Arch G Mainous
Biographic Data
| ID | 4089043 |
|---|---|
| NAME | Arch G Mainous |
| GIVEN NAMES | Arch G |
| FAMILY NAME | Mainous |
| SIGNATURE | MAINOUS A G |
| AFFILIATIONS | Medical University of South Carolina |
| ORCID | 0000-0002-2535-7685 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 63 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1988 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 4 |
Association of rurality and decreased continuity of care prior to a diagnosis of prediabetes
PURPOSE: To assess trends in continuity of care (COC) by geographic context (i.e., rural vs urban) among a cohort of persons with prediabetes prior to and after diagnosis of prediabetes. METHODS: We use cross-sectional data from Geisinger's electronic health record between 1997 and 2017. Our dependent variable is the Modified Modified Continuity Index (MMCI), a measure of dispersion among primary care providers seen. Our primary independent varia…
Impact of Provider Participation in ACO Programs on Preventive Care Services, Patient Experiences, and Health Care Expenditures in US Adults Aged 18–64
BACKGROUND: Little is known about the impact of accountable care organization (ACO) on US adults aged 18-64. OBJECTIVES: To examine whether having a usual source of care (USC) provider participating in an ACO affects receipt of preventive care services, patient experiences, and health care expenditures among nonelderly Americans. RESEARCH DESIGN: A cross-sectional analysis of the 2015 Medical Organizations Survey linked with the Medical Expenditu…
Up-to-Date on Preventive Care Services Under Affordable Care Act: A Trend Analysis From Meps 2007–2014
BACKGROUND: The utilization of preventive care services has been less than optimal. As part of an effort to address this, the Affordable Care Act (ACA) mandated that private health insurance plans cover evidence-based preventive services. OBJECTIVES: To evaluate whether the provisions of ACA have increased being up-to-date on recommended preventive care services among privately insured individuals aged 18-64. RESEARCH DESIGN: Multivariate linear …
Rural Residence and Hispanic Ethnicity: Doubly Disadvantaged for Diabetes
Context: Hispanics are at increased risk for diabetes, while rural residents have historically had decreased access to care. Purpose: To determine whether living in a rural area and being Hispanic confers special risks for diagnosis and control of diabetes. Methods: We analyzed the Third National Health and Nutrition Examination Survey (1988‐1994). Hispanics and non‐Hispanic white adults were classified according to rural/urban residence to creat…
Relationship Between Continuity of Care and Diabetes Control: Evidence From the Third National Health and Nutrition Examination Survey
Objectives. We examined the relationship between continuity of care and diabetes control. Methods. We analyzed data on 1400 adults with diabetes who took part in the Third National Health and Nutrition Examination Survey. We examined the relationship of continuity of care with glycemic, blood pressure, and lipid control. Results. Continuity of care was associated with both acceptable and optimal levels of glycemic control. Continuity was not asso…
Trends in Antimicrobial Prescribing for Bronchitis and Upper Respiratory Infections Among Adults and Children
Objectives. This study examined antimicrobial prescribing patterns for adults and children with bronchitis or upper respiratory infections (URIs) before and after release of nationally disseminated pediatric practice recommendations. Methods. Data from the 1993, 1995, 1997, and 1999 National Ambulatory Medical Care Survey were used to evaluate prescriptions for antimicrobials for URIs and bronchitis. Results. From 1993 to 1999, the proportion of …
Do Rural and Urban Children Have Comparable Asthma Care Utilization
This study compares asthma‐related health care visits and drug therapy for rural and nonrural Kentucky children with Medicaid health insurance in 1995. The 8,634 children with asthma had a mean age of 5.7 years. Ninety‐two percent made at least one asthma office visit, and 13 percent were hospitalized. The urban and rural patterns of care for childhood asthma varied in some potentially important ways. Urban children were twice as likely as rural …
Access to care for the uninsured: Is access to a physician enough
OBJECTIVES: This study examined a private-sector, statewide program (Kentucky Physicians Care) of care for uninsured indigent persons regarding provision of preventive services. METHODS: A survey was conducted of a stratified random sample of 2509 Kentucky adults (811 with private insurance, 849 Medicaid recipients, 849 Kentucky Physicians Care recipients). RESULTS: The Kentucky Physicians Care group had significantly lower rates of receipt of pr…
The importance of continuity of care in the likelihood of future hospitalization: Is site of care equivalent to a primary clinician
OBJECTIVES: This study examined the effect of continuity with clinicians and health care sites on likelihood of future hospitalization. METHODS: Delaware Medicaid patient data were analyzed. Logistic regression models supplied adjusted effects of continuity on hospitalization. RESULTS: Patients in the high clinician continuity group had lower odds of hospitalization than patients in the high site/low clinician continuity group (odds ratio [OR] = …
Is Health Status Related to Residence in Medically Underserved Areas? Evidence and Implications for Policy
This study sought to compare the health status of adult residents of medically underserved areas (MUAs) with adult residents of nonshortage areas (non‐MUAs). A random digit dialing telephone survey was used. Respondents were subsequently classified by their county of residence as residing in an MUA or non‐MUA. A sample of 421 adults (aged 18 years or older) residing in Kentucky during 1993 were included in the analysis. Health status was measured…
Self-Concept as an Indicator of Acculturation in Mexican Americans
A self-concept element was employed as the basis for a nine-item index of acculturation. The self-concept component, conceived of as a role-identity, employed in the present study measures a construct that has been neglected in acculturation research. The component assesses the respondent's feelings of insiderness/outsiderness. The measure was developedfrom a nationally representative sample of 991 Mexican Americans. Factor analysis of the items …
Impact of Exchange Variables on Exit, Voice, Loyalty, and Neglect: An Integrative Model of Responses to Declining Job Status Satisfaction.
