National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Access to Care (3)
- Ambulatory Care and Surgery (3)
- Behavioral Health (5)
- Blood Pressure (1)
- Cancer (3)
- Children's Health Insurance Program (CHIP) (1)
- Children/Adolescents (3)
- Dental and Oral Health (2)
- Depression (2)
- Diabetes (2)
- Disabilities (1)
- Disparities (3)
- Elderly (2)
- Emergency Medical Services (EMS) (1)
- Healthcare Cost and Utilization Project (HCUP) (1)
- Healthcare Costs (11)
- Healthcare Utilization (1)
- Health Insurance (7)
- Hospitalization (2)
- Human Immunodeficiency Virus (HIV) (1)
- Inpatient Care (2)
- Medicaid (1)
- (-) Medical Expenditure Panel Survey (MEPS) (25)
- Medication (2)
- Mortality (2)
- Obesity (1)
- Patient Adherence/Compliance (1)
- Patient Experience (1)
- Prevention (1)
- Quality of Care (1)
- Racial and Ethnic Minorities (4)
- Research Methodologies (2)
- Rural Health (1)
- Screening (1)
- Social Determinants of Health (1)
- Uninsured (1)
- Women (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 25 of 25 Research Studies DisplayedGuy GP, Jr., Yabroff KR, Ekwueme DU
AHRQ Author: Soni A
Healthcare expenditure burden among non-elderly cancer survivors, 2008-2012.
This study presented nationally representative estimates of annual out-of-pocket (OOP) burden among non-elderly cancer survivors and assessed the association between high OOP burden and access to care and preventive service utilization. It found that, among cancer survivors, high OOP burden was associated with being unable to obtain necessary medical care, delaying necessary medical care, and lower breast cancer screening rates among women.
AHRQ-authored.
Citation: Guy GP, Jr., Yabroff KR, Ekwueme DU .
Healthcare expenditure burden among non-elderly cancer survivors, 2008-2012.
Am J Prev Med 2015 Dec;49(6s5):S489-s97. doi: 10.1016/j.amepre.2015.09.002.
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Keywords: Medical Expenditure Panel Survey (MEPS), Healthcare Costs, Cancer, Access to Care
Vistnes J, Selden TM, Zawacki A
AHRQ Author: Vistnes J, Selden TM
Several factors responsible for the recent slowdown in premium growth in employer-sponsored insurance.
Researchers have been seeking to identify which factors behind the recent spending slowdown . This study found that the slowdown in premium growth that preceded the recession reflected declining growth rates in per policyholder premiums. For 2009-11, however, the dominant contributors to the slowdown were factors underlying declining employee enrollment: a sharp downturn in employment in 2009, followed by eroding offer and eligibility rates.
AHRQ-authored.
Citation: Vistnes J, Selden TM, Zawacki A .
Several factors responsible for the recent slowdown in premium growth in employer-sponsored insurance.
Health Aff 2015 Dec;34(12):2036-43. doi: 10.1377/hlthaff.2015.0436..
Keywords: Medical Expenditure Panel Survey (MEPS), Health Insurance, Healthcare Costs, Health Insurance
Selden TM, Karaca Z, Keenan P
AHRQ Author: Selden TM, Karaca Z, Keenan P, Kronick R
The growing difference between public and private payment rates for inpatient hospital care.
The difference between private and public (Medicare and Medicaid) payment rates for inpatient hospital stays widened between 1996 and 2012. Medical Expenditure Panel Survey data reveal that standardized private insurer payment rates in 2012 were approximately 75 percent greater than Medicare's-a sharp increase from the differential of approximately 10 percent in the period 1996-2001.
AHRQ-authored.
Citation: Selden TM, Karaca Z, Keenan P .
The growing difference between public and private payment rates for inpatient hospital care.
Health Aff 2015 Dec;34(12):2147-50. doi: 10.1377/hlthaff.2015.0706.
