Daily Migraine Prevention And Its Influence On Resource Utilization In The Military Health System
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| Author | : Joshua W. Devine |
| Publisher | : |
| Total Pages | : 444 |
| Release | : 2006 |
| Genre | : Medical care |
| ISBN | : |
Migraine is a widespread and disabling neurological disorder with a substantial economic burden due to the frequency and severity of the disease. Daily migraine prevention is recommended for patients who experience regular migraine headaches. While the safety and efficacy of this treatment has been established it is unclear what impact migraine prevention has on health care resource consumption. This study was undertaken to determine if the initiation of daily migraine prevention had an effect on ambulatory health care utilization compared to acute migraine treatment alone. Administrative claims data from the Military Health System were used to conduct a retrospective longitudinal cohort study of 8%436 beneficiaries who received both a diagnosis of headache and a prescription for a migraine-specific abortive medication over a two year time period from 1 October 2002 to 30 September 2004. Patients were categorized by exposure status to daily migraine prevention. New users (N = 1%144) were compared to subjects receiving acute headache treatment alone (N = 2618) during 18 months of follow-up. A series of regression and matching estimators modeled the effect of prevention on ambulatory health care utilization while controlling for patient characteristics selected from Andersen's Behavioral Model of Health Care Utilization.
| Author | : |
| Publisher | : |
| Total Pages | : 854 |
| Release | : 2007 |
| Genre | : Dissertations, Academic |
| ISBN | : |
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 427 |
| Release | : 2020-04-24 |
| Genre | : Medical |
| ISBN | : 0309672104 |
Among the many who serve in the United States Armed Forces and who are deployed to distant locations around the world, myriad health threats are encountered. In addition to those associated with the disruption of their home life and potential for combat, they may face distinctive disease threats that are specific to the locations to which they are deployed. U.S. forces have been deployed many times over the years to areas in which malaria is endemic, including in parts of Afghanistan and Iraq. Department of Defense (DoD) policy requires that antimalarial drugs be issued and regimens adhered to for deployments to malaria-endemic areas. Policies directing which should be used as first and as second-line agents have evolved over time based on new data regarding adverse events or precautions for specific underlying health conditions, areas of deployment, and other operational factors At the request of the Veterans Administration, Assessment of Long-Term Health Effects of Antimalarial Drugs When Used for Prophylaxis assesses the scientific evidence regarding the potential for long-term health effects resulting from the use of antimalarial drugs that were approved by FDA or used by U.S. service members for malaria prophylaxis, with a focus on mefloquine, tafenoquine, and other antimalarial drugs that have been used by DoD in the past 25 years. This report offers conclusions based on available evidence regarding associations of persistent or latent adverse events.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 383 |
| Release | : 2011-10-26 |
| Genre | : Medical |
| ISBN | : 030921484X |
Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 483 |
| Release | : 2017-09-28 |
| Genre | : Medical |
| ISBN | : 0309459575 |
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
| Author | : |
| Publisher | : |
| Total Pages | : 164 |
| Release | : 2004 |
| Genre | : Medical care |
| ISBN | : |
The first attempt to integrate data from all of the National Health Care Survey (NHCS) components into one publication that examines how health care utilization is changing across multiple settings.
| Author | : National Center for Health Statistics |
| Publisher | : Government Printing Office |
| Total Pages | : 494 |
| Release | : 2017-08-16 |
| Genre | : Health & Fitness |
| ISBN | : 9780160939778 |
This annual overview report of national trends in health statistics contains a Chartbook that assesses the nation's health by presenting trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health-care expenditures. Chapters devoted to population characteristics, prevention, health risk factors, health care resources, personal health care expenditures, health insurance, and trend tables may provide the health/medical statistician, data analyst, biostatistician with additional information to complete experimental studies or provide necessary research for pharmaceutical companies to gain data for modeling and sampling. Undergraduate students engaged in applied mathematics or statistical compilations to graduate students completing biostatistics degree programs to include statistical inference principles, probability, sampling methods and data analysis as well as specialized medical statistics courses relating to epidemiology and other health topics may be interested in this volume. Related products: Your Guide to Choosing a Nursing Home or Other Long-Term Services & Supports available here: https://bookstore.gpo.gov/products/your-guide-choosing-nursing-home-or-other-long-term-services-supports Health Insurance Coverage in the United States, 2014 available here: https://bookstore.gpo.gov/products/health-insurance-coverage-united-states-2014 "Some System of the Nature Here Proposed": Joseph Lovell's Remarks on the Sick Report, Northern Department, U.S. Army, 1817, and the Rise of the Modern US Army Medical Department can be found here: https://bookstore.gpo.gov/products/some-system-nature-here-proposed-joseph-lovells-remarks-sick-report-northern-department-us Guide to Clinical Preventive Services 2014: Recommendations of the U.S. Preventive Services Task Force (ePub) -Free digital eBook download available at the US Government Online Bookstore here: https://bookstore.gpo.gov/products/guide-clinical-preventive-services-2014-recommendations-us-preventive-services-task-force --Also available for FREE digital eBook download from Apple iBookstore, BarnesandNoble.com (Nook Bookstore), Google Play eBookstore, and Overdrive -Please use ISBN: 9780160926426 to search these commercial platforms.
| Author | : World Health Organization |
| Publisher | : World Health Organization |
| Total Pages | : 0 |
| Release | : 2011 |
| Genre | : Medical |
| ISBN | : 9789241564212 |
"Despite that headache is felt at some time by nearly everybody, and almost half the world's adults at any one time have recent personal experience of one or more of the three very common headache disorders, much is unknown about the public-health impact of these conditions. It is not known how, or how much, they affect many of the populations of the world, or how healthcare and other resources are utilized to mitigate their effects. This first global enquiry into these matters illuminates the worldwide neglect of a major public-health problem, and reveals the inadequacies of responses to it in countries throughout the world. The Atlas of Headache Disorders presents data acquired by WHO in collaboration with Lifting The Burden: the Global Campaign against Headache. Most of the information was collected in a questionnaire survey of neurologists, general practitioners and patients' representatives from 101 countries, performed from October 2006 until March 2009. Epidemiological data were compiled from published studies through a systematic review, and supplemented by data gathered in population-based studies undertaken within the Global Campaign." --Publisher website.
| Author | : |
| Publisher | : |
| Total Pages | : 1536 |
| Release | : 2002 |
| Genre | : Medicine |
| ISBN | : |
Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
| Author | : Joan Sauers |
| Publisher | : |
| Total Pages | : 498 |
| Release | : 2004-12-23 |
| Genre | : Medical |
| ISBN | : 9781579809973 |
