National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Asthma (1)
- Blood Pressure (1)
- Care Management (1)
- Children/Adolescents (1)
- (-) Chronic Conditions (12)
- Comparative Effectiveness (1)
- Data (1)
- Dental and Oral Health (1)
- Diabetes (3)
- Disparities (3)
- Elderly (2)
- Healthcare Costs (2)
- Healthcare Delivery (1)
- (-) Health Insurance (12)
- Health Services Research (HSR) (1)
- Health Status (3)
- Low-Income (2)
- Medical Expenditure Panel Survey (MEPS) (3)
- Medicare (1)
- Medication (2)
- Outcomes (1)
- Patient-Centered Outcomes Research (2)
- Patient Adherence/Compliance (1)
- Policy (1)
- Primary Care (1)
- Primary Care: Models of Care (1)
- Quality Improvement (1)
- Quality of Care (2)
- Racial and Ethnic Minorities (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 12 of 12 Research Studies DisplayedJiang DH, Mundell BF, Shah ND
Impact of high deductible health plans on diabetes care quality and outcomes: systematic review.
The authors sought to provide a systematic literature review of the impact of high deductible health plans (HDHPs) on the utilizations of services required for optimal management of diabetes and subsequent health outcomes. They found that, although HDHPs reduce some health care utilization and costs, they appear to do so at the expense of limiting high-value care and medication adherence.
AHRQ-funded; HS025517; HS024075; HS025164; HS025402.
Citation: Jiang DH, Mundell BF, Shah ND .
Impact of high deductible health plans on diabetes care quality and outcomes: systematic review.
Endocr Pract 2021 Nov;27(11):1156-64. doi: 10.1016/j.eprac.2021.07.001..
Keywords: Health Insurance, Diabetes, Chronic Conditions, Outcomes, Quality of Care, Patient-Centered Outcomes Research
Schechter SB, Pantell MS, Parikh K
Impact of a national quality collaborative on pediatric asthma care quality by insurance status.
The objective of this study was to assess whether disparities in asthma care and outcomes based on insurance type existed before a national quality improvement (QI) collaborative, and to determine the effects of the collaborative on these disparities. The investigators concluded that at baseline, children with public insurance had higher asthma health care utilization than those with private insurance, despite receiving more evidence-based care.
AHRQ-funded; HS026383; HS024554; HS024592.
Citation: Schechter SB, Pantell MS, Parikh K .
Impact of a national quality collaborative on pediatric asthma care quality by insurance status.
Acad Pediatr 2021 Aug;21(6):1018-24. doi: 10.1016/j.acap.2021.02.009..
Keywords: Children/Adolescents, Asthma, Chronic Conditions, Disparities, Quality Improvement, Quality of Care, Health Insurance
McCoy RG, Van Houten HK, Deng Y
Comparison of diabetes medications used by adults with commercial insurance vs Medicare Advantage, 2016 to 2019.
Investigators sought to compare trends in initiation of treatment with GLP-1RA, SGLT2i, and DPP-4i by older adults with type 2 diabetes insured by Medicare Advantage vs commercial health plans. They found that Medicare Advantage beneficiaries may be less likely than commercially insured beneficiaries to be treated with newer medications to lower glucose levels, with greater disparities among lower-income patients. They recommended further investigation of nonclinical factors contributing to treatment decisions and efforts to promote greater equity in diabetes management.
AHRQ-funded; HS025164.
Citation: McCoy RG, Van Houten HK, Deng Y .
Comparison of diabetes medications used by adults with commercial insurance vs Medicare Advantage, 2016 to 2019.
JAMA Netw Open 2021 Feb;4(2):e2035792. doi: 10.1001/jamanetworkopen.2020.35792..
Keywords: Elderly, Diabetes, Chronic Conditions, Medication, Medicare, Health Insurance, Disparities, Low-Income
Odlum M, Moise N, Kronish IM
Trends in poor health indicators among Black and Hispanic middle-aged and older adults in the United States, 1999-2018.
