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Pesquisa : I01.409.418.750.600.650.790 [Categoria DeCS]
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[PMID]:28966187
[Au] Autor:Ettinger RL; Goettsche ZS; Qian F
[Ad] Endereço:Dr. Ettinger is Professor Emeritus, Department of Prosthodontics and Dows Institute for Dental Research, University of Iowa College of Dentistry and Dental Clinics; Dr. Goettsche is a Graduate Student, Department of Endodontics, University of Iowa College of Dentistry and Dental Clinics; and Dr. Qian is Senior Research Associate, Department of Preventive and Community Dentistry, University of Iowa College of Dentistry and Dental Clinics. ronald-ettinger@uiowa.edu.
[Ti] Título:Postdoctoral Teaching of Geriatric Dentistry in U.S. Dental Schools.
[So] Source:J Dent Educ;81(10):1220-1226, 2017 Oct.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to determine the number and size of postdoctoral teaching programs in geriatric dentistry in U.S. dental schools and other health professions educational institutions and those programs with Health Resources and Services Administration (HRSA) funding. In 2015, all 67 U.S. dental schools were contacted via email with a questionnaire to ask if they had a postdoctoral program in geriatric dentistry; if they did, they were asked to report the length and size of the program. Directors of all 16 HRSA-funded geriatric fellowships were also invited to participate in the survey. Fifty-six of the 67 (83.6%) dental schools and 15 of the 16 (93.8%) HRSA-funded programs completed the questionnaire. Postdoctoral geriatric dentistry programs were reported in 12 dental schools and six medical institutions, although only six programs were currently accepting fellows. The length of the programs was 12-36 months. The maximum number of residents in any program was ten. The oldest program was in Minnesota; it began in 1981. The newest program was beginning in 2017 at Boston University as a revised version of its previous HRSA-funded program. The loss of HRSA funding has had a major negative impact on the number of training programs. Future research is needed to determine how the loss of HRSA-funded programs has affected the availability of educators in geriatric dentistry for dental schools and the services provided to the geriatric community.
[Mh] Termos MeSH primário: Educação de Pós-Graduação em Odontologia/estatística & dados numéricos
Odontologia Geriátrica/educação
Faculdades de Odontologia
[Mh] Termos MeSH secundário: Inquéritos e Questionários
Estados Unidos
United States Health Resources and Services Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171003
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.017.079


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[PMID]:28574239
[Au] Autor:Health Resources and Services Administration, HHS
[Ti] Título:340B Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties Regulation. Final rule; further delay of effective date.
[So] Source:Fed Regist;82(96):22893-5, 2017 May 19.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Health Resources and Services Administration (HRSA) administers section 340B of the Public Health Service Act (PHSA), referred to as the "340B Drug Pricing Program" or the "340B Program." HRSA published a final rule on January 5, 2017, that set forth the calculation of the ceiling price and application of civil monetary penalties. The final rule applied to all drug manufacturers that are required to make their drugs available to covered entities under the 340B Program. In accordance with a January 20, 2017, memorandum from the Assistant to the President and Chief of Staff, entitled "Regulatory Freeze Pending Review," HRSA issued an interim final rule that delayed the effective date of the final rule published in the Federal Register (82 FR 1210, (January 5, 2017)) to May 22, 2017. HHS invited commenters to provide their views on whether a longer delay of the effective date to October 1, 2017, would be more appropriate. After consideration of the comments received on the interim final rule, HHS is delaying the effective date of the January 5, 2017 final rule, to October 1, 2017.
[Mh] Termos MeSH primário: Custos de Medicamentos/legislação & jurisprudência
Indústria Farmacêutica/legislação & jurisprudência
[Mh] Termos MeSH secundário: Custos e Análise de Custo/economia
Custos e Análise de Custo/legislação & jurisprudência
Indústria Farmacêutica/economia
Programas Governamentais/economia
Programas Governamentais/legislação & jurisprudência
Regulamentação Governamental
Seres Humanos
Estados Unidos
United States Health Resources and Services Administration/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE


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[PMID]:28075641
[Au] Autor:Rebchook G; Keatley J; Contreras R; Perloff J; Molano LF; Reback CJ; Ducheny K; Nemoto T; Lin R; Birnbaum J; Woods T; Xavier J; SPNS Transgender Women of Color Study Group
[Ad] Endereço:Gregory Rebchook is with the Center for AIDS Prevention Studies, University of California, San Francisco (UCSF). JoAnne Keatley is with the Center of Excellence for Transgender Health, UCSF. Robert Contreras is with BIENESTAR Human Services, Los Angeles, CA. Judith Perloff is with Chicago House &
[Ti] Título:The Transgender Women of Color Initiative: Implementing and Evaluating Innovative Interventions to Enhance Engagement and Retention in HIV Care.
[So] Source:Am J Public Health;107(2):224-229, 2017 Feb.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To improve health outcomes among transgender women of color living with HIV, the Health Resources and Services Administration's Special Programs of National Significance program funded the Enhancing Engagement and Retention in Quality HIV Care for Transgender Women of Color Initiative in 2012. Nine demonstration projects in four US urban areas implemented innovative, theory-based interventions specifically targeting transgender women of color in their jurisdictions. An evaluation and technical assistance center was funded to evaluate the outcomes of the access to care interventions, and these findings will yield best practices and lessons learned to improve the care and treatment of transgender women of color living with HIV infection.
[Mh] Termos MeSH primário: Infecções por HIV/etnologia
Serviços Urbanos de Saúde/organização & administração
[Mh] Termos MeSH secundário: Feminino
Infecções por HIV/terapia
Acesso aos Serviços de Saúde
Necessidades e Demandas de Serviços de Saúde
Disparidades em Assistência à Saúde
Seres Humanos
Desenvolvimento de Programas
Avaliação de Programas e Projetos de Saúde
Qualidade da Assistência à Saúde
Fatores de Risco
Serviço Social/organização & administração
Pessoas Transgênero
Estados Unidos
United States Health Resources and Services Administration
Serviços Urbanos de Saúde/utilização
População Urbana
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170112
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2016.303582


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[PMID]:27490291
[Au] Autor:Rolls J; Keahey D
[Ad] Endereço:Joanne Rolls, MPAS, PA-C, is an assistant clinical professor in the PA Division at the University of Utah School of Medicine, Salt Lake City, Utah. David Keahey, MSPH, PA-C, is an associate clinical professor in the PA Division of the University of Utah School of Medicine, Salt Lake City, Utah.
[Ti] Título:Durability of Expanded Physician Assistant Training Positions Following the End of Health Resources and Services Administration Expansion of Physician Assistant Training Funding.
[So] Source:J Physician Assist Educ;27(3):101-4, 2016 Sep.
[Is] ISSN:1941-9430
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to assess the number of Health Resources and Services Administration Expansion of Physician Assistant Training (EPAT)-funded physician assistant (PA) programs planning to maintain class size at expanded levels after grant funds expire and to report proposed financing methods. The 5-year EPAT grant expired in 2015, and the effect of this funding on creating a durable expansion of PA training seats has not yet been investigated. METHODS: The study used an anonymous, 9-question, Web-based survey sent to the program directors at each of the PA programs that received EPAT funding. Data were analyzed in Excel and using SAS statistical analysis software for both simple percentages and for Fisher's exact test. RESULTS: The survey response rate was 81.48%. Eighty-two percent of responding programs indicated that they planned to maintain all expanded positions. Fourteen percent will revert to their previous student class size, and 4% will maintain a portion of the expanded positions. A majority of the 18 programs (66%) maintaining all EPAT seats will be funded by tuition pass-through, and one program (6%) will increase tuition. There was no statistical association between the program type and the decision to maintain expanded positions (P = .820). CONCLUSIONS: This study demonstrates that the one-time EPAT PA grant funding opportunity created a durable expansion in PA training seats. Future research should focus on the effectiveness of the program in increasing the number of graduates choosing to practice in primary care and the durability of expansion several years after funding expiration.
[Mh] Termos MeSH primário: Financiamento Governamental
Assistentes Médicos/educação
Apoio ao Desenvolvimento de Recursos Humanos
United States Health Resources and Services Administration
[Mh] Termos MeSH secundário: Seres Humanos
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170113
[Lr] Data última revisão:
170113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160805
[St] Status:MEDLINE
[do] DOI:10.1097/JPA.0000000000000076


