Hemodialysis vascular access-related hospitalizations account for more than 20% of United States end-stage renal disease (ESRD) hospitalizations, with an annual cost approximating $675 million. Limiting access-related costs while delivering similar degrees of quality care thus would enhance alternative utilization of ESRD funding. We implemented a vascular access care pathway emphasizing coordi...

Although most states have expanded the role of managed care in their Medicaid programs over the past decade, insufficient research examines the impact of the transition from Medicaid fee-for-service insurance to Medicaid managed care. In particular, access to primary care for children in Medicaid managed care is understudied. Recent Medicaid reform in California moved the majority of Medi-Cal b...

This study analyzed a specific indicator condition, congestive heart failure (CHF), to see if there is evidence that physician payment reform (PPR) has had an effect on access to care for Medicare beneficiaries. If there was a decrease in access to ambulatory care services associated with PPR, one would expect to see an increase in hospitalizations for CHF in the period after PPR was implemente...

Because the real-world impact of new vaccines cannot be known before they are implemented in national programs, post-implementation studies at the population level are critical. Studies based on analysis of hospitalization rates of vaccine-preventable outcomes are typically used for this purpose. However, estimates of vaccine impact based on hospitalization data are particularly prone to confou...

results predictable increase of alcohol consumption after the anti-alcohol campaign facilitated the economical reforms of the early 1990s: workers and some intelligentsia did not oppose privatizations of state-owned enterprises partly due to their drunkenness, involvement in workplace theft and use of equipment for profit, which was often tolerated by the management at that and earlier time. co...

background: the hospitalization of a child is a stressful experience for parents, especially mothers. not having access to theteacher and not being able to continue school studies within the hospital by hospitalized children is a common reason for anxiety in them and their parents. the current study aimed to determine the effect of teacher’s presence at children’s bedside on the anxiety of moth...