Richard E Nelson
Dados Biográficos
| ID | 4442463 |
|---|---|
| NOME | Richard E Nelson |
| PRENOMES | Richard E |
| SOBRENOME | Nelson |
| ASSINATURA | NELSON R E |
| AFILIAÇÕES | University of Utah |
| ORCID | 0000-0002-4441-7460 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAÇÕES | 2 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2012 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Differential Impact of the Supportive Services for Veteran Families (SSVF) Program on Veterans Affairs Healthcare Utilization and Costs Among Rural and Urban Veterans Experiencing Housing Instability
PURPOSE: This study examined whether the Supportive Services for Veteran Families (SSVF) program has a differential impact on healthcare utilization and costs among rural and urban Veterans experiencing housing instability. Understanding geographic variation in program effects is important for guiding implementation and resource allocation within the Veterans Affairs (VA) healthcare system. METHODS: We conducted a retrospective cohort study using…
Health Care Outcomes of Homelessness Prevention Programs in Veterans Experiencing Housing Instability
In this study, federal prevention solutions to homelessness were associated with improved health outcomes and lower inpatient costs, which should inform national policy debates within and beyond the VA
Impact of lifting school mask mandates on community Sars-CoV-2 cases, hospitalizations, and deaths
Background: School masking mandates were widely adopted as a pandemic control measure, however, limited data are available regarding their effectiveness as a strategy for reducing burden of disease in the surrounding community. Objective: To evaluate the impact of school masking policy de-adoption (mask-lifting) on SARS-CoV-2 incidence rates, hospitalizations, and deaths in the surrounding community. Methods: : In the event study, the impact of m…
Covid-19 Vaccine Rollout Strategies in Utah from Local Health Departments’ Perspectives
Introduction: Local health departments (LHDs) play an essential role in providing COVID-19 vaccines to underserved populations in Utah. This study aimed to understand barriers to COVID-19 vaccine uptake for these populations and challenges faced by LHDs from LHDs' perspectives. In addition, we explored LHDs' experience with implementing COVID-19 mobile vaccine clinics (MVCs) in Utah. Materials and Methods: We conducted virtual focus group discuss…
Veterans Affairs FreshConnectProduceRx
This pragmatic quasi-experimental intervention study will provide important new evidence about the impact of a produce prescription program for U.S. Veterans on health outcomes, healthcare costs, and patient-reported outcomes. The assessment of effectiveness and implementation processes and outcomes will inform the design and scaling of impactful, pragmatic, cost-effective programs for food insecure Veterans with diet-sensitive cardiometabolic co…
Residential migration among veterans with experience of housing instability
The use of hotels/motels to address homelessness among veterans during the Covid-19 pandemic
The objective of this exploratory mixed methods study is to assess the use of hotels/motels among Veterans experiencing housing instability during the COVID-19 pandemic to inform policy and programmatic responses to homelessness during such emergencies. We analyzed qualitative interviews conducted with national-level homeless services leadership and Supportive Services for Veteran Families (SSVF) program providers during October 2020–May 2021 and…
Differences in Telemedicine Use Between People With and Without an Intellectual or Other Developmental Disability During the Covid-19 Pandemic
Telemedicine utilization of people with an Intellectual or Other Developmental Disability (IDD) during the COVID-19 Pandemic is not well known. This study compares telemedicine utilization of those with and without IDD prior to the pandemic to after it began. Using the Utah All Payers Claims Database from 2019 to 2021, the study identified telemedicine utilization of adults aged 18 to 62 years old in 2019. Propensity score matching was used to mi…
Disparities in Covid-19 related outcomes in the United States by race and ethnicity pre-vaccination era
Background: Meta-analyses have investigated associations between race and ethnicity and COVID-19 outcomes. However, there is uncertainty about these associations' existence, magnitude, and level of evidence. We, therefore, aimed to synthesize, quantify, and grade the strength of evidence of race and ethnicity and COVID-19 outcomes in the US. Methods: In this umbrella review, we searched four databases (Pubmed, Embase, the Cochrane Database of Sys…
Predictors of homeless service utilization and stable housing status among Veterans receiving services from a nationwide homelessness prevention and rapid rehousing program
Which veterans in the Supportive Services for Veteran Families program receive temporary financial assistance and why
The VA Supportive Services for Veteran Families (SSVF) program is one of the largest housing assistance programs in the US. One of the key components of this program is temporary financial assistance (TFA) which can be used for rent, security deposits, utilities, and other housing-related expenses. The objective of this paper was to identify characteristics of SSVF enrollees that are associated with receiving any TFA and the amount of TFA receive…
Rapid rehousing for persons experiencing homelessness
How Does the Effect of the Comprehensive Care for Joint Replacement Model Vary Based on Surgical Volume and Costs of Care
