US Spending on Personal Health Care and Public Health, 1996-2013

Dieleman, Joseph L; Baral, Ranju; Birger, Maxwell; Bui, Anthony L.; Bulchis, Anne; Chapin, Abigail; Hamavid, Hannah; Horst, Cody; Johnson, Elizabeth; Joseph, J.; Lavado, Rouselle F.; Lomsadze, Liya; Reynolds, Alex; Squires, Ellen; Campbell, Madeline; DeCenso, Brendan; Dicker, Daniel; Flaxman, Abraham D.; Gabert, Rose; Highfill, Tina; Naghavi, Mohsen; Nightingale, Noelle; Templin, Tara; Tobias, Martin; Vos, Theo; Murray, Christopher J L

doi:10.1001/jama.2016.16885

Cited by 898 publications

(682 citation statements)

References 22 publications

Supporting

Mentioning

645

Contrasting

Unclassified

Order By: Relevance

“…This has resulted in exorbitant health care costs 122 and indirect costs from lower quality of life 123 and lost productivity 124 for a growing proportion of the population. The premise of this research project is that excess carbohydrate intake in the Western diet is a major driver of the obesity and diabetes epidemics, and that restricting dietary carbohydrate to a level that permits utilisation of fat as the primary fuel will yield substantial weight loss and improvement in diabetes and metabolic syndrome, other health conditions and overall quality of life.…”

Section: Resultsmentioning

confidence: 99%

A low-carbohydrate survey: Evidence for sustainable metabolic syndrome reversal

Cucuzzella

Tondt

Dockter

et al. 2017

JMH

View full text Add to dashboard Cite

Background: Metabolic syndrome has become a significant problem, with the American Diabetes Association estimating the cost of diabetes and pre-diabetes in the United States alone to be $322 billion per year. Numerous clinical trials have demonstrated the efficacy of low-carbohydrate diets in reversing metabolic syndrome and its associated disorders.Aim: This study was designed to examine how voluntary adherents to a low-carbohydrate diet rate its effectiveness and sustainability using an online survey.Setting and methods: The 57-question survey was administered online and shared internationally via social media and ‘low-carb’ communities. Where appropriate, chi-squared tests and paired t-tests were used to analyse the responses.Results: There were 1580 respondents. The majority of respondents had consumed less than 100 g of carbohydrates per day for over a year, typically for reasons of weight loss or disease management. There was a reported decrease in waist circumference and weight with a simultaneous decrease in hunger and increase in energy level. Of those who provided laboratory values, the majority saw improvements in their HbA1c, blood glucose measurements, and lipid panel results. There was a reduction in usage of various medications, and 25% reported medication cost savings, with average monthly savings of $288 for those respondents. In particular, the usage of pain relievers and anti-inflammatories dropped with a simultaneous decreased rating of pain and increase in mobility.Conclusion: We conclude that low-carbohydrate diets are a sustainable method of metabolic syndrome reversal in a community setting.

show abstract

Section: Resultsmentioning

confidence: 99%

A low-carbohydrate survey: Evidence for sustainable metabolic syndrome reversal

Cucuzzella

Tondt

Dockter

et al. 2017

JMH

View full text Add to dashboard Cite

show abstract

“…These conditions affect nearly half of all Americans, disproportionately those who have gained coverage under the ACA. 13 Given the high costs of care for this group 14 and the public health implications of these conditions, 15 there is substantial policy interest in whether expanding coverage improves quality of care and health in this population.…”

Section: Introductionmentioning

confidence: 99%

Three-Year Impacts Of The Affordable Care Act: Improved Medical Care And Health Among Low-Income Adults

Sommers

Maylone

Blendon³

et al. 2017

Health Affairs

234

208

View full text Add to dashboard Cite

ABSTRACT:Significant policy uncertainty continues to surround the Affordable Care Act (ACA) at both the state and federal level. We assessed changes in health care use and self-reported health after three years of the ACA's coverage expansion, using survey data collected from low-income adults through the end of 2016 in three states: Kentucky, which expanded Medicaid; Arkansas, which expanded private insurance to low-income adults using the federal marketplace; and Texas, which did not expand coverage. We used a difference-in-differences model with a control group, and an instrumental variables model to provide individual-level estimates of the effects of gaining insurance. By the end of 2016, the uninsured rate in the two expansion states had dropped by more than 20 percentage points relative to the non-expansion state. For uninsured individuals gaining coverage, this change was associated with a 41 percentage-point increase in having a usual source of care, a $337 reduction in annual out-of-pocket spending, significant increases in preventive health visits and glucose testing, and a 23 percentage-point increase in "excellent" self-reported health. Among adults with chronic conditions, we found improvements in affordability of care, regular care for those conditions, medication adherence, and self-reported health.3

show abstract

“…Patients with these common chronic conditions are high utilizers of medical services,2 have a reduced health related quality of life,3 experience functional limitations,45 and are at risk of premature death 6. Conventional medical treatments are rarely effective in modifying behavioral risk factors 7.…”

Section: Introductionmentioning

confidence: 99%

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Richardson

Franklin

Moy

et al. 2019

BMJ

View full text Add to dashboard Cite

Much of the burden on healthcare systems is related to the management of chronic conditions such as cardiovascular disease and chronic obstructive pulmonary disease. Although conventional outpatient cardiopulmonary rehabilitation programs significantly decrease morbidity and mortality and improve function and health related quality of life for people with chronic diseases, rehabilitation programs are underused. Barriers to enrollment are multifactorial and include failure to recommend and refer patients to these services; poor communication with patients about potential benefits; and patient factors including logistical and financial barriers, comorbidities, and competing demands that make participation in facility based programs difficult. Recent advances in rehabilitation programs that involve remotely delivered technology could help deliver services to more people who might benefit. Problems with intensity, adherence, and safety of home based programs have been investigated in recent clinical trials, and larger dissemination and implementation trials are under way. This review summarizes the evidence for benefit of in-person cardiac and pulmonary rehabilitation programs. It also reviews the literature on newer developments, such as home based remotely mediated exercise programs developed to decrease cost and improve accessibility, high intensity interval training in cardiac rehabilitation, and alternative therapies such as tai chi and yoga for people with chronic obstructive pulmonary disease.

show abstract

US Spending on Personal Health Care and Public Health, 1996-2013

Cited by 898 publications

References 22 publications

A low-carbohydrate survey: Evidence for sustainable metabolic syndrome reversal

A low-carbohydrate survey: Evidence for sustainable metabolic syndrome reversal

Three-Year Impacts Of The Affordable Care Act: Improved Medical Care And Health Among Low-Income Adults

Advances in rehabilitation for chronic diseases: improving health outcomes and function

Contact Info

Product

Resources

About