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Changes in coverage stability and churning for private, individual insurance under the Affordable Care Act.
Health Aff Sch
January 2025
Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, 5600 Fishers Lane, Mail Stop 07W41A, Rockville, MD 20857, United States.
The Affordable Care Act (ACA) transformed the market for individual insurance. Using the 2-year panels of the Household Component of the Medical Expenditure Panel Survey covering the 2002-2022 period and controlling for the business cycle and other factors, we find the share of nonelderly adults enrolled in individual insurance doubled under the ACA. The percentage of adults covered by individual insurance 1-23 months more than doubled, and the percentage with at least 24 months rose 80% in states that did not expand Medicaid.
View Article and Find Full Text PDFThe impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model.
BMC Health Serv Res
January 2025
School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan, China.
Background: Uncertain times require healthcare entities to demonstrate strong leadership, develop digitalisation, and respond to change in a creative and flexible manner. Based on emerging new institutional theory, we developed and tested a model of how digital transformational leadership (DTL) affects digital intensity (DI) among healthcare entities through the mediating role of organisational agility (OA). In this article, we also examine the moderating role of the country in the studied relationship.
View Article and Find Full Text PDFNegative effects of adverse childhood experiences and absence of positive childhood experiences on healthcare employees: survey findings built on 10 years of trauma-informed development.
Front Public Health
January 2025
Department of Family and Community Medicine, School of Medicine, Wake Forest University, Winston-Salem, NC, United States.
Introduction: Existing data on how history of trauma and adversity affects healthcare professionals is limited. This study sought to describe the prevalence of Adverse Childhood Experiences (ACEs) and Positive Childhood Experiences (PCEs) and their association with present-day workplace and wellbeing outcomes among a sample of healthcare teammates overall, as well as specifically among nurses. The paper also describes local trauma-informed care initiatives that supported study feasibility.
View Article and Find Full Text PDFRole of Point-of-Care Ultrasound (POCUS) in Cardiac Arrest: A Case Report.
Cureus
December 2024
Anesthesiology, Intensive Care and Emergency Department, Centro Hospitalar Universitário de Santo António, Porto, PRT.
Acute pulmonary embolism (PE) is a significant cause of cardiac arrests, with subsequent high mortality worldwide. Early recognition of acute PE allows earlier diagnosis, stabilization, and risk stratification, which are crucial in deciding the most adequate treatment option. However, diagnosis is sometimes difficult due to nonspecific clinical presentation.
View Article and Find Full Text PDFLong-term safety of lentiviral or gammaretroviral gene-modified T cell therapies.
Nat Med
January 2025
Center for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Long-term risks of gene therapy are not fully understood. In this study, we evaluated safety outcomes in 783 patients over more than 2,200 total patient-years of observation from 38 T cell therapy trials. The trials employed integrating gammaretroviral or lentiviral vectors to deliver engineered receptors to target HIV-1 infection or cancer.
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