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Keywords: Medical Expenditure Panel Survey (MEPS), Healthcare Costs, Inpatient Care, Hospitalization
Miller GE, Sarpong EM, Hill SC
AHRQ Author: Miller GE, Sarpong EM, Hill SC
Does increased adherence to medications change health care financial burdens for adults with diabetes?
The aim of the present study was to investigate increased out-of-pocket drug costs and financial burdens of achieving adherence to oral antidiabetic medications and medications for prevalent comorbidities. The researchers found that the mean simulated additional out-of-pocket drug costs of achieving adherence were $310 for uninsured adults treated for diabetes. These additional drug costs would increase the percentage of uninsured adults with financial burden.
AHRQ-authored.
Citation: Miller GE, Sarpong EM, Hill SC .
Does increased adherence to medications change health care financial burdens for adults with diabetes?
J Diabetes 2015 Nov;7(6):872-80. doi: 10.1111/1753-0407.12292..
Keywords: Medical Expenditure Panel Survey (MEPS), Healthcare Costs, Diabetes, Patient Adherence/Compliance, Medication
Abdus S, Mistry KB, Selden TM
AHRQ Author: Mistry KB, Selden TM
Racial and ethnic disparities in services and the Patient Protection and Affordable Care Act.
The researchers examined pre-reform patterns in insurance coverage, access to care, and preventive services use by race/ethnicity in adults targeted by the coverage expansions of the Patient Protection and Affordable Care Act (ACA). They found that minorities were disproportionately represented among those targeted by the coverage provisions of the ACA.
AHRQ-authored.
Citation: Abdus S, Mistry KB, Selden TM .
Racial and ethnic disparities in services and the Patient Protection and Affordable Care Act.
Am J Public Health 2015 Nov;105(Suppl 5):S668-75. doi: 10.2105/ajph.2015.302892..
Keywords: Medical Expenditure Panel Survey (MEPS), Health Insurance, Disparities, Racial and Ethnic Minorities, Access to Care
Coca Perraillon M, Shih YC, Thisted RA
Predicting the EQ-5D-3L Preference Index from the SF-12 Health Survey in a national US sample: a finite mixture approach.
The researchers developed a finite mixture model for cross-sectional data that maps the SF-12 to the EQ-5D-3L preference index. They concluded that finite mixtures offer a flexible modeling approach that can take into account idiosyncratic characteristics of the distribution of preferences. The use of mixture models allows researchers to obtain estimates of health utilities when only summary scores from the SF-12 and a limited number of demographic characteristics are available.
AHRQ-funded; HS000084; HS020263.
Citation: Coca Perraillon M, Shih YC, Thisted RA .
Predicting the EQ-5D-3L Preference Index from the SF-12 Health Survey in a national US sample: a finite mixture approach.
Med Decis Making 2015 Oct;35(7):888-901. doi: 10.1177/0272989x15577362..
Keywords: Medical Expenditure Panel Survey (MEPS), Research Methodologies
Abdus S, Zuvekas SH
AHRQ Author: Abdus S, Zuvekas SH
Racial/ethnic differences in the relationship between obesity and depression treatment.
This study examined the relationship between obesity and the treatment of depression across racial/ethnic subgroups, controlling for depressive symptoms, self-rated mental health, health status, and socioeconomic characteristics. It found that the association between obesity and depression-related medication was significant for white women but not for black or Hispanic women. The results for men were, in general, mixed and inconsistent.
AHRQ-authored.
Citation: Abdus S, Zuvekas SH .
Racial/ethnic differences in the relationship between obesity and depression treatment.
J Behav Health Serv Res 2015 Oct;42(4):486-503. doi: 10.1007/s11414-014-9391-1..
Keywords: Obesity, Depression, Social Determinants of Health, Racial and Ethnic Minorities, Medical Expenditure Panel Survey (MEPS)
Davidoff AJ, Hill SC, Bernard D
AHRQ Author: Hill SC, Bernard D
The Affordable Care Act and expanded insurance eligibility among nonelderly adult cancer survivors.
