CHCPR News

Health Care’s Response to Sexual Assault in Underserved and Rural Communities

(Posted July 2017)

Dennis Scanlon and Sheridan Miyamoto discuss the new Sexual Assault Forensic Examination and Training (SAFE-T) Center, which will focus on improving access to quality forensic sexual assault care for adult and adolescent victims in underserved communities.

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Flipping the Traditional Medical School Training Model

(Posted May 2017)

Dennis Scanlon speaks with Jeffrey Wong, MD and Morgan Decker, Medical Student Design Partner to discuss an innovative medical education program at Penn State.

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Is there a relationship between immigrant generational status and the presence of developmental problems among prematurely born children?

(Posted May 2017)

Immigrant Generational Status and Developmental Problems among Prematurely Born Children
Authors: Bediako, P. T., BeLue, R., Hillemeier, M. M.

Immigrants in the U.S. often have comparatively favorable health outcomes despite relative socioeconomic disadvantage (i.e., the Immigrant Paradox phenomenon.) While Immigrant Paradox research shows that foreign-born status protects against preterm birth, less is known about the development of these children. Using the 2011-2012 National Survey of Children's Health, the authors examined the relationship between family immigrant status and developmental problems among preterm babies. Preterm 1st/2nd generation children had fewer developmental problems than preterm 3rd generation children. Controlling for socioeconomic status and other covariates, 1st/2nd generation children had significantly lower odds of developmental delay, cerebral palsy, epilepsy, and hearing problems.

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Causal Inference Methods for Evaluating Air Quality Policies

(Posted April 2017)

Corwin Zigler, PhD, Assistant Professor, Department of Biostatistics, Harvard T.H. Chan School of Public Health speaks in our Health Services Research Colloquium

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Valuing the Impact of Preventive Intervention Spending

(Posted April 2017)

A Framework for Valuing Investments in a Nurturing Society: Opportunities for Prevention Research
Authors: Daniel Max Crowley, PhD and Damon Jones, PhD

Investing in strategies to build a more nurturing society presents both opportunities and challenges to prevention scientists who work to go beyond effectiveness evaluations and actually value the impact of preventive strategies. In this study, the authors present a framework that values meaningful investments in children and youth, along with a new measurement strategy and cost of key services to assist when appealing to policymakers to make these investments.

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Health Policy in the Trump Era: Who Benefits?

(Posted April 2017)

Gerald Kominski, PhD, Professor, Department of Health Policy and Management, UCLA Fielding School of Public Health speaks in our Health Services Research Colloquium

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Ask the Experts Video Series - Making Cancer Care Patient-Centered

(Posted March 2017)

Dennis Scanlon speaks with Ray Hohl, MD, Director, Penn State Cancer Institute to discuss cancer care, including progress made in the field, making care “patient-centered,” and coordinating research efforts.

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Repeal of Affordable Care Act Facing Complex Challenge

(Posted January 2017)

The Altoona Mirror recently published an article about the Trump Administration's plan to quickly "repeal and replace" the Affordable Care Act. The article includes comments from Rep. Bill Shuster, R-9th District, Dr. Dennis Scanlon, and others. Scanlon spoke to the immediate larger problem of separating rumors from facts and determining realistic alternatives because the proclamation is short on details. More specifically he said that lifting the individual mandate would cause insurance premiums to continue to increase.

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Care Affordability and Out-of-Pocket Spending for Adults With Chronic Disease: What's the Difference between Low and High Deductible Plans?

(Posted January 2017)

Health Insurance Deductibles and Their Associations With Out-of-Pocket Spending and Affordability Barriers Among US Adults With Chronic Conditions
Authors: Joel Segel, PhD & Jeffrey Kullgren MD, MS, MPH

Using 2011-2013 data from the nationally representative Medical Expenditure Panel Survey, we compared associations between private health plan deductibles and out-of-pocket (OOP) spending, high medical cost burdens, and cost-related access barriers among nonelderly US adults with chronic conditions. We found higher deductibles were associated with significantly higher financial burden among the chronically ill. However, in contrast with prior findings, we did not find evidence that deductibles were associated with more reports of cost-related access barriers for individuals with chronic conditions. One reason may be that since cost-sharing has risen for all plan types, detecting differences between deductible levels could be more difficult. Nonetheless, as more privately insured Americans with chronic conditions face deductibles in employer sponsored and Marketplace health plans, it will be important to track their OOP spending, ability to afford care, and their health and financial outcomes.

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