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[PMID]:27044240
[Au] Autor:Taflinger K; West E; Sunderhaus J; Hilton IV
[Ti] Título:Health Partners of Western Ohio: Integrated Care Case Study.
[So] Source:J Calif Dent Assoc;44(3):182-5, 2016 Mar.
[Is] ISSN:1043-2256
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Health centers are unique health care delivery organizations in which multiple disciplines, such as primary care, dental, behavioral health, pharmacy, podiatry, optometry and alternative medicine, are often located at the same site. Because of this characteristic, many health centers have developed systems of integrated care. This paper describes the characteristics of health centers and highlights the integrated health care delivery system of one early adopter health center, Health Partners of Western Ohio.
[Mh] Termos MeSH primário: Prestação Integrada de Cuidados de Saúde
Assistência Odontológica
Instalações de Saúde
Atenção Primária à Saúde
[Mh] Termos MeSH secundário: Registros Eletrônicos de Saúde
Tabela de Remuneração de Serviços
Organização do Financiamento
Conselho Diretor
Custos de Cuidados de Saúde
Promoção da Saúde
Acesso aos Serviços de Saúde
Seres Humanos
Ohio
Saúde Bucal
Propriedade
Assistência Centrada no Paciente
Sistema de Pagamento Prospectivo
Provedores de Redes de Segurança
Estados Unidos
United States Health Resources and Services Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160405
[Lr] Data última revisão:
160405
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:160406
[St] Status:MEDLINE


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[PMID]:26863836
[Au] Autor:Gricius RF; Wong D
[Ti] Título:Fast track to 340B.
[So] Source:Healthc Financ Manage;70(1):56-62, 2016 Jan.
[Is] ISSN:0735-0732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hospitals that are newly qualified for the 340B Drug Pricing Program may have an opportunity for fast-track approval to participate in the program. Three steps are required to seize this opportunity: Use data analytics to assess current and future percentages of Medicaid utilization and eligibility for federal SSI cash benefits. Determine the feasibility of early cost report filing. Prepare appropriate documentation and undertake the initial enrollment process.
[Mh] Termos MeSH primário: Redução de Custos
Custos de Medicamentos/legislação & jurisprudência
Pacientes Ambulatoriais
[Mh] Termos MeSH secundário: Comércio/economia
Custos Hospitalares
Medicaid
Estados Unidos
United States Health Resources and Services Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:160211
[Lr] Data última revisão:
160211
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160212
[St] Status:MEDLINE


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[PMID]:26843662
[Au] Autor:Bigley MB
[Ad] Endereço:Mary Beth Bigley is Director, Division of Nursing and Public Health, Bureau of Health Workforce (BHW), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services, Rockville, Maryland.
[Ti] Título:HRSA's Transformation of Public Health Training.
[So] Source:Public Health Rep;131(1):4-6, 2016 Jan-Feb.
[Is] ISSN:1468-2877
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Saúde Pública/educação
United States Health Resources and Services Administration
[Mh] Termos MeSH secundário: Surtos de Doenças/prevenção & controle
Doença pelo Vírus Ebola/diagnóstico
Doença pelo Vírus Ebola/prevenção & controle
Seres Humanos
Estados Unidos
United States Health Resources and Services Administration/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160205
[St] Status:MEDLINE


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[PMID]:24612263
[Au] Autor:Wittie M; Ngo-Metzger Q; Lebrun-Harris L; Shi L; Nair S
[Ti] Título:Enabling Quality: Electronic Health Record Adoption and Meaningful Use Readiness in Federally Funded Health Centers.
[So] Source:J Healthc Qual;38(1):42-51, 2016 Jan-Feb.
[Is] ISSN:1945-1474
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Health Resources and Services Administration has supported the adoption of electronic health records (EHRs) by federally funded health centers for over a decade; however, little is known about health centers' current EHR adoption rates, progress toward Meaningful Use, and factors related to adoption. We analyzed cross-sectional data from all 1,128 health centers in 2011, which served over 20 million patients during that year. As of 2011, 80% of health centers reported using an EHR, and high proportions reported using many advanced EHR functionalities. There were no indications of disparities in EHR adoption by census region, urban/rural location, patient sociodemographic composition, physician staffing, or health center funding; however, there were small variations in adoption by total patient cost and percent of revenue from grants. Findings revealed no evidence of a digital divide among health centers, indicating that health centers are implementing EHRs, in keeping with their mission to reduce health disparities.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde/estatística & dados numéricos
Registros Eletrônicos de Saúde/utilização
Uso Significativo/estatística & dados numéricos
United States Health Resources and Services Administration/normas
[Mh] Termos MeSH secundário: Estudos Transversais
Registros Eletrônicos de Saúde/normas
Governo Federal
Feminino
Geografia
Seres Humanos
Masculino
População Rural/estatística & dados numéricos
Estados Unidos
População Urbana/estatística & dados numéricos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170213
[Lr] Data última revisão:
170213
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:140312
[St] Status:MEDLINE
[do] DOI:10.1111/jhq.12067