This research offers a new theory predicting the effects of three exchange variables, job satisfaction, investment size, and quality of alternatives, on four general responses to dissatisfaction—exit, voice, loyalty, and neglect. Three studies designed to test model predictions' received good support. High satisfaction and investment encouraged voice and loyalty and discouraged exit and neglect. Satisfaction and investment interacted, with variat…
The importance of continuity of care in the likelihood of future hospitalization: Is site of care equivalent to a primary clinician
OBJECTIVES: This study examined the effect of continuity with clinicians and health care sites on likelihood of future hospitalization. METHODS: Delaware Medicaid patient data were analyzed. Logistic regression models supplied adjusted effects of continuity on hospitalization. RESULTS: Patients in the high clinician continuity group had lower odds of hospitalization than patients in the high site/low clinician continuity group (odds ratio [OR] = …
Relationship Between Continuity of Care and Diabetes Control: Evidence From the Third National Health and Nutrition Examination Survey
Objectives. We examined the relationship between continuity of care and diabetes control. Methods. We analyzed data on 1400 adults with diabetes who took part in the Third National Health and Nutrition Examination Survey. We examined the relationship of continuity of care with glycemic, blood pressure, and lipid control. Results. Continuity of care was associated with both acceptable and optimal levels of glycemic control. Continuity was not asso…
Self-Concept as an Indicator of Acculturation in Mexican Americans
A self-concept element was employed as the basis for a nine-item index of acculturation. The self-concept component, conceived of as a role-identity, employed in the present study measures a construct that has been neglected in acculturation research. The component assesses the respondent's feelings of insiderness/outsiderness. The measure was developedfrom a nationally representative sample of 991 Mexican Americans. Factor analysis of the items …
Access to care for the uninsured: Is access to a physician enough
OBJECTIVES: This study examined a private-sector, statewide program (Kentucky Physicians Care) of care for uninsured indigent persons regarding provision of preventive services. METHODS: A survey was conducted of a stratified random sample of 2509 Kentucky adults (811 with private insurance, 849 Medicaid recipients, 849 Kentucky Physicians Care recipients). RESULTS: The Kentucky Physicians Care group had significantly lower rates of receipt of pr…
Trends in Antimicrobial Prescribing for Bronchitis and Upper Respiratory Infections Among Adults and Children
Objectives. This study examined antimicrobial prescribing patterns for adults and children with bronchitis or upper respiratory infections (URIs) before and after release of nationally disseminated pediatric practice recommendations. Methods. Data from the 1993, 1995, 1997, and 1999 National Ambulatory Medical Care Survey were used to evaluate prescriptions for antimicrobials for URIs and bronchitis. Results. From 1993 to 1999, the proportion of …
Impact of Exchange Variables on Exit, Voice, Loyalty, and Neglect: An Integrative Model of Responses to Declining Job Status Satisfaction.