BACKGROUND: The Center for Medicare and Medicaid Innovation revised the comprehensive Care for Joint Replacement (CJR) program, a mandatory 90-day bundled payment for lower extremity joint replacement, in December 2017, retaining 34 of the original 67 metropolitan statistical areas with higher volume and historic episode payments. OBJECTIVES: We describe differences in costs, quality, and patient selection between hospitals that continued to part…
Criminal legal involvement among recently separated veterans
OBJECTIVE: This study investigated individual-level and neighborhood-level predictors of criminal legal involvement of veterans during the critical transition period from military to civilian life. HYPOTHESES: We hypothesized that substance use, mental health, and personality disorders will increase the incidence of criminal legal involvement, which will be highest among veterans living in socioeconomically disadvantaged neighborhoods after milit…
The Impact of Halting Elective Admissions in Anticipation of a Demand Surge Due to the Coronavirus Pandemic (Covid-19)
BACKGROUND: In anticipation of a demand surge for hospital beds attributed to the coronavirus pandemic (COVID-19) many US states have mandated that hospitals postpone elective admissions. OBJECTIVES: To estimate excess demand for hospital beds due to COVID-19, the net financial impact of eliminating elective admissions in order to meet demand, and to explore the scenario when demand remains below capacity. RESEARCH DESIGN: An economic simulation …
Provider Practice Competition and Adoption of Medicare’s Oncology Care Model
BACKGROUND: There is a concern that the Oncology Care Model (OCM), a voluntary bundled payment program, may incentivize mergers and acquisitions among physician practices leading to reduced competition and price increases. These concerns are heightened if OCM is preferentially adopted in competitive health care markets because it could result in reduced competition, but little is known about the characteristics of markets where OCM is adopted. OB…
The Impact of a Change in the Price of VA Health Care on Utilization of VA and Medicare Services
INTRODUCTION: The passage of the Veterans Access, Choice, and Accountability Act of 2014 has expanded the non-Veteran Affairs (VA) care options for eligible US Veterans. In order for these new arrangements to provide the best care possible for Veterans, it is important to understand the relationship between VA and non-VA care options. The purpose of this study was to use another recent VA policy change, one that increased the reimbursement rate t…
Rurality or distance to care and the risk of homelessness among Afghanistan and Iraq veterans
Purpose Several risk factors have been identified in ongoing efforts by the US Department of Veterans Affairs (VA) to mitigate high rates of homelessness among veterans. To date, no studies have examined the relationship of rurality and distance to nearest VA facility to risk of homelessness. Due to challenges in accessing available services, the hypothesis was that rural-residing veterans are at greater risk for homelessness. The paper aims to d…
Comparing the Utilization and Cost of Health Services between Veterans Experiencing Brief and Ongoing Episodes of Housing Instability
Increased Health Care Utilization and Costs Among Veterans With a Positive Screen for Military Sexual Trauma
BACKGROUND: The effects of sexual trauma on long-term health care utilization and costs are not well understood due to infrequent documentation of sexual trauma history in health care systems. The Veteran's Health Administration provides a unique opportunity to address this constraint as sexual trauma is actively screened for as part of routine care. METHODS: We used a retrospective cohort design to analyze Veteran's Health Administration mental …
Reducing Time-dependent Bias in Estimates of the Attributable Cost of Health Care–associated Methicillin-resistant Staphylococcus aureus Infections
BACKGROUND: Previous estimates of the excess costs due to health care-associated infection (HAI) have scarcely addressed the issue of time-dependent bias. OBJECTIVE: We examined time-dependent bias by estimating the health care costs attributable to an HAI due to methicillin-resistant Staphylococcus aureus (MRSA) using a unique dataset in the Department of Veterans Affairs (VA) that makes it possible to distinguish between costs that occurred bef…
Utilization of Travel Reimbursement in the Veterans Health Administration
PURPOSE: To improve access to care, the Veterans Health Administration (VHA) increased its patient travel reimbursement rate from 11 to 28.5 cents per mile on February 1, 2008, and again to 41.5 cents per mile on November 17, 2008. We identified characteristics of veterans more likely to receive travel reimbursements and evaluated the impact of these increases on utilization of the benefit. METHODS: We examined the likelihood of receiving any rei…
The Effect of Increased Travel Reimbursement Rates on Health Care Utilization in the VA
Purpose : The reimbursement rate that eligible veterans receive for travel to Department of Veterans Affairs (VA) facilities increased from 11 to 28.5 cents per mile on February 1, 2008. We examined the effect of this policy change on utilization of outpatient, inpatient, and pharmacy services, stratifying veterans based on distance from a VA facility. Methods : We compared health care utilization and costs on a sample of VA patients in the 10.5 …
