REBECCA T SLIFKIN
Dados Biográficos
| ID | 5534738 |
|---|---|
| NOME | REBECCA T SLIFKIN |
| PRENOMES | REBECCA T |
| SOBRENOME | SLIFKIN |
| ASSINATURA | SLIFKIN R T |
| AFILIAÇÕES | University of North Carolina at Chapel Hill |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 20 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 20 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1996 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2010 |
| ÍNDICE H | 0 |
Rural and Urban Differences in Children's Medicaid and CHIP Participation
Efforts to increase enrollment in Medicaid and the Children's Health Insurance Program (CHIP) among uninsured children would benefit from an understanding of how program participation varies in rural and urban areas. Using Current Population Survey data from the period 2006-2007, rural participation rates were slightly higher than urban rates in the nation overall. There was no rural-urban difference when comparisons were based on within-state va…
Designated Medical Directors for Emergency Medical Services
Context: Emergency medical services (EMS) agencies rely on medical oversight to support Emergency Medical Technicians (EMTs) in the provision of prehospital care. Most states require EMS agencies to have a designated medical director (DMD), who typically is responsible for the many activities of medical oversight. Purpose: To assess rural‐urban differences in obtaining a DMD and in their responsibilities. Methods: A national survey of 1,425 local…
A Farewell to Thomas C. Rosenthal, MD, Editor, and Andrew Danzo, Associate Editor
The Occupational Mix Adjustment to the Medicare Hospital Wage Index
Context: Rural hospitals are heavily dependent on Medicare for their long‐term financial solvency. A recent change to Medicare prospective payment system reimbursement—the occupational mix adjustment (OMA) to the wage index—has attracted a great deal of attention in rural policy circles. Purpose: This paper explores variation in the OMA across and within urban and rural markets. Reasons why the effect of the OMA has been less than some rural advo…
The Experience of Rural Independent Pharmacies With Medicare Part D
Context: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) created prescription drug coverage for Medicare beneficiaries through a new Part D program, the single largest addition to Medicare since its creation in 1965. Prior to program implementation in January 2006, concerns had been voiced as to how independent pharmacies, which represent a higher proportion of all retail pharmacies in rural areas, would fare unde…
Intensive Care in Critical Access Hospitals
Context: Although critical access hospitals (CAHs) have limitations on number of acute care beds and average length of stay, some of them provide intensive care unit (ICU) services. Purpose: To describe the facilities, equipment, and staffing used by CAHs for intensive care, the types of patients receiving ICU care, and the perceived impact of closing the ICU on CAH staff and the local community. Methods: A semistructured interview of directors o…
Variations in Financial Performance Among Peer Groups of Critical Access Hospitals
Context: Among the large number of hospitals with critical access hospital (CAH) designation, there is substantial variation in facility revenue as well as the number and types of services provided. If these variations have material effects on financial indicators, then performance comparisons among all CAHs are problematic. Purpose: To investigate whether indicators of financial performance and condition systematically vary among peer groups of …
Rural/Urban Differences in Barriers to and Burden of Care for Children With Special Health Care Needs
Purpose: To examine the barriers and difficulties experienced by rural families of children with special health care needs (CSHCN) in caring for their children. Methods: The National Survey of Children with Special Health Care Needs was used to examine rural‐urban differences in types of providers used, reasons CSHCN had unmet health care needs, insurance and financial difficulties encountered, and the family burden of providing the child’s medic…
The Effect of Rural Residence on Dental Unmet Need for Children With Special Health Care Needs
Background: Unmet need for dental care is the most prevalent unmet health care need among children with special health care needs (CSHCN), even though these children are at a greater risk for dental problems. The combination of rural residence and special health care needs may leave rural CSHCN particularly vulnerable to high levels of unmet dental needs. Objective: To examine the effects of rural residence on unmet dental need for CSHCN. Methods…
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…
How Might the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Affect the Financial Viability of Rural Pharmacies? An Analysis of Preimplementation Prescription Volume and Paymen…
Context: Passage of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) has created interest in how the legislation will affect access to prescription drugs among rural beneficiaries. Policy attention has focused to a much lesser degree on the implications of the MMA for the financial viability of rural pharmacies. Purpose : This article presents descriptive information on mail‐order prescriptions, volume, and payer t…
The Changing Metropolitan Designation Process and Rural America
In June 2003, the Office of Management and Budget (OMB) released new county‐based designations of Core Based Statistical Areas (CBSAs), replacing Metropolitan Statistical Area designations that were last revised in 1990. In this article, the new designations are briefly described, and counties that have changed classifications are identified. The new designations identify 2 categories of counties or county clusters within CBSAs: Metropolitan Stat…
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…
Developing Policies Responsive to Barriers to Health Care Among Rural Residents
A substantial body of research has been devoted to the subject of access to health care services for rural residents, much with the intention of shaping government policies to remove barriers or equalize the distribution of health care services. A number of programs and policies hove grown out of or been affected by access research, yet despite identifiable successes of the policy research process, barriers to health care services still exist in …