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[PMID]:26827389
[Au] Autor:Zeta LM
[Ti] Título:Comprehensive Legislative Reform to Protect the Integrity of the 340B Drug Discount Program.
[So] Source:Food Drug Law J;70(4):481-99, i, 2015.
[Is] ISSN:1064-590X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The 40B Drug Discount Program (340B Program) is a federally facilitated program that requires drug manufacturers to provide steep discounts on outpatient prescription drugs to qualifying safety net health care providers. The federal program is intended as a safeguard to ensure access to affordable drugs to the indigeut. However, over the last two decades safety net health care providers have exploited financial incentives under the 340B Program at the expense of drug manufacturers and patients, including the most needy and vulnerable populations-they are committed to serve. Although the federal government has been applauded for increasing effortsto combat health care fraud and abuse including recovering $3.3 billion in 2014, federal officials and the general public have paid markedly less attention to pervasive abuse of the 340B Program. In 2014, drug purchases of 340B-designated drugs totaled $7 billion and are expected to increase to $12 billion: by 2016 as a result of the expansion of the program under the Affordable Care Act. The 340B Program has completely lost its way, and comprehensive legislation is necessary to realign the program with its intent.
[Mh] Termos MeSH primário: Custos de Medicamentos/legislação & jurisprudência
Fraude
Sistemas de Medicação no Hospital/legislação & jurisprudência
Pobreza
Medicamentos sob Prescrição/economia
United States Health Resources and Services Administration/legislação & jurisprudência
[Mh] Termos MeSH secundário: Definição da Elegibilidade
Fraude/economia
História do Século XX
História do Século XXI
Seres Humanos
Seguro Saúde/história
Seguro Saúde/legislação & jurisprudência
Medicaid
Pessoas sem Cobertura de Seguro de Saúde/legislação & jurisprudência
Sistemas de Medicação no Hospital/economia
Patient Protection and Affordable Care Act
Provedores de Redes de Segurança/economia
Provedores de Redes de Segurança/legislação & jurisprudência
Estados Unidos
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Prescription Drugs)
[Em] Mês de entrada:1602
[Cu] Atualização por classe:160201
[Lr] Data última revisão:
160201
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:160202
[St] Status:MEDLINE


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[PMID]:26638301
[Au] Autor:Vujicic M
[Ti] Título:Interpreting HRSA's Latest Dentist Workforce Projections.
[So] Source:Hawaii Dent Assoc J;:8-9, 11, 2015.
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:With the U.S. health care system in the midst of a major transition spurred on by the Affordable Care Act (ACA), there is renewed debate over key health workforce policy issues. Health insurance coverage is expanding under the ACA, which will likely lead to increased demand for health care services. Longer-term, there will be increased emphasis on value, efficiency, and accountability within the health care system. These developments have major implications for the health care workforce. One key issue is whether the U.S. will face health care provider shortages as health insurance coverage expands and several health care occupations experience aging and other demographic transitions. Another key issue is how the move away from fee-for-service payment to more value-or outcome-based reimbursement models could potentially change the role of--and, therefore, demand for--different types of providers within the health care delivery team.
[Mh] Termos MeSH primário: Odontólogos/provisão & distribuição
United States Health Resources and Services Administration/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Criança
Assistência Odontológica/utilização
Odontólogos/estatística & dados numéricos
Política de Saúde
Acesso aos Serviços de Saúde
Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos
Seres Humanos
Benefícios do Seguro
Cobertura do Seguro
Medicaid
Patient Protection and Affordable Care Act
Pobreza
Mecanismo de Reembolso
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1602
[Cu] Atualização por classe:160707
[Lr] Data última revisão:
160707
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:151208
[St] Status:MEDLINE



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