Andrew F Coburn
Datos Biográficos
| ID | 1729328 |
|---|---|
| NOMBRE | Andrew F Coburn |
| NOMBRES | Andrew F |
| APELLIDO | Coburn |
| FIRMA | COBURN A F |
| AFILIACIONES | University of Southern Maine |
| VERIFICADO | No |
| TOTAL DE OBRAS | 20 |
| TOTAL DE CITAS | 20 |
| TOTAL COMO AUTOR | 20 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1986 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2021 |
| ÍNDICE H | 2 |
Telehealth Use in a Rural State
PURPOSE: This study assesses trends in telehealth use in Maine-a rural state with comprehensive telehealth policies-across payers, services, and rurality, and identifies barriers and facilitators to the adoption and use of telehealth services. METHODS: Using a mixed-methods approach, researchers analyzed data from Maine's All Payer Claims Database (2008-2016) and key informant interviews with health care organization leaders to examine telehealth…
Telebehavioral health (TBH) use among rural medicaid beneficiaries
Patterns of Telehealth Use Among Rural Medicaid Beneficiaries
PURPOSE: Few studies have examined telehealth use among rural Medicaid beneficiaries. This study produced a descriptive overview of telehealth use in 2011, including the prevalence of telehealth use among rural and urban Medicaid beneficiaries, characteristics of telehealth users, types of telehealth services provided, and diagnoses associated with telehealth use. METHODS: Using data from the 2011 Medicaid Analytic eXtract (MAX), we conducted biv…
Rural Considerations in Establishing Network Adequacy Standards for Qualified Health Plans in State and Regional Health Insurance Exchanges
PURPOSE: The Affordable Care Act (ACA) requires Health Insurance Exchanges (HIEs) to specify network adequacy standards for the Qualified Health Plans (QHPs) they offer to consumers. This article examines rural issues surrounding network adequacy standards, and offers recommendations for crafting standards that optimize rural access. METHOD: This policy analysis reviews ACA requirements for QHP network adequacy standards, considering Medicaid man…
Access to Rural Mental Health Services
PURPOSE: To examine rural-urban differences in the use of mental health services (mental health and substance abuse office visits, and mental health prescriptions) and in the out-of-pocket costs paid for these services. METHODS: The pooled 2003 and 2004 Medical Expenditure Panel Surveys were used to assess differences in mental health service use by rural and urban residence and average per person mental health expenditures by payer and by servic…
Implementing Patient Safety Initiatives in Rural Hospitals
Implementation of patient safety initiatives can be costly in time and energy. Because of small volumes and limited resources, rural hospitals often are not included in nationally driven patient safety initiatives. This article describes the Tennessee Rural Hospital Patient Safety Demonstration project, whose goal was to strengthen capacity for patient safety initiatives in 8 small Tennessee rural hospitals using a multi‐organizational collaborat…
Uninsured Rural Families
Context: Although research shows higher uninsured rates among rural versus urban individuals, prior studies are limited because they do not examine coverage across entire rural families. Purpose: This study uses the Medical Expenditure Panel Survey (MEPS) to compare rural and urban insurance coverage within families, to inform the design of coverage expansions that build on the current rural health insurance system. Methods: We pooled the 2001 an…
Understanding the Impacts of the Medicare Modernization Act
Sweeping changes to the Medicare program embodied in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), including a new prescription drug benefit, changes in payment policies, and reform of the Medicare managed-care program, have major implications for rural health care. The most efficient mechanism for research to affect policy is to provide policy makers with information on issues about which they have voiced conc…
Assuring Rural Hospital Patient Safety
Context: Since reports on patient safety were issued by the Institute of Medicine, a number of interventions have been recommended and standards designed to improve hospital patient safety, including the Leapfrog, evidence‐based safety standards. These standards are based on research conducted largely in urban hospitals, and it may not be possible to generalize them to rural hospitals. Purpose: The absence of rural‐relevant patient safety standar…
Comparative Performance Data for Critical Access Hospitals
Context: Among small rural hospitals, there is a growing recognition of the need to measure and report on the use of resources and the safety and quality of the services provided. Dashboards, clinical value compasses, and balanced scorecards are approaches to performance measurement that have been adopted by many health care organizations. However, there exists very little comparative performance data specific for critical access hospitals. Purpo…
Variations in Nursing Home Discharge Rates for Urban and Rural Nursing Facility Residents With Hip Fracture
Context: The more limited availability and use of community‐based long‐term care services in rural areas may be a factor in higher rates of nursing home use among rural residents. Purpose: This study examined differences in the rates of nursing home discharge for older adults receiving posthospital care in a nursing facility. Methods: The study sample was comprised of a cohort of rural and urban residents newly admitted to nursing home care in Ma…
Earthquake Protection
Rural Long‐term Care
This article examines what is known and what we need to know about rural long‐term care populations and the formal and informal service systems that support their long‐term care needs. The article provides a framework for identifying some of the critical policy and research questions concerning the financing and delivery of rural long‐term care that merit the attention of health services researchers and policymakers. It documents differences in t…
Legislative and Policy Strategies for Supporting Rural Health Network Development
There was considerable support in most major health reform bills considered by the 103rd Congress for the development of rural integrated service networks. The demise of comprehensive health reform, together with the pace of current market‐driven changes in the health care system, suggests the need to assess the impact of specific policy strategies considered in the last Congress on rural integrated service network development. Toward this end, t…
An Expert Panel Approach to Assessing the Rural Implications of Health Care Reform
The policy arena is hungry for objective information regarding the potential effects of comprehensive national and state health care reform. Such information reduces the dependence of policy-makers on information generated solely by advocacy groups and serves as a checkpoint for such information. Unfortunately, the academic community is often unable to mobilize its resources quickly enough to help meet this information need. This article describe…
The effects of variations in AFDC and medicaid eligibility on prenatal care use
The Impact of Medicaid Reimbursement Policy On Subacute Care in Hospitals
Concerns about the increasing cost of hospital care have directed policy attention to inappropriate hospital use and, in particular, to hospital patients awaiting long-term care (LTC) placement. In 1982, pursuant to changes in federal Medicare and Medicaid law, Maine implemented changes in Medicaid reimbursement policy for subacute patients designed to reduce hospital backups and corresponding Medicaid expenditures for unnecessary hospital care. …
The Impact of Prospective Reimbursement on Nursing Home Efficiency
Data Envelopment Analysis (DEA) was used to estimate the relative efficiencies of nursing homes in Maine for 2 years before the introduction of a prospective payment system and for 2 years afterward. A multiple regression was performed in which the DEA-estimated efficiency was the dependent variable and a number of facility characteristics and study year were the independent variables. Study findings indicate that nursing home efficiency scores f…
Predictors of prenatal care utilization
The health of the chronically mentally ill
The health of the chronically mentally ill
Predictors of prenatal care utilization
The Impact of Medicaid Reimbursement Policy On Subacute Care in Hospitals
Concerns about the increasing cost of hospital care have directed policy attention to inappropriate hospital use and, in particular, to hospital patients awaiting long-term care (LTC) placement. In 1982, pursuant to changes in federal Medicare and Medicaid law, Maine implemented changes in Medicaid reimbursement policy for subacute patients designed to reduce hospital backups and corresponding Medicaid expenditures for unnecessary hospital care. …
The Impact of Prospective Reimbursement on Nursing Home Efficiency
Data Envelopment Analysis (DEA) was used to estimate the relative efficiencies of nursing homes in Maine for 2 years before the introduction of a prospective payment system and for 2 years afterward. A multiple regression was performed in which the DEA-estimated efficiency was the dependent variable and a number of facility characteristics and study year were the independent variables. Study findings indicate that nursing home efficiency scores f…
The effects of variations in AFDC and medicaid eligibility on prenatal care use
An Expert Panel Approach to Assessing the Rural Implications of Health Care Reform
The policy arena is hungry for objective information regarding the potential effects of comprehensive national and state health care reform. Such information reduces the dependence of policy-makers on information generated solely by advocacy groups and serves as a checkpoint for such information. Unfortunately, the academic community is often unable to mobilize its resources quickly enough to help meet this information need. This article describe…
Legislative and Policy Strategies for Supporting Rural Health Network Development
There was considerable support in most major health reform bills considered by the 103rd Congress for the development of rural integrated service networks. The demise of comprehensive health reform, together with the pace of current market‐driven changes in the health care system, suggests the need to assess the impact of specific policy strategies considered in the last Congress on rural integrated service network development. Toward this end, t…
Earthquake Protection
Rural Long‐term Care
This article examines what is known and what we need to know about rural long‐term care populations and the formal and informal service systems that support their long‐term care needs. The article provides a framework for identifying some of the critical policy and research questions concerning the financing and delivery of rural long‐term care that merit the attention of health services researchers and policymakers. It documents differences in t…
Variations in Nursing Home Discharge Rates for Urban and Rural Nursing Facility Residents With Hip Fracture
Context: The more limited availability and use of community‐based long‐term care services in rural areas may be a factor in higher rates of nursing home use among rural residents. Purpose: This study examined differences in the rates of nursing home discharge for older adults receiving posthospital care in a nursing facility. Methods: The study sample was comprised of a cohort of rural and urban residents newly admitted to nursing home care in Ma…
Assuring Rural Hospital Patient Safety
Context: Since reports on patient safety were issued by the Institute of Medicine, a number of interventions have been recommended and standards designed to improve hospital patient safety, including the Leapfrog, evidence‐based safety standards. These standards are based on research conducted largely in urban hospitals, and it may not be possible to generalize them to rural hospitals. Purpose: The absence of rural‐relevant patient safety standar…
Comparative Performance Data for Critical Access Hospitals
Context: Among small rural hospitals, there is a growing recognition of the need to measure and report on the use of resources and the safety and quality of the services provided. Dashboards, clinical value compasses, and balanced scorecards are approaches to performance measurement that have been adopted by many health care organizations. However, there exists very little comparative performance data specific for critical access hospitals. Purpo…
Understanding the Impacts of the Medicare Modernization Act
Sweeping changes to the Medicare program embodied in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), including a new prescription drug benefit, changes in payment policies, and reform of the Medicare managed-care program, have major implications for rural health care. The most efficient mechanism for research to affect policy is to provide policy makers with information on issues about which they have voiced conc…
Uninsured Rural Families
Context: Although research shows higher uninsured rates among rural versus urban individuals, prior studies are limited because they do not examine coverage across entire rural families. Purpose: This study uses the Medical Expenditure Panel Survey (MEPS) to compare rural and urban insurance coverage within families, to inform the design of coverage expansions that build on the current rural health insurance system. Methods: We pooled the 2001 an…
Implementing Patient Safety Initiatives in Rural Hospitals
Implementation of patient safety initiatives can be costly in time and energy. Because of small volumes and limited resources, rural hospitals often are not included in nationally driven patient safety initiatives. This article describes the Tennessee Rural Hospital Patient Safety Demonstration project, whose goal was to strengthen capacity for patient safety initiatives in 8 small Tennessee rural hospitals using a multi‐organizational collaborat…
Access to Rural Mental Health Services
PURPOSE: To examine rural-urban differences in the use of mental health services (mental health and substance abuse office visits, and mental health prescriptions) and in the out-of-pocket costs paid for these services. METHODS: The pooled 2003 and 2004 Medical Expenditure Panel Surveys were used to assess differences in mental health service use by rural and urban residence and average per person mental health expenditures by payer and by servic…
Rural Considerations in Establishing Network Adequacy Standards for Qualified Health Plans in State and Regional Health Insurance Exchanges
PURPOSE: The Affordable Care Act (ACA) requires Health Insurance Exchanges (HIEs) to specify network adequacy standards for the Qualified Health Plans (QHPs) they offer to consumers. This article examines rural issues surrounding network adequacy standards, and offers recommendations for crafting standards that optimize rural access. METHOD: This policy analysis reviews ACA requirements for QHP network adequacy standards, considering Medicaid man…
Patterns of Telehealth Use Among Rural Medicaid Beneficiaries
PURPOSE: Few studies have examined telehealth use among rural Medicaid beneficiaries. This study produced a descriptive overview of telehealth use in 2011, including the prevalence of telehealth use among rural and urban Medicaid beneficiaries, characteristics of telehealth users, types of telehealth services provided, and diagnoses associated with telehealth use. METHODS: Using data from the 2011 Medicaid Analytic eXtract (MAX), we conducted biv…
Telebehavioral health (TBH) use among rural medicaid beneficiaries
Telehealth Use in a Rural State
PURPOSE: This study assesses trends in telehealth use in Maine-a rural state with comprehensive telehealth policies-across payers, services, and rurality, and identifies barriers and facilitators to the adoption and use of telehealth services. METHODS: Using a mixed-methods approach, researchers analyzed data from Maine's All Payer Claims Database (2008-2016) and key informant interviews with health care organization leaders to examine telehealth…
Health care (18 obras) · Medicine (18 obras) · Business (14 obras) · Economic growth (10 obras) · Economics (10 obras) · Medicaid (9 obras) · Nursing (9 obras) · Rural area (9 obras) · Healthcare Policy and Management (8 obras) · Political science (7 obras)