The Effect of Medicaid Managed Care on Rural Public Health Departments
Medicaid managed care programs are now operating in more than half of all rural counties in the United States. This study examines how rural health departments that have historically provided clinical services have responded to and been affected by the implementation of Medicaid managed care. To the extent that rural health departments have changed, the effect of this change on the health department and the rural populations that these providers …
Using the American Medical Association Physician Masterfile to Measure Physician Supply in Small Towns
The goal of this study was to describe the magnitude, direction and sources of error of the American Medical Association's (AMA) masterfile (MF) in estimating physician supply in small towns. A random sample of nonmetropolitan towns in the United States was selected, and physicians with AMA MF (MFMDs) addresses in these towns were listed. Local pharmacists were asked to confirm or disconfirm the identities and locations of practice for the listed…
Access to Care for Rural Medicare Beneficiaries
This paper examines variations between urban and rural Medicare beneficiaries in three measures of access to care: self‐reported access to care, satisfaction with care received and use of services. The assessment focuses on these measures and their relationship to adjacency to metropolitan areas. Comparisons are also provided for the relative effects of adjacency versus broader access barriers such as income. Data from the 1993 Medicare Current B…
The Role of Critical Access Hospital Status in Mitigating the Effects of New Prospective Payment Systems Under Medicare
This article examines rural hospitals that potentially qualify as critical access hospitals (CAH) and identifies facilities at substantial financial risk as a result of Medicare's expansion of prospective payment systems (PPS) to nonacute settings. Using Health Care Financing Administration (HCFA) cost reports from the federal year ending Sept. 30, 1996, combined with county‐level sociodemographic data from the Area Resource File (ARF), character…
Public‐sector Immunization Coverage in 11 States
This report uses county‐level immunization data generated by state public health agencies to explore the rural‐urban variation in the delivery of childhood immunizations in the public sector. Public health department‐documented immunization coverage rates for 1995 were obtained from 882 counties in 11 states east of the Mississippi River. To assess the possible association between public health department immunization coverage rates and county ru…
Migration of Obstetrician-Gynecologists Into and Out of Rural Areas, 1985 to 1990
This study sought to determine if county-level demographic, health care resource, policy, and competitive factors are associated with the movement of obstetrician-gynecologists (ob-gyns) into and out of rural areas. County-level descriptive data from the Area Resource File, the American Medical Association Physician Masterfile, and the American Hospital Association Guide were used for hospital descriptions. This was a correlational study that mea…
Sem obras proeminentes nesta página.
Migration of Obstetrician-Gynecologists Into and Out of Rural Areas, 1985 to 1990
This study sought to determine if county-level demographic, health care resource, policy, and competitive factors are associated with the movement of obstetrician-gynecologists (ob-gyns) into and out of rural areas. County-level descriptive data from the Area Resource File, the American Medical Association Physician Masterfile, and the American Hospital Association Guide were used for hospital descriptions. This was a correlational study that mea…
Public‐sector Immunization Coverage in 11 States
This report uses county‐level immunization data generated by state public health agencies to explore the rural‐urban variation in the delivery of childhood immunizations in the public sector. Public health department‐documented immunization coverage rates for 1995 were obtained from 882 counties in 11 states east of the Mississippi River. To assess the possible association between public health department immunization coverage rates and county ru…
Using the American Medical Association Physician Masterfile to Measure Physician Supply in Small Towns
The goal of this study was to describe the magnitude, direction and sources of error of the American Medical Association's (AMA) masterfile (MF) in estimating physician supply in small towns. A random sample of nonmetropolitan towns in the United States was selected, and physicians with AMA MF (MFMDs) addresses in these towns were listed. Local pharmacists were asked to confirm or disconfirm the identities and locations of practice for the listed…
Access to Care for Rural Medicare Beneficiaries
This paper examines variations between urban and rural Medicare beneficiaries in three measures of access to care: self‐reported access to care, satisfaction with care received and use of services. The assessment focuses on these measures and their relationship to adjacency to metropolitan areas. Comparisons are also provided for the relative effects of adjacency versus broader access barriers such as income. Data from the 1993 Medicare Current B…
The Role of Critical Access Hospital Status in Mitigating the Effects of New Prospective Payment Systems Under Medicare
This article examines rural hospitals that potentially qualify as critical access hospitals (CAH) and identifies facilities at substantial financial risk as a result of Medicare's expansion of prospective payment systems (PPS) to nonacute settings. Using Health Care Financing Administration (HCFA) cost reports from the federal year ending Sept. 30, 1996, combined with county‐level sociodemographic data from the Area Resource File (ARF), character…
The Effect of Medicaid Managed Care on Rural Public Health Departments
Medicaid managed care programs are now operating in more than half of all rural counties in the United States. This study examines how rural health departments that have historically provided clinical services have responded to and been affected by the implementation of Medicaid managed care. To the extent that rural health departments have changed, the effect of this change on the health department and the rural populations that these providers …