Comparing Adherence to Two Different HIV Antiretroviral Regimens
The Effect of Increased Travel Reimbursement Rates on Health Care Utilization in the VA
Purpose : The reimbursement rate that eligible veterans receive for travel to Department of Veterans Affairs (VA) facilities increased from 11 to 28.5 cents per mile on February 1, 2008. We examined the effect of this policy change on utilization of outpatient, inpatient, and pharmacy services, stratifying veterans based on distance from a VA facility. Methods : We compared health care utilization and costs on a sample of VA patients in the 10.5 …
Comparing Adherence to Two Different HIV Antiretroviral Regimens
Utilization of Travel Reimbursement in the Veterans Health Administration
PURPOSE: To improve access to care, the Veterans Health Administration (VHA) increased its patient travel reimbursement rate from 11 to 28.5 cents per mile on February 1, 2008, and again to 41.5 cents per mile on November 17, 2008. We identified characteristics of veterans more likely to receive travel reimbursements and evaluated the impact of these increases on utilization of the benefit. METHODS: We examined the likelihood of receiving any rei…
Reducing Time-dependent Bias in Estimates of the Attributable Cost of Health Care–associated Methicillin-resistant Staphylococcus aureus Infections
BACKGROUND: Previous estimates of the excess costs due to health care-associated infection (HAI) have scarcely addressed the issue of time-dependent bias. OBJECTIVE: We examined time-dependent bias by estimating the health care costs attributable to an HAI due to methicillin-resistant Staphylococcus aureus (MRSA) using a unique dataset in the Department of Veterans Affairs (VA) that makes it possible to distinguish between costs that occurred bef…
Rurality or distance to care and the risk of homelessness among Afghanistan and Iraq veterans
Purpose Several risk factors have been identified in ongoing efforts by the US Department of Veterans Affairs (VA) to mitigate high rates of homelessness among veterans. To date, no studies have examined the relationship of rurality and distance to nearest VA facility to risk of homelessness. Due to challenges in accessing available services, the hypothesis was that rural-residing veterans are at greater risk for homelessness. The paper aims to d…
Comparing the Utilization and Cost of Health Services between Veterans Experiencing Brief and Ongoing Episodes of Housing Instability
Increased Health Care Utilization and Costs Among Veterans With a Positive Screen for Military Sexual Trauma
BACKGROUND: The effects of sexual trauma on long-term health care utilization and costs are not well understood due to infrequent documentation of sexual trauma history in health care systems. The Veteran's Health Administration provides a unique opportunity to address this constraint as sexual trauma is actively screened for as part of routine care. METHODS: We used a retrospective cohort design to analyze Veteran's Health Administration mental …
The Impact of a Change in the Price of VA Health Care on Utilization of VA and Medicare Services
INTRODUCTION: The passage of the Veterans Access, Choice, and Accountability Act of 2014 has expanded the non-Veteran Affairs (VA) care options for eligible US Veterans. In order for these new arrangements to provide the best care possible for Veterans, it is important to understand the relationship between VA and non-VA care options. The purpose of this study was to use another recent VA policy change, one that increased the reimbursement rate t…
Provider Practice Competition and Adoption of Medicare’s Oncology Care Model
BACKGROUND: There is a concern that the Oncology Care Model (OCM), a voluntary bundled payment program, may incentivize mergers and acquisitions among physician practices leading to reduced competition and price increases. These concerns are heightened if OCM is preferentially adopted in competitive health care markets because it could result in reduced competition, but little is known about the characteristics of markets where OCM is adopted. OB…
The Impact of Halting Elective Admissions in Anticipation of a Demand Surge Due to the Coronavirus Pandemic (Covid-19)
BACKGROUND: In anticipation of a demand surge for hospital beds attributed to the coronavirus pandemic (COVID-19) many US states have mandated that hospitals postpone elective admissions. OBJECTIVES: To estimate excess demand for hospital beds due to COVID-19, the net financial impact of eliminating elective admissions in order to meet demand, and to explore the scenario when demand remains below capacity. RESEARCH DESIGN: An economic simulation …
Criminal legal involvement among recently separated veterans
OBJECTIVE: This study investigated individual-level and neighborhood-level predictors of criminal legal involvement of veterans during the critical transition period from military to civilian life. HYPOTHESES: We hypothesized that substance use, mental health, and personality disorders will increase the incidence of criminal legal involvement, which will be highest among veterans living in socioeconomically disadvantaged neighborhoods after milit…
Disparities in Covid-19 related outcomes in the United States by race and ethnicity pre-vaccination era
Background: Meta-analyses have investigated associations between race and ethnicity and COVID-19 outcomes. However, there is uncertainty about these associations' existence, magnitude, and level of evidence. We, therefore, aimed to synthesize, quantify, and grade the strength of evidence of race and ethnicity and COVID-19 outcomes in the US. Methods: In this umbrella review, we searched four databases (Pubmed, Embase, the Cochrane Database of Sys…
