In Hong Kong, overall #ColorectalCancer screening participation increased and socioeconomic disparities narrowed after a population-wide screening program, but uptake remains lower and gaps persist for specific groups. ja.ma/4eh17q7
America’s aging population is creating challenges for health policy, health services, and the long-term care system, which faces funding and workforce shortages. Sandro Galea, MD, MPH, and David Grabowski, PhD, discuss this and more.
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Claims-identified mental health disorder diagnoses among #Medicare fee-for-service beneficiaries increased substantially from 2000 to 2023, especially for #anxiety, #depression, and substance use disorders. ja.ma/4vrwqFT
#ChildWelfare involvement at birth was associated with reduced moderate- to high-complexity emergency department use in the first year of life among Medicaid-covered infants with prenatal substance exposure. ja.ma/4ovfkVr
Among US adults with live #births, electronic #health record network data validated adequacy of #prenatal care but consistently underestimated early care initiation compared with national vital statistics.
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Among #ICU patients aged ≥80 years, use of life-sustaining treatments varied widely between institutions, and higher treatment intensity was not associated with better in-hospital survival after adjustment for patient and institutional factors.
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A claims-based model reliably identified Medicare beneficiaries with functional limitations, pinpointing many not captured in administrative data, supporting improved monitoring of functional status by the Centers for Medicare & Medicaid Services. ja.ma/4upglzn
The US’s aging population is reshaping health policy, care models, and workforce demands. This episode examines the structural challenges and urgent innovations required for long-term care as JAMA Health Forum Editor in Chief Sandro Galea, MD, DrPH, talks with Harvard’s David Grabowski, PhD, a leading expert in aging policy.
💬 Editorial by JAMA Health Forum EIC Sandro Galea, MD, DrPH: Population aging is projected to double Medicare spending and intensify demands for long-term care, calling for integrated health, social, and payment models.
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Enrollment assisters perceived Colorado’s state-funded marketplace-like private health insurance program improved clients’ health and reduced emergency care use but noted limited spots and need for health insurance education. ja.ma/43QqSbY
