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Importance: Inequitable access to transplant in the US is well recognized, yet the nature and extent of upstream disparities in care prior to transplant are unknown.
Objective: To understand patterns of referral for lung transplant by race, ethnicity, and neighborhood-level socioeconomic status.
Design, Setting, And Participants: This retrospective cohort study included adults aged 18 to 80 years with obstructive and restrictive lung disease from a single large-volume transplant center in Cleveland, Ohio, who were diagnosed between January 1, 2006, and May 11, 2023.
Alcohol Use Disorder Medication Coverage and Utilization Management in Medicaid Managed Care Plans.
JAMA Netw Open
March 2025
Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts.
Importance: Evidence-based, patient-centered treatment for alcohol use disorder (AUD) can include pharmacotherapy with naltrexone, acamprosate, or disulfiram; however, these medications are rarely used. Medicaid managed care plans (MCPs) manage health services for nearly 80% of Medicaid enrollees and are the largest payer for addiction treatment services. Little is known about Medicaid MCP policies for AUD medications.
View Article and Find Full Text PDFAffording Childcare on a Surgical Resident's Salary.
JAMA Netw Open
March 2025
Department of Surgery, University of Virginia, Charlottesville.
Importance: Previously published literature found that 28.6% of surgical residents have or are expecting children, yet little information exists regarding the financial demands of childcare during residency.
Objective: To evaluate surgical residents' net financial balance after childcare costs at various postgraduate years and child ages.
Vulnerability Index Approach to Identify Pharmacy Deserts and Keystone Pharmacies.
JAMA Netw Open
March 2025
Division of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, La Jolla.
Importance: Community pharmacies are crucial for public health, providing essential services such as medication dispensing, vaccinations, and point-of-care testing. Addressing disparities in pharmacy access, particularly in underserved rural and low-income areas, is critical for health equity.
Objective: To identify areas in the US at risk of becoming pharmacy deserts through the development of a novel pharmacy vulnerability index.
Area Socioeconomic Status, Vaccination Access, and Female Human Papillomavirus Vaccination.
JAMA Netw Open
March 2025
Department of Medical Statistics, Research and Development Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Importance: Although evaluation of geographic area inequities in vaccination is crucial to identify areas that need community-based interventions, knowledge of disparities in human papillomavirus (HPV) vaccination uptake remains limited in Japan.
Objective: To investigate the association of female cumulative HPV vaccination uptake with neighborhood-based socioeconomic status and access indicators in Osaka City, Japan.
Design, Setting, And Participants: This population-based, cross-sectional study included HPV vaccination data for fiscal year (April 1 to March 31) 2013 to fiscal year 2022 provided by Osaka City.
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