Effects of Cardiovascular Health Shocks on Spouses' Work and Earnings: A National Study.

Abstract:

BACKGROUND:Acute health shocks can reduce the ability to work and earn among working-age survivors. The full economic impact includes labor market effects on spouses/partners, but there is a knowledge gap in this area. OBJECTIVES:The objective of this study was to assess how 3 common health shocks, acute myocardial infarction, stroke, and cardiac arrest, influence work and earnings of spouses aged 35-61 years. RESEARCH DESIGN:This retrospective cohort study of case and control couples used population-based, linked Canadian income tax and hospitalization data from 2005 to 2013. SUBJECTS:Case couples comprised 1 partner aged 41-61 years who experienced a health shock in the index year and survived 3 years hence, and a working-age partner. Control couples were matched up to 5:1 on 12 characteristics, with neither experiencing the health shock of interest in the index year. MEASURES:Primary outcome was the change in spousal annual earnings between the year prior and 3 years after the event. Pre-to-post spousal income changes were categorized into 9 levels and compared between case spouses and control spouses by the Pearson χ test. RESULTS:There were 11,208 matched case couples for acute myocardial infarction, 622 for cardiac arrest, and 2288 for stroke. Overall, case and control spouses experienced similar distributional changes in preevent to postevent earning (all P≥0.27). Heterogeneity analysis indicated that spouses of more severe stroke sufferers ceased working at a higher rate than for control spouses. CONCLUSION:Beyond assessing average values, detailed analysis of changes in spousal earnings after common cardiovascular health shocks did not demonstrate effects attributable to those health shocks.

journal_name

Med Care

journal_title

Medical care

authors

Jeon SH,Stepner M,Rotermann M,Fransoo R,Sanmartin C,Scales DC,Wunsch H,Iwashyna TJ,Garland A

doi

10.1097/MLR.0000000000001249

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

128-136

issue

2

eissn

0025-7079

issn

1537-1948

pii

00005650-202002000-00006

journal_volume

58

pub_type

杂志文章
  • Psychometric analysis of an advance directive.

    abstract:OBJECTIVES:Reliability and validity are as necessary for predrafted advance directive forms as they are for all clinical assessment instruments. Performance of predrafted advance directive forms with both lay persons and clinicians is relevant. Evidence relating to test- retest reliability, content validity, and criter...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199610000-00006

    authors: Alpert HR,Hoijtink H,Fischer GS,Emanuel L

    更新日期:1996-10-01 00:00:00

  • Reallocation of operating room capacity using the due-time model.

    abstract:BACKGROUND:Demand for surgical treatment is rising while operating room (OR) resources are limited. Requests for more resources therefore can only be partly met by repartitioning the existing sparse resources. OBJECTIVE:Our goal is to define a method to allocate OR block times among surgical disciplines in such a way ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182549eb9

    authors: Vansteenkiste N,Lamote C,Vandersmissen J,Luysmans P,Monnens P,De Voldere G,Kips J,Rademakers FE

    更新日期:2012-09-01 00:00:00

  • Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.

    abstract:BACKGROUND:Medication error occurring during the care of HIV-infected patients may lead to treatment failure, drug toxicity, or even death. OBJECTIVE:The objective of this study was to ascertain and confirm 5 categories of medication error in the care of HIV-infected patients. RESEARCH DESIGN:This study was a retrosp...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000175622.81335.4d

    authors: DeLorenze GN,Follansbee SF,Nguyen DP,Klein DB,Horberg M,Quesenberry CP Jr,Blick NT,Tsai AL

    更新日期:2005-09-01 00:00:00

  • Insurance coverage for prescription drugs: effects on use and expenditures in the Medicare population.

    abstract:BACKGROUND:Although most of the elderly are covered by Medicare, they potentially face large out-of-pocket costs for their health care because of excluded services. Aside from nursing home care, the exclusion of prescription drugs is one of the most significant. Several earlier policy initiatives have proposed adding p...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199909000-00008

    authors: Lillard LA,Rogowski J,Kington R

    更新日期:1999-09-01 00:00:00

  • Examining Measures of Income and Poverty in Medicare Administrative Data.

