Mary E Charlton
Datos Biográficos
| ID | 7072947 |
|---|---|
| NOMBRE | Mary E Charlton |
| NOMBRES | Mary E |
| APELLIDO | Charlton |
| FIRMA | CHARLTON M E |
| AFILIACIONES | University of Iowa |
| ORCID | 0000-0003-2409-1018 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 17 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 17 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2006 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 0 |
Geographic distance to Commission on Cancer‐accredited and nonaccredited hospitals in the United States
PURPOSE: The Commission on Cancer (CoC) establishes standards to support multidisciplinary, comprehensive cancer care. CoC-accredited cancer programs diagnose and/or treat 73% of patients in the United States. However, rural patients may experience diminished access to CoC-accredited cancer programs. Our study evaluated distance to hospitals by CoC accreditation status, rurality, and Census Division. METHODS: All US hospitals were identified from…
Rural comprehensive cancer care
PURPOSE: While limited resources can make high-quality, comprehensive, coordinated cancer care provision challenging in rural settings, rural cancer patients often rely on local hospitals for care. To develop resources and strategies to support high-quality local cancer care, it is critical to understand the current experiences of rural cancer care physicians, including perceived strengths and challenges of providing cancer care in rural areas. M…
The Use of Medical Claims Data for Identifying Missed Opportunities for HPV Immunization Among Privately Insured Adolescents in the State of Iowa
Rural and urban differences in perceptions, behaviors, and health care disruptions during the Covid‐19 pandemic
PURPOSE: The objective of this study was to assess perceptions, health behaviors, and disruptions related to the COVID-19 pandemic in a largely rural, Midwestern state, and to examine differences between rural and urban respondents. METHODS: A questionnaire was mailed August 2020 to a sample of 10,009 registered voters in Iowa ages 18-100 years, with oversampling from 6 select rural counties. Previously validated and tested items assessed COVID-1…
Geographic differences in community oncology provider and practice location characteristics in the central United States
PURPOSE: How care delivery influences urban-rural disparities in cancer outcomes is unclear. We sought to understand community oncologists' practice settings to inform cancer care delivery interventions. METHODS: We conducted secondary analysis of a national dataset of providers billing Medicare from June 1, 2019 to May 31, 2020 in 13 states in the central United States. We used Kruskal-Wallis rank and Fisher's exact tests to compare physician ch…
Improving cancer care locally
PURPOSE: The University of Kentucky Markey Cancer Center Affiliate Network (MCCAN) increased access to high-quality cancer care for patients treated in community hospitals across the state by leveraging the American College of Surgeons Commission on Cancer (CoC) standards to improve quality among its member sites. This study describes the network activities and services identified as most helpful or effective to its members, as well as the percei…
Differences in Travel Time to Cancer Surgery for Colon versus Rectal Cancer in a Rural State
PURPOSE: Rectal cancer is rarer than colon cancer and is a technically more difficult tumor for surgeons to remove, thus rectal cancer patients may travel longer for specialized treatment compared to colon cancer patients. The purpose of this study was to evaluate whether travel time for surgery was different for colon versus rectal cancer patients. METHODS: A secondary data analysis of colorectal cancer (CRC) incidence data from the Iowa Cancer …
Lung Cancer Staging at Diagnosis in the Veterans Health Administration
PURPOSE: To evaluate the association between rurality and lung cancer stage at diagnosis. METHODS: We conducted a cross-sectional study using Veterans Health Administration (VHA) data to identify veterans newly diagnosed with lung cancer between October 1, 2011 and September 30, 2015. We defined rurality, based on place of residence, using Rural-Urban Commuting Area (RUCA) codes with the subcategories of urban, large rural, small rural, and isola…
Differences Among States in Rural Veterans’ Use of VHA and Non‐VHA Hospitals
