Abstract:
OBJECTIVES:We sought to identify people living with HIV/AIDS from Medicare and Medicaid claims data to estimate Medicaid costs for treating HIV/AIDS in California. We also examined how alternate methods of identifying the relevant sample affect estimates of per capita costs. METHODS:We analyzed data on Californians enrolled in Medicaid with an HIV/AIDS diagnosis reported in 2007 Medicare or Medicaid claims data. We compared alternative selection criteria by examining use of antiretroviral drugs, HIV-specific monitoring tests, and medical costs. We compared the final sample and average costs with other estimates of the size of California's HIV/AIDS population covered by Medicaid in 2007 and their average treatment costs. RESULTS:Eighty-seven percent (18,290) of potentially identifiable HIV-positive individuals satisfied at least 1 confirmation criterion. Nearly 80% of confirmed observations had claims for HIV-specific tests, compared with only 3% of excluded cases. Female Medicaid recipients were particularly likely to be miscoded as having HIV. Medicaid treatment spending for Californians with HIV averaged $33,720 in 2007. CONCLUSIONS:The proposed algorithm displays good internal and external validity. Accurately identifying HIV cases in claims data is important to avoid drawing biased conclusions and is necessary in setting appropriate HIV managed-care capitation rates.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Leibowitz AA,Desmond Kdoi
10.2105/AJPH.2014.302263subject
Has Abstractpub_date
2015-03-01 00:00:00pages
567-74issue
3eissn
0090-0036issn
1541-0048journal_volume
105pub_type
杂志文章abstract::The geographic distribution of newborn human immunodeficiency virus seroprevalence at zip code level was compared with the distribution of four sociodemographic variables. For New York City significant univariate correlations were found between HIV and low birthweight, drug use (as measured by hospital discharges), ma...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.suppl.25
更新日期:1991-05-01 00:00:00
abstract::In 1984, the tobacco workers' union and the Tobacco Institute, which represents US tobacco companies, formed a labor management committee (LMC). The institute relied on LMC unions to resist smoke-free worksite rules. In a review of the internal tobacco industry documents now publicly available, we found that the LMC s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.052126
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:This study examined the prevalence and correlates of survival sex among runaway and homeless youths. METHODS:A nationally representative sample of shelter youths and a multicity sample of street youths were interviewed. RESULTS:Approximately 28% of street youths and 10% of shelter youths reported having par...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.9.1406
更新日期:1999-09-01 00:00:00
abstract::We investigated changes in community-based agencies following the implementation of the Medicare prospective payment system for hospitals utilizing DRGs (diagnosis-related groups). Data were collected in 1986 and 1987 from 771 community service providers. There were five major findings: 1) hospital discharge planners,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.7.840
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVES:We examined the effect of worldwide oil price fluctuations on household fuel use and child respiratory health in Guatemala. METHODS:We regressed measures of household fuel use and child respiratory health on the average worldwide oil price and a rich set of covariates. We leveraged variation in oil prices o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300131
更新日期:2011-09-01 00:00:00
abstract::We assessed the proportion and characteristics of patients who do not regularly visit general health care providers but do visit dentists and whose unaddressed systemic health conditions could therefore be identified by their dentist. Of the 26.0% of children and 24.1% of adults that did not access general outpatient ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300420
更新日期:2012-02-01 00:00:00
abstract::Nondaily intermittent smokers (ITS) are common, but their cessation behavior remains elusive. We examined cessation of native-ITS (n = 2040), converted-ITS (n = 1808), and daily smokers (DS; n = 25 344). All ITS were more likely than were DS to make a quit attempt (native-ITS adjusted odds ratio [AOR] = 1.60, 95% conf...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300186
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:There are no published population-based studies of occupational carpal tunnel syndrome (OCTS) using a strict case definition. Most studies are either industry specific or present patient self-report of symptoms. METHODS:We conducted a population-based incidence study of OCTS using the Washington State Worke...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.741
更新日期:1991-06-01 00:00:00
abstract::The Disablement Process model explicates the transition from health conditions to disability and specifically emphasizes the role of intervening factors that speed up or slow down the pathway between pathology and disability. We used hierarchical Poisson regression analyses with data on older adults from central North...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.054494
更新日期:2005-11-01 00:00:00
abstract::Workplace violence is becoming increasingly recognized as a serious problem in health care settings. All 628 workers' compensation assaults claimed by minority Los Angeles County health care workers from 1986 through 1990 were abstracted. Population-at-risk data from county personnel computer tapes provided denominato...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.7.1011
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVES:We investigated how persons from key populations at higher risk of HIV exposure interpreted the process and outcomes of the Step Study HIV-1 vaccine trial, which was terminated early, and implications for willingness to participate in and community support for HIV vaccine research. METHODS:We used qualitati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300208
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Smoking among young women is associated with a variety of negative health outcomes. Gender specific influences on smoking, quitting and attempting to quit are hypothesized to occur and may have implications for cessation programs. METHODS:Telephone surveys were conducted in a large (n = 6,711) cohort of you...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.3.324
更新日期:1991-03-01 00:00:00
abstract::This paper models the prevailing political attack on government as a heuristic, a judgmental strategy that simplifies complex phenomena by applying simple tests to a limited set of relevant data. The heuristic of market individualism offers three tools for analyzing the problems of governing: the supremacy of the free...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.10.1607
更新日期:1997-10-01 00:00:00
abstract::The Supplemental Nutrition Assistance Program (SNAP) is a highly effective program, vital to our nation's health and well-being. SNAP's entitlement funding structure allows it to provide benefits to anyone who meets the program's eligibility requirements, and this structure also enables SNAP to respond quickly when ne...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305325
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVES:This study examined the feasibility of using high-value coupons to induce condom purchase and evaluated execution factors that can influence the effectiveness of this form of promotion. METHODS:Two levels of coupon discount value (10% off and 75% off) were used to promote condom purchase among young adults....
