Publications by authors named "M Rockwell"
Characterizing the value and equity of care delivered during the COVID-19 pandemic is crucial to uncovering health system vulnerabilities and informing postpandemic recovery. We used insurance claims to evaluate low-value (no clinical benefit, potentially harmful) and clinically indicated utilization of a subset of 11 ambulatory services within a cohort of ∼2 million Virginia adults during the first 2 years of the pandemic (March 1, 2020-December 31, 2021). In 2020, low-value and clinically indicated utilization decreased similarly, while in 2021, low-value and clinically indicated utilization were 7% higher and 4% lower, respectively, than prepandemic rates.
View Article and Find Full Text PDFArticle Synopsis
- The study investigated how administrative burdens, termed "sludge," affect colorectal cancer (CRC) screening experiences among patients in the Southeastern U.S.
- Using a mixed methods design, researchers combined patient interviews and surveys to explore perceptions of sludge and its impact on screening delays and health system distrust.
- Findings revealed that many patients experienced poor screening processes, with significant associations between higher sludge levels and delays or forgoing of screenings, highlighting issues like long wait times and complex communication.
Article Synopsis
- Unhealthy alcohol use (UAU) is a major health issue, being the fourth leading preventable cause of death in the US, with recommendations for routine screening in primary care that are not widely implemented.
- A study tested the effectiveness of practice facilitation—providing tailored education and support—in improving UAU screening and interventions compared to usual care in primary care settings in Virginia.
- Results showed significant improvements in screening rates and brief interventions in practices that received the facilitation, demonstrating that such support can enhance the delivery of care for alcohol misuse.
The authors advocate for a strategy that reallocates the substantial workforce effort and financial resources currently devoted to low-value care to enhance access and affordability of high-value services.
View Article and Find Full Text PDF