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Does social support improve self-management among rural hypertensive patients? An empirical analysis based on generalized propensity score matching.
Front Public Health
January 2025
Department of Health Economics, School of Management, Shanxi Medical University, Taiyuan, China.
Background: This study aimed to examine the causal effect between perceived social support and self-management in rural patients with hypertension and to provide a basis for improving self-management.
Methods: A cross-sectional study of 1,091 rural hypertensive patients in Shanxi Province was conducted from March through June 2022 to analyze the factors influencing social support as well as the causal effects of social support and self-management using generalized propensity score matching.
Results: Rural hypertensive patients had a low level of social support (social support score = 0.
Goals of Care Discussion Characteristics and Disparities in Children with Medical Complexity.
Acad Pediatr
January 2025
Division of Pediatric Hospital Medicine, Duke University Children's Hospital, 2301 Erwin Rd, Durham, NC 27707; Department of Pediatrics, Duke University School of Medicine, 2301 Erwin Rd, Durham, NC 27707; Division of General Internal Medicine, Duke University Hospital, 2301 Erwin Rd, Durham, NC 27707; Department of Medicine, Duke University School of Medicine, 2301 Erwin Rd, Durham, NC 27707. Electronic address:
Objectives: Children with medical complexity (CMC) have disproportionately high healthcare utilization and mortality. Goals of care (GOC) discussions improve goal-concordance and subjective outcomes for CMC and their caregivers; however, little is known about the frequency or characteristics of GOC discussions in CMC. We sought to define GOC discussion frequency and attributes in CMC and identify patient characteristics that may influence GOC discussion occurrence.
View Article and Find Full Text PDFInsurance gaps at age-19 and age-26 health insurance eligibility thresholds by childhood-onset condition severity, Colorado 2014-2018.
Health Serv Res
January 2025
Division of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA.
Objective: To characterize health insurance gap patterns related to age-19 Medicaid and age-26 commercial age-eligibility cutoffs.
Study Setting And Design: This descriptive analysis spans 2014-2018, after Affordable Care Act implementation, but before COVID-19 emergency provisions. We defined insurance gaps as ≥3 consecutive months without observed enrollment, preceded and followed by ≥1 month of enrollment and stratified results by insurance source and clinical severity (e.
Determinants of healthcare utilization under the Indonesian national health insurance system - a cross-sectional study.
BMC Health Serv Res
January 2025
Kirby Institute, University of New South Wales, Sydney, Australia.
Background: Indonesia has implemented a series of healthcare reforms including its national health insurance scheme (Jaminan Kesehatan Nasional, JKN) to achieve universal health coverage. However, there is evidence of inequitable healthcare utilization in Indonesia, raising concerns that the poor might not be benefiting fully from government subsidies. This study aims to identify factors affecting healthcare utilization in Indonesia.
View Article and Find Full Text PDFPediatric 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.
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