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.89.12.1866
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVES:The median incidence rate of acquired immunodeficiency syndrome (AIDS) among prisoners is 7 times higher than for the general population. Yet high-risk sexual activity and drug use in US correctional facilities remain unexamined. This study explores inmate perceptions of high-risk behavior in New York state ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.9.1211
更新日期:1996-09-01 00:00:00
abstract::Incidence rates for hip fracture in the United States were estimated using non-federal hospital discharges from the National Hospital Discharge Survey for the years 1974-1979. Age-specific incidence curves for women and for men showed similar patterns of increase in risk with age, with risks approximately doubling eve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.12.1374
更新日期:1984-12-01 00:00:00
abstract::We examined the association between telomere length and prenatal tobacco exposure (PTE) in 104 children aged 4 to 14 years. Salivary telomere length (STL) was determined from salivary DNA using quantitative polymerase chain reaction. Of the children, 18% had maternal reported PTE. Mean STL was significantly lower amon...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301208
更新日期:2013-10-01 00:00:00
abstract::In an effort to keep abreast of the changing needs of a more affluent society and to ensure better value for money, the British are reforming their National Health Service. They are promoting competition and entrepreneurship, and directing funding to follow a patient rather than flowing directly to institutions. Briti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1566
更新日期:1991-12-01 00:00:00
abstract::We performed a cost-effectiveness analysis to evaluate whether patients with artificial joints should take penicillin, erythromycin, or no antibiotics before dental procedures. We modeled the risk of anaphylaxis from penicillin, the risks and consequences of an artificial joint infection, and the actual variable costs...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.739
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVES:We described 27-year secular trends in added-sugar intake and body mass index (BMI) among Americans aged 25 to 74 years. METHODS:The Minnesota Heart Survey (1980-1982 to 2007-2009) is a surveillance study of cardiovascular risk factors among residents of the Minneapolis-St Paul area. We used generalized lin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300562
更新日期:2013-03-01 00:00:00
abstract::A nine-year representative, longitudinal study of 1,598 urban elderly shows that two to eight times as many impaired or disabled are cared for in the community as in institutions. Younger age, male gender, better income, and living with others, especially children, favor continuing care in the home. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1207
更新日期:1991-09-01 00:00:00
abstract:BACKGROUND:Studies have indicated that cigarette smokers have more occupational accidents and injuries and use more sick time and health benefits than nonsmokers, thereby producing sizeable costs for employers. However, they usually have not controlled for other possible sources of these costs. We analyzed occupational...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.29
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:We examined HIV-infected parents' conversations about HIV prevention with their uninfected children, including what facilitated or hindered communication. METHODS:Parents with HIV/AIDS (n = 90) who had children aged 10 to 18 years were recruited for a mixed method study from 2009 to 2010. Interviews assesse...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301111
更新日期:2013-08-01 00:00:00
abstract::To understand the social distribution of environmental hazards, methods to assess cumulative effects and their health implications are needed. We developed a cumulative environmental hazard index integrating environmental data on pollution sites, air quality, and pesticide use; a social vulnerability index to measure ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300466
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:We examined the cessation of hormone replacement therapy (HRT) among British women, by educational level, social class, and cardiovascular risk factors, at the time of publicity about 2 clinical trials of HRT that were halted after adverse findings. METHODS:A total of 1387 women aged 57 years reported their...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.071332
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVES:We assessed whether asthma is associated with urban children's use of special education services. METHODS:We conducted a cross-sectional study in 24 randomly selected New York City public elementary schools using a parent-report questionnaire focusing on sociodemographic characteristics, special education e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.075887
更新日期:2006-09-01 00:00:00
abstract::Over the course of the 20th century, the United States became an urban nation: 80% of Americans now live in metropolitan areas. Supplying basic sanitary services-drinking water, sewers, and garbage removal-to these cities is a gargantuan task, yet most people have little understanding of urban infrastructure systems a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.12.1944
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVES:We assessed attitudes and opinions of members of newborn blood screening (NBS) advisory committees regarding the storage and secondary research use of residual specimens from NBS. METHODS:We conducted focus groups in 2008 and 2009 with NBS advisory committees (4 focus groups; n = 39 participants) in the Mou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.200485
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:We sought to ascertain the types of ethical challenges public health practitioners face in practice and to identify approaches used to resolve such challenges. METHODS:We conducted 45 semistructured interviews with public health practitioners across a range of occupations (e.g., health officers, medical dir...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.137588
更新日期:2009-02-01 00:00:00