status. Statistic…

Healthcare and prescription medication affordability in adults with diabetes in the United States, 2020-2023.

AIMS: To examine the current affordability of healthcare and prescription medicine for adults with diabetes. METHODS: Data from US National … -income status, non-Hispanic Black and Hispanic individuals, higher comorbidity burden, and lack of insurance were independently associated with financial hardship.Individuals with diabetes consistently faced challenges in affording their prescription medications, with 14.3 % (95 % CI: 13.5-15.1 %) experiencing cost-related medication nonadherence, higher t …

Understanding Barriers to Colon Cancer Screening Among Individuals Experiencing Housing Insecurity in Los Angeles.

BACKGROUND: Cancer is a leading cause of death among unhoused people, and the limited prior studies on colorectal cancer (CRC) screening in … imary care provider (PCP) (n = 21) or had undergone CRC screening (n = 13). Patients who had health insurance - and particularly those who had a PCP - were more likely to have been offered and to have completed screening. CRC screening knowledge and self-efficacy increased after the brief educational intervention. CONCLUSION: Helping unhoused patients obta …

Provider attitudes and perspectives on rehabilitation for pediatric cancer patients.

PurposeTwenty percent of childhood cancer survivors experience physical function impairments, and ∼75% develop a chronic health condition. P … gly agreed on the value of CR for patient outcomes and care quality. Barriers to CR access included insurance models that disincentivize healthcare systems from providing CR, lack of a standardized screening and referral process, and inconsistent patient participation. Physicians/APPs (81%) endorsed clinical practice guidelines (CPGs) to promote CR referral …

Congenital Heart Disease transition practices in the United States: a survey of adult Congenital Heart Disease programs.

BACKGROUND: International organisations recommend that patients with CHD undergo a structured transition process to prepare for lifelong car … ered support for patients with intellectual disability. The main barriers affecting transition were insurance and health care costs. CONCLUSION: Around two-thirds of respondent adult CHD programs reported the presence of formal transition programs. More resources may be needed within these programmes to support patient psychological well-being and those wi …

Risk factors, diagnosis, and long-term erectile dysfunction outcomes in priapism: a retrospective analysis of 186 cases from a single institution.

A retrospective analysis of 186 priapism cases between 2015-2024 was conducted using ICD-10 codes (N48.3) in a single high-volume institution. Data on age, race, insurance status, priapism subtype, etiology, and treatment outcomes were collected. The median age at presentation was 50.5 years (IQR: 39.3-60.0), with most patients being White (60.2%). Black and Asian patients tended to present at younger ages than White patients (45 and 38 vs. 55.5 years, p < 0.05). Black patients had longer priapism durations than White patients (36 vs. 7.8 h, p < 0.001). Commercial insurance was most common (60…

Association of Sociodemographic Factors and the Rate of Vagotomy Performed in Patients With Gastroduodenal Ulcers.

INTRODUCTION: Operative management of gastroduodenal ulcers (GDUs) and vagotomy are increasingly rare due to success of medical therapy. Giv … isons, vagotomies were more likely in earlier years, among younger patients, among patients without insurance coverage, and with lower median income. In the adjusted multivariable logistic model, lower median income (OR 1.50 [1.19, 1.90] for lowest vs. highest quartile) and younger age (OR 0.69 [0.48, 0.98] for Age 80+ vs. Age 18-39) were associated with hi …

Epidemiology and Determinants of Antirabies Vaccine Full-Dose Completion Among Patients Attending the Nyagatare District Hospital, Rwanda: A Facility-Based Cross-Sectional Study.

BACKGROUND AND AIMS: Antirabies vaccine postexposure prophylaxis (PEP) is effective in preventing rabies when administered promptly and in f … 50.0% were under 16 years, 58.9% were male, and 63.6% lived in rural areas. Most (90.9%) had health insurance, 51.7% received PEP during the dry season, 11.0% received the antitetanus vaccine, and 82.2% had WHO wound Category II. Only 26.5% completed the full vaccination schedule, 16.1% missed appointments, and 57.4% dropped out before completion. Health in …

Longitudinal modeling of upper extremity function in multiple sclerosis: Associations for clinical and sociodemographic factors.

BACKGROUND: Upper extremity impairment is a common disabling consequence of multiple sclerosis (MS). Little is known about factors influenci … and depressive symptoms. Longitudinally, older age, males, Hispanics, Blacks, ever smokers, public insurance beneficiaries, greater lower-limb impairment, progressive disease, and greater depressive symptoms were independently associated with worsening dominant and non-dominant times. Public insurance beneficiaries, greater lower-limb impairment, progressi …

Epidemiology, treatment and outcomes of gastroenteropancreatic neuroendocrine neoplasms.

To investigate incidence, treatment patterns and outcomes of gastroenteropancreatic neuroendocrine neoplasms (GEP-NEN) in the United States. … stemic therapy was most effective in high stage G3 NEN. Having higher income (≥$63,333) and private insurance or Medicare, but not Medicaid, was associated with improved survival. GEP-NEN incidence increases, likely due to improved detection and diagnosis. Treatment patterns have evolved to follow the latest international guidelines and site-specific improv …

Financial burden of lymphedema among breast cancer survivors in Iran: A qualitative study.

BACKGROUND: Breast cancer-related lymphedema (BCRL) is a chronic complication of breast cancer that requires long-term management. This cond … s that how much these costs eventually make their condition better. High costs of garments, lack of insurance coverage, and, difficulties in accessing lymphedema care were among the frequently mentioned problems by BCSs with BCRL. CONCLUSION: The financial burden of BCRL is significant on BCSs in Iran. The establishment of insurance coverage policies, easi …

Retrospective study on the health and economic burden of hospitalized patients due to pneumonia and invasive pneumococcal infections in Belgium settings.

INTRODUCTION: pneumococcal infections are associated with high morbidity, hospitalisation and mortality. The objective of this study was to investigate the health and economic burden of all-cause pneumonia and invasive pneumococcal disease in Belgian hospital settings, by patient's age and risk profile. METHODS: This descriptive retrospective study was conducted in 17 Belgian hospitals. Univariate and multivariate logistic linear regression models were performed. The Health Insurance and patient's cost perspectives were considered because a few studies report these costs. RESULTS: The analys…