This study used records extracted from the Behavioral Risk Factor Surveillance System to determine which health indicators have improved or became worse among Black and Hispanic middle-aged (45 and older) adults compared to Whites from 1999 to 2018. This data is required by the Minority Health and Health Disparities Research and Education Act of 2000. A sample included of 4,856,326 participants, of them 60.9% women, mean age 60.4. During the last 20 years, Black adults showed an overall decrease showing improvement in uninsured status and physical inactivity while showing an overall increase in hypertension, diabetes, asthma, and stroke, and also the same increases and decreases in the Black-White gap. Hispanic adults showed improvement in physical inactivity and perceived poor health, while they showed overall deterioration in hypertension and diabetes. The Hispanic-White gap improved in coronary heart disease, stroke, kidney disease, asthma, arthritis, depression and physical inactivity while it increased for diabetes, hypertension, and uninsured status.
AHRQ-funded; HS025198.
Citation: Odlum M, Moise N, Kronish IM .
Trends in poor health indicators among Black and Hispanic middle-aged and older adults in the United States, 1999-2018.
JAMA Netw Open 2020 Nov 2;3(11):e2025134. doi: 10.1001/jamanetworkopen.2020.25134..
Keywords: Elderly, Racial and Ethnic Minorities, Disparities, Health Status, Health Insurance, Diabetes, Blood Pressure, Chronic Conditions
Huguet N, Angier H, Hoopes MJ
Prevalence of pre-existing conditions among community health center patients before and after the Affordable Care Act.
Investigators assessed the prevalence of pre-existing conditions for community health center (CHC) patients who gained insurance coverage post-Affordable Care Act (ACA). They found that their study emphasized the high prevalence of pre-existing conditions among CHC patients and the large increase in the proportion of patients with at least one of these diagnoses post-ACA. They conclude that, given how common these conditions are, repealing pre-existing condition protections could be extremely harmful to millions of patients and would likely exacerbate health care and health disparities.
AHRQ-funded; HS024270.
Citation: Huguet N, Angier H, Hoopes MJ .
Prevalence of pre-existing conditions among community health center patients before and after the Affordable Care Act.
J Am Board Fam Med 2019 Nov-Dec;32(6):883-89. doi: 10.3122/jabfm.2019.06.190087..
Keywords: Health Status, Chronic Conditions, Health Insurance, Policy
Abdus S, Keenan PS
AHRQ Author: Abdus S, Keenan PS
Financial burden of employer-sponsored high-deductible health plans for low-income adults with chronic health conditions.
In this research letter, the authors used 2011-2015 Medical Expenditure Panel Survey Household Component data on adults 19 to 64 years of age enrolled in employer-sponsored insurance plans throughout the year to examine the burden of high deductible health plans on low income adults with chronic health conditions.
AHRQ-authored.
Citation: Abdus S, Keenan PS .
Financial burden of employer-sponsored high-deductible health plans for low-income adults with chronic health conditions.
JAMA Intern Med 2018 Dec;178(12):1706-08. doi: 10.1001/jamainternmed.2018.4706..
Keywords: Chronic Conditions, Healthcare Costs, Health Insurance, Low-Income, Medical Expenditure Panel Survey (MEPS)
Yeung K, Basu A, Marcum ZA
Impact of a value-based formulary in three chronic disease cohorts.
This study assessed the impact of a value based formulary (VBF) on medication adherence and patient and health plan expenditures on 3 chronic disease states: diabetes, hypertension, and hyperlipidemia. The investigators measured medication expenditures from member, health plan, and member-plus-health plan (overall) perspectives and medication adherence as proportion of days covered. They conducted an exploratory analysis of medication utilization classifying medications according to whether co-payments moved up or down in the year following VBF implementation.
AHRQ-funded; HS022982.
Citation: Yeung K, Basu A, Marcum ZA .
Impact of a value-based formulary in three chronic disease cohorts.
Am J Manag Care 2017 Mar; 23(3 Suppl):S46-s53..
Keywords: Chronic Conditions, Health Insurance, Patient Adherence/Compliance, Medication, Healthcare Costs
Luo Z, Chen Q, Annis AM
A comparison of health plan- and provider-delivered chronic care management models on patient clinical outcomes.
