National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Access to Care (1)
- Children/Adolescents (2)
- Depression (2)
- Education (1)
- Emergency Department (2)
- Healthcare Costs (1)
- (-) Healthcare Utilization (7)
- Health Insurance (1)
- Hospitalization (2)
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- Quality of Life (1)
- (-) Sickle Cell Disease (7)
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 7 of 7 Research Studies DisplayedKayle M, Valle J, Paulukonis S
Impact of Medicaid expansion on access and healthcare among individuals with sickle cell disease.
The purpose of this study was to examine whether Medicaid expansion in California, increased Medicaid enrollment, increased hydroxyurea prescriptions filled, and decreased acute healthcare utilization in sickle cell disease (SCD). Findings showed that Medicaid expansion did not appear to have improved enrollment or acute healthcare utilization among individuals with SCD in California. Recommendations included future studies exploring whether individuals with SCD transitioned to other insurance plans or became uninsured post-expansion, the underlying reasons for low hydroxyurea utilization, and the lack of effect on hospital admissions despite a modest effect on emergency department visits.
AHRQ-funded; HS023011; HS025297.
Citation: Kayle M, Valle J, Paulukonis S .
Impact of Medicaid expansion on access and healthcare among individuals with sickle cell disease.
Pediatr Blood Cancer 2020 May;67(5):e28152. doi: 10.1002/pbc.28152..
Keywords: Sickle Cell Disease, Medicaid, Access to Care, Healthcare Utilization, Medication, Hospitalization, Health Insurance
Crego N, Douglas C, Bonnabeau E
Sickle-cell disease co-management, health care utilization, and hydroxyurea use.
Sickle-cell disease (SCD) causes significant morbidity, premature mortality, and high disease burden, resulting in frequent health care use. Comanagement may improve utilization and patient adherence with treatments such as Hydroxyurea. The purpose of this study was to describe acute-care utilization in Medicaid-enrolled patients with SCD, patient factors associated with comanagement, and adherence to Hydroxyurea. The investigators concluded that comanagement was a factor in predicting HUadherence, but further studies are needed to identify the frequency and components of comanagement needed to increase adherence and reduce acute care utilization.
AHRQ-funded; HS024501.
Citation: Crego N, Douglas C, Bonnabeau E .
Sickle-cell disease co-management, health care utilization, and hydroxyurea use.
J Am Board Fam Med 2020 Jan-Feb;33(1):91-105. doi: 10.3122/jabfm.2020.01.190143..
Keywords: Sickle Cell Disease, Children/Adolescents, Medication, Healthcare Utilization, Patient Adherence/Compliance
Williams H, Silva RNS, Cline D
Social and behavioral factors in sickle cell disease: employment predicts decreased health care utilization.
The purpose of this study was to determine the frequency of health care encounters among people with sickle cell disease (SCD) who sought treatment for a vaso-occlusive crisis (VOC). Patients with SCD enrolled in a prospective descriptive study in North Carolina were interviewed concerning their behavioral-social factors. A report of health care encounters was then produced, generated by ICD codes associated with VOCs. Prevalent behavioral and social factors among patients with more frequent encounters were anxiety, depression, illicit drug use, unstable home situations, and unemployment. Employment and stable home situations were significantly associated with a decreased frequency in health care encounters.
AHRQ-funded; HS019646.
Citation: Williams H, Silva RNS, Cline D .
Social and behavioral factors in sickle cell disease: employment predicts decreased health care utilization.
J Health Care Poor Underserved 2018;29(2):814-29. doi: 10.1353/hpu.2018.0060..
Keywords: Healthcare Utilization, Sickle Cell Disease
Cline DM, Silva S, Freiermuth CE
Emergency department (ED), ED observation, day hospital, and hospital admissions for adults with sickle cell disease.
In the context of a two-institution quality improvement project to implement best practices for management of patients with sickle cell disease (SCD) vaso-occlusive crisis (VOC), researchers prospectively compared acute care encounters for utilization of 1) emergency department (ED); 2) ED observation unit; 3) day hospital, and 4) hospital admission, of two different patient cohorts with SCD. They found that healthcare utilization varied dramatically between individual patients.
AHRQ-funded; HS019646.
Citation: Cline DM, Silva S, Freiermuth CE .
Emergency department (ED), ED observation, day hospital, and hospital admissions for adults with sickle cell disease.
West J Emerg Med 2018 Mar;19(2):311-18. doi: 10.5811/westjem.2017.9.35422.
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Keywords: Emergency Department, Healthcare Utilization, Hospitalization, Quality Improvement, Sickle Cell Disease
Adam SS, Flahiff CM, Kamble S
Depression, quality of life, and medical resource utilization in sickle cell disease.
Researchers performed an analytic epidemiologic prospective study to determine the prevalence of depression in adult patients with sickle cell disease and its association with health-related quality of life (HRQoL) and medical resource utilization. They found that depression was associated with worse physical and mental HRQoL scores and during the 6 months following diagnosis, mean total health care costs were significantly higher in depressed patients than in nondepressed patients.
AHRQ-funded; HS017645.
Citation: Adam SS, Flahiff CM, Kamble S .
Depression, quality of life, and medical resource utilization in sickle cell disease.
Blood Adv 2017 Oct 12;1(23):1983-92. doi: 10.1182/bloodadvances.2017006940.
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Keywords: Depression, Healthcare Costs, Healthcare Utilization, Quality of Life, Sickle Cell Disease
Jonassaint CR, Jones VL, Leong S
A systematic review of the association between depression and health care utilization in children and adults with sickle cell disease.
The authors sought to determine whether depression or depressive symptoms are associated with health care utilization among children and adults with sickle cell disease (SCD). They found that, overall, depressive symptoms are common in SCD and may increase risk for poor outcomes including health care utilization. They further found a modest association between depression and health care utilization in SCD.
AHRQ-funded; HS022989.
Citation: Jonassaint CR, Jones VL, Leong S .
A systematic review of the association between depression and health care utilization in children and adults with sickle cell disease.
Br J Haematol 2016 Jul;174(1):136-47. doi: 10.1111/bjh.14023.
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Keywords: Children/Adolescents, Depression, Healthcare Utilization, Patient-Centered Healthcare, Sickle Cell Disease
Jonassaint CR, Beach MC, Haythornthwaite JA
The association between educational attainment and patterns of emergency department utilization among adults with sickle cell disease.
The authors aimed to determine what factors are related to emergency department visits in hopes of guiding treatments and early interventions. They concluded that early interventions addressing disparities in academic performance, especially for those children most at risk, may lead to improved long-term health outcomes in this population.
AHRQ-funded; HS022989.
Citation: Jonassaint CR, Beach MC, Haythornthwaite JA .
The association between educational attainment and patterns of emergency department utilization among adults with sickle cell disease.
Int J Behav Med 2016 Jun;23(3):300-09. doi: 10.1007/s12529-016-9538-y.
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Keywords: Education, Emergency Department, Healthcare Utilization, Pain, Sickle Cell Disease