    abstract::Disparities by economic status are observed in the health status and health outcomes of Medicare beneficiaries. For health services and health policy researchers, one barrier to addressing these disparities is the ability to use Medicare data to ascertain information about an individual's income level or poverty, beca...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000606

    authors: Samson LW,Finegold K,Ahmed A,Jensen M,Filice CE,Joynt KE

    更新日期:2017-12-01 00:00:00

  • Have HMOs broadened their hospital networks?: Changes in HMO hospital networks in California, 1999-2003.

    abstract:OBJECTIVE:This study uses empirical data to study changes in the structure and use of HMO hospital provider networks in California. STUDY DESIGN:Data from California HMOs are used to test whether there have been structural changes in HMO size, geographic coverage, hospital network design, and patient channeling for in...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181589bcb

    authors: Melnick GA,Ketcham JD

    更新日期:2008-03-01 00:00:00

  • A cross-lagged model of psychiatric problems and health-related quality of life among a national sample of HIV-positive adults.

    abstract:OBJECTIVES:To investigate the temporal association between symptoms of psychiatric disorder and physical aspects of health-related quality of life (HRQOL) in a sample of HIV-positive adults. METHODS:Sample included 2431 participants at baseline and the first follow-up (FU1; approximately 8 months later). Measures incl...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:

    authors: Orlando M,Tucker JS,Sherbourne CD,Burnam MA

    更新日期:2005-01-01 00:00:00

  • Intensive Outpatient Program Effects on High-need Patients' Access, Continuity, Coordination, and Engagement.

    abstract:OBJECTIVE:The intensive and varied services required by high-need patients have inspired a number of new care delivery models; however, evidence of their effectiveness is mixed. This study evaluated whether augmenting a patient-centered medical home (PCMH) with intensive outpatient management enhances high-need patient...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000833

    authors: Wu FM,Slightam CA,Wong AC,Asch SM,Zulman DM

    更新日期:2018-01-01 00:00:00

  • Unpacking Care Coordination Through a Multiteam System Lens: A Conceptual Framework and Systematic Review.

    abstract:BACKGROUND:The 2016 President's Cancer Panel Connected Health report calls for thoroughly characterizing the team structures and processes involved in coordinating care for people with chronic conditions. We developed a multilevel care coordination framework by integrating existing frameworks from the teams and care co...

    journal_title:Medical care

    pub_type: 杂志文章,评审

    doi:10.1097/MLR.0000000000000874

    authors: Weaver SJ,Che XX,Petersen LA,Hysong SJ

    更新日期:2018-03-01 00:00:00

  • A longitudinal analysis of patient satisfaction and subsequent quality of life in Hong Kong Chinese breast and nasopharyngeal cancer patients.

    abstract:BACKGROUND:We evaluated the longitudinal course of the relationship between patient satisfaction and quality of life (QoL) in Chinese breast and nasopharyngeal cancer patients. METHODS:A sample of Chinese breast (n = 250) and nasopharyngeal (n = 242) cancer patients were assessed during their first outpatient visit (b...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181a393cf

    authors: Wong WS,Fielding R

    更新日期:2009-08-01 00:00:00

  • Tort reform and malpractice liability insurance.

    abstract::Legal factors related to the malpractice liability insurance purchased by general dentists in the United States were investigated using a comprehensive multivariate model that assessed the contribution of legal provisions affecting the probability of a malpractice claim, the probability of a payment, and the average s...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199508000-00001

    authors: Milgrom P,Whitney C,Conrad D,Fiset L,O'Hara D

    更新日期:1995-08-01 00:00:00

  • Disparities in Potentially Preventable Hospitalizations Between American Indian and Alaska Native and Non-Hispanic White Medicare Enrollees.

    abstract:OBJECTIVE:A number of health care initiatives seek to improve health outcomes by increasing access to outpatient services while reducing preventable acute events. We evaluated disparities between American Indian and Alaska Native (AI/AN) and non-Hispanic white (white) Medicare enrollees in access to outpatient preventi...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000698

    authors: O'Connell J,Rockell J,Ouellet JC,LeBeau M

    更新日期:2017-06-01 00:00:00

  • Five-step methodology for evaluation and adaptation of print patient health information to meet the < 5th grade readability criterion.

    abstract:BACKGROUND:In the setting of declining U.S. literacy, new policies include use of clear communication and low-literacy accessibility practices with all patients. Reliable methods for adapting health information to meet such criteria remain a pressing need. OBJECTIVES:To report method validation (study 1) and method re...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318249d6c8

    authors: Hill-Briggs F,Schumann KP,Dike O

    更新日期:2012-04-01 00:00:00

  • The effects of payment method on clinical decision-making: physician responses to clinical scenarios.