The researchers examined potential improvements in access to insurance for cancer survivors through adult Medicaid expansions and premium tax credits in the new insurance marketplaces under the Affordable Care Act (ACA). They found that under the ACA, many of the uninsured and a larger proportion of survivors facing financial hardship will be eligible for Medicaid or premium tax credits in the Marketplaces.
AHRQ-authored.
Citation: Davidoff AJ, Hill SC, Bernard D .
The Affordable Care Act and expanded insurance eligibility among nonelderly adult cancer survivors.
J Natl Cancer Inst 2015 Sep;107(9):djv181. doi: 10.1093/jnci/djv181..
Keywords: Medical Expenditure Panel Survey (MEPS), Health Insurance, Medicaid
Hudson JL, Abdus S
AHRQ Author: Hudson JL
Coverage and care consequences for families in which children have mixed eligibility for public insurance.
The researchers used data from the Medical Expenditure Panel Survey (MEPS) Household Component for 2001–12 to examine insurance coverage, access to care, and health care use for eligible children in families with mixed eligible siblings compared to those in families where all siblings were eligible for one program. They found that mixed eligibility has a significant dampening effect for eligible children.
AHRQ-authored
Citation: Hudson JL, Abdus S .
Coverage and care consequences for families in which children have mixed eligibility for public insurance.
Health Aff 2015 Aug;34(8):1340-8. doi: 10.1377/hlthaff.2015.0128..
Keywords: Medical Expenditure Panel Survey (MEPS), Children/Adolescents, Health Insurance, Access to Care, Healthcare Utilization
Xu X, Buta E, Anhang Price R
Methodological considerations when studying the association between patient-reported care experiences and mortality.
This study illustrated methodological considerations when assessing the relationship between patient care experiences and mortality. It found that the association between overall care experiences and mortality was significant for deaths not amenable to medical care and all-cause mortality, but not for amenable deaths.
AHRQ-funded; HS016980; HS016978.
Citation: Xu X, Buta E, Anhang Price R .
Methodological considerations when studying the association between patient-reported care experiences and mortality.
Health Serv Res 2015 Aug;50(4):1146-61. doi: 10.1111/1475-6773.12264..
Keywords: Medical Expenditure Panel Survey (MEPS), Patient Experience, Mortality, Quality of Care, Research Methodologies
Ray KN, Chari AV, Engberg J
Opportunity costs of ambulatory medical care in the United States.
The authors aimed to quantify the opportunity costs for adults seeking medical care for themselves or others. Using the 2003-2010 American Time Use Survey, they found that total opportunity costs per year for all physician visits in the United States were $52 billion in 2010. They concluded that, for every dollar spent in visit reimbursement, an additional 15 cents were spent in opportunity costs.
AHRQ-funded; HS022989.
Citation: Ray KN, Chari AV, Engberg J .
Opportunity costs of ambulatory medical care in the United States.
Am J Manag Care 2015 Aug;21(8):567-74.
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Keywords: Healthcare Costs, Medical Expenditure Panel Survey (MEPS), Ambulatory Care and Surgery
Zuvekas SH
AHRQ Author: Zuvekas SH
The take-up of employer-sponsored insurance among Americans with mental disorders: Implications for health care reform.
This study used data from the 2004-2008 Medical Expenditure Panel Survey to examine differences in offers and take-up of employer-sponsored health insurance (ESI) coverage among adults aged 27-54 by mental health status. It found little difference in the take-up of offers of ESI coverage between those with and without mental disorders.
AHRQ-authored
Citation: Zuvekas SH .
The take-up of employer-sponsored insurance among Americans with mental disorders: Implications for health care reform.
J of Behav Health Serv and Res. 2015 Jul;42(3):279-91. doi: 10.1007/s11414-015-9459-6..