Predictors of homeless service utilization and stable housing status among Veterans receiving services from a nationwide homelessness prevention and rapid rehousing program
Which veterans in the Supportive Services for Veteran Families program receive temporary financial assistance and why
The VA Supportive Services for Veteran Families (SSVF) program is one of the largest housing assistance programs in the US. One of the key components of this program is temporary financial assistance (TFA) which can be used for rent, security deposits, utilities, and other housing-related expenses. The objective of this paper was to identify characteristics of SSVF enrollees that are associated with receiving any TFA and the amount of TFA receive…
Rapid rehousing for persons experiencing homelessness
How Does the Effect of the Comprehensive Care for Joint Replacement Model Vary Based on Surgical Volume and Costs of Care
BACKGROUND: The Center for Medicare and Medicaid Innovation revised the comprehensive Care for Joint Replacement (CJR) program, a mandatory 90-day bundled payment for lower extremity joint replacement, in December 2017, retaining 34 of the original 67 metropolitan statistical areas with higher volume and historic episode payments. OBJECTIVES: We describe differences in costs, quality, and patient selection between hospitals that continued to part…
The use of hotels/motels to address homelessness among veterans during the Covid-19 pandemic
The objective of this exploratory mixed methods study is to assess the use of hotels/motels among Veterans experiencing housing instability during the COVID-19 pandemic to inform policy and programmatic responses to homelessness during such emergencies. We analyzed qualitative interviews conducted with national-level homeless services leadership and Supportive Services for Veteran Families (SSVF) program providers during October 2020–May 2021 and…
Differences in Telemedicine Use Between People With and Without an Intellectual or Other Developmental Disability During the Covid-19 Pandemic
Telemedicine utilization of people with an Intellectual or Other Developmental Disability (IDD) during the COVID-19 Pandemic is not well known. This study compares telemedicine utilization of those with and without IDD prior to the pandemic to after it began. Using the Utah All Payers Claims Database from 2019 to 2021, the study identified telemedicine utilization of adults aged 18 to 62 years old in 2019. Propensity score matching was used to mi…
Impact of lifting school mask mandates on community Sars-CoV-2 cases, hospitalizations, and deaths
Background: School masking mandates were widely adopted as a pandemic control measure, however, limited data are available regarding their effectiveness as a strategy for reducing burden of disease in the surrounding community. Objective: To evaluate the impact of school masking policy de-adoption (mask-lifting) on SARS-CoV-2 incidence rates, hospitalizations, and deaths in the surrounding community. Methods: : In the event study, the impact of m…
Covid-19 Vaccine Rollout Strategies in Utah from Local Health Departments’ Perspectives
Introduction: Local health departments (LHDs) play an essential role in providing COVID-19 vaccines to underserved populations in Utah. This study aimed to understand barriers to COVID-19 vaccine uptake for these populations and challenges faced by LHDs from LHDs' perspectives. In addition, we explored LHDs' experience with implementing COVID-19 mobile vaccine clinics (MVCs) in Utah. Materials and Methods: We conducted virtual focus group discuss…
Veterans Affairs FreshConnectProduceRx
This pragmatic quasi-experimental intervention study will provide important new evidence about the impact of a produce prescription program for U.S. Veterans on health outcomes, healthcare costs, and patient-reported outcomes. The assessment of effectiveness and implementation processes and outcomes will inform the design and scaling of impactful, pragmatic, cost-effective programs for food insecure Veterans with diet-sensitive cardiometabolic co…
Residential migration among veterans with experience of housing instability
Differential Impact of the Supportive Services for Veteran Families (SSVF) Program on Veterans Affairs Healthcare Utilization and Costs Among Rural and Urban Veterans Experiencing Housing Instability
PURPOSE: This study examined whether the Supportive Services for Veteran Families (SSVF) program has a differential impact on healthcare utilization and costs among rural and urban Veterans experiencing housing instability. Understanding geographic variation in program effects is important for guiding implementation and resource allocation within the Veterans Affairs (VA) healthcare system. METHODS: We conducted a retrospective cohort study using…
Health Care Outcomes of Homelessness Prevention Programs in Veterans Experiencing Housing Instability
In this study, federal prevention solutions to homelessness were associated with improved health outcomes and lower inpatient costs, which should inform national policy debates within and beyond the VA
Medicine (20 obras) · Health care (13 obras) · Internal Medicine (10 obras) · Business (8 obras) · Veterans Affairs (8 obras) · Family medicine (7 obras) · Gerontology (7 obras) · Demography (6 obras) · Homelessness and Social Issues (6 obras) · Internal Medicine (6 obras)