scholarly journals Depression Increases Stroke Hospitalization Cost: An Analysis of 17,010 Stroke Patients in 2008 by Race and Gender

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Baqar Husaini ◽  
Robert Levine ◽  
Linda Sharp ◽  
Van Cain ◽  
Meggan Novotny ◽  
...  
Keyword(s):  
Black Males ◽  
Primary Diagnosis ◽  
Stroke Patients ◽  
Discharge Data ◽  
Race And Gender ◽  
Hospitalization Costs ◽  
And Gender ◽  
The Cost ◽  
The Impact ◽  
Detection Of Depression

Objective. This analysis focuses on the effect of depression on the cost of hospitalization of stroke patients.Methods. Data on 17,010 stroke patients (primary diagnosis) were extracted from 2008 Tennessee Hospital Discharge Data System. Three groups of patients were compared: (1) stroke only (SO,n=7,850), (2) stroke + depression (S+D,n=3,965), and (3) stroke + other mental health diagnoses (S+M,n=5,195).Results. Of all adult patients, 4.3% were diagnosed with stroke. Stroke was more prevalent among blacks than whites (4.5% versus 4.2%,P<0.001) and among males than females (5.1% versus 3.7%,P<0.001). Nearly one-quarter of stroke patients (23.3%) were diagnosed with depression/anxiety. Hospital stroke cost was higher among depressed stroke patients (S+D) compared to stroke only (SO) patients ($77,864 versus $47,790,P<0.001), and amongS+D, cost was higher for black males compared to white depressed males ($97,196 versus $88,115,P<0.001). Similar racial trends in cost emerged amongS+Dfemales.Conclusion. Depression in stroke patients is associated with increased hospitalization costs. Higher stroke cost among blacks may reflect the impact of comorbidities and the delay in care of serious health conditions. Attention to early detection of depression in stroke patients might reduce inpatient healthcare costs.

Hospitalizations with TB, California, 2009–2017

2021 ◽  
Vol 25 (8) ◽  
pp. 640-647
Author(s):  
A. Readhead ◽  
G. Cooksey ◽  
J. Flood ◽  
P. Barry
Keyword(s):  
State Level ◽  
The United States ◽  
Primary Diagnosis ◽  
Discharge Data ◽  
Asian Pacific Islander ◽  
Hospitalization Costs ◽  
Working Age ◽  
Hospital Stays ◽  
Asian Pacific ◽  
The Cost

BACKGROUND: Hospitalization is a costly event that affects more than half of all TB patients in the United States. State-level hospitalization data are crucial in estimating the cost of TB disease and the financial impact of preventing TB.METHODS: We used California administrative hospital discharge data from 2009 to 2017 to characterize TB hospitalizations in comparison with non-neonatal, non-maternal hospitalizations. TB hospitalization was defined as a hospitalization with a TB ICD-9/10 code as the primary diagnosis. We estimated hospitalization costs in 2017 dollars from reported charges using cost-to-charge ratios.RESULTS: In comparison to persons hospitalized for other conditions, persons hospitalized for TB in 2017 were more likely to be male, of working age, and Asian/Pacific Islander. The median cost for TB hospitalizations was US$22,807 vs. US$11,568 for other hospitalizations. The median length of stay for TB hospitalizations was 12 days compared to 3 days for other hospitalizations. Medicaid was expected to pay for 50% of TB hospitalizations costing US$21,438,208.CONCLUSIONS: Societal cost estimates of TB hospitalization should be updated to reflect long hospital stays and the disproportionate burden on working age persons. This analysis enhances our understanding of the high cost of TB care and underscores the costs averted if TB cases are prevented.

scholarly journals Who Is Not Linking to HIV Care in Tennessee — the Benefits of an Intersectional Approach

