04 May 2010 ~ Comments Off on Lack of relationship between long-term use of benzodiazepines and escalation to high dosages

Lack of relationship between long-term use of benzodiazepines and escalation to high dosages

OBJECTIVE: The objective of this study was to determine whether long-term benzodiazepine use is associated with dose escalation. METHODS: The authors examined changes in dose and the frequency of dose escalation among new and continuing (at least two years) recipients of benzodiazepines identified from a database containing drug-dispensing and health care use data for all […]

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04 May 2010 ~ Comments Off on Use of protease inhibitors and non-nucleoside reverse transcriptase inhibitors among Medicaid beneficiaries with AIDS

Use of protease inhibitors and non-nucleoside reverse transcriptase inhibitors among Medicaid beneficiaries with AIDS

OBJECTIVES: This study compared the use of new antiretroviral treatments across sociodemographic subgroups during the 3 years after the introduction of these treatments and examined diffusion of the therapies over time. METHODS: Merged surveillance and claims data were used to examine use of protease inhibitors and non-nucleoside reverse transcriptase inhibitors (PI/NNRTIs) among New Jersey Medicaid […]

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04 May 2010 ~ Comments Off on Racial differences in end-of-life care for patients with AIDS

Racial differences in end-of-life care for patients with AIDS

This study examines the place of death for persons with AIDS, and the adequacy of the pain treatment that they received in their final months of life. Variations in the use of pain treatment during three months before death and place of death by patient’s characteristics such as gender, race/ethnicity, mode of transmission, and geographical […]

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04 May 2010 ~ Comments Off on Dually eligible individuals with AIDS: characteristics and health services use

Dually eligible individuals with AIDS: characteristics and health services use

This paper explores the prevalence and health care utilization of dually eligible Medicare and Medicaid participants among New Jersey Medicaid recipients with AIDS using linked administrative data. Merged Medicaid claims and AIDS surveillance data were used to analyze participation in the Medicare program by Medicaid recipients in New Jersey diagnosed with AIDS who received services […]

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04 May 2010 ~ Comments Off on Definition of race and ethnicity in older people in Medicare and Medicaid

Definition of race and ethnicity in older people in Medicare and Medicaid

BACKGROUND: Race and ethnicity are important predictors of health care access and outcomes, but quality of their documentation in the healthcare system is often problematic. OBJECTIVES: To study the agreement between Medicare and Medicaid descriptions of race and ethnicity in older beneficiaries. DESIGN: Quasiexperimental design in a natural practice setting. SETTING: New Jersey. PARTICIPANTS: 153,241 […]

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04 May 2010 ~ Comments Off on Tobacco industry direct mail marketing and participation by New Jersey adults

Tobacco industry direct mail marketing and participation by New Jersey adults

We examined adult participation in tobacco industry direct marketing: receipt of direct mail and use of coupons and brand reward programs. Participation was highest for direct mail; participation in all 3 forms differed by gender, age, and race/ethnicity; current smokers, Whites, and persons aged 25 to 64 years reported greater participation. Although tobacco industry direct […]

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04 May 2010 ~ Comments Off on Health Professions Scholars Program. An academic health center and public education partnership

Health Professions Scholars Program. An academic health center and public education partnership

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04 May 2010 ~ Comments Off on Reactions and needs of tristate-area pediatricians after the events of September 11th: implications for children’s mental health services.[see comment]

Reactions and needs of tristate-area pediatricians after the events of September 11th: implications for children’s mental health services.[see comment]

OBJECTIVE: The terrorist attacks of September 11, 2001, caused mass destruction in Lower Manhattan, the Pentagon, and rural Pennsylvania and resulted in the death of >3000 people. Children were prominent among those affected. Given the wide impact of the attacks, we hypothesized that primary care professionals would see the broad population of affected children but […]

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04 May 2010 ~ Comments Off on Distribution of African Americans in residential care/assisted living and nursing homes: more evidence of racial disparity?

Distribution of African Americans in residential care/assisted living and nursing homes: more evidence of racial disparity?

OBJECTIVES: In this study, we examined racial separation in long-term care. METHODS: We used a survey of a stratified sample of 181 residential care/assisted living (RC/AL) facilities and 39 nursing homes in 4 states. RESULTS: Most African Americans resided in nursing homes and smaller RC/AL facilities and tended to be concentrated in a few predominantly […]

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04 May 2010 ~ Comments Off on Characteristics of community dwelling elderly not vaccinated for pneumococcus in 1998 and 2001

Characteristics of community dwelling elderly not vaccinated for pneumococcus in 1998 and 2001

BACKGROUND: We estimate proportions and numbers of elderly (>65 years old) not vaccinated for pneumococcus in 1998 and 2001 by ethnic group, socioeconomic status, health history, and access and use of health care. METHODS: Self-reported lifetime pneumococcal vaccination and participant characteristics were obtained from 10,624 community dwelling elderly in the 1998 and 2001 National Health […]

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