Keywords: Behavioral Health, Medical Expenditure Panel Survey (MEPS), Health Insurance
Horner-Johnson W, Dobbertin K, Beilstein-Wedel E
Disparities in dental care associated with disability and race and ethnicity.
The purpose of this study was to determine how the combination of disability and race and ethnicity is associated with dental examinations, delays in receiving needed care, and inability to obtain needed care among noninstitutionalized working-age adults in the United States. It found that, compared with non-Hispanic whites, other racial and ethnic groups were less likely to receive annual dental examinations.
AHRQ-funded; HS022981.
Citation: Horner-Johnson W, Dobbertin K, Beilstein-Wedel E .
Disparities in dental care associated with disability and race and ethnicity.
J Am Dent Assoc 2015 Jun;146(6):366-74. doi: 10.1016/j.adaj.2015.01.024..
Keywords: Racial and Ethnic Minorities, Medical Expenditure Panel Survey (MEPS), Dental and Oral Health, Disparities
Olfson M, Druss BG, Marcus SC
Trends in mental health care among children and adolescents.
This study examined national trends in the use of outpatient mental health services by children and adolescents, focusing on the severity of mental health impairment. It found that outpatient mental health treatment and psychotropic-medication use in children and adolescents increased in the United States between 1996–1998 and 2010–2012. Youths with less severe or no impairment accounting for most of the absolute increase in service use.
AHRQ-funded; HS021112.
Citation: Olfson M, Druss BG, Marcus SC .
Trends in mental health care among children and adolescents.
N Engl J Med 2015 May 21;372(21):2029-38. doi: 10.1056/NEJMsa1413512..
Keywords: Children/Adolescents, Medical Expenditure Panel Survey (MEPS), Behavioral Health, Ambulatory Care and Surgery
Horner-Johnson W, Dobbertin K, Iezzoni LI
Disparities in receipt of breast and cervical cancer screening for rural women age 18 to 64 with disabilities.
The authors examined the combination of disability status and rurality in association with receipt of breast and cervical cancer screening among women age 18 to 64 in the United States. They found that women with disabilities were less likely to be up to date with mammograms and Pap tests compared with women with no disabilities, and women in rural areas were less likely to have received breast or cervical cancer screening within recommended timeframes. Women with a disability who lived in a rural area were the least likely to be current with screening.
AHRQ-funded; HS022981.
Citation: Horner-Johnson W, Dobbertin K, Iezzoni LI .
Disparities in receipt of breast and cervical cancer screening for rural women age 18 to 64 with disabilities.
Womens Health Issues 2015 May-Jun;25(3):246-53. doi: 10.1016/j.whi.2015.02.004.
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Keywords: Cancer, Disabilities, Medical Expenditure Panel Survey (MEPS), Rural Health, Screening
DeVoe JE, Tillotson CJ, Angier H
Predictors of children's health insurance coverage discontinuity in 1998 versus 2009: parental coverage continuity plays a major role.
This study examines the strength of association between known and potential predictors of children’s health insurance continuity in both 1998 and 2009. It found that, compared to children with at least one parent continuously covered, children whose parents did not have continuous coverage had a significantly higher relative risk of a coverage gap.
AHRQ-funded; HS018569.
Citation: DeVoe JE, Tillotson CJ, Angier H .
Predictors of children's health insurance coverage discontinuity in 1998 versus 2009: parental coverage continuity plays a major role.
Matern Child Health J 2015 Apr;19(4):889-96. doi: 10.1007/s10995-014-1590-0.
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Keywords: Medical Expenditure Panel Survey (MEPS), Children's Health Insurance Program (CHIP), Uninsured, Health Insurance
Cook BL, Liu Z, Lessios AS
The costs and benefits of reducing racial-ethnic disparities in mental health care.
