2019
Financial barriers in accessing medical care for peripheral artery disease are associated with delay of presentation and adverse health status outcomes in the United States
Jelani QU, Jhamnani S, Spatz ES, Spertus J, Smolderen KG, Wang J, Desai NR, Jones P, Gosch K, Shah S, Attaran R, Mena-Hurtado C. Financial barriers in accessing medical care for peripheral artery disease are associated with delay of presentation and adverse health status outcomes in the United States. Vascular Medicine 2019, 25: 13-24. PMID: 31603393, DOI: 10.1177/1358863x19872542.Peer-Reviewed Original ResearchMeSH KeywordsAgedFemaleHealth Care CostsHealth Services AccessibilityHealth Status DisparitiesHealthcare DisparitiesHumansInsurance, HealthMaleMedically UninsuredMiddle AgedPatient Reported Outcome MeasuresPeripheral Arterial DiseaseProspective StudiesQuality of LifeRisk FactorsTime FactorsTime-to-TreatmentUnited StatesConceptsPeripheral artery diseasePeripheral Artery QuestionnaireHealth status outcomesHealth statusArtery diseaseStatus outcomesFinancial barriersGeneral health-related qualityDisease-specific health statusPatient-reported health statusDelay of presentationPatient-reported difficultyVascular specialty clinicsPeripheral arterial diseaseEuroQol-5 DimensionsHealth-related qualityPoor health statusUnited States patientsMulticenter registryMultivariable adjustmentPAD symptomsArterial diseaseTreatment patternsUS patientsLate presentationPersistent geographic variations in availability and quality of nursing home care in the United States: 1996 to 2016
Wang Y, Zhang Q, Spatz ES, Gao Y, Eckenrode S, Johnson F, Ho SY, Hu S, Xing C, Krumholz HM. Persistent geographic variations in availability and quality of nursing home care in the United States: 1996 to 2016. BMC Geriatrics 2019, 19: 103. PMID: 30975076, PMCID: PMC6460800, DOI: 10.1186/s12877-019-1117-z.Peer-Reviewed Original Research
2016
Sex Differences in Financial Barriers and the Relationship to Recovery After Acute Myocardial Infarction
Beckman AL, Bucholz EM, Zhang W, Xu X, Dreyer RP, Strait KM, Spertus JA, Krumholz HM, Spatz ES. Sex Differences in Financial Barriers and the Relationship to Recovery After Acute Myocardial Infarction. Journal Of The American Heart Association 2016, 5: e003923. PMID: 27742618, PMCID: PMC5121496, DOI: 10.1161/jaha.116.003923.Peer-Reviewed Original ResearchMeSH KeywordsAdultAftercareDepressionDrug CostsFemaleHealth Services AccessibilityHumansIncomeLinear ModelsMaleMedication AdherenceMiddle AgedMultivariate AnalysisMyocardial InfarctionPatient Health QuestionnaireProspective StudiesRecovery of FunctionSex FactorsSocioeconomic FactorsSpainUnited StatesConceptsAcute myocardial infarctionMyocardial infarctionFinancial barriersHealth status 12 monthsYoung adultsPost-AMI outcomesYear post-AMIYoung AMI patientsMultivariable linear regression modelsGreater depressive symptomatologyMental functional statusSex differencesClinical characteristicsYounger patientsAMI patientsPost-AMIFunctional statusWorse outcomesBaseline healthPsychosocial statusOutcomes 1Depressive symptomatologyPatientsMore womenHealth care
2013
Characteristics of Medicaid enrollees with frequent ED use
Capp R, Rosenthal MS, Desai MM, Kelley L, Borgstrom C, Cobbs-Lomax DL, Simonette P, Spatz ES. Characteristics of Medicaid enrollees with frequent ED use. The American Journal Of Emergency Medicine 2013, 31: 1333-1337. PMID: 23850143, DOI: 10.1016/j.ajem.2013.05.050.Peer-Reviewed Original ResearchConceptsFrequent ED usersFrequent ED useED usersMedicaid enrolleesED visitsED useFrequent emergency department visitsCommon ED diagnosesEmergency department visitsChronic medical conditionsPrimary care providersAlcohol-related disordersAbdominal painClinical characteristicsDepartment visitsCommon diagnosisSingle centerRetrospective studyPrimary careInsurance typeED diagnosisMedical conditionsCare providersAlcohol abusePatients
2011
Expanding the Safety Net of Specialty Care for the Uninsured: A Case Study
Spatz ES, Phipps MS, Wang OJ, Lagarde S, Lucas GI, Curry LA, Rosenthal MS. Expanding the Safety Net of Specialty Care for the Uninsured: A Case Study. Health Services Research 2011, 47: 344-362. PMID: 22092239, PMCID: PMC3393006, DOI: 10.1111/j.1475-6773.2011.01330.x.Peer-Reviewed Original ResearchConceptsCommunity-based participatory researchSafety net providersSpecialty careSpecialty physiciansSpecialty care needsVulnerable populationsSpecialty care accessPatient navigationCare modelCare accessCare needsCare programHospitalPhysiciansCareCommunity stakeholdersCapacity-building effortsProvidersPopulationParticipatory researchProject Access-New Haven: improving access to specialty care for patients without insurance.
Spatz ES, Phipps MS, Lagarde S, Borgstrom C, Hunter AE, Wang OJ, Rosenthal MS, Lucas G. Project Access-New Haven: improving access to specialty care for patients without insurance. Connecticut Medicine 2011, 75: 349-54. PMID: 21755852.Peer-Reviewed Original ResearchMeSH KeywordsAdultConnecticutHealth Services AccessibilityHospitals, SpecialHumansMedically UninsuredPhysiciansSpecializationVolunteersConceptsSpecialty careSpecialty physiciansSpecialty care needsTimely medical careQuality health careHealth care networkPatient navigationPatient navigatorsEmergency departmentUninsured adultsLocal hospitalMedical careMore physiciansPatientsHospitalCareVulnerable populationsHealth carePhysiciansPoor accessFurther data