Developing Policies Responsive to Barriers to Health Care Among Rural Residents
A substantial body of research has been devoted to the subject of access to health care services for rural residents, much with the intention of shaping government policies to remove barriers or equalize the distribution of health care services. A number of programs and policies hove grown out of or been affected by access research, yet despite identifiable successes of the policy research process, barriers to health care services still exist in …
The Changing Metropolitan Designation Process and Rural America
In June 2003, the Office of Management and Budget (OMB) released new county‐based designations of Core Based Statistical Areas (CBSAs), replacing Metropolitan Statistical Area designations that were last revised in 1990. In this article, the new designations are briefly described, and counties that have changed classifications are identified. The new designations identify 2 categories of counties or county clusters within CBSAs: Metropolitan Stat…
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…
How Might the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Affect the Financial Viability of Rural Pharmacies? An Analysis of Preimplementation Prescription Volume and Paymen…
Context: Passage of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) has created interest in how the legislation will affect access to prescription drugs among rural beneficiaries. Policy attention has focused to a much lesser degree on the implications of the MMA for the financial viability of rural pharmacies. Purpose : This article presents descriptive information on mail‐order prescriptions, volume, and payer t…
The Effect of Rural Residence on Dental Unmet Need for Children With Special Health Care Needs
Background: Unmet need for dental care is the most prevalent unmet health care need among children with special health care needs (CSHCN), even though these children are at a greater risk for dental problems. The combination of rural residence and special health care needs may leave rural CSHCN particularly vulnerable to high levels of unmet dental needs. Objective: To examine the effects of rural residence on unmet dental need for CSHCN. Methods…
The Experience of Rural Independent Pharmacies With Medicare Part D
Context: The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) created prescription drug coverage for Medicare beneficiaries through a new Part D program, the single largest addition to Medicare since its creation in 1965. Prior to program implementation in January 2006, concerns had been voiced as to how independent pharmacies, which represent a higher proportion of all retail pharmacies in rural areas, would fare unde…
Intensive Care in Critical Access Hospitals
Context: Although critical access hospitals (CAHs) have limitations on number of acute care beds and average length of stay, some of them provide intensive care unit (ICU) services. Purpose: To describe the facilities, equipment, and staffing used by CAHs for intensive care, the types of patients receiving ICU care, and the perceived impact of closing the ICU on CAH staff and the local community. Methods: A semistructured interview of directors o…
Variations in Financial Performance Among Peer Groups of Critical Access Hospitals
Context: Among the large number of hospitals with critical access hospital (CAH) designation, there is substantial variation in facility revenue as well as the number and types of services provided. If these variations have material effects on financial indicators, then performance comparisons among all CAHs are problematic. Purpose: To investigate whether indicators of financial performance and condition systematically vary among peer groups of …
Rural/Urban Differences in Barriers to and Burden of Care for Children With Special Health Care Needs
Purpose: To examine the barriers and difficulties experienced by rural families of children with special health care needs (CSHCN) in caring for their children. Methods: The National Survey of Children with Special Health Care Needs was used to examine rural‐urban differences in types of providers used, reasons CSHCN had unmet health care needs, insurance and financial difficulties encountered, and the family burden of providing the child’s medic…
The Occupational Mix Adjustment to the Medicare Hospital Wage Index
Context: Rural hospitals are heavily dependent on Medicare for their long‐term financial solvency. A recent change to Medicare prospective payment system reimbursement—the occupational mix adjustment (OMA) to the wage index—has attracted a great deal of attention in rural policy circles. Purpose: This paper explores variation in the OMA across and within urban and rural markets. Reasons why the effect of the OMA has been less than some rural advo…
Designated Medical Directors for Emergency Medical Services
Context: Emergency medical services (EMS) agencies rely on medical oversight to support Emergency Medical Technicians (EMTs) in the provision of prehospital care. Most states require EMS agencies to have a designated medical director (DMD), who typically is responsible for the many activities of medical oversight. Purpose: To assess rural‐urban differences in obtaining a DMD and in their responsibilities. Methods: A national survey of 1,425 local…
A Farewell to Thomas C. Rosenthal, MD, Editor, and Andrew Danzo, Associate Editor
Rural and Urban Differences in Children's Medicaid and CHIP Participation
Efforts to increase enrollment in Medicaid and the Children's Health Insurance Program (CHIP) among uninsured children would benefit from an understanding of how program participation varies in rural and urban areas. Using Current Population Survey data from the period 2006-2007, rural participation rates were slightly higher than urban rates in the nation overall. There was no rural-urban difference when comparisons were based on within-state va…
Medicine (19 obras) · Healthcare Policy and Management (14 obras) · Business (13 obras) · Health care (12 obras) · Nursing (11 obras) · Economic growth (10 obras) · Global Health Workforce Issues (10 obras) · Rural area (9 obras) · Environmental health (8 obras) · Finance (8 obras)