The investigators examined whether reducing racial-ethnic disparities in mental health care offsets costs of care. They found that, for blacks and Latinos, the potential savings from eliminating disparities in inpatient general medical expenditures are substantial, as much as $1 billion nationwide, suggesting that financial and equity considerations can be aligned when planning disparity reduction programs.
AHRQ-funded; HS021486.
Citation: Cook BL, Liu Z, Lessios AS .
The costs and benefits of reducing racial-ethnic disparities in mental health care.
Psychiatr Serv 2015 Apr;66(4):389-96. doi: 10.1176/appi.ps.201400070.
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Keywords: Disparities, Healthcare Costs, Racial and Ethnic Minorities, Medical Expenditure Panel Survey (MEPS), Behavioral Health
Schackman BR, Fleishman JA, Su AE
AHRQ Author: Fleishman JA
The lifetime medical cost savings from preventing HIV in the United States.
The researchers sought to estimate the medical cost saved by averting 1 HIV infection in the United States. They found that the estimated discounted lifetime cost for persons who become HIV infected at age 35 is $326,500 (60% for antiretroviral medications, 15% for other medications, 25% nondrug costs.
AHRQ-authored; AHRQ-funded; 290201100007C.
Citation: Schackman BR, Fleishman JA, Su AE .
The lifetime medical cost savings from preventing HIV in the United States.
Med Care 2015 Apr;53(4):293-301. doi: 10.1097/mlr.0000000000000308..
Keywords: Medical Expenditure Panel Survey (MEPS), Healthcare Costs, Human Immunodeficiency Virus (HIV), Prevention
Leung MY, Pollack LM, Colditz GA
Life years lost and lifetime health care expenditures associated with diabetes in the U.S., National Health Interview Survey, 1997-2000.
The authors analyzed the lifetime health care expenditures and life years lost associated with diabetes in the U.S. Their results showed that diabetes is associated with large decreases in life expectancy and large increases in lifetime health care expenditures, with the life years and expenditures depending on age-race-sex-BMI classification groups.
AHRQ-funded; HS022330.
Citation: Leung MY, Pollack LM, Colditz GA .
Life years lost and lifetime health care expenditures associated with diabetes in the U.S., National Health Interview Survey, 1997-2000.
Diabetes Care 2015 Mar;38(3):460-8. doi: 10.2337/dc14-1453.
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Keywords: Diabetes, Healthcare Costs, Medical Expenditure Panel Survey (MEPS), Mortality
Davidoff AJ, Miller GE, Sarpong EM
AHRQ Author: Miller GE, Sarpong EM
Prevalence of potentially inappropriate medication use in older adults using the 2012 Beers criteria.
The purpose of this study was to use the most recently available population-based data to estimate potentially inappropriate medication (PIM) prevalence under the 2012 update of the Beers list of PIMs and to provide a benchmark from which to measure future changes. It found that despite the overall high use of PIMs, there has been a decline observed in recent years.
AHRQ-authored.
Citation: Davidoff AJ, Miller GE, Sarpong EM .
Prevalence of potentially inappropriate medication use in older adults using the 2012 Beers criteria.
J Am Geriatr Soc 2015 Mar;63(3):486-500. doi: 10.1111/jgs.13320..
Keywords: Medical Expenditure Panel Survey (MEPS), Medication, Elderly
Galarraga JE, Mutter R, Pines JM
AHRQ Author: Mutter R
Costs associated with ambulatory care sensitive conditions across hospital-based settings.
The objective of this study was to identify the cost differences in payments and charges for ambulatory care-sensitive conditions (ACSC) visits in three different hospital-based settings: outpatient visits, ED visits, and inpatient admissions. After adjusting for patient demographics and comorbid conditions, charges for an inpatient ACSC visit were four times higher ($11,414 vs. $2,563) when compared to an ED visit.
AHRQ-authored.
Citation: Galarraga JE, Mutter R, Pines JM .
Costs associated with ambulatory care sensitive conditions across hospital-based settings.