This research offers a new theory predicting the effects of three exchange variables, job satisfaction, investment size, and quality of alternatives, on four general responses to dissatisfaction—exit, voice, loyalty, and neglect. Three studies designed to test model predictions' received good support. High satisfaction and investment encouraged voice and loyalty and discouraged exit and neglect. Satisfaction and investment interacted, with variat…
Self-Concept as an Indicator of Acculturation in Mexican Americans
A self-concept element was employed as the basis for a nine-item index of acculturation. The self-concept component, conceived of as a role-identity, employed in the present study measures a construct that has been neglected in acculturation research. The component assesses the respondent's feelings of insiderness/outsiderness. The measure was developedfrom a nationally representative sample of 991 Mexican Americans. Factor analysis of the items …
Is Health Status Related to Residence in Medically Underserved Areas? Evidence and Implications for Policy
This study sought to compare the health status of adult residents of medically underserved areas (MUAs) with adult residents of nonshortage areas (non‐MUAs). A random digit dialing telephone survey was used. Respondents were subsequently classified by their county of residence as residing in an MUA or non‐MUA. A sample of 421 adults (aged 18 years or older) residing in Kentucky during 1993 were included in the analysis. Health status was measured…
The importance of continuity of care in the likelihood of future hospitalization: Is site of care equivalent to a primary clinician
OBJECTIVES: This study examined the effect of continuity with clinicians and health care sites on likelihood of future hospitalization. METHODS: Delaware Medicaid patient data were analyzed. Logistic regression models supplied adjusted effects of continuity on hospitalization. RESULTS: Patients in the high clinician continuity group had lower odds of hospitalization than patients in the high site/low clinician continuity group (odds ratio [OR] = …
Access to care for the uninsured: Is access to a physician enough
OBJECTIVES: This study examined a private-sector, statewide program (Kentucky Physicians Care) of care for uninsured indigent persons regarding provision of preventive services. METHODS: A survey was conducted of a stratified random sample of 2509 Kentucky adults (811 with private insurance, 849 Medicaid recipients, 849 Kentucky Physicians Care recipients). RESULTS: The Kentucky Physicians Care group had significantly lower rates of receipt of pr…
Do Rural and Urban Children Have Comparable Asthma Care Utilization
This study compares asthma‐related health care visits and drug therapy for rural and nonrural Kentucky children with Medicaid health insurance in 1995. The 8,634 children with asthma had a mean age of 5.7 years. Ninety‐two percent made at least one asthma office visit, and 13 percent were hospitalized. The urban and rural patterns of care for childhood asthma varied in some potentially important ways. Urban children were twice as likely as rural …
Trends in Antimicrobial Prescribing for Bronchitis and Upper Respiratory Infections Among Adults and Children
Objectives. This study examined antimicrobial prescribing patterns for adults and children with bronchitis or upper respiratory infections (URIs) before and after release of nationally disseminated pediatric practice recommendations. Methods. Data from the 1993, 1995, 1997, and 1999 National Ambulatory Medical Care Survey were used to evaluate prescriptions for antimicrobials for URIs and bronchitis. Results. From 1993 to 1999, the proportion of …
Relationship Between Continuity of Care and Diabetes Control: Evidence From the Third National Health and Nutrition Examination Survey
Objectives. We examined the relationship between continuity of care and diabetes control. Methods. We analyzed data on 1400 adults with diabetes who took part in the Third National Health and Nutrition Examination Survey. We examined the relationship of continuity of care with glycemic, blood pressure, and lipid control. Results. Continuity of care was associated with both acceptable and optimal levels of glycemic control. Continuity was not asso…
Rural Residence and Hispanic Ethnicity: Doubly Disadvantaged for Diabetes
Context: Hispanics are at increased risk for diabetes, while rural residents have historically had decreased access to care. Purpose: To determine whether living in a rural area and being Hispanic confers special risks for diagnosis and control of diabetes. Methods: We analyzed the Third National Health and Nutrition Examination Survey (1988‐1994). Hispanics and non‐Hispanic white adults were classified according to rural/urban residence to creat…
Up-to-Date on Preventive Care Services Under Affordable Care Act: A Trend Analysis From Meps 2007–2014
BACKGROUND: The utilization of preventive care services has been less than optimal. As part of an effort to address this, the Affordable Care Act (ACA) mandated that private health insurance plans cover evidence-based preventive services. OBJECTIVES: To evaluate whether the provisions of ACA have increased being up-to-date on recommended preventive care services among privately insured individuals aged 18-64. RESEARCH DESIGN: Multivariate linear …
Impact of Provider Participation in ACO Programs on Preventive Care Services, Patient Experiences, and Health Care Expenditures in US Adults Aged 18–64
BACKGROUND: Little is known about the impact of accountable care organization (ACO) on US adults aged 18-64. OBJECTIVES: To examine whether having a usual source of care (USC) provider participating in an ACO affects receipt of preventive care services, patient experiences, and health care expenditures among nonelderly Americans. RESEARCH DESIGN: A cross-sectional analysis of the 2015 Medical Organizations Survey linked with the Medical Expenditu…
Association of rurality and decreased continuity of care prior to a diagnosis of prediabetes
PURPOSE: To assess trends in continuity of care (COC) by geographic context (i.e., rural vs urban) among a cohort of persons with prediabetes prior to and after diagnosis of prediabetes. METHODS: We use cross-sectional data from Geisinger's electronic health record between 1997 and 2017. Our dependent variable is the Modified Modified Continuity Index (MMCI), a measure of dispersion among primary care providers seen. Our primary independent varia…
Medicine (10 works) · Environmental health (8 works) · Family medicine (6 works) · Health care (6 works) · Primary Care and Health Outcomes (6 works) · Healthcare Policy and Management (5 works) · Internal Medicine (5 works) · Gerontology (4 works) · Business (3 works) · Confidence interval (3 works)