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Colorectal Cancer Screening and Social Needs.
J Am Board Fam Med
January 2025
From the Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA (IRF, EEH, CAS); Kaiser Permanente Bernard J. Tyson School of Medicine, Office of Research and Scholarship, Pasadena, CA (RG, MCD); Kaiser Permanente Bernard J. Tyson School of Medicine, Department of Health Systems Science, Pasadena, CA (BBG, RSN, QNM); Kaiser Permanente Washington Health Research Institute, Seattle, WA (BBN); Center for Health Research, Kaiser Permanente Northwest, Portland, OR (GDC); Department of Research and Evaluation, Kaiser Permanente Southern California, Los Angeles, CA (EEH); Hawaii Permanente Medical Group, Honolulu, HI (SAH); The Southeast Permanente Medical Group, Atlanta, GA (KK); Kaiser Permanente Division of Research, Oakland, CA (TRL); Institute for Health Research, Kaiser Permanente Colorado, Aurora, CO (CAS).
Introduction: Colorectal cancer (CRC) is the second leading cause of cancer death in the United States. While patient-reported barriers have been previously described, few studies have analyzed how patients' social needs affect screening rates.
Methods: This cross-sectional study includes 3,443 Kaiser Permanente (KP) patients ages 50 to 75 years who completed the 2020 KP National Social Needs Survey.
Application of four pricing models for orphan medicines: a case study for lumasiran.
Orphanet J Rare Dis
December 2024
Medicine for Society, Platform at Amsterdam University Medical Center - University of Amsterdam, Amsterdam, The Netherlands.
Background: The combination of high prices and uncertain effectiveness is a growing challenge in the field of orphan medicines, hampering health technology assessments. Hence, new methods for establishing price benchmarks might be necessary to support reimbursement negotiations. In this study, we applied several pricing models containing cost-based elements to the case of lumasiran for treating primary hyperoxaluria type 1.
View Article and Find Full Text PDFHow can the reform of the activity-based payment system (T2A) help in financing innovative health products?
Therapie
December 2024
Université de Paris, CRESS, AP-HP, 75000 Paris, France.
In France, the short-stay activities of public and private sector healthcare facilities have been financed since 2004 by activity-based pricing (T2A). The principle is to allow for payment determined primarily by the nature and volume of activities. T2A has enabled a major transformation compared to the old financing system, chiefly for public sector facilities that used to operate under a general allocation, and convergence between payment methods in the public and private sectors.
View Article and Find Full Text PDFDeveloping a Strategy to Increase Lung Cancer Screening in Areas of Need.
Popul Health Manag
December 2024
Division of Population Science, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Lung cancer screening (LCS) rates are low, and lung cancer mortality is high in the United States. This report describes a strategy that health systems can use to identify LCS areas of need and engage associated primary care providers and patients in screening. A research team from Jefferson Health (JH), a large, urban health system, used geocoded standardized lung cancer mortality rates (SMRs) to identify zip codes in Philadelphia where lung cancer mortality is high.
View Article and Find Full Text PDFNew Concepts in Circumareolar Mastopexy: The "Star Interlocking Suture"-A Case Series.
Aesthetic Plast Surg
December 2024
Unit of Plastic Surgery, University "Federico II", Via Sergio Pansini, 5, 80131, Naples, Italy.
The circumareolar approach is one of the most popular and versatile in breast surgeries. Nevertheless, this approach usually implies a closure under tension which could lead to areolar distortion, scar widening and hypertrophic scarring. To prevent these complications, different surgical adjustments to this technique have been proposed, such as the Hammond's "Interlocking Gore-Tex suture.
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