Acad Emerg Med. 2015 Feb;22(2):172-81. doi: 10.1111/acem.12579..
Keywords: Medical Expenditure Panel Survey (MEPS), Healthcare Costs, Emergency Medical Services (EMS), Ambulatory Care and Surgery, Inpatient Care
Manski RJ, Moeller JF, Chen H
AHRQ Author: Manski RJ
Dental use and expenditures for older uninsured Americans: the simulated impact of expanded coverage.
The purpose of this paper is to empirically determine if insurance alone would close the current gaps in dental use and expenditures between insured and uninsured older Americans. Comparing simulated dental use and expenditures rates of newly insured persons against the corresponding rates for those previously insured, the authors found that it would close previous gaps in use and expense.
AHRQ-authored.
Citation: Manski RJ, Moeller JF, Chen H .
Dental use and expenditures for older uninsured Americans: the simulated impact of expanded coverage.
Health Serv Res. 2015 Feb;50(1):117-35. doi: 10.1111/1475-6773.12205..
Keywords: Medical Expenditure Panel Survey (MEPS), Dental and Oral Health, Health Insurance, Elderly, Healthcare Costs
Guy GP, Machlin SR, Ekwueme DU
AHRQ Author: Machlin SR
Prevalence and costs of skin cancer treatment in the U.S., 2002-2006 and 2007-2011.
This study examines trends in the treated prevalence and treatment costs of nonmelanoma and melanoma skin cancers. It found that the average annual number of adults treated for any skin cancer (NMSC or melanoma) increased from 3.4 to 4.9 million between 2002-2006 and 2007-2011. In the same period, the average annual total cost for skin cancer increased by 126.2 percent, from $3.6 billion to $8.1 billion.
AHRQ-authored
Citation: Guy GP, Machlin SR, Ekwueme DU .
Prevalence and costs of skin cancer treatment in the U.S., 2002-2006 and 2007-2011.
Am J Prev Med 2015 Feb;48(2):183-7. doi: 10.1016/j.amepre.2014.08.036..
Keywords: Cancer, Healthcare Costs, Medical Expenditure Panel Survey (MEPS)
Torio CM, Encinosa WE, Berdahl T
AHRQ Author: Torio CM, Encinosa WE, Berdahl T
Annual report on health care for children and youth in the United States: national estimates of cost, utilization and expenditures for children with mental health conditions.
This study examined national trends in hospital utilization, costs, and expenditures for children with mental health conditions between 2006 and 2011. It found that hospitalizations for all listed mental health conditions increased by nearly 50 percent among children aged 10 to 14 years and by 21 percent for emergency department visits.
AHRQ-authored
Citation: Torio CM, Encinosa WE, Berdahl T .
Annual report on health care for children and youth in the United States: national estimates of cost, utilization and expenditures for children with mental health conditions.
Acad Pediatr. 2015 Jan-Feb;15(1):19-35. doi: 10.1016/j.acap.2014.07.007..
Keywords: Children/Adolescents, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Medical Expenditure Panel Survey (MEPS), Behavioral Health
Atkins EV, Sambamoorthi U, Bhattacharya R
Variations of depression treatment among women with hypertension.
This study examined depression treatment patterns among women with hypertension utilizing the Medical Expenditures Panel Survey (MEPS), a nationally representative survey of families and individuals, their medical providers, and employers across the United States. It found that 23.9 percent had no depression treatment, 56.8 percent had antidepressant use only, and 19.3 percent had psychotherapy with or without antidepressants.
AHRQ-funded; HS018622.
Citation: Atkins EV, Sambamoorthi U, Bhattacharya R .
Variations of depression treatment among women with hypertension.
Health Care Women Int 2015;36(6):730-50. doi: 10.1080/07399332.2015.1005303..
Keywords: Medical Expenditure Panel Survey (MEPS), Depression, Blood Pressure, Women, Behavioral Health