    abstract:BACKGROUND:The influence of payment mechanisms on physician decisions is not well understood. OBJECTIVES:The objective of this study was to test 2 null hypotheses: 1) physicians' clinical decisions would not be influenced by payment incentives; and 2) physicians would have equal concern about medical decisions made un...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000114918.50088.1c

    authors: Shen J,Andersen R,Brook R,Kominski G,Albert PS,Wenger N

    更新日期:2004-03-01 00:00:00

  • A budget impact analysis of telemedicine-based collaborative care for depression.

    abstract:BACKGROUND:Patients with depression use more health services than patients without depression. However, when depression symptoms respond to treatment, use of health services declines. Most depression quality improvement studies increase total cost in the short run, which if unevenly distributed across stakeholders, cou...

    journal_title:Medical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MLR.0b013e31821d2b35

    authors: Fortney JC,Maciejewski ML,Tripathi SP,Deen TL,Pyne JM

    更新日期:2011-09-01 00:00:00

  • Disclosure of information to patients in medical care.

    abstract::It is generally agreed that patients have a right to be adequately informed. However, little is known about the extent to which doctors and patients agree about information that should be disclosed. We studied what patients want to know, as contrasted with what physicians report actually disclosing, in a population of...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198107000-00003

    authors: Faden RR,Becker C,Lewis C,Freeman J,Faden AI

    更新日期:1981-07-01 00:00:00

  • Patterns of primary care utilization in a triethnic urban population of school children.

    abstract::Patterns of primary health care utilization for a random sample of urban elementary school children in three ethnic groups are described. Visit type, reasons for visit, and frequency of visits remained stable from year to year. More than 50 per cent of the children were non-visitors each year; 72 per cent of those not...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198106000-00003

    authors: Brink SG,Nader PR

    更新日期:1981-06-01 00:00:00

  • Spillover effects of community uninsurance on working-age adults and seniors: an instrumental variables analysis.

    abstract:BACKGROUND:: Previous research suggests, but does not definitively establish, that a high level of uninsurance in a community may negatively affect access to and quality of health care for insured persons. OBJECTIVE:: To assess the effect of the level of uninsurance in a community on access to and satisfaction with ca...

    journal_title:Medical care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MLR.0b013e31822dc7f4

    authors: Gresenz CR,Escarce JJ

    更新日期:2011-09-01 00:00:00

  • Measuring the job satisfaction of physicians in organized settings.

    abstract::The accurate measurement of physician job satisfaction in organized practice settings is important for both policy and administrative purposes. Previous efforts to measure physician job satisfaction have been unsatisfactory because of either conceptual or methodologic weaknesses. New measures of physician job satisfac...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198401000-00005

    authors: Lichtenstein R

    更新日期:1984-01-01 00:00:00

  • Health Care Experiences of Latino Children in Emerging and Traditional Destinations.

    abstract:BACKGROUND:Latino populations have disproportionately moved to areas in the Southeast and Midwest (emerging destinations), outside traditional Latino enclaves, in recent years. OBJECTIVE:To examine whether health care experiences differ between traditional and emerging destinations for Latino children. RESEARCH DESIG...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000504

    authors: Saloner B,Gresenz CR

    更新日期:2016-05-01 00:00:00

  • Healthcare restructuring and hierarchical alignment: why do staff and managers perceive change outcomes differently?

    abstract:PURPOSE:Healthcare organizations have undergone major change efforts in the past decade. Sustained change is related to continued alignment among organizational participants and may fail with incongruent perceptions of change. This study identifies factors contributing to the alignment in perceptions of organizational ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000220692.39762.bf

    authors: Walston SL,Chou AF

    更新日期:2006-09-01 00:00:00

  • Are mortality rates for different operations related?: implications for measuring the quality of noncardiac surgery.

    abstract:BACKGROUND:Except in cardiac surgery, measuring quality with procedure-specific mortality rates is unreliable because of small sample sizes at individual hospitals. Statistical power can be improved by combining mortality data from multiple operations. We sought to determine whether this approach would still be useful ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000215898.33228.c7

    authors: Dimick JB,Staiger DO,Birkmeyer JD

    更新日期:2006-08-01 00:00:00

  • A time-insensitive predictive instrument for acute hospital mortality due to congestive heart failure: development, testing, and use for comparing hospitals: a multicenter study.

