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Pediatric Scaphoid Nonunions: Does Insurance Status Play a Role?
J Pediatr Orthop
February 2025
Orthopaedic Surgery and Sports Medicine, Akron Children's Hospital, Columbus, OH.
Article Synopsis
- The study aimed to assess how insurance status and socioeconomic factors influence treatment timelines and outcomes for scaphoid nonunions in children.
- A review of patient charts from a pediatric hospital found no significant differences in treatment delays or postoperative outcomes between privately insured and underinsured patients.
- Results indicated comparable recovery outcomes, including rates of fracture union and levels of pain or mobility issues, regardless of insurance status, suggesting equitable access to care across both groups.
Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People.
Diabetes Care
February 2025
Stanford Diabetes Research Center, Stanford, CA.
Objective: The Project Extension for Community Healthcare Outcomes (ECHO) model is used in 180 countries to address chronic disease care through a provider empowerment, tele-education approach. Few studies have rigorously evaluated the impact of the program on patient outcomes using randomized designs.
Research Design And Methods: Implementation of an ECHO Diabetes program was evaluated using a stepped-wedge design with recruitment of 20 federally qualified health centers (FQHCs) across California and Florida with randomized, phased-in intervention entry.
The effect of Medicaid expansion on female gynecologic cancer-related inpatient admissions.
Womens Health (Lond)
December 2024
Health Policy Department, Virginia Commonwealth University, Richmond, VA, USA.
Background: Mortality rate of female gynecologic cancer is higher among individuals without affordable health insurance.
Objectives: We determined the impact of Medicaid expansion on the number of female gynecologic-related cancer inpatient admissions in Virginia (VA) relative to North Carolina (NC), the latter of which did not expand Medicaid.
Design: This quasi-experimental study was restricted to women between 18 and 64 years old admitted to general, acute, and short-term hospitals with gynecologic cancer.
Smartphone App-Based Contingency Management and Opioid Use Disorder Treatment Outcomes.
JAMA Netw Open
December 2024
Be Well Institute on Substance Use and Related Disorders, Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio.
Importance: Opioid use disorder continues to be a national crisis, contributing to substantial morbidity and mortality. Medication is the only evidence-based treatment for opioid use disorder; however, improving clinical outcomes may require augmenting it with psychosocial interventions, such as contingency management (CM), specifically, smartphone app-based CM.
Objective: To evaluate whether augmenting medication for opioid use disorder (MOUD) with app-based CM is associated with fewer days of opioid use at the end of treatment and greater retention than treatment with MOUD only.
Evaluating the Scope of Services and Monetary Impact of Charity Medical Clinics in North Texas.
J Prim Care Community Health
November 2024
University of Texas at Arlington, Arlington, TX, USA.
Introduction/objectives: The cost of medical services is a major barrier to healthcare accessibility for underserved populations in the United States. Community charity medical clinics help address this disparity by providing free or reduced-cost care for the medically underinsured; however, their economic and public health contributions are unknown. The objective of this study was to evaluate the scope of services and monetary impact of 4 community charity medical clinics in North Texas, with one of the largest medically underinsured populations in the United States.
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