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Unlabelled: Policy Points A redirection of measurement in health care from a narrow focus on diseases and care processes towards assessing whole person health, as perceived by the person themself, may provide a galvanizing view of how health care can best meet the needs of people and help patients feel heard, seen, and understood by their care team. This review identifies key tensions to navigate as well as four overarching categories of whole person health for consideration in developing an instrument optimized for clinical practice. The categories (body and mind, relationships, living environment and finances, and engagement in daily life) include nine constituent domains.
View Article and Find Full Text PDFSustainability of California's Whole Person Care pilots integrating medical and social services for Medicaid enrollees via newly developed Medicaid benefits.
Health Serv Res
December 2024
School of Public Health, University of California, Berkeley, California, USA.
Article Synopsis
- The study evaluated the sustainability of 26 Whole Person Care pilots in California that integrated medical and social services for Medicaid enrollees.
- Key factors affecting sustainability included the program's adaptability, funding structures, and collaborative leadership with managed care plans.
- Many pilots struggled with sustainability due to challenges posed by system and policy changes when transitioning services into Medicaid benefits, especially in rural areas.
Pediatric Constraint-Induced Movement Therapy: Current Practices and Implementation Barriers.
OTJR (Thorofare N J)
December 2024
Washington University School of Medicine, St. Louis, MO, USA.
Hemiplegic Cerebral Palsy (CP) is the most common pediatric motor disability, characterized by unilateral motor weakness. Pediatric Constraint-Induced Movement Therapy (pCIMT) improves affected extremity function but faces variable clinical integration. This study assessed U.
View Article and Find Full Text PDFAssociation of Medicaid Expansion With Timely Receipt of Treatment and Survival Among Patients With HR-Negative, HER2-Positive Breast Cancer.
J Natl Compr Canc Netw
October 2024
1Surveillance and Health Equity Science, American Cancer Society, Atlanta, GA.
Article Synopsis
- HR-negative, HER2-positive breast cancer can have favorable outcomes if treated with HER2-targeted therapy, and Medicaid expansion under the ACA may improve care access and effectiveness for this group.
- A study analyzed the impact of Medicaid expansion on treatment adherence, timely initiation of therapy, and survival rates in women aged 18 to 62 diagnosed with this type of breast cancer between 2010 and 2018.
- Results showed that Medicaid expansion led to a slight increase in receiving guideline-concordant treatment and significantly improved timely treatment initiation and 2-year survival rates, especially for those with advanced stage III disease.
Impact of the Affordable Care Act and Medicaid Expansion Among Patients With HIV-Associated Aggressive B-Cell Non-Hodgkin Lymphomas.
JCO Oncol Pract
October 2024
Section of Hematologic Malignancies and Cellular Therapy, Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX.
Article Synopsis
- The study aimed to investigate how the Affordable Care Act (ACA) and its Medicaid expansion impacted insurance coverage and survival rates for patients with HIV-related aggressive lymphoma.
- Researchers analyzed data from the National Cancer Database, focusing on adults diagnosed between 2007 and 2016 to compare survival outcomes between states that adopted Medicaid expansion and those that did not.
- The results indicated a significant decrease in uninsured individuals and a marked improvement in 2-year survival rates for patients in Medicaid expansion states (7.17% increase), suggesting that the ACA positively affected health outcomes in this population.
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