    abstract::The purpose of this study was to develop a "time-insensitive" predictive instrument (TIPI) for acute hospital mortality due to congestive heart failure. In Phase 1, based on prospectively collected data on 401 congestive heart failure patients among 5,773 study patients who presented to six New England hospitals over ...

    journal_title:Medical care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00005650-199410000-00005

    authors: Selker HP,Griffith JL,D'Agostino RB

    更新日期:1994-10-01 00:00:00

  • Physician decision making and variation in hospital admission rates for suspected acute cardiac ischemia. A tale of two towns.

    abstract::The authors tested the "uncertainty hypothesis," which holds that variations in rates of hospitalization or surgeries across small geographic areas reflect differences in physicians' decision making when confronting uncertainty. A small-areas variation analysis of suspected acute cardiac ischemia (ACI) admissions in n...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199411000-00002

    authors: Green LA,Becker MP

    更新日期:1994-11-01 00:00:00

  • Psychiatric disorders and their treatment: a community survey.

    abstract::This paper examines relationships between true and treated prevalence of mental illness in a community by examining the use of mental health and other professional services for emotional problems and the relationship of this use to the individual's diagnostic status. The results are based upon a third round of 515 int...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198001000-00009

    authors: Myers JK,Weissman MM

    更新日期:1980-01-01 00:00:00

  • Travel time and attrition from VHA care among women veterans: how far is too far?

    abstract:BACKGROUND:Travel time, an access barrier, may contribute to attrition of women veterans from Veterans Health Administration (VHA) care. OBJECTIVE:We examined whether travel time influences attrition: (a) among women veterans overall, (b) among new versus established patients, and (c) among rural versus urban patients...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000296

    authors: Friedman SA,Frayne SM,Berg E,Hamilton AB,Washington DL,Saechao F,Maisel NC,Lin JY,Hoggatt KJ,Phibbs CS

    更新日期:2015-04-01 00:00:00

  • Inpatient rehabilitation after stroke: a comparison of lengths of stay and outcomes in the Veterans Affairs and non-Veterans Affairs health care system.

    abstract:BACKGROUND:Patients have longer lengths of hospital stay (LOS) in VA medical centers than in the general health care system. OBJECTIVE:The objective of this study was to determine whether resource use and outcome differences between VA and non-VA inpatient rehabilitation facilities remain after controlling for patient...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200102000-00003

    authors: Stineman MG,Ross RN,Hamilton BB,Maislin G,Bates B,Granger CV,Asch DA

    更新日期:2001-02-01 00:00:00

  • Physician gender affects how physician nonverbal behavior is related to patient satisfaction.

    abstract:BACKGROUND:Physician and patient gender both influence medical communication. Nonverbal behavior is generally under-researched in the medical encounter but plays an important role for patient outcomes such as satisfaction. OBJECTIVE:This article aims at identifying how specific physician nonverbal behaviors predict an...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31817e1877

    authors: Mast MS,Hall JA,Köckner C,Choi E

    更新日期:2008-12-01 00:00:00

  • Prior authorization policies for selective cyclooxygenase-2 inhibitors in Medicaid: a policy review.

    abstract:BACKGROUND:Many state Medicaid programs use prior authorization programs to limit spending on cyclooxygenase-2 selective nonsteroidal anti-inflammatory drugs (coxibs). However, the evidence base for the prior authorization criteria has not been examined previously. METHODS:We determined whether prior authorization was...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.mlr.0000218775.04675.fd

    authors: Fischer MA,Cheng H,Schneeweiss S,Avorn J,Solomon DH

    更新日期:2006-07-01 00:00:00

  • Lowering generic drug prices: less regulation equals more competition.

    abstract:BACKGROUND:In Ontario, Canada, the 70/90 regulations were instituted in May 1993 to establish provincial government procurement prices for generic drugs. Accordingly, the first generic entrant's price could not exceed 70% of the incumbent's branded price. Subsequent entrants' prices could not exceed 90% of the first en...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200301000-00015

    authors: Anis AH,Guh DP,Woolcott J

    更新日期:2003-01-01 00:00:00