Two contrasting strategies of chronic care management include provider-delivered care management (PDCM) and health plan-delivered care management (HPDCM). The researchers aimed to compare the effectiveness of PDCM vs. HPDCM on improving clinical outcomes for patients with chronic diseases. They found that in a commercially insured population, neither PDCM nor HPDCM resulted in substantial improvement in patients' clinical indicators in the first year.
AHRQ-funded; HS020108.
Citation: Luo Z, Chen Q, Annis AM .
A comparison of health plan- and provider-delivered chronic care management models on patient clinical outcomes.
J Gen Intern Med 2016 Jul;31(7):762-70. doi: 10.1007/s11606-016-3617-2.
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Keywords: Chronic Conditions, Care Management, Primary Care: Models of Care, Primary Care, Healthcare Delivery, Comparative Effectiveness, Patient-Centered Outcomes Research, Health Insurance
Dale AM, Ryan D, Welch L
Comparison of musculoskeletal disorder health claims between construction floor layers and a general working population.
This study described the distributions and compared rates of personal (not Worker’s Compensation) health insurance claims for musculoskeletal disorders, but also compared rates seen between union floor layers and workers in general industry. It found that construction floor layers showed rates of personal health claims for chronic MSDs that were nearly double the rates for a general population of workers.
AHRQ-funded; HS019455.
Citation: Dale AM, Ryan D, Welch L .
Comparison of musculoskeletal disorder health claims between construction floor layers and a general working population.
Occup Environ Med 2015 Jan;72(1):15-20. doi: 10.1136/oemed-2014-102313..
Keywords: Chronic Conditions, Health Insurance
Sumner W, Stwalley DL, Asaro PV
Adding flexible temporal constraints to identify chronic comorbid conditions in ambulatory claims data.
The researchers particularly wanted to increase the temporal flexibility of comorbidity definitions in response to common documentation patterns. They report the development and testing of a chronic disease list with temporal criteria for analyzing outpatient claims data. They concluded that temporal constraints applied to ambulatory claims may improve comorbid condition categorization.
AHRQ-funded; HS019455.
Citation: Sumner W, Stwalley DL, Asaro PV .
Adding flexible temporal constraints to identify chronic comorbid conditions in ambulatory claims data.
AMIA Annu Symp Proc 2014 Nov 14;2014:1088-97..
Keywords: Chronic Conditions, Data, Health Insurance
McGuire TG, Newhouse JP, Normand SL
AHRQ Author: Zuvekas S
Assessing incentives for service-level selection in private health insurance exchanges.
The authors used MEPS data to measure plan incentives by constructing predictive ratios and by measuring incentives based on the predictability and predictiveness of various medical diagnoses. They found that, among the chronic diseases studied, plans have the greatest incentive to skimp on care for cancer, mental health, and substance abuse.
AHRQ-authored.
Citation: McGuire TG, Newhouse JP, Normand SL .
Assessing incentives for service-level selection in private health insurance exchanges.
J Health Econ 2014 May;35:47-63. doi: 10.1016/j.jhealeco.2014.01.009.
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Keywords: Chronic Conditions, Health Insurance, Health Status, Medical Expenditure Panel Survey (MEPS)
Meyerhoefer CD, Zuvekas SH, Manski R
AHRQ Author: Zuvekas SH, Manski R
The demand for preventive and restorative dental services.
The authors sought to examine the extent to which limited dental coverage and high out-of-pocket costs reduce dental service use by the nonelderly privately insured and uninsured. They concluded that dental coverage is an important determinant of preventive dental service use, but other nonprice factors related to consumer preferences, especially education, are equal if not stronger determinants.
AHRQ-authored.
Citation: Meyerhoefer CD, Zuvekas SH, Manski R .
The demand for preventive and restorative dental services.
Health Econ 2014 Jan;23(1):14-32. doi: 10.1002/hec.2899.
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Keywords: Chronic Conditions, Dental and Oral Health, Health Insurance, Health Services Research (HSR), Medical Expenditure Panel Survey (MEPS)