2021 ◽  
Author(s):  
Leslie J. Pierce ◽  
Peter Rebeiro ◽  
Meredith Brantley ◽  
Errol L. Fields ◽  
Cathy A. Jenkins ◽  
...  
Keyword(s):  
Black Males ◽  
Proportional Hazards ◽  
Cox Proportional Hazards ◽  
Hiv Care ◽  
Older Individuals ◽  
Hiv Diagnosis ◽  
Race And Gender ◽  
Targeted Interventions ◽  
And Gender ◽  
Linkage To Hiv Care

Abstract Introduction Guided by an intersectional approach, we assessed the association between social categories (individual and combined) on time to linkage to HIV care in Tennessee. Methods Tennessee residents diagnosed with HIV from 2012-2016 were included in the analysis (n=3750). Linkage was defined by the first CD4 or HIV RNA test date after HIV diagnosis. We used Cox proportional hazards models to assess the association of time to linkage with individual-level variables. We modeled interactions between race, age, gender, and HIV acquisition risk factor (RF), to understand how these variables jointly influence linkage to care. Results Age, race, and gender/RF weAima A. Ahonkhaire strong individual (p < 0.001 for each) and joint predictors of time to linkage to HIV care (p < 0.001 for interaction). Older individuals were more likely to link to care (aHR comparing 40 vs. 30 years, 1.20, 95%CI 1.11-1.29). Blacks were less likely to link to care than Whites (aHR= 0.73, 95% CI: 0.67-0.79). Men who have sex with men (MSM) (aHR = 1.18, 95%CI: 1.03-1.34) and heterosexually active females (females) (aHR = 1.32, 95%CI: 1.14-1.53) were more likely to link to care than heterosexually active males. The three-way interaction between age, race, and gender/RF showed that Black males overall and young, heterosexually active Black males in particular were least likely to establish care. Conclusions Racial disparities persist in establishing HIV care in Tennessee, but data highlighting the combined influence of age, race, gender, and sexual orientation suggest that heterosexually active Black males should be an important focus of targeted interventions for linkage to HIV care.

Intersectionality of Race, Ethnicity, Gender, and Age on Criminal Punishment

2016 ◽  
Vol 60 (4) ◽  
pp. 810-833 ◽  
Author(s):  
Darrell Steffensmeier ◽  
Noah Painter-Davis ◽  
Jeffery Ulmer
Keyword(s):  
Black Males ◽  
Behavioral Outcomes ◽  
Hispanic Males ◽  
Race And Gender ◽  
Focal Concerns ◽  
Gender And Age ◽  
Statistical Studies ◽  
Novel Method ◽  
Race Ethnicity ◽  
And Gender

Race, ethnicity, gender, and age are core foci within sociology and law/criminology. Also prominent is how these statuses intersect to affect behavioral outcomes, but statistical studies of intersectionality are rare. In the area of criminal sentencing, an abundance of studies examine main and joint effects of race and gender but few investigate in detail how these effects are conditioned by defendant’s age. Using recent Pennsylvania sentencing data and a novel method for analyzing statistical interactions, we examine the main and combined effects of these statuses on sentencing. We find strong evidence for intersectionality: Harsher sentences concentrate among young black males and Hispanic males of all ages, while the youngest females (regardless of race/ethnicity) and some older defendants receive leniency. The focal concerns model of sentencing that frames our study has strong affinity with intersectionality perspectives and can serve as a template for research examining the ways social statuses shape inequality.

scholarly journals Risk factors and hospitalization costs of Dementia patients: Examining race and gender variations

2015 ◽  
Vol 40 (4) ◽  
pp. 258 ◽  
Author(s):  
Baqar Husaini ◽  
AashraiS V Gudlavalleti ◽  
Van Cain ◽  
Robert Levine ◽  
Majaz Moonis
Keyword(s):  
Risk Factors ◽  
Race And Gender ◽  
Dementia Patients ◽  
Hospitalization Costs ◽  
And Gender ◽  
Gender Variations

Digital Mediation, Soft Cabs, and Spatial Labour

2017 ◽  
Vol 3 (2) ◽  
pp. 59-76
Author(s):  
Donald N. Anderson
Keyword(s):  
Social Space ◽  
Large Degree ◽  
Care Providers ◽  
Public And Private ◽  
Digital Platforms ◽  
Race And Gender ◽  
Gig Economy ◽  
And Gender ◽  
Home Care Providers ◽  
The Impact

Abstract Critics of digitally mediated labour platforms (often called the “sharing” or “gig economy”) have focused on the character and extent of the control exerted by these platforms over both workers and customers, and in particular on the precarizing impact on the workers on whose labor the services depend. Less attention has been paid to the specifically spatial character of the forms of work targeted by mobile digital platforms. The production and maintenance of urban social space has always been dependent, to a large degree, on work that involves the crossing of spatial boundaries - particularly between public and private spaces, but also crossing spaces segregated by class, race, and gender. Delivery workers, cabdrivers, day labourers, home care providers, and similar boundary-crossers all perform spatial work: the work of moving between and connecting spaces physically, experientially, and through representation. Spatial work contributes to the production and reproduction of social space; it is also productive of three specific, though interrelated, products: physical movement from one place to another; the experience of this movement; and the articulation of these places, experiences, and movements with visions of society and of the social. Significantly, it is precisely such spatial work, and its products, which mobile digital platforms seek most urgently to transform. Drawing on several recent studies of “ridesharing” (or soft cab) labour platforms, I interrogate the impact of digital mediation on the actual practices involved in spatial work. I argue that the roll-out of digital labour platforms needs to be understood in terms of a struggle over the production of social space.

Progress Toward Increasing Women’s and Minorities’ Access to Top State Government Jobs?

2021 ◽  
pp. 009102602110565
Author(s):  
Greg Lewis ◽  
Jonathan Boyd ◽  
Rahul Pathak
Keyword(s):  
Private Sector ◽  
State Government ◽  
White Women ◽  
White Men ◽  
Good News ◽  
State Governments ◽  
Race And Gender ◽  
Veteran Status ◽  
And Gender ◽  
The Impact

This study examines the impact of qualifications and hiring advantages on women’s and minorities’ access to state government jobs, both in managerial and high-salary positions and overall. It also looks at how race and gender differences in representation have changed since 1990 and how they compare with the private sector. All groups, except Latino and Asian men, are more likely than White men to work for state governments, and all groups are more likely to do so than comparable White men. White men remain more likely to be managers and to earn top-decile salaries than comparable White women and people of color. Differences in education, experience, veteran status, and citizenship contribute, in different ways, to each group’s underrepresentation at top levels, but sizable unexplained gaps remain. The good news is that access to top jobs is better in state governments than in the private sector and has improved since 1990.

Clinical and economic evaluation of the effectiveness of the use of Riociguat for the treatment of patients with inoperable, recurrent or persistent chronic thromboembolic pulmonary hypertension under the conditions of the Republic of Kazakhstan

2020 ◽  
Vol 3-4 (213-214) ◽  
pp. 8-16
Author(s):  
Andrey Avdeyev ◽  
◽  
Murat Mukarov ◽  
Sabira Zhaugasheva ◽  
Lubov Piven ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Cost Effectiveness ◽  
Pharmacoeconomic Analysis ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Medication Therapy ◽  
First Choice ◽  
Hospitalization Costs ◽  
Thromboembolic Pulmonary Hypertension ◽  
The Cost ◽  
The Impact

Riociguat is included in international guidelines and local clinical protocols for the treatment of pulmonary hypertension (PH) and chronic thromboembolic pulmonary hypertension (CTEPH), where it is the first choice drug for the treatment of patients with inoperable, persistent and recurrent forms of CTEPH. Therefore, it is necessary to include this drug in the GVoFMC (The Guaranteed Volume of Free Medical Care) reimbursement lists and the CSHI (Compulsory Social Health Insurance) system, which will alleviate access to medication for patients suffering from PH and CTEPH. Purpose of the study. Determination of the cost effectiveness parameters of using riociguat in comparison with bosentan and combined therapy of bosentan/sildenafil in medication therapy of CTEPH. Material and methods. A Markov model of CTEPH dynamics in patients with riociguat prescription was developed in comparison with application of bosentan and sildenafil. Modeling step was 16 weeks, modeling horizon – 10 years. Direct medical costs per patient were taken into account in the model, including the cost of drug therapy, costs of outpatient visits due to CTEPH, hospitalization costs due to clinical deterioration of CTEPH, emergency calls. Results and discussion. The results of “cost-effectiveness” Markov pharmacoeconomic modeling showed that riociguat application reveals a dominant position in comparison with the practice of using bosentan with addition of sildenafil for specific therapy at deterioration of patient's condition up to III-IV functional class (FC). Riociguat is characterized by the best values of “cost effectiveness” coefficients according to efficiency criterion of FC increase and the “value of 6-min walk distance test”. The results of analysis of the impact on budget showed that inclusion of riociguat in GVoFMC/CSHI will lead to budget savings of 154 million tenge in the first year, 294 million tenge in the second year and 415 million tenge in the third year compared to the existing clinical practice without riociguat use. Conclusions. On the basis of conducted complex pharmacoeconomic analysis, the application of riociguat in patients with inoperable or persistent/ recurrent form of CTEPH is a more preferable strategy in comparison with the strategy of application of bosentan with addition of sildenafil and will allow to reduce budget expenses within the framework of GVoFMC and CSHI system. Keywords: pulmonary hypertension, chronic thromboembolic pulmonary hypertension, riociguat.

37. Sentencing

2017 ◽  
Author(s):  
Andrew Ashworth ◽  
Julian V. Roberts
Keyword(s):  
Media Coverage ◽  
Sentencing Guidelines ◽  
Race And Gender ◽  
The United Kingdom ◽  
Political Criticism ◽  
Key Issues ◽  
And Gender ◽  
The Uk ◽  
The Impact

Sentencing represents the apex of the criminal process and is the most public stage of the criminal justice system. Controversial sentences attract widespread media coverage, intense public interest, and much public and political criticism. This chapter explores sentencing in the United Kingdom, and draws some conclusions with relevance to other common law jurisdictions. Sentencing has changed greatly in recent years, notably through the introduction of sentencing guidelines in England and Wales, and more recently, Scotland. However, there are still doubts about the fairness and consistency of sentencing practice, not least in the use of imprisonment. Among the key issues to be examined in this chapter are the tendency towards net-widening, the effects of race and gender, the impact of pleading guilty, the use of indeterminate sentences, the rise of mandatory sentences, and the role of the victim in the sentencing process. The chapter begins by outlining the methods by which cases come before the courts for sentencing. It then summarizes the specific sentences available to courts and examines current sentencing patterns, before turning to a more detailed exploration of sentencing guidelines, and of the key issues identified above. The chapter addresses two critical questions: What is sentencing (namely who exerts the power to punish)? Does sentencing in the UK measure up to appropriate standards of fairness and consistency?

American Labor Unions in the Electoral Arena By Herbert B. Asher, Eric S. Heberlig, Randall B. Ripley, and Karen Snyder. Lanham, MD: Rowman & Littlefield, 2001. 207p. $69.00 cloth, $19.95 paper.

2002 ◽  
Vol 96 (3) ◽  
pp. 630-630
Author(s):  
Glenn Perusek
Keyword(s):  
The United States ◽  
Organized Labor ◽  
Social Scientists ◽  
Race And Gender ◽  
Union Movement ◽  
The Social ◽  
And Gender ◽  
The 1960S ◽  
The Impact ◽  
American Labor

For more than a generation, as the authors rightly point out, the impact of organized labor on electoral politics has been neglected in scholarly literature. Indeed, only a tiny minority of social scientists explicitly focuses on organized labor in the United States. Although the impact of the social movements of the 1960s appeared to heighten awareness of the importance of class, race, and gender, class and its organized expression, the union movement, has received less attention, while studies of race and gender have flourished.

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