PURPOSE: To understand how vouchers for non-VHA care of VHA-enrolled veterans might affect rural enrollees, we determined how much enrollees use VHA and non-VHA inpatient care, and whether this use varies substantially between rural and urban residents depending on state of residence. METHODS: For veterans listed in the 2007 VHA enrollment file as living in Arizona, Iowa, Louisiana, Tennessee, Florida, South Carolina, Pennsylvania, or New York, w…
Is Travel Time to Colonoscopy Associated With Late‐Stage Colorectal Cancer Among Medicare Beneficiaries in Iowa
BACKGROUND: Colorectal cancer (CRC) screening has been shown to decrease the incidence of late-stage colorectal cancer, yet a substantial proportion of Americans do not receive screening. Those in rural areas may face barriers to colonoscopy services based on travel time, and previous studies have demonstrated lower screening among rural residents. Our purpose was to assess factors associated with late-stage CRC, and specifically to determine if …
Insured Veterans’ Use of VA and Non‐VA Health Care in a Rural State
PURPOSE: To understand how working-age VA-enrolled veterans with commercial insurance use both VA and non-VA outpatient care, and how rural residence affects dual use, for common diagnoses and procedures. METHODS: We analyzed VA and non-VA outpatient treatment records for any months during 2005-2010 that New Hampshire veterans ages <65 were simultaneously enrolled in VA health care and commercial insurance (per NH's mandatory claims database). Co…
Veteran Use of Health Care Systems in Rural States
OBJECTIVE: To quantify use of VA and non-VA care among working-age veterans with private insurance by linking VA data to private health insurance plan (PHIP) data. METHODS: Demographics and utilization were compared between dual users of VA and non-VA systems versus single-system users for veterans < 65 living in 2 rural Midwestern states concurrently enrolled in VA health care and a PHIP for ≥ 1 complete federal fiscal year from 2000 to 2010. Ch…
Agreement Between Hedis Performance Assessments in the VA and Medicare Advantage
Medicare Advantage (MA) plans and the Veterans Affairs (VA) health care system assess quality of care using standardized Healthcare Effectiveness Data and Information Set (HEDIS) performance measures. Little is known, however, about the relative accuracy of quality indicators for persons receiving care in more than one health care system. Among Veterans dually enrolled in an MA plan, we examined the agreement between MA and VA HEDIS assessments. …
Unclaimed Health Care Benefits
PURPOSE: Rural areas contribute a disproportionate number of US military recruits compared to urban areas. However, few studies have examined why many rural veterans do not enroll in the Veterans Health Administration (VHA) for health care. Our objective was to elicit reasons rural veterans chose not to use VHA. METHODS: This mixed-methods study included quantitative survey and qualitative interview data. Surveys were mailed to 4,176 households w…
Evaluation of a Home‐Based Colorectal Cancer Screening Intervention in a Rural State
PURPOSE: Distance from health care facilities can be a barrier to colorectal cancer (CRC) screening, especially for colonoscopy. Alternatively, an improved at-home stool-based screening tool, the fecal immunochemical test (FIT), requires only a single sample and has a better sensitivity-specificity balance compared to traditional guaiac fecal occult blood tests. Our objective was to determine if FITs mailed to asymptomatic, average-risk patients …
Regional Differences in Prescribing Quality Among Elder Veterans and the Impact of Rural Residence
Purpose: Medication safety is a critical concern for older adults. Regional variation in potentially inappropriate prescribing practices may reflect important differences in health care quality. Therefore, the objectives of this study were to characterize prescribing quality variation among older adults across geographic region, and to compare prescribing quality across rural versus urban residence. Methods: Cross‐sectional study of 1,549,824 old…
The Wellmark and University of Iowa Partnership
Wellmark Blue Cross-Blue Shield and the University of Iowa College of Public Health share a strong commitment to improving the health of communities they serve in Iowa and South Dakota. Beginning in 2002, these organizations forged an innovative partnership through which they annually select several collaborative projects that are congruent with their respective missions and address clearly defined needs. The outcomes of their joint efforts towar…
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The Wellmark and University of Iowa Partnership
Wellmark Blue Cross-Blue Shield and the University of Iowa College of Public Health share a strong commitment to improving the health of communities they serve in Iowa and South Dakota. Beginning in 2002, these organizations forged an innovative partnership through which they annually select several collaborative projects that are congruent with their respective missions and address clearly defined needs. The outcomes of their joint efforts towar…
Regional Differences in Prescribing Quality Among Elder Veterans and the Impact of Rural Residence
Purpose: Medication safety is a critical concern for older adults. Regional variation in potentially inappropriate prescribing practices may reflect important differences in health care quality. Therefore, the objectives of this study were to characterize prescribing quality variation among older adults across geographic region, and to compare prescribing quality across rural versus urban residence. Methods: Cross‐sectional study of 1,549,824 old…
Evaluation of a Home‐Based Colorectal Cancer Screening Intervention in a Rural State
PURPOSE: Distance from health care facilities can be a barrier to colorectal cancer (CRC) screening, especially for colonoscopy. Alternatively, an improved at-home stool-based screening tool, the fecal immunochemical test (FIT), requires only a single sample and has a better sensitivity-specificity balance compared to traditional guaiac fecal occult blood tests. Our objective was to determine if FITs mailed to asymptomatic, average-risk patients …
Unclaimed Health Care Benefits
PURPOSE: Rural areas contribute a disproportionate number of US military recruits compared to urban areas. However, few studies have examined why many rural veterans do not enroll in the Veterans Health Administration (VHA) for health care. Our objective was to elicit reasons rural veterans chose not to use VHA. METHODS: This mixed-methods study included quantitative survey and qualitative interview data. Surveys were mailed to 4,176 households w…
Is Travel Time to Colonoscopy Associated With Late‐Stage Colorectal Cancer Among Medicare Beneficiaries in Iowa
BACKGROUND: Colorectal cancer (CRC) screening has been shown to decrease the incidence of late-stage colorectal cancer, yet a substantial proportion of Americans do not receive screening. Those in rural areas may face barriers to colonoscopy services based on travel time, and previous studies have demonstrated lower screening among rural residents. Our purpose was to assess factors associated with late-stage CRC, and specifically to determine if …
Insured Veterans’ Use of VA and Non‐VA Health Care in a Rural State
PURPOSE: To understand how working-age VA-enrolled veterans with commercial insurance use both VA and non-VA outpatient care, and how rural residence affects dual use, for common diagnoses and procedures. METHODS: We analyzed VA and non-VA outpatient treatment records for any months during 2005-2010 that New Hampshire veterans ages <65 were simultaneously enrolled in VA health care and commercial insurance (per NH's mandatory claims database). Co…
Veteran Use of Health Care Systems in Rural States
OBJECTIVE: To quantify use of VA and non-VA care among working-age veterans with private insurance by linking VA data to private health insurance plan (PHIP) data. METHODS: Demographics and utilization were compared between dual users of VA and non-VA systems versus single-system users for veterans < 65 living in 2 rural Midwestern states concurrently enrolled in VA health care and a PHIP for ≥ 1 complete federal fiscal year from 2000 to 2010. Ch…
Agreement Between Hedis Performance Assessments in the VA and Medicare Advantage
Medicare Advantage (MA) plans and the Veterans Affairs (VA) health care system assess quality of care using standardized Healthcare Effectiveness Data and Information Set (HEDIS) performance measures. Little is known, however, about the relative accuracy of quality indicators for persons receiving care in more than one health care system. Among Veterans dually enrolled in an MA plan, we examined the agreement between MA and VA HEDIS assessments. …
Differences Among States in Rural Veterans’ Use of VHA and Non‐VHA Hospitals
PURPOSE: To understand how vouchers for non-VHA care of VHA-enrolled veterans might affect rural enrollees, we determined how much enrollees use VHA and non-VHA inpatient care, and whether this use varies substantially between rural and urban residents depending on state of residence. METHODS: For veterans listed in the 2007 VHA enrollment file as living in Arizona, Iowa, Louisiana, Tennessee, Florida, South Carolina, Pennsylvania, or New York, w…
Differences in Travel Time to Cancer Surgery for Colon versus Rectal Cancer in a Rural State
PURPOSE: Rectal cancer is rarer than colon cancer and is a technically more difficult tumor for surgeons to remove, thus rectal cancer patients may travel longer for specialized treatment compared to colon cancer patients. The purpose of this study was to evaluate whether travel time for surgery was different for colon versus rectal cancer patients. METHODS: A secondary data analysis of colorectal cancer (CRC) incidence data from the Iowa Cancer …
Lung Cancer Staging at Diagnosis in the Veterans Health Administration
PURPOSE: To evaluate the association between rurality and lung cancer stage at diagnosis. METHODS: We conducted a cross-sectional study using Veterans Health Administration (VHA) data to identify veterans newly diagnosed with lung cancer between October 1, 2011 and September 30, 2015. We defined rurality, based on place of residence, using Rural-Urban Commuting Area (RUCA) codes with the subcategories of urban, large rural, small rural, and isola…
The Use of Medical Claims Data for Identifying Missed Opportunities for HPV Immunization Among Privately Insured Adolescents in the State of Iowa
Rural and urban differences in perceptions, behaviors, and health care disruptions during the Covid‐19 pandemic
PURPOSE: The objective of this study was to assess perceptions, health behaviors, and disruptions related to the COVID-19 pandemic in a largely rural, Midwestern state, and to examine differences between rural and urban respondents. METHODS: A questionnaire was mailed August 2020 to a sample of 10,009 registered voters in Iowa ages 18-100 years, with oversampling from 6 select rural counties. Previously validated and tested items assessed COVID-1…
Geographic differences in community oncology provider and practice location characteristics in the central United States
PURPOSE: How care delivery influences urban-rural disparities in cancer outcomes is unclear. We sought to understand community oncologists' practice settings to inform cancer care delivery interventions. METHODS: We conducted secondary analysis of a national dataset of providers billing Medicare from June 1, 2019 to May 31, 2020 in 13 states in the central United States. We used Kruskal-Wallis rank and Fisher's exact tests to compare physician ch…
Improving cancer care locally
PURPOSE: The University of Kentucky Markey Cancer Center Affiliate Network (MCCAN) increased access to high-quality cancer care for patients treated in community hospitals across the state by leveraging the American College of Surgeons Commission on Cancer (CoC) standards to improve quality among its member sites. This study describes the network activities and services identified as most helpful or effective to its members, as well as the percei…
Rural comprehensive cancer care
PURPOSE: While limited resources can make high-quality, comprehensive, coordinated cancer care provision challenging in rural settings, rural cancer patients often rely on local hospitals for care. To develop resources and strategies to support high-quality local cancer care, it is critical to understand the current experiences of rural cancer care physicians, including perceived strengths and challenges of providing cancer care in rural areas. M…
Geographic distance to Commission on Cancer‐accredited and nonaccredited hospitals in the United States
PURPOSE: The Commission on Cancer (CoC) establishes standards to support multidisciplinary, comprehensive cancer care. CoC-accredited cancer programs diagnose and/or treat 73% of patients in the United States. However, rural patients may experience diminished access to CoC-accredited cancer programs. Our study evaluated distance to hospitals by CoC accreditation status, rurality, and Census Division. METHODS: All US hospitals were identified from…
Medicine (16 obras) · Family medicine (10 obras) · Gerontology (10 obras) · Rural area (10 obras) · Demography (9 obras) · Global Cancer Incidence and Screening (9 obras) · Health care (7 obras) · Nursing (7 obras) · Primary Care and Health Outcomes (7 obras) · Environmental health (6 obras)