scholarly journals The Affordable Care Act: Where Are We Now? An NCCN Roundtable

2014 ◽  
Vol 12 (5S) ◽  
pp. 745-747 ◽  
Author(s):  
Christian G. Downs ◽  
Liz Fowler ◽  
Michael Kolodziej ◽  
Lee H. Newcomer ◽  
Mohammed S. Ogaily ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Affordable Care Act ◽  
The United States ◽  
Annual Conference ◽  
Care Providers ◽  
Future Challenges ◽  
The Affordable Care Act ◽  
Oncology Practice ◽  
The Impact

The Affordable Care Act (ACA) is a transformational event for health care in the United States, with multiple impacts on health care, the economy, and society. Oncologists and other health care providers are already experiencing many changes—direct and indirect, anticipated and unanticipated. A distinguished and diverse panel assembled at the NCCN 19th Annual Conference to discuss the early phase of implementation of the ACA. The roundtable touched on early successes and stumbling blocks; the impact of the ACA on contemporary oncology practice and the new risk pool facing providers, payers, and patients; and some of the current and future challenges that lie ahead for all.

Insurance Type and Access to Health Care Providers and Appointments Under the Affordable Care Act

Medical Care ◽  
2018 ◽  
Vol 56 (2) ◽  
pp. 186-192 ◽  
Author(s):  
Héctor E. Alcalá ◽  
Dylan H. Roby ◽  
David T. Grande ◽  
Ryan M. McKenna ◽  
Alexander N. Ortega
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Care Providers ◽  
Insurance Type ◽  
Access To Health ◽  
The Affordable Care Act

The Industrial Organization of Health-Care Markets

2015 ◽  
Vol 53 (2) ◽  
pp. 235-284 ◽  
Author(s):  
Martin Gaynor ◽  
Kate Ho ◽  
Robert J. Town
Keyword(s):  
Health Care ◽  
Industrial Organization ◽  
Health Care Providers ◽  
Affordable Care Act ◽  
Health Care Spending ◽  
Health Care Markets ◽  
Care Providers ◽  
Patient Protection ◽  
The Impact ◽  
The U.S

The U.S. health-care sector is large and growing—health-care spending in 2011 amounted to $2.7 trillion and 18 percent of GDP. Approximately half of health-care output is allocated via markets. In this paper, we analyze the industrial organization literature on health-care markets, focusing on the impact of competition on price, quality, and treatment decisions for health-care providers and health insurers. We conclude with a discussion of research opportunities for industrial organization economists, including opportunities created by the U.S. Patient Protection and Affordable Care Act. (JEL J15, J24, J71, J81, K31)

Problem and Pathological Gambling: A Consumer Perspective

CNS Spectrums ◽  
1998 ◽  
Vol 3 (6) ◽  
pp. 48-57 ◽  
Author(s):  
Laura M. Letson
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Public Awareness ◽  
The United States ◽  
Care Providers ◽  
Compulsive Gambling ◽  
Care Services ◽  
Consumer Perspective ◽  
The Impact

AbstractThe growth of gambling across the United States over the past decade has created significant difficulties for pathological gamblers. The rise in problem gambling, coupled with an increasing strain on social and health care services for treatment of gamblers and their families, has resulted in an urgent need for innovative interventions that target patients, health care providers, educational institutions, government, media, and the gambling industry. This article describes the impact of gambling from a consumer-protection perspective, and offers approaches to promoting public awareness of compulsive gambling as a pervasive problem that affects multiple areas of society.

scholarly journals Perspectives on the COVID-19 pandemic impact on cardio-oncology: results from the COVID-19 International Collaborative Network survey

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Diego Sadler ◽  
◽  
Jeanne M. DeCara ◽  
Joerg Herrmann ◽  
Anita Arnold ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
The United States ◽  
Medical Professional ◽  
Collaborative Network ◽  
Care Providers ◽  
Future Health ◽  
Professional Societies ◽  
The Impact

Abstract Background Re-allocation of resources during the COVID-19 pandemic has resulted in delays in care delivery to patients with cardiovascular disease and cancer. The ability of health care providers to provide optimal care in this setting has not been formally evaluated. Objectives To assess the impact of COVID-19 resource re-allocation on scheduling, testing, elective procedures, telemedicine access, use of new COVID-19 therapies, and providers’ opinions on healthcare policies among oncology and cardiology practitioners. Methods An electronic survey was conducted by a cardio-oncology collaborative network through regional and state chapters of the American College of Cardiology, American Society of Clinical Oncology, and the International Cardio-Oncology Society. Descriptive statistics were reported by frequency and proportion for analyses, and stratified categorically by geographic region and specialty. Results One thousand four hundred fifteen providers (43 countries) participated: 986 cardiologists, 306 oncologists, and 118 trainees/internal medicine. 63% (195/306) of oncologists vs 92% (896/976) of cardiologists reported cancellations of treatments/elective procedures (p = 0.01). 46% (442/970) of cardiologists and 25% (76/303) of oncologists modified the scope of their practice (p = < 0.001). Academic physicians (74.5%) felt better supplied with personal protective equipment (PPE) vs non-academic (74.5% vs 67.2%; p = 0.018). Telemedicine was less common in Europe 81% (74/91), and Latin America 64% (101/158), than the United States, 88% (950/1097) (p = < 0.001). 95% of all groups supported more active leadership from medical professional societies. Conclusions These results support initiatives to promote expanded coverage for telemedicine, increased access to PPE, better testing availability and involvement of medical professional societies to help with preparedness for future health care crisis.

Pharmacist’s Role in Dispensing Opioids for Acute and Chronic Pain

2011 ◽  
Vol 25 (5) ◽  
pp. 497-502 ◽  
Author(s):  
Karen F. Marlowe ◽  
Richard Geiler
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Pain Management ◽  
Health Care Providers ◽  
Family Relationships ◽  
Health Care Professionals ◽  
The United States ◽  
Care Providers ◽  
Economic Productivity ◽  
The Impact

Pain continues to be a serious health care concern in the United States. Patients with chronic pain experience the impact of the disease throughout their lives including their social interactions, family relationships, and in many cases economic productivity. Multiple surveys have found that many pharmacists hold misconceptions regarding opioids, pain disease states, and their understandings of current regulations. Multiple barriers affect the ability of pharmacists to deliver care to patients' prescribed opioid therapy. Inadequate communication between health care professionals and patients is one of the hurdles, which prevents quality care. Increased communication between health care providers including access to health information is one step, which is crucial to improving provision of pharmacotherapy. Finally, the quality of educational opportunities relative to opioids and pain management specifically for pharmacists needs to be increased, and consideration needs to be given for making appropriate pain management education mandatory.

Revisiting the Fetal Assault Law in Tennessee: Implications and the Way Forward

2021 ◽  
pp. 152715442198999
Author(s):  
Caroline K. Darlington ◽  
Peggy A. Compton ◽  
Sadie P. Hutson
Keyword(s):  
United States ◽  
Health Care ◽  
Drug Use ◽  
Health Care Providers ◽  
Well Being ◽  
The United States ◽  
Care Providers ◽  
Opioid Use ◽  
The Impact ◽  
In Pregnancy

The rising prevalence of opioid use disorder (OUD) among those living in the United States has demanded a collaborative response from health care and policy spheres. Addressing OUD among pregnant women is especially difficult, given the controversies surrounding the medical and ethical balance between meeting maternal versus fetal/newborn needs. Most medical organizations discourage the criminalization of drug use in pregnancy due to the adverse public health outcomes of such an approach. Despite this recommendation, many states continue to use punitive law to address drug use in pregnancy. In 2014, the Fetal Assault Law in Tennessee (TN) became the first law in the United States to directly allow women to be prosecuted for drug use in pregnancy. Since its expiration in 2016, this law has been re-introduced several times to the TN legislature in support of permanent implementation. This article outlines the impact of the initial Fetal Assault Law on maternal/newborn health in TN and provides alternative immediate, short-term, and long-term health policy strategies through which health care providers and legislators can better advocate for the well-being of both mothers with OUD and their infants.

scholarly journals Attacks on Health Care Workers in Historical Pandemics and COVID-19

2021 ◽  
Author(s):  
Brett van Stekelenburg ◽  
Harald De Cauwer ◽  
Dennis Barten ◽  
Luc Mortelmans
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Health Care Organizations ◽  
The United States ◽  
Care Providers ◽  
Viral Pathogens ◽  
American President ◽  
Care Workers ◽  
The Impact

Previous pandemics have been used/misused for (geo)political reasons, in wars/genocides and for terrorism. COVID-19 has been no exception with the former American president challenging the relations with China calling it the ‘Chinese virus’, and Russia and China setting up cyberterrorist actions against health care organizations in the United States and Europe. Aside from state-driven factors, both left and right-wing activists and anti-vaxxers adhering conspiracy theories are a threat for health care organizations and patients. Socioeconomic and religious/cultural factors also play a role in why health caregivers are a possible target. Fear of viral pathogens, fear of losing jobs by lockdown measures, anger because of quarantine and proper burials of the beloved being denied, are amongst the reasons people revolt against health care providers. We provide a review of the impact of violence against health care workers during the COVID-19 pandemic and earlier pandemics and suggest preventative strategies.

scholarly journals The COVID-19 Pandemic Impact on Cardio-Oncology: Results From the COVID-19 International Collaborative Network Survey.

2020 ◽  
Author(s):  
Diego Sadler ◽  
Jeanne M. DeCara ◽  
Joerg Herrmann ◽  
Anita Arnold ◽  
Arjun K. Ghosh ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Delivery ◽  
The United States ◽  
Medical Professional ◽  
Collaborative Network ◽  
Care Providers ◽  
Future Health ◽  
Professional Societies ◽  
The Impact

Abstract BackgroundRe-allocation of resources during the COVID-19 pandemic has resulted in delays in care delivery to patients with cardiovascular disease and cancer. The ability of health care providers to provide optimal care in this setting has not been formally evaluated.ObjectivesTo assess the impact of COVID-19 resource re-allocation on scheduling, testing, elective procedures, telemedicine access, use of new COVID-19 therapies, and providers’ opinions on healthcare policies among oncology and cardiology practitioners.MethodsAn electronic survey was conducted by a cardio-oncology collaborative network through regional and state chapters of the American College of Cardiology , American Society of Clinical Oncology, and the International Cardio-Oncology Society. Descriptive statistics were reported by frequency and proportion for analyses, and stratified categorically by geographic region and specialty.Results1,415 providers (43 countries) participated: 986 cardiologists, 306 oncologists, and 118 trainees/internal medicine. 63% (195/306) of oncologists vs 92% (896/976) of cardiologists reported cancellations of treatments/elective procedures (p=0.01). 46% (442/970) of cardiologists and 25% (76/303) of oncologists modified the scope of their practice (p=<0.001). Academic physicians (74.5%) felt better supplied with personal protective equipment (PPE) vs non-academic (74.5% vs 67.2%; p=0.018). Telemedicine was less common in Europe 81% (74/91), and Latin America 64% (101/158), than the United States, 88% (950/1,097) (p=<0.001). 95% of all groups supported more active leadership from medical professional societies.ConclusionsThese results support initiatives to promote expanded coverage for telemedicine, increased access to PPE, better testing availability and involvement of medical professional societies to help with preparedness for future health care crisis.Appendix: Link to the Survey: https://www.surveymonkey.com/r/C8ZDYNW

scholarly journals Communicating With Patients and Families During COVID-19

2021 ◽  
pp. 1-9
Author(s):  
Amy Hasselkus ◽  
Andrea “Deedee” Moxley
Keyword(s):  
Health Care ◽  
Communication Skills ◽  
Health Care Providers ◽  
Scientific Literacy ◽  
Communication Disorders ◽  
The United States ◽  
Care Providers ◽  
Turbulent Times ◽  
Clear Communication ◽  
The Impact

Purpose The COVID-19 pandemic has emphasized the need for clear communication between health care providers and patients and families in many ways. Issues such as mask use and social distancing impact everyone's communication and may have a particularly devastating effect on those with communication disorders. In addition, communicating about the virus and necessary precautions has challenged health care providers and patients alike. The pandemic has spotlighted the need for not only health literacy but also digital and scientific literacy, and has amplified the impact of health disparities on health care interactions and outcomes. This clinical focus article reviews these issues, describes what is known about the skills of adults in the United States, and provides resources for communities, organizations, providers, and patients. Conclusion Speech-language pathologists and audiologists working with older adults need to consider how the issues described affect patients and families, and work on their own communication skills to help bridge gaps